Journal Description
European Journal of Investigation in Health, Psychology and Education
European Journal of Investigation in Health, Psychology and Education
is a peer-reviewed, scientific journal that publishes original articles and systematic reviews or meta-analyses related to research on human development throughout the life cycle. The journal is owned by the University Association of Education and Psychology (previously published under the print ISSN 2174-8144) and is published monthly online by MDPI (since Volume 10, Issue 1 - 2020).
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within Scopus, ESCI (Web of Science), PMC, PubMed, and other databases.
- Journal Rank: CiteScore - Q2 (Clinical Psychology)
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 20.1 days after submission; acceptance to publication is undertaken in 2.6 days (median values for papers published in this journal in the second half of 2023).
- Recognition of Reviewers: reviewers who provide timely, thorough peer-review reports receive vouchers entitling them to a discount on the APC of their next publication in any MDPI journal, in appreciation of the work done.
Impact Factor:
3.2 (2022);
5-Year Impact Factor:
2.8 (2022)
Latest Articles
The Moderating Effect of Body Appreciation on the Relationship between Self-Esteem and Life Satisfaction
Eur. J. Investig. Health Psychol. Educ. 2024, 14(4), 870-887; https://doi.org/10.3390/ejihpe14040056 - 28 Mar 2024
Abstract
Background: Although positive associations between life satisfaction, self-esteem, and body image have previously been established, differences in these variables by gender and age have yielded mixed results. Moreover, little is known about the interplay between self-esteem and body appreciation on life satisfaction. This
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Background: Although positive associations between life satisfaction, self-esteem, and body image have previously been established, differences in these variables by gender and age have yielded mixed results. Moreover, little is known about the interplay between self-esteem and body appreciation on life satisfaction. This study aims to investigate the moderating effect of body appreciation on the relationship between self-esteem and life satisfaction, considering disparities between females and males and also between emerging adults (before the age of thirty) and older adults. Methods: A cross-sectional online survey was performed in Poland with a sample of 449 adults aged between 18 and 75 (M = 30.41, SD = 12.72), including 68% of women. The survey included the Satisfaction With Life Scale (SWLS), Rosenberg Self-Esteem Scale (RSES), and Body Appreciation Scale (BAS-2). Results: Men scored higher than women in terms of life satisfaction and self-esteem, while older participants (age > 30) scored higher than younger individuals (age ≤ 30) in terms of life satisfaction, self-esteem, and body appreciation. The study confirmed positive and moderate correlations between life satisfaction, self-esteem, and body appreciation. The interactive effect of self-esteem and body appreciation on life satisfaction was also found by controlling for age and gender. Conclusions: Some intervention programs focused on increasing levels of self-esteem and body appreciation should be implemented, especially among women and emerging adults, to improve their well-being.
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(This article belongs to the Special Issue Body Image Perception and Body Composition in All Population)
Open AccessArticle
Nocturnal Smartphone Use Affects Sleep Quality and Cognitive and Physical Performance in Tunisian School-Age Children
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Rihab Abid, Achraf Ammar, Rami Maaloul, Mariem Boudaya, Nizar Souissi and Omar Hammouda
Eur. J. Investig. Health Psychol. Educ. 2024, 14(4), 856-869; https://doi.org/10.3390/ejihpe14040055 - 28 Mar 2024
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Nocturnal smartphone use emits blue light, which can adversely affect sleep, leading to a variety of negative effects, particularly in children. Therefore, the present study aimed to determine the effect of acute (AC) (one night) and repeated (RC) (five nights) nocturnal smartphone exposure
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Nocturnal smartphone use emits blue light, which can adversely affect sleep, leading to a variety of negative effects, particularly in children. Therefore, the present study aimed to determine the effect of acute (AC) (one night) and repeated (RC) (five nights) nocturnal smartphone exposure on sleep, cortisol, and next-day performance in Tunisian children. Thirteen participants (seven girls and six boys, age 9 ± 0.6, height 1.32 ± 0.06, weight 34.47 ± 4.41) attended six experimental nights. The experiment started with a baseline night (BL) with no smartphone exposure, followed by repeated sessions of nocturnal smartphone exposure lasting 90 minutes (08:00 pm–09:30 pm). Actigraphy; salivary cortisol; the Stroop test (selective attention); choice reaction time (CRT); N-back (working memory); counter-movement jump (CMJ), composed of flight time (time spent in the CMJ flight phase) and jump height; and a 30 m sprint were assessed the morning after each condition. Both AC and RC shortened total sleep time (TST) (p < 0.01), with a greater decrease with RC (−46.7 min, ∆% = −9.46) than AC (−28.8 min, ∆% = −5.8) compared to BL. AC and RC significantly increased waking after sleep onset (3.5 min, ∆% = 15.05, to 9.9 min, ∆% = 43.11%) and number of errors made on the Stroop test (1.8 error, ∆% = 74.23, to 3.07 error, ∆% = 97.56%). Children made 0.15 and 0.8 more errors (∆% = 6.2 to 57.61%) and spent 46.9 s and 71.6 s more time on CRT tasks (∆% = 7.22 to 11.11%) with AC and RC, respectively, compared to BL. The high-interference index of the Stroop task, CMJ performance, and 30 m sprint speed were only altered (p < 0.01) following RC (0.36, Δ% = 41.52%; −34 s, Δ% = −9.29%, for flight time and −1.23 m, −8.72%, for jump height; 0.49 s, Δ% = 6.48, respectively) when compared to BL. In conclusion, one- or five-night exposure to smartphones disturbed the children’s sleep quality and their performance, with more pronounced effects following RC.
