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Sandplay Therapy with Suicidal Ideation and Self-Injury–Focused Engagement (SPT-SAFE) for Adolescents: An Exploratory Early Cohort Analysis of an Ongoing Randomized Controlled Trial
HyeonJeong Kwak
,UnKyoung Ahn
Posted: 14 January 2026
Augmented, Virtual, and Mixed Reality Assessment and Training for Executive Functions in Children with ADHD: A Scoping Review
Leonarda Anna Vinci
,Anna Passaro
,Fabrizio Stasolla
Background: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, motor hyperactivity and verbal and cognitive impulsivity. Impairments in executive functions (EFs), in particular working memory, monitoring and organization of daily life-are frequently observed in children diagnosed with ADHD, and are reflected in behavioural, social-emotional and learning difficulties. The development and use of technologies such as virtual reality (VR), augmented reality (AR) and mixed reality (MR) for ADHD have increased in recent years, using a variety of tools to support including PC, video games, wearable devices and tangible interfaces. Objectives: To systematically map the current state of research on the use of AR, VR and MR technologies to assess and/or enhance EFs in children with ADHD. To evaluate the effects on their quality of life and on families’ and caregivers’ burden reduction. To explore the interventions’ clinical validity. Methods: A scoping review according to PRISMA-ScR guidelines was conducted. A systematic search was carried out in the Scopus and Web of Science databases for studies published between 2015 and 2025.Empirical studies published in English that examined children with ADHD aged < 13 years were included. AR, VR, or MR-based interventions focused on EF were considered. For each study, the following features were recorded: year and country of publication, design, objectives, EFs considered, technology and hardware used, main results, and limitations. Results: Twenty studies were identified. The most frequently addressed functional domains were sustained and selective visual attention, working memory, and inhibition. Assessment interventions primarily involved the use of a head-mounted display (HMD) in conjunction with the Continuous Performance Test (CPT). Training interventions included immersive VR, serious video games, VR with motor or dual-task training, and MR. The results suggest that VR can enhance cognitive performance and sustained attention; however, longitudinal studies are required to evaluate its long-term effectiveness and integrate emotional skills. Conclusions: The use of these technologies is a promising strategy for assessment and training of EFs in children with ADHD. These tools provide positive, inclusive feedback and motivating tasks. Nevertheless, larger sample studies, longitudinal follow-ups to confirm the suitability and effectiveness of the technology-based programs are warranted.
Background: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, motor hyperactivity and verbal and cognitive impulsivity. Impairments in executive functions (EFs), in particular working memory, monitoring and organization of daily life-are frequently observed in children diagnosed with ADHD, and are reflected in behavioural, social-emotional and learning difficulties. The development and use of technologies such as virtual reality (VR), augmented reality (AR) and mixed reality (MR) for ADHD have increased in recent years, using a variety of tools to support including PC, video games, wearable devices and tangible interfaces. Objectives: To systematically map the current state of research on the use of AR, VR and MR technologies to assess and/or enhance EFs in children with ADHD. To evaluate the effects on their quality of life and on families’ and caregivers’ burden reduction. To explore the interventions’ clinical validity. Methods: A scoping review according to PRISMA-ScR guidelines was conducted. A systematic search was carried out in the Scopus and Web of Science databases for studies published between 2015 and 2025.Empirical studies published in English that examined children with ADHD aged < 13 years were included. AR, VR, or MR-based interventions focused on EF were considered. For each study, the following features were recorded: year and country of publication, design, objectives, EFs considered, technology and hardware used, main results, and limitations. Results: Twenty studies were identified. The most frequently addressed functional domains were sustained and selective visual attention, working memory, and inhibition. Assessment interventions primarily involved the use of a head-mounted display (HMD) in conjunction with the Continuous Performance Test (CPT). Training interventions included immersive VR, serious video games, VR with motor or dual-task training, and MR. The results suggest that VR can enhance cognitive performance and sustained attention; however, longitudinal studies are required to evaluate its long-term effectiveness and integrate emotional skills. Conclusions: The use of these technologies is a promising strategy for assessment and training of EFs in children with ADHD. These tools provide positive, inclusive feedback and motivating tasks. Nevertheless, larger sample studies, longitudinal follow-ups to confirm the suitability and effectiveness of the technology-based programs are warranted.
