Parental hesitancy toward children vaccination: a multi-country psychometric and predictive study.

AIM: Understanding vaccine hesitancy, as a critical concern for public health, cannot occur without the use of validated measures applicable and relevant to the samples they are assessing. The current study aimed to validate the Vaccine Hesitancy Scale (VHS) and to investigate the predictors of children's vaccine hesitancy among parents from Australia, China, Iran, and Turkey. To ensure the high quality of the present observational study the STROBE checklist was utilized. DESIGN: A cross-sectional study. METHOD: In total, 6,073 parent participants completed the web-based survey between 8 August 2021 and 1 October 2021. The content and construct validity of the Vaccine Hesitancy Scale was assessed. Cronbach's alpha and McDonald's omega were used to assess the scale's internal consistency, composite reliability (C.R.) and maximal reliability (MaxR) were used to assess the construct reliability. Multiple linear regression was used to predict parental vaccine hesitancy from gender, social media activity, and perceived financial well-being. RESULTS: The results found that the VHS had a two-factor structure (i.e., lack of confidence and risk) and a total of 9 items. The measure showed metric invariance across four very different countries/cultures, showed evidence of good reliability, and showed evidence of validity. As expected, analyses indicated that parental vaccine hesitancy was higher in people who identify as female, more affluent, and more active on social media. CONCLUSIONS: The present research marks one of the first studies to evaluate vaccine hesitancy in multiple countries that demonstrated VHS validity and reliability. Findings from this study have implications for future research examining vaccine hesitancy and vaccine-preventable diseases and community health nurses.

Psychological flexibility, self-compassion, subjective well-being, and substance misuse in college students: a serial mediation model.

Substance misuse is a pressing public health concern, especially among emerging adults, with implications for psychological health and overall well-being. This cross-sectional study investigates the mediating roles of self-compassion and subjective well-being in the relationship between psychological flexibility and substance misuse among Turkish college students. The study included 445 emerging adults enrolled at a state university in Türkiye. University participants were recruited via convenience sampling using snowball methods. Data were collected using self-report scales. The sample was 69% female (n = 307) and 31% male (n = 138) and ranged in age from 18 to 26 years (M = 20.85, SD = 1.35). In the study, Pearson product-moment correlation analysis was conducted to examine the relationships between the variables and then the serial mediation model was tested. The findings have revealed that psychological flexibility significantly predicts substance misuse, subjective well-being, and self-compassion. Additionally, the study identifies self-compassion as a mediator in the relationship between psychological flexibility and subjective well-being. While self-compassion contributes significantly to well-being, it does not explain the impact of psychological flexibility on substance misuse. Furthermore, subjective well-being also appears to be a mediator in the relationship between psychological flexibility and substance misuse, emphasizing its potential significance in reducing the likelihood of resorting substance misuse. Overall, the study contributes to understanding the pivotal role of self-compassion and psychological flexibility in fostering well-being and preventing substance misuse in the college setting.

Mediating effect of fear and externality of happiness in the association between psychological maltreatment and psychological well-being.

This study aims to explore whether psychological maltreatment predicts young adults' psychological well-being through fear of happiness and externality of happiness. The current study included 490 young adults from a public university in an urban city in Turkey. Participants were 36% male, and they ranged in age from 18 to 39 years (M= 21.77, SD = 2.40). Findings from the study revealed that psychological maltreatment had a significant predictive effect on psychological well-being, fear of happiness, and externality of happiness. Further, fear of happiness and externality of happiness mediated the impact of psychological maltreatment on psychological well-being. These findings indicate that fear and externality of happiness are important sources that can help to explain the association between childhood psychological maltreatment and psychological well-being among young adults. Therefore, there is a need to design a more comprehensive prevention and intervention approach for improving people's psychological well-being in the context of psychological maltreatment.

Dysfunctional parenting and emotional problems and substance misuse: Enhancing psychological flexibility in college students.