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Open AccessArticle
How Is the Fear of War Impacting Italian Young Adults’ Mental Health? The Mediating Role of Future Anxiety and Intolerance of Uncertainty
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Giorgio Maria Regnoli, Gioia Tiano and Barbara De Rosa
Eur. J. Investig. Health Psychol. Educ. 2024, 14(4), 838-855; https://doi.org/10.3390/ejihpe14040054 - 26 Mar 2024
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The Russian–Ukrainian conflict is affecting mental health even in communities that are not directly involved in the war; added to this is the escalating conflict in the Middle East and its dangerous spread, which brings the war back to the center of the
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The Russian–Ukrainian conflict is affecting mental health even in communities that are not directly involved in the war; added to this is the escalating conflict in the Middle East and its dangerous spread, which brings the war back to the center of the contemporary social and economic horizon. The present study aims to explore the psychological impact of war in a sample of 310 Italian young adults (18–30 years; M = 22.0; SD = 2.6) while exploring the relationship between Fear of War and psychological distress and evaluating the mediating effects of Future Anxiety and Intolerance of Uncertainty in this relation. Findings highlighted how Fear of War positively and significantly affects Stress, Anxiety, and Depression, and, at the same time, how it fuels both Future Anxiety and Intolerance of Uncertainty. These constructs, in addition to positively affecting the mental health outcomes considered, mediate the relationship between Fear of War and youth psychological distress with a significant indirect effect observed in all three mediation models performed. Finally, significantly higher levels of psychological distress, Fear of War, and Future Anxiety are reported in women than in men. The findings are discussed with reference to the recent literature on the psychological impact of war and on contemporary youth psychological distress, indicating the importance of educational policies and targeted interventions aimed at supporting this target in coping with multiple contemporary collective stressors.
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Open AccessArticle
The Volunteer Functions Inventory (VFI): Adaptation and Psychometric Properties among a Portuguese Sample of Volunteers
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Cátia Martins, José Tomás da Silva, Saúl Neves de Jesus, Conceição Ribeiro, Maria Dulce Estêvão, Ricardo Baptista, Cláudia Carmo, Marta Brás, Rita Santos and Cristina Nunes
Eur. J. Investig. Health Psychol. Educ. 2024, 14(4), 823-837; https://doi.org/10.3390/ejihpe14040053 - 25 Mar 2024
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The Volunteer Functions Inventory (VFI) is an instrument widely used to assess volunteers’ motivation based on the Functionalist Model of Omoto and Snyder. It assesses six factors that reflect several motivational functions. The VFI has been translated into various languages and validated in
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The Volunteer Functions Inventory (VFI) is an instrument widely used to assess volunteers’ motivation based on the Functionalist Model of Omoto and Snyder. It assesses six factors that reflect several motivational functions. The VFI has been translated into various languages and validated in different cultural contexts, but some studies have reported different factor structures (e.g., five or four factors). In the Portuguese context, previous studies have also shown inconsistent results. The aim of this study was to adapt and validate the VFI for Portuguese volunteers, testing several alternative models (nine models) using confirmatory factor analysis. The sample comprised 468 volunteers (76.3% women), aged from 13 to 81 years (M = 36.66, SD = 14.93). The results support the original interrelated six-factor model as the best-fitting one. The VFI showed good internal consistency and convergent validity. Significant correlations were found between the VFI factors, organizational commitment, and volunteers’ satisfaction. Overall, the six-factor VFI is a valid and reliable tool for measuring the motivational functions of Portuguese volunteers, with implications for practice and research in the volunteering field.