Posted: 08 January 2026
“Are You Feeling the Rush?” Quantifying Emotional Ambiguity in Situationships and Its Impact on Well-Being
Yu-Cheng Lin
Posted: 06 January 2026
Algorithmic Empathy: A Dialectical Analysis of Artificial Intelligence in the Nosology and Treatment of Burnout Syndrome
Sora Pazer
The escalating prevalence of occupational burnout constitutes a global public health crisis, exacerbating the existing supply-demand disparity in mental healthcare provision. This paper investigates the transformative potential of Artificial Intelligence (AI) as an adjunctive and autonomous modality in the treatment of burnout, employing a dialectical framework to assess the tension between algorithmic scalability and clinical nuance. We analyze the utility of Natural Language Processing (NLP) for sentiment analysis and the emergence of Digital Phenotyping as a mechanism for objective behavioral quantification. Furthermore, we critically evaluate the efficacy of CBT-based conversational agents versus the indispensable nature of the human therapeutic alliance. The analysis reveals that while AI significantly lowers barriers to entry and reduces stigma, it introduces profound ethical paradoxes regarding surveillance, algorithmic bias, and the ”Black Box” of machine cognition. We conclude that the future of psychiatric care lies not in replacement but in Augmented Intelligence—a ”Human-in-the-Loop” (HITL) hybrid model that synthesizes computational precision with intersubjective empathy.
The escalating prevalence of occupational burnout constitutes a global public health crisis, exacerbating the existing supply-demand disparity in mental healthcare provision. This paper investigates the transformative potential of Artificial Intelligence (AI) as an adjunctive and autonomous modality in the treatment of burnout, employing a dialectical framework to assess the tension between algorithmic scalability and clinical nuance. We analyze the utility of Natural Language Processing (NLP) for sentiment analysis and the emergence of Digital Phenotyping as a mechanism for objective behavioral quantification. Furthermore, we critically evaluate the efficacy of CBT-based conversational agents versus the indispensable nature of the human therapeutic alliance. The analysis reveals that while AI significantly lowers barriers to entry and reduces stigma, it introduces profound ethical paradoxes regarding surveillance, algorithmic bias, and the ”Black Box” of machine cognition. We conclude that the future of psychiatric care lies not in replacement but in Augmented Intelligence—a ”Human-in-the-Loop” (HITL) hybrid model that synthesizes computational precision with intersubjective empathy.
Posted: 05 January 2026
Ethical Use of Assistive Technology for Adolescents with Cognitive Disabilities: A Narrative Review
Khalida Akbar
,Fabrizio Stasolla
,Anna Passaro
Posted: 02 January 2026
Early Empathic Responses and Prosociality in a Simulated Distress Context: Evidence from Colombian Children
Mayilin Moreno-Torres
,Paola Molina
Background/Objectives: Prosocial behaviors such as helping, sharing, and comforting constitute a core aspect of human sociality and emerge early in development. Understanding how early empathic responses are organized is central to current debates on the developmental foundations of prosociality, particularly beyond Western, educated, industrialized, rich, and democratic (WEIRD) populations. This study examined the developmental organization of early empathic responses and the contributions of age, sex, and socioeconomic context to variability in early prosocial behavior. Methods: Thirty-six Colombian children aged 14 to 30 months from three socioeconomic contexts (very low, low, and middle–high), including children from indigenous Wayuu communities, were observed during a simulated distress situation derived from the Échelle de Communication Sociale Précoce (ECSP). Empathic responses were coded using the expanded hierarchical classification proposed by Molina and Bulgarelli and summarized through an ordinal empathy score reflecting the highest level of empathic organization observed. Quantitative analyses were complemented by qualitative observations of interactional behavior. Results: Empathic response organization increased with age and was positively associated with overall socio-communicative development. No significant differences were observed according to sex or socioeconomic context. Qualitative analyses revealed a progressive organization of empathic responses, ranging from attention and discomfort to coordinated gestural and symbolic prosocial behaviors, consistent across sociocultural settings. Conclusions: Early empathy appears as an interactionally organized and developmentally robust foundation of prosocial behavior during the first three years of life. These findings contribute to ongoing discussions on the early bases of human prosociality and its expression across diverse sociocultural contexts.