This cross-sectional study aimed to investigate the mediating role of psychological flexibility in the relationship between dysfunctional parenting (i.e., dysfunctional parent modes) and emotional problems and substance misuse among Turkish college students. Participants were 466 undergraduate students (69% female) aged between 18 and 45 years (M = 21.46, SD = 3.31) from a public university in Turkey. The majority of participants in the study reported never or infrequent use of tobacco, alcohol, and prescription drugs, with daily or almost daily use reported by less than a quarter of the sample for each substance. Results showed that higher levels of dysfunctional parent modes were associated with increased emotional problems and substance misuse. Moreover, psychological flexibility mediated the relationship between dysfunctional parent modes and emotional problems, as well as both mediated and moderated the relationship between dysfunctional parent modes and substance misuse. Results from the study also showed that people in the at-risk group for substance misuse reported higher levels of dysfunctional parent modes and emotional problems, as well as lower levels of psychological flexibility than the typical group. These results suggest that psychological flexibility may play a significant role in the link between dysfunctional parent modes and emotional problems and substance misuse among Turkish college students. Future research should investigate whether interventions targeting psychological flexibility could be effective in reducing emotional problems and substance misuse among students with dysfunctional parent modes.

Strength-based parenting and stress-related growth in adolescents: Exploring the role of positive reappraisal, school belonging, and emotional processing during the pandemic.

INTRODUCTION: Coronavirus disease 2019 (COVID-19) has changed the way families live, interact, and connect with others, resulting in higher levels of stress for many teenagers who struggle with the ongoing uncertainty and disrupted school and family life. The current study examined the psychosocial factors that influence the capacity of adolescents to grow through the stress of the COVID-19 pandemic. METHODS: The sample included 404 secondary school students ranging in age from 11 to 18 (M = 14.75, SD = 1.59; 50.2% female, 46.8% male, and 3% non-/other gendered or declined to answer) from an independent high school in Australia. Data were collected from a battery of questionnaires that assessed strength-based parenting (SBP) and the effect of three psychosocial factors (positive reappraisal, emotional processing, and school belonging) on stress-related growth. RESULTS: Structural equation modeling showed that (SBP) was significantly associated with stress-related growth (SRG). Positive reappraisal and emotional processing were also positively and significantly associated with SRG and mediated the effect of SBP on SRG. Moreover, school belonging was positively linked to positive coping, emotional processing, and SRG, as well as mediating the association of SBP with positive reappraisal, emotional processing, and SRG in adolescents during the pandemic. CONCLUSIONS: The results show that teenagers can experience SRG during the COVID-19 pandemic, and adolescents adapting by engaging in constructive coping responses such as positive reappraisal and emotional processing is positively related to SRG.

Exploring the association between coronavirus stress, meaning in life, psychological flexibility, and subjective well-being .

There has been a call to action from much of the community to urgently investigate stress and well-being during the global health crisis instigated by COVID-19. This study seeks to investigate well-being, meaning in life, and psychological flexibility in relation to COVID-19 stress. Participants of the study consisted of 417 students from a public university, and they were 40.3% male and 59.7% female, ranging in age from 18 to 40 years (M = 23.36, SD = 5.96). The study's findings indicated that meaning in life and psychological flexibility mediated the effect of coronavirus stress on student well-being. Psychological flexibility also mitigated the effect of stress on meaning in life. The study findings offer implications for mental health professionals and officials responding to COVID-19 and provide insights into future planning and preparedness for disasters of this scale that may occur in future years.

Perceived risk and parental coronavirus anxiety in healthcare workers: a moderated mediation role of coronavirus fear and mental well-being.