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Open AccessArticle
The Vaccination Fear Scale (VFS-6): Adaptation, Cross-Cultural Validation, and Invariance among Genders and Six Different Cultures, Applying Classical Test Theory (CTT) and Item Response Theory (IRT)
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Olga Malas, Nada Mallah Boustani, Mirko Duradoni, Dayo Omotoso, Asiye Şengül Avşar, Anastasiia Shyroka, Giulia Colombini and Angel Blanch
Eur. J. Investig. Health Psychol. Educ. 2024, 14(4), 808-822; https://doi.org/10.3390/ejihpe14040052 - 24 Mar 2024
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The coronavirus disease 2019 (COVID-19) pandemic had a meaningful impact on several areas of human activity. With respect to psychological assessment, the requirements to study the fear of vaccination as a means to diminish negative behaviour towards vaccination had been reported. This study
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The coronavirus disease 2019 (COVID-19) pandemic had a meaningful impact on several areas of human activity. With respect to psychological assessment, the requirements to study the fear of vaccination as a means to diminish negative behaviour towards vaccination had been reported. This study aimed to evaluate the factorial invariance of the six-item Vaccination Fear Scale (VFS-6) across individuals and cultures. To achieve this goal, a sample of university students was recruited (n = 2535; mean age = 20.59, SD = 2.04; males: 26.75%, females: 73.25%) from Spain (n = 388; 15.3%), Italy (n = 376; 14.83%), Lebanon (n = 487; 19.21%), Nigeria (n = 561; 22.13%), Turkey (n = 410; 16.17%), and Ukraine (n = 313; 12.34%). The results showed that the most appropriate factorial structure, exhibiting excellent fit indices, was a model with two correlated factors (cognitive symptoms: items 1, 2, and 4; somatic symptoms: items 3, 5, and 6) for both the total sample and individual samples from each country and language (Spanish, Italian, Arabic, English, Turkish, and Ukrainian). Notably, the VFS-6 demonstrated configural, metric, scalar, and strict invariance across sex. Regarding countries and languages, configural invariance was observed between them. Also, metric invariance was observed between Spain, Italy, and Ukraine and between Lebanon, Nigeria, and Turkey, which indicates the presence of two well-differentiated groups of countries and the possibility of inferential analysis between them. Item Response Theory analysis suggested an appropriate level of discrimination and difficulty of the test. These significant findings lay the groundwork for future investigations into vaccination fear across diverse cultural backgrounds, providing valuable insights for addressing vaccination-related concerns worldwide.
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Open AccessArticle
Adaptation and Validation of the Academic Stress Scale in the Italian Context: Latent Structure, Reliability, and Concurrent Validity
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Lucrezia Perrella, Ernesto Lodi and Patrizia Patrizi
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 782-807; https://doi.org/10.3390/ejihpe14030051 - 21 Mar 2024
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The present study describes the Italian adaptation of the Academic Stressors Scale (E-CEA) of the Academic Stress Questionnaire, evaluating the relationships with general and domain-specific well-being and verifying the significant predictors and the amount of variance explained by the “non-intellective” academic competencies on
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The present study describes the Italian adaptation of the Academic Stressors Scale (E-CEA) of the Academic Stress Questionnaire, evaluating the relationships with general and domain-specific well-being and verifying the significant predictors and the amount of variance explained by the “non-intellective” academic competencies on the scores of student stress dimensions. The participants are 1305 students from all the different degree courses. The Italian version of the E-CEA, composed of 38 items, showed good psychometric properties both in terms of reliability and factorial structure with good fit indices. The 6 sub-dimensions, for the most part overlapping with those of the original version of the instrument, show good construct and concurrent validity as negative relationships were found with general and domain-specific well-being indices. With regard to the regressions performed, several dimensions of “non-intellective” academic competencies turned out to be significant predictors (with negative effect) with respect to the stress levels perceived in the academic environment by university students: in particular, time organization, emotional control, the ability to relate to professors and intrinsic motivation could decrease stress levels, while dedication to study and the tendency to involve one’s parents in one’s university career seemed to increase stress levels. Regarding the practical implications of the results, suggestions are provided in supporting the career paths of students to reduce risk factors for stress development and to promote academic well-being.
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Open AccessArticle
Spirituality, Quality of Life, and Health: A Japanese Cross-Sectional Study
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Takeshi Yoshizawa, Abdelrahman M. Makram, Randa Elsheikh, Sadako Nakamura, Engy Mohamed Makram, Kazumi Kubota, Nguyen Tien Huy and Kazuhiko Moji
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 767-781; https://doi.org/10.3390/ejihpe14030050 - 21 Mar 2024
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Background: Current reports suggest a positive association between spirituality and quality of life (QoL) in elders. While most studies are qualitative studies and there has been little validation in quantitative studies using scales to measure spirituality. Hence, we aimed to study the effect
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Background: Current reports suggest a positive association between spirituality and quality of life (QoL) in elders. While most studies are qualitative studies and there has been little validation in quantitative studies using scales to measure spirituality. Hence, we aimed to study the effect of spirituality on mental health and QoL in older people residing in Kumejima Town in Japan. Methods: An interview-based survey was conducted between September 2010 and 2011 on residents of Kumejima Town aged 65 years or older. This survey-based study employed the Spirituality Health Scale for the Elderly (SP Health Scale) alongside assessments of basic attributes (e.g., age, sex); physical, mental, social health, spirituality, and QoL. We conducted a causal structure model to explore causal relationships between these factors. Results: Our study included 338 participants, including 72.5% female with an average age and standard deviation of 77.2 ± 6.4 years. Our analysis revealed a significant association between spiritual health and QoL even after accounting for the impact of physical and mental health, which challenged the conventional belief that QoL inevitably diminishes with age and declining health. These results suggest that enhancing spirituality may offer a means to prevent declines in QoL, fostering a positive outlook on life as individuals age. Conclusion: Our study suggests that improving spiritual health can enhance QoL, even in the presence of health challenges and aging. This novel perspective opens doors to redefining health as a state that coexists with illness, with spirituality serving as an integral component. A shift in our understanding of health that prioritizes spirituality, could benefit people of all ages, offering a more holistic approach to well-being that aligns with new medical technologies and evolving perceptions of health.