Background/Objectives: Prosocial behaviors such as helping, sharing, and comforting constitute a core aspect of human sociality and emerge early in development. Understanding how early empathic responses are organized is central to current debates on the developmental foundations of prosociality, particularly beyond Western, educated, industrialized, rich, and democratic (WEIRD) populations. This study examined the developmental organization of early empathic responses and the contributions of age, sex, and socioeconomic context to variability in early prosocial behavior. Methods: Thirty-six Colombian children aged 14 to 30 months from three socioeconomic contexts (very low, low, and middle–high), including children from indigenous Wayuu communities, were observed during a simulated distress situation derived from the Échelle de Communication Sociale Précoce (ECSP). Empathic responses were coded using the expanded hierarchical classification proposed by Molina and Bulgarelli and summarized through an ordinal empathy score reflecting the highest level of empathic organization observed. Quantitative analyses were complemented by qualitative observations of interactional behavior. Results: Empathic response organization increased with age and was positively associated with overall socio-communicative development. No significant differences were observed according to sex or socioeconomic context. Qualitative analyses revealed a progressive organization of empathic responses, ranging from attention and discomfort to coordinated gestural and symbolic prosocial behaviors, consistent across sociocultural settings. Conclusions: Early empathy appears as an interactionally organized and developmentally robust foundation of prosocial behavior during the first three years of life. These findings contribute to ongoing discussions on the early bases of human prosociality and its expression across diverse sociocultural contexts.
Posted: 01 January 2026
Fluency and Connectedness: Building the Foundation for Language Development in Deaf and Hard-of-Hearing Children
Carrie Davenport
,Katharine Suma
,Elaine Smolen
,Precious-Janae Romain
,Robert Bourque
,Roberta Michnick Golinkoff
,Derek Houston
Posted: 01 January 2026
Serious Video Games: Tools for Learning, Behaviour and Health
Caroline Hands
Posted: 01 January 2026
Family Support as a Mediator in the Relationship Between Sense of Coherence and Depression in Patients with COPD
Athanasios Tselebis
,Argyro Pachi
,Dionisios Bratis
,Dimitrios Kasimis
,Nikolaos Soultanis
,Christos Sikaras
,Ioannis Ilias
Posted: 01 January 2026
Assessing the Prospective Acceptability of Cognitive Rehabilitation Among Cancer Survivors: Development and Validation of a Measure Based on the Theoretical Framework of Acceptability
Assessing the Prospective Acceptability of Cognitive Rehabilitation Among Cancer Survivors: Development and Validation of a Measure Based on the Theoretical Framework of Acceptability
Ana F. Oliveira
,Ana Bártolo
,Liliana Loureiro
,Helena Sousa
,Ana Torres
,Isabel M. Santos
Background/Objectives: Cancer-related cognitive impairment (CRCI) affects 44-75% of cancer survivors, significantly impacting quality of life. While cognitive rehabilitation is recommended as a first-line intervention, implementation remains challenging, with high attrition rates. Acceptability is critical for implementation success yet remains understudied. This study developed and validated the Acceptability of Cognitive Rehabilitation Interventions Survey - Cancer Survivors (ACRIS-CS) and examined prospective acceptability among Portuguese cancer survivors. Methods: A web-based cross-sectional study was conducted with 154 non-central nervous system (non-CNS) cancer survivors (94.8% female; 72.7% breast cancer; mean age 47.28 years, SD = 8.96). Acceptability was assessed using the newly developed 11-item ACRIS-CS, grounded in the Theoretical Framework of Acceptability. Psychometric properties were evaluated through exploratory factor analysis (EFA) and internal consistency. Multiple regression analyses explored factors associated with acceptability. Results: EFA identified three factors explaining 68.70% of the variance: (1) affective attitude and perceived effectiveness, (2) perceived benefits and self-efficacy, and (3) perceived burden. Internal consistency was acceptable (α = 0.85). Survivors reported high prospective acceptability (mean = 67.36/100), with 21.4% scoring above 75. Affective attitude/effectiveness showed the highest ratings (mean = 75.43), whereas perceived burden was moderate (mean = 49.35). Being in active treatment and having prior knowledge of CRCI predicted higher acceptability (R² adjusted = 0.113). Conclusions: The ACRIS-CS is a valid and reliable measure of prospective acceptability for cognitive rehabilitation among cancer survivors. High acceptability indicates strong receptivity, while concerns about burden highlight the need for flexible delivery formats. By identifying survivors who may be less receptive before treatment begins, the ACRIS-CS can support the integration of cognitive rehabilitation into survivorship care and inform tailored strategies—such as targeted psychoeducation—to enhance adherence and improve clinical outcomes.