This study aimed to examine the associations between perceived coronavirus risk, coronavirus fear, mental well-being and parental coronavirus anxiety, as well as the mediating role of coronavirus fear and moderating role of mental well-being.The sample comprised 189 healthcare workers (M = 33.06 ± 6.92), who were treating patients with COVID-19 in a pandemic hospital in Turkey. Ninety-one participants were males and 98 females. Participants completed measures of perceived coronavirus risk, coronavirus fear, mental well-being and parental coronavirus anxiety.Parental Coronavirus Anxiety Scale had a one-factor structure, with satisfactory reliability. Main findings showed that coronavirus fear mediated the relationship between coronavirus risk and parental coronavirus anxiety. Mental well-being moderated the effect of coronavirus risk on parental coronavirus anxiety. The mediation effect of coronavirus fear was moderated by mental well-being.These findings explain why and when mental well-being-based interventions could be effective in reducing perceived coronavirus risk, fear and parental coronavirus anxiety about their children.

Understanding wellbeing and death obsession of young adults in the context of Coronavirus experiences: Mitigating the effect of mindful awareness.

The present study investigated the mediating effect of mindfulness on the association of coronavirus-related suffering and stress with death obsession and subjective wellbeing in young adults during the COVID-19 pandemic. The sample of this study was 583 Turkish young adults from a public university in Turkey. They ranged in age between 18 and 40 years (M = 20.97; SD = 2.38). The results showed that coronavirus stress mediated the impact of coronavirus suffering on mindfulness and death obsession. Moreover, greater mindfulness mediated the adverse impacts of coronavirus suffering and stress on young adults' subjective wellbeing.

Subjective vitality and loneliness explain how coronavirus anxiety increases rumination among college students.

We investigated the relationship between coronavirus anxiety and rumination with subjective vitality and loneliness as mediators. The online sample included 356 Turkish young people (M = 22.06, SD = 4.43 years). The analysis indicated that the coronavirus anxiety was directly associated with subjective vitality, loneliness, and rumination. Subjective vitality and loneliness also had direct effects on rumination. Furthermore, the indirect effect of coronavirus anxiety on rumination was mediated by subjective vitality and loneliness. These findings highlight the importance of having effective systems that account for subjective vitality and loneliness to minimize the impact of the coronavirus anxiety on rumination.

Do fear of COVID-19 and religious coping predict depression, anxiety, and stress among the Arab population during health crisis?

The roles of fear of COVID-19 and religious coping were examined in relation to depression, anxiety, and stress. Participants (N = 259; 88% female; Mage = 32.96, SD = 8.88) completed measures of fear of COVID-19, religious coping, depression, anxiety, and stress. Results showed that fear of COVID-19 was associated with depression, anxiety, and stress. Negative religious coping was associated with depression, anxiety, and stress while positive religious coping was only associated with depression and stress. Fear of COVID-19 and negative religious coping may be detrimental to mental health while positive religious coping may reduce depression and stress.

Psychological maltreatment and substance use among college students: Psychological distress, belongingness, and social support.

Substance use in college students is an important public health problem associated with substantial consequences. It is a critical step to examine risk and protective factors associated with substance use to develop prevention and intervention strategies for promoting college students' healthy development and well-being. The present cross-sectional study aimed to examine the mediating role of psychological distress in the relationship between childhood psychological maltreatment and substance use and the moderating effect of social support and belongingness in this association among college students. The sample of this cross-sectional study included 382 emerging adults. Participants included 56.8% female and 43.2% male, and they ranged in age between 20 and 29 years (M = 22.05, SD = 2.17). Findings from the study first confirmed that psychological maltreatment was a significant predictor of social support, belongingness, psychological distress, and substance use. Subsequent results revealed that psychological distress mediated the association between psychological maltreatment and college students' substance use. Also, belongingness and social support had a buffering effect on this association. The findings suggest that psychological maltreatment is a significant risk factor in developing substance use behavior and that belongingness and social support services can serve as protective resources. Based on these results, prevention and intervention services focusing on improving the feeling of belonging and social support could be conducive to the decreased substance use of psychologically maltreated emerging adults.

Childhood psychological maltreatment, optimism, aversion to happiness, and psychological adjustment among college students.