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Open AccessArticle
Educational Approach: Application of SWOT Analysis for Assessing Entrepreneurial Goals in Senior Dental Students
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Maria Antoniadou and Antonia Kanellopoulou
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 753-766; https://doi.org/10.3390/ejihpe14030049 - 20 Mar 2024
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The SWOT (strengths, weaknesses, opportunities, and threats) analysis is a framework used to evaluate a company’s competitive position and to develop strategic planning. In the competitive dental sector, it can aid dentists in identifying and analyzing internal strengths and weaknesses, as well as
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The SWOT (strengths, weaknesses, opportunities, and threats) analysis is a framework used to evaluate a company’s competitive position and to develop strategic planning. In the competitive dental sector, it can aid dentists in identifying and analyzing internal strengths and weaknesses, as well as external opportunities and threats. This study focuses on senior dental students of the Department of Dentistry at the National and Kapodistrian University of Athens, Greece, aiming to scrutinize their use of SWOT analysis and assess its application as a tool for evaluating entrepreneurial goals and making career decisions in dental entrepreneurship. The research sample comprises 116 senior dental students (N1) in the final undergraduate year of their dental education, with data collection accomplished through the administration of an e-questionnaire during the obligatory course of “Organization and management of dental practices” in December 2023. The data extracted from the SWOT analysis encompass internal and external factors, gender distinctions, and outcomes derived from Stepwise Binary Logistic Regression concerning predictor markers. The results from the SWOT analysis of 114 valid questionnaires (N2), revealed that participants identified communication skills (50%) and organization skills (49.10%) as their primary strengths, followed by favorable personal traits contributing to goal success (36%). Weaknesses predominantly centered around emotional and personal traits like anxiety (41.20%) and other characteristics, alongside practical challenges such as lack of initial capital (24.60%). Main opportunities included collaboration with experienced dentists (33.30%) and access to training programs (27.20%), while economic instability in Greece (77.20%) and the saturated dentist profession (26.30%) were perceived as significant threats. Gender differences were notable, with female dentists more likely to report organization skills as a strength and anxiety as a weakness. Values such as industriousness, persistence, and ethics were commonly shared, with actions focusing on training programs (57.9%) and gaining experience with experienced dentists (29.8%). Cluster analysis identified two subgroups, with one emphasizing utilizing all available options (n = 49) and the other prioritizing on gaining professional skills and experience (n = 65). Logistic regression indicated that participants valuing industriousness were less likely to explore all available options, while those recognizing personal traits were more likely to do so. The study’s outcomes highlight key predictor factors linked to a proactive orientation in career decision-making among senior dental students. These insights offer valuable implications for educational institutions and career counselors.
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Open AccessArticle
Validation of the Gaming Skills Questionnaire in Adolescence: Effects of Gaming Skills on Cognitive and Affective Functioning
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Triantafyllia Zioga, Chrysanthi Nega, Petros Roussos and Panagiotis Kourtesis
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 722-752; https://doi.org/10.3390/ejihpe14030048 - 19 Mar 2024
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Given the widespread popularity of videogames, research attempted to assess their effects on cognitive and affective abilities, especially in children and adolescents. Despite numerous correlational studies, robust evidence on the causal relationship between videogames and cognition remains scarce, hindered by the absence of
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Given the widespread popularity of videogames, research attempted to assess their effects on cognitive and affective abilities, especially in children and adolescents. Despite numerous correlational studies, robust evidence on the causal relationship between videogames and cognition remains scarce, hindered by the absence of a comprehensive assessment tool for gaming skills across various genres. In a sample of 347 adolescents, this study aimed to develop and validate the Gaming Skill Questionnaire (GSQ) and assess the impact of gaming skills in six different genres (sport, first-person shooters, role-playing games, action-adventure, strategy, and puzzle games) on cognitive and affective abilities of adolescents. The GSQ exhibited strong reliability and validity, highlighting its potential as a valuable tool. Gaming skills positively affected executive function, memory, overall cognition, cognitive flexibility, and emotion recognition, except for empathy. Various game genres had different effects on cognitive and affective abilities, with verbal fluency influenced mainly by sports, executive functions by action, strategy, and puzzle, and emotion recognition positively impacted by action and puzzle but negatively by sports and strategy games. Both age and gaming skills influenced cognitive flexibility, with gaming having a greater effect. These intriguing genre-specific effects on cognitive and affective functioning postulate further research with GSQ’s contribution.