Background/Objectives: Cancer-related cognitive impairment (CRCI) affects 44-75% of cancer survivors, significantly impacting quality of life. While cognitive rehabilitation is recommended as a first-line intervention, implementation remains challenging, with high attrition rates. Acceptability is critical for implementation success yet remains understudied. This study developed and validated the Acceptability of Cognitive Rehabilitation Interventions Survey - Cancer Survivors (ACRIS-CS) and examined prospective acceptability among Portuguese cancer survivors. Methods: A web-based cross-sectional study was conducted with 154 non-central nervous system (non-CNS) cancer survivors (94.8% female; 72.7% breast cancer; mean age 47.28 years, SD = 8.96). Acceptability was assessed using the newly developed 11-item ACRIS-CS, grounded in the Theoretical Framework of Acceptability. Psychometric properties were evaluated through exploratory factor analysis (EFA) and internal consistency. Multiple regression analyses explored factors associated with acceptability. Results: EFA identified three factors explaining 68.70% of the variance: (1) affective attitude and perceived effectiveness, (2) perceived benefits and self-efficacy, and (3) perceived burden. Internal consistency was acceptable (α = 0.85). Survivors reported high prospective acceptability (mean = 67.36/100), with 21.4% scoring above 75. Affective attitude/effectiveness showed the highest ratings (mean = 75.43), whereas perceived burden was moderate (mean = 49.35). Being in active treatment and having prior knowledge of CRCI predicted higher acceptability (R² adjusted = 0.113). Conclusions: The ACRIS-CS is a valid and reliable measure of prospective acceptability for cognitive rehabilitation among cancer survivors. High acceptability indicates strong receptivity, while concerns about burden highlight the need for flexible delivery formats. By identifying survivors who may be less receptive before treatment begins, the ACRIS-CS can support the integration of cognitive rehabilitation into survivorship care and inform tailored strategies—such as targeted psychoeducation—to enhance adherence and improve clinical outcomes.
Posted: 31 December 2025
From Intention–Behaviour Gap to Dietary Affordances: An Active Inference Account of Sustainable Eating
Abigail McIntosh
,Amy Griffiths
,Anthony Brennan
,Hayley Anne Young
Posted: 30 December 2025
The Secure Base in the Storm: How Parent-Child Bonds Shape Coping in Pediatric Cancer Caregiving
Damiano Rizzi
,Lavinia Barone
,Alessandra Balestra
,Maria Montanaro
,Francesca Nichelli
,Emanuela Schivalocchi
,Giulia Rampaldi
,Marco Spinelli
,Giulia Ciuffo
,Letizia Pomponia Brescia
+8 authors
Posted: 30 December 2025
Strength Amid Strain: Coping, Racism, and Racial Socialization Stress in Black Caregivers
Emani Sargent
,Marlena Debreaux
,Sheretta T. Butler-Barnes
,Ivy Smith
,JaNiene Peoples
Posted: 24 December 2025
Parental Alienation Syndrome: An Existing Disorder or a Legal Strategy?