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Open AccessArticle
Examining Students’ Acceptance and Use of ChatGPT in Saudi Arabian Higher Education
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Abu Elnasr E. Sobaih, Ibrahim A. Elshaer and Ahmed M. Hasanein
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 709-721; https://doi.org/10.3390/ejihpe14030047 - 17 Mar 2024
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This study examines students’ acceptance and use of ChatGPT in Saudi Arabian (SA) higher education, where there is growing interest in the use of this tool since its inauguration in 2022. Quantitative research data, through a self-reporting survey drawing on the “Unified Theory
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This study examines students’ acceptance and use of ChatGPT in Saudi Arabian (SA) higher education, where there is growing interest in the use of this tool since its inauguration in 2022. Quantitative research data, through a self-reporting survey drawing on the “Unified Theory of Acceptance and Use of Technology” (UTAUT2), were collected from 520 students in one of the public universities in SA at the start of the first semester of the study year 2023–2024. The findings of structural equation modeling partially supported the UTAUT and previous research in relation to the significant direct effect of performance expectancy (PE), social influence (SI), and effort expectancy (EE) on behavioral intention (BI) on the use of ChatGPT and the significant direct effect of PE, SI, and BI on actual use of ChatGPT. Nonetheless, the results did not support earlier research in relation to the direct relationship between facilitating conditions (FCs) and both BI and actual use of ChatGPT, which was found to be negative in the first relationship and insignificant in the second one. These findings were because of the absence of resources, support, and aid from external sources in relation to the use of ChatGPT. The results showed partial mediation of BI in the link between PE, SI, and FC and actual use of ChatGPT in education and a full mediation in the link of BI between EE and actual use of ChatGPT in education. The findings provide numerous implications for scholars and higher education institutions in SA, which are also of interest to other institutions in similar contexts.
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(This article belongs to the Special Issue Application of Artificial Intelligence in the Health Field or Education)
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Open AccessArticle
Duration Perception and Reading in Typically Developing Adults and Adults with Developmental Dyslexia: Implications for Assessment and Intervention
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Aikaterini Liapi, Susana Silva and Vasiliki Folia
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 699-708; https://doi.org/10.3390/ejihpe14030046 - 15 Mar 2024
Abstract
While the link between beat perception and reading skills is attributed to a general improvement in neural entrainment to speech units, duration perception (DP) is primarily linked to a specific aspect of speech perception, specifially discriminating phonemes of varying lengths. Our previous study
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While the link between beat perception and reading skills is attributed to a general improvement in neural entrainment to speech units, duration perception (DP) is primarily linked to a specific aspect of speech perception, specifially discriminating phonemes of varying lengths. Our previous study found a significant correlation between DP and pseudoword reading in both typically developing (TD) individuals and adults with dyslexia (DD). This suggests that, like beat, DP may also enhance overall speech perception. However, our previous study employed a composite measure that did not discriminate speed from accuracy. In this study, we sought to replicate the link between DP and pseudoword reading in a new sample and explore how it might vary depending on the reading parameter being measured. We analyzed the performance of 60 TD vs. 20 DD adults in DP, word reading and pseudoword reading tasks, analyzing the latter for both speed and accuracy. Indeed, duration skills correlated positively with pseudoword reading accuracy. In TD adults, there was no association between DP and reading speed, whereas DD individuals exhibited slower reading speed alongside improved duration skills. We emphasize the potential usefulness of DP tasks in assessment and early intervention and raise new questions about compensatory strategies adopted by DD adults.
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(This article belongs to the Collection Research in Clinical and Health Contexts)
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Open AccessFeature PaperReview
Artificial-Intelligence-Based Clinical Decision Support Systems in Primary Care: A Scoping Review of Current Clinical Implementations
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Cesar A. Gomez-Cabello, Sahar Borna, Sophia Pressman, Syed Ali Haider, Clifton R. Haider and Antonio J. Forte
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 685-698; https://doi.org/10.3390/ejihpe14030045 - 13 Mar 2024
Abstract
Primary Care Physicians (PCPs) are the first point of contact in healthcare. Because PCPs face the challenge of managing diverse patient populations while maintaining up-to-date medical knowledge and updated health records, this study explores the current outcomes and effectiveness of implementing Artificial Intelligence-based
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Primary Care Physicians (PCPs) are the first point of contact in healthcare. Because PCPs face the challenge of managing diverse patient populations while maintaining up-to-date medical knowledge and updated health records, this study explores the current outcomes and effectiveness of implementing Artificial Intelligence-based Clinical Decision Support Systems (AI-CDSSs) in Primary Healthcare (PHC). Following the PRISMA-ScR guidelines, we systematically searched five databases, PubMed, Scopus, CINAHL, IEEE, and Google Scholar, and manually searched related articles. Only CDSSs powered by AI targeted to physicians and tested in real clinical PHC settings were included. From a total of 421 articles, 6 met our criteria. We found AI-CDSSs from the US, Netherlands, Spain, and China whose primary tasks included diagnosis support, management and treatment recommendations, and complication prediction. Secondary objectives included lessening physician work burden and reducing healthcare costs. While promising, the outcomes were hindered by physicians’ perceptions and cultural settings. This study underscores the potential of AI-CDSSs in improving clinical management, patient satisfaction, and safety while reducing physician workload. However, further work is needed to explore the broad spectrum of applications that the new AI-CDSSs have in several PHC real clinical settings and measure their clinical outcomes.