Alicia Savioz
,Sébastien Urben
,Lauriane Constanty
,Emilie Wouters
Posted: 24 December 2025
Parenting While Growing up – Parenting Experiences of Adolescent Mothers with Young Children in South Africa
Katherine Morse
,Lorraine Sherr
,Kathryn Steventon Roberts
,Lucie Cluver
,Hlengiwe Gwebu
,Janina Jochim
,Jane Kelly
,Bongiwe Saliwe
,Camille Wittesaele
,Elona Toska
Posted: 22 December 2025
Investigating the Interconnections Between Dimensions of Menopause Symptoms, Body Image and Interoceptive Sensibility: A Network Analysis
Aoife Coyle
,Akansha M. Naraindas
,Ciara Mahon
,Sarah Cooney
Background: Midlife is a period of heightened vulnerability to menopausal symptoms and body image concerns. However, little is known about how the experience of menopausal symptoms relates to the awareness of and attention toward internal body signals. Taking a dimensional approach, this study employed network analysis to examine how menopausal symptom domains relate to dimensions of interoceptive sensibility and body image in middle-aged women and identified the most influential and bridging features within this interconnected system. Methods: Two hundred and thirteen cisgender women aged 40–60 years residing in Ireland completed online measures of body appreciation (BAS-2), state body satisfaction (BISS), interoceptive sensibility (MAIA-2), and menopausal symptoms (Menopause Rating Scale). Results: Attention Regulation, Trusting, Body Appreciation, and Body Listening showed the highest expected influence. Body Appreciation emerged as the strongest bridge node, connecting interoceptive sensibility, body image, and menopausal symptoms. Trusting was negatively associated with psychological symptoms, whereas Noticing was positively associated with somatic symptoms. Regression analyses showed that lower body appreciation predicted greater somatic, urogenital, and psychological symptom severity, and lower Trusting predicted higher psychological symptom severity. Older age was associated with higher somatic and urogenital symptoms, while younger age was associated with higher psychological symptoms. Conclusions: Findings suggest that body appreciation and interoceptive trust are central, bridging processes in women’s experience of menopausal symptoms. Interventions that enhance body appreciation and interoceptive trust may help reduce psychological and physical symptom burden during the menopausal transition.
Background: Midlife is a period of heightened vulnerability to menopausal symptoms and body image concerns. However, little is known about how the experience of menopausal symptoms relates to the awareness of and attention toward internal body signals. Taking a dimensional approach, this study employed network analysis to examine how menopausal symptom domains relate to dimensions of interoceptive sensibility and body image in middle-aged women and identified the most influential and bridging features within this interconnected system. Methods: Two hundred and thirteen cisgender women aged 40–60 years residing in Ireland completed online measures of body appreciation (BAS-2), state body satisfaction (BISS), interoceptive sensibility (MAIA-2), and menopausal symptoms (Menopause Rating Scale). Results: Attention Regulation, Trusting, Body Appreciation, and Body Listening showed the highest expected influence. Body Appreciation emerged as the strongest bridge node, connecting interoceptive sensibility, body image, and menopausal symptoms. Trusting was negatively associated with psychological symptoms, whereas Noticing was positively associated with somatic symptoms. Regression analyses showed that lower body appreciation predicted greater somatic, urogenital, and psychological symptom severity, and lower Trusting predicted higher psychological symptom severity. Older age was associated with higher somatic and urogenital symptoms, while younger age was associated with higher psychological symptoms. Conclusions: Findings suggest that body appreciation and interoceptive trust are central, bridging processes in women’s experience of menopausal symptoms. Interventions that enhance body appreciation and interoceptive trust may help reduce psychological and physical symptom burden during the menopausal transition.
Posted: 19 December 2025
Co-Developing a Culturally Responsive, Theory-Informed Dyadic Mind–Body Intervention to Improve Sleep and Wellbeing in People with Dementia and Their Caregivers in the UK
Sunny Chan
,Rosa Hui
,Zehra Haq
,Richard Cheston
Posted: 19 December 2025
Cutting Through the Clutter: Cleaning the Lens on Work-Related Wellbeing Concepts
Rona Hart
,Dan Hart
Posted: 17 December 2025
Disconnected Connections: How Insecure Attachment and Materialism Drive Phubbing Behaviors
Phillip Ozimek
,Esther Battenfeld
,Elke Rohmann
,Hans-Werner Bierhoff
,Claire M. Hart
,Rhia Perks
,Carmen Surariu
Posted: 14 December 2025
Maternal Eating Styles and Restrictive Feeding Practices: Indirect Effects through Perceived Child Appetite and Weight Concern
Carla Ugarte Pérez
,Claudia Cruzat Mandich
,Camila Oda Montecinos
,Fernanda Díaz Castrillón
,Álvaro Quiñones Bergeret
,Antonio Cepeda-Benito
Posted: 14 December 2025
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