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(This article belongs to the Special Issue Application of Artificial Intelligence in the Health Field or Education)
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Open AccessArticle
Alexithymia as a Risk Factor for an Internet Addiction in Adolescents and Young Adults with Autism Spectrum Disorder
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Magdalena Anna Skotalczyk, Karolina Anna Dąbrowska, Joanna Smorońska-Rypel, Krzysztof Maria Wilczyński and Małgorzata Janas-Kozik
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 669-684; https://doi.org/10.3390/ejihpe14030044 - 12 Mar 2024
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The aim of the study is to investigate the association of alexithymia with Internet addiction and autism spectrum disorders among adolescents and young adults. The links between alexithymia, ASD and other mental disorders are still a largely unexplored topic in psychiatry. An intriguing
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The aim of the study is to investigate the association of alexithymia with Internet addiction and autism spectrum disorders among adolescents and young adults. The links between alexithymia, ASD and other mental disorders are still a largely unexplored topic in psychiatry. An intriguing question is to what extent alexithymia can be a component of the clinical picture of ASD, and to what extent it is an independent phenomenon often co-occurring with ASD. The study group consisted of young Poles aged 11 to 35 (n = 229), including women (n = 167; 73%), men (n = 53; 23%) and non-binary people (n = 9; 4%). The following questionnaires were used in the Polish validated version as screening tools and shared online: AQ (Autism Quotient), TAS-20 (Toronto Alexithymia Scale), IAT (Internet Addiction Test). Among the subjects, 15 people admitted that they had received an official diagnosis of ASD, while 26 people showed a significantly increased severity of autistic traits on the AQ questionnaire. People with ASD who also exhibit alexithymia features are certainly more prone to problematic use of the Internet. In contrast, such a risk in people with ASD without alexithymia is comparable to the general population.
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Open AccessArticle
ChatGPT’s Response Consistency: A Study on Repeated Queries of Medical Examination Questions
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Paul F. Funk, Cosima C. Hoch, Samuel Knoedler, Leonard Knoedler, Sebastian Cotofana, Giuseppe Sofo, Ali Bashiri Dezfouli, Barbara Wollenberg, Orlando Guntinas-Lichius and Michael Alfertshofer
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 657-668; https://doi.org/10.3390/ejihpe14030043 - 08 Mar 2024
Abstract
(1) Background: As the field of artificial intelligence (AI) evolves, tools like ChatGPT are increasingly integrated into various domains of medicine, including medical education and research. Given the critical nature of medicine, it is of paramount importance that AI tools offer a high
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(1) Background: As the field of artificial intelligence (AI) evolves, tools like ChatGPT are increasingly integrated into various domains of medicine, including medical education and research. Given the critical nature of medicine, it is of paramount importance that AI tools offer a high degree of reliability in the information they provide. (2) Methods: A total of n = 450 medical examination questions were manually entered into ChatGPT thrice, each for ChatGPT 3.5 and ChatGPT 4. The responses were collected, and their accuracy and consistency were statistically analyzed throughout the series of entries. (3) Results: ChatGPT 4 displayed a statistically significantly improved accuracy with 85.7% compared to that of 57.7% of ChatGPT 3.5 (p < 0.001). Furthermore, ChatGPT 4 was more consistent, correctly answering 77.8% across all rounds, a significant increase from the 44.9% observed from ChatGPT 3.5 (p < 0.001). (4) Conclusions: The findings underscore the increased accuracy and dependability of ChatGPT 4 in the context of medical education and potential clinical decision making. Nonetheless, the research emphasizes the indispensable nature of human-delivered healthcare and the vital role of continuous assessment in leveraging AI in medicine.
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(This article belongs to the Special Issue Application of Artificial Intelligence in the Health Field or Education)
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Open AccessArticle
Stability of and Change in Psychopathological Risk Levels in Pre-Early Adolescents before, during, and after Their Study Sojourns: A Descriptive Study
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Luca Cerniglia and Silvia Cimino
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 648-656; https://doi.org/10.3390/ejihpe14030042 - 08 Mar 2024
Abstract
Background: Adolescents can benefit from studying abroad in terms of personal development, cross-cultural encounters, and academic enrichment. This article digs into the psychological challenges that students may face before and during their study abroad, focusing on the emotional components of their experiences. Methods:
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Background: Adolescents can benefit from studying abroad in terms of personal development, cross-cultural encounters, and academic enrichment. This article digs into the psychological challenges that students may face before and during their study abroad, focusing on the emotional components of their experiences. Methods: The current descriptive study sought to assess the stability or change in levels of psychopathological risk in a sample of N = 195 adolescents before and during a study abroad sojourn. To examine psychological symptoms in pre-adolescents, teachers were asked to complete a report-form questionnaire. Results: The findings of this study revealed that students’ psychological functioning changed significantly after their study abroad experience. Anxious/depressed and withdrawn ratings specifically increased from the pre-sojourn assessment (T1) to the evaluation during the stay (T2), then remained consistent (T3). In addition, the scores for rule-breaking and aggressive conduct changed, increasing from T1 to T2 and then decreasing from T2 to T3. This trend implies that teenagers may struggle with behavioral challenges early in their study abroad experience, but subsequently adjust and improve their conduct as they grow more used to the new environment. Conclusions: this research offers insight into the emotional and behavioral issues that adolescents face when studying abroad, underlining the significance of treating psychopathological risk factors in this demographic.
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An Analytic Hierarchy Process Contingency Analysis of Factors Affecting the Emigration Decision of Medical Doctors in Turkey
by
Cigdem Kadaifci, Y. Ilker Topcu and Enrique Mu
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 623-647; https://doi.org/10.3390/ejihpe14030041 - 07 Mar 2024
Abstract
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While the importance of explicitly identifying and considering contingent factors such as decision content and context is widely accepted as a way to ensure the validity of the decision analysis for the specific task at hand, few studies include this. This research uses
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While the importance of explicitly identifying and considering contingent factors such as decision content and context is widely accepted as a way to ensure the validity of the decision analysis for the specific task at hand, few studies include this. This research uses a contingency theoretical approach to study factors affecting the emigration decision of medical doctors (MDs) for the specific case of Turkey. The motivation for conducting this study arises from the observation that the growing trend in emigration among MDs from Turkey is having a significant impact on the country’s healthcare system. Dealing with the emigration of MDs is crucial for ensuring an effective and sustainable healthcare system, especially in terms of the availability of services, satisfaction, and employment of the healthcare staff. Contextual factors were explicitly identified through consultation with experts, while the generic factors were retrieved from the specialized medical migration literature. The Analytic Hierarchy Process method was utilized to prioritize the factors. Seventy-three participants were surveyed about their intention to either study or work abroad. The findings reveal that low remuneration and anxiety about their future due to the political situation in the country constitute the two most important factors driving the decision to emigrate.
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The Effects of Nature Exposure Therapies on Stress, Depression, and Anxiety Levels: A Systematic Review
by
Diana Marcela Paredes-Céspedes, Norida Vélez, Alejandra Parada-López, Yesith Guillermo Toloza-Pérez, Eliana M. Téllez, Claudia Portilla, Carolina González, Leany Blandón, Juan Carlos Santacruz and Jeadran Malagón-Rojas
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 609-622; https://doi.org/10.3390/ejihpe14030040 - 07 Mar 2024
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Background: Mental well-being plays a pivotal role within the broader spectrum of health and illness, encompassing factors such as stress, depression, and anxiety. Nature-based therapeutic interventions have emerged as a promising approach to addressing these mental health challenges. This study seeks to assess
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Background: Mental well-being plays a pivotal role within the broader spectrum of health and illness, encompassing factors such as stress, depression, and anxiety. Nature-based therapeutic interventions have emerged as a promising approach to addressing these mental health challenges. This study seeks to assess the impact of these interventions on stress, depression, and anxiety levels. Methods: We conducted an extensive search for randomized clinical trials that examined stress, anxiety, and depression levels. The selected studies underwent a rigorous risk-of-bias assessment following the guidelines outlined in the Cochrane Handbook for Systematic Reviews. Results: Our review encompassed findings from eight publications. Among them, two studies measuring cortisol levels revealed significant differences between the pre-test and post-test measurements within the intervention groups. In two studies that employed the Stress Response Inventory, a significant decrease in stress levels was observed within the intervention groups in contrast to the control groups. However, no significant differences were noted in studies that utilized the Restorative Outcome Scale. In the assessment of anxiety and depression levels, three studies employed the Positive and Negative Affect Schedule, while four studies utilized The Profile of Mood States scale; none of these studies demonstrated significant differences. Conclusions: The current body of evidence offers limited support for advocating nature-based therapeutic interventions as a primary approach to reducing stress, depression, and anxiety.
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Open AccessArticle
Technology-Supported Behavior Change—Applying Design Thinking to mHealth Application Development
by
Ramona Schweitzer, Stephan Schlögl and Marco Schweitzer
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 584-608; https://doi.org/10.3390/ejihpe14030039 - 07 Mar 2024
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Non-communicable diseases are the leading cause of global deaths. The risk of their development and progression is increased by modifiable behavioral risk factors. Yet, despite the known benefits of primary and secondary prevention, people often do not follow recommendations for a healthier lifestyle.
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Non-communicable diseases are the leading cause of global deaths. The risk of their development and progression is increased by modifiable behavioral risk factors. Yet, despite the known benefits of primary and secondary prevention, people often do not follow recommendations for a healthier lifestyle. To this end, mobile health (mHealth) applications offer features for behavioral interventions. Yet, reported user engagement is often low. The objective of the work presented in this article is thus to evaluate the suitability of Design Thinking (DT) as a means to inform the development of an mHealth application that helps increase long-term engagement, and consequently supports individuals in sustainably changing their lifestyle. Applying the DT approach, key user needs and challenges were investigated and used to design a first low-fidelity mHealth application prototype. Think-Aloud analysis, task completion, and post-test interviews were then used to evaluate the prototype and generate early-stage insights. Subsequently, a structured, retrospective analysis of this process, evaluating the insight-generation potential of each step in the DT process cycle, was used to reflect on its suitability to inform mHealth application development. The respective results highlight (1) the distinct value of the DT method, particularly in the early stages of a development project; (2) the strong need for interdisciplinary collaboration in such projects, so as to capture realistic end-user requirements and improve the overall effectiveness of the application design; and (3) the significance of integrating behavioral change theories into the design of mHealth applications, in order to promote long-term engagement.
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Open AccessArticle
Cultural Divergence in Psychedelic Use among Medical Students: An ESPAD-Adapted Survey among Poles and Iraqis
by
Ahmed Al-Imam, Marek A. Motyka and Michal Michalak
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 563-583; https://doi.org/10.3390/ejihpe14030038 - 05 Mar 2024
Abstract
Psychedelics can profoundly alter cognition and consciousness. Their use in Middle Eastern countries, including Iraq, is ambiguous. We aim to investigate psychedelic awareness and use among Iraqi and Polish medical students. We surveyed 739 university students from Poland (315) and Iraq (424) using
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Psychedelics can profoundly alter cognition and consciousness. Their use in Middle Eastern countries, including Iraq, is ambiguous. We aim to investigate psychedelic awareness and use among Iraqi and Polish medical students. We surveyed 739 university students from Poland (315) and Iraq (424) using 31 adapted questions from the European School Survey Project on Alcohol and Other Drugs (ESPAD). We conducted multivariable analyses based on binary logistic regression to identify the factors associated with psychedelic awareness and use. Most of the respondents were females (65.6%) and senior medical students (69.6%). Notably, the Polish students displayed a higher prevalence of psychedelic use (21.6% compared to 1.2%, p < 0.001), while the Iraqi participants exhibited a lower familiarity with psychedelics (p < 0.001). The multivariable model demonstrated a commendable level of statistical accuracy and satisfactorily conformed to the Hosmer–Lemeshow goodness-of-fit test (statistical accuracy = 91.61%, Nagelkerke R2 = 0.488, p-value = 0.848). Several factors emerged as correlates of increased psychedelic use, including lacking an intact religious belief system or commitment to its practice (OR = 7.26, 95% CI [2.33, 22.60]). Additionally, those who perceived a low risk associated with sporadic psychedelic use (3.03, [1.44, 6.36]) were likelier to engage in such behavior. Other factors included residing in Poland (2.82, [0.83, 9.55]), maintaining positive attitudes toward psychedelics (2.49, [1.20, 5.14]), frequent social nightlife activities (2.41, [1.26, 4.61]), male gender (2.05, [1.10, 3.85]), and cigarette or tobacco smoking (2.03, [1.06, 3.86]). Significant disparities exist between Poles and Iraqis, influenced by religiosity, perceptions of the usage risks, geographical location, gender, attitudes toward psychedelics, parental leniency, and social freedom, especially concerning nightlife activities. Addressing the factors influencing psychedelic usage is paramount to responsible psychedelic engagement and culturally sensitive interventions to prevent misuse.
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(This article belongs to the Special Issue Disparities in Mental Health and Well-Being)
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The Translation and Preliminary Psychometric Validation of the Ghosting Questionnaire in Urdu
by
Waqar Husain, Asma Sadiqa, Eman Zahid, Fatima Idrees, Achraf Ammar, Zahra Saif, Khaled Trabelsi, Seithikurippu R. Pandi-Perumal, Mary V. Seeman and Haitham Jahrami
Eur. J. Investig. Health Psychol. Educ. 2024, 14(3), 554-562; https://doi.org/10.3390/ejihpe14030037 - 01 Mar 2024
Abstract
Background: “Ghosting” refers to the practice of abruptly cutting off all contact with a person with whom you have been in constant correspondence. The break comes without warning and without understandable provocation. The term most commonly applies to online romantic relationships. The motives
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Background: “Ghosting” refers to the practice of abruptly cutting off all contact with a person with whom you have been in constant correspondence. The break comes without warning and without understandable provocation. The term most commonly applies to online romantic relationships. The motives for and effects of ghosting have been studied, and validated research questionnaires have been developed; however, there are no such questionnaires available for Urdu speakers. The purpose of this study was to adapt the “Ghosting Questionnaire (GQ)” for use in Pakistan and India, two of the world’s most populous countries—a process that involves translation, adaptation, and validation. Methods: The study’s methodology involved translating the GQ into Urdu using both forward and backward translation techniques. Convergent validity, test–retest reliability, internal consistency, confirmatory factor analysis, and goodness of fit were all components of the psychometric analyses. Conclusions: The Urdu version of the GQ demonstrated a good internal consistency, with the Cronbach’s alpha and McDonald’s omega both exceeding 0.90. It also showed a high test–retest reliability—(0.96). The one-factor structure was confirmed by the confirmatory factor analysis, which agreed with the original English version of the GQ.
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