Although there is increasing empirical evidence of the negative impact of childhood maltreatment on adult mental health and well-being, little is known about the underlying factors that mitigate the link between psychological maltreatment and psychological adjustment. A critical step is to examine these mechanisms to develop prevention and intervention strategies to decrease the adverse impacts of child maltreatment on psychological adjustment and well-being among young adults. The presented study aimed to explore the association between childhood psychological maltreatment and young adults' psychological adjustment through aversion to happiness, optimism, and pessimism. The sample of this study comprised 511 college students. Participants included 64% female, with ranging in age between 18 and 39 years (M = 21.36, SD = 2.55). Findings from the study indicated that aversion to happiness was a significant mediator in the association of psychological maltreatment with pessimism, optimism, and psychological adjustment. Further, optimism and pessimism mitigated the link of both aversion to happiness and psychological maltreatment with psychological adjustment. The findings indicate that optimism-based strategies are key to fostering psychological adjustment and could help to reduce the negative impacts of aversion to happiness and child maltreatment on young adults' adjustment and wellbeing.

Exploring the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19.

During the pandemic, people may experience various mental health problems. Psychological strengths may help them to cope with emerging challenges and foster mental health and well-being. This study examined the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. A total of 220 participants from general public participated this study completing a battery of measures (134 men [M age = 42.36 years, SD = 8.99, range = 18 to 60] and 86 women [M age = 36.73 years, SD = 7.44, range = 18 to 51]). This cross-section study indicated that resilience mediated the relationship between hope and psychological health and subjective well-being. Results also showed that hope, and resilience had significant direct effects on psychological health, and subjective well-being while preventive behaviours did not manifest a significant effect on these two variables except on resilience. Preventive behaviours mediated the relationship between hope and resilience. The results suggest that we should more pay attention to hope and resilience for the development and improvement of well-being and psychological health during the times of crisis.

Meaningful living, resilience, affective balance, and psychological health problems among Turkish young adults during coronavirus pandemic.

The present study sought to investigate the mediating effect of the affective balance and resilience on the association between meaningful living and psychological health problems among Turkish young adults in the context of COVID-19. The participants were 359 Turkish young adults, comprising of primarily female (68.2%), and their age ranged between 18 to 43 (age M = 20.67, SD = 3.62). Findings from this study indicated that meaningful living had a positive predictive effect on resilience and positive affect, as well as a negative predicative on psychological health challenges and negative affect. Resilience and affective balance also mediated the effect of meaningful living on psychological health of young adults. These results suggest that resilience and affective balance are important aspects of meaning-focused preventions and interventions designed to build up resilience, positive affectivity, and psychological health.

Psychological maltreatment, coping flexibility, and death obsession during the COVID-19 pandemic: A multi-mediation analysis.

Recent psychological studies have reported that child maltreatment is a common issue during the COVID-19 pandemic, with negative factor leading to greater risk of occurrence of mental health problems. However, the relationship between psychological maltreatment and psychological factors is complex. Understanding the factors, which may help to provide interventions, is a critical step for mental health providers. This study aims to examine the relationships between psychological maltreatment, coping flexibility, coronavirus anxiety, coronavirus stress, and death distress. We collected data from 394 Turkish young adults (76% male: average age 21.36 ± 2.57 years) during the outbreak of COVID-19. The results of multi-mediation analysis showed that psychological maltreatment was positively related to the death obsession. More importantly, this relationship could be explained through the mediated effects of coping flexibility, coronavirus anxiety, and coronavirus stress. This study highlights the non-negligible role of psychological maltreatment in affecting death obsession and the role of coping flexibility in explaining the psychological influence of maltreatment.

The psychometric evaluation of the sense of belonging instrument (SOBI) with Iranian older adults.

BACKGROUND: A sense of belonging is a significant predictor of mental health and well-being in later life. A sense of belonging in childhood and adolescence contributes to a number of adult behavioural and psychological outcomes. A high sense of belonging has been associated with better health, longevity, psychological well-being, and disease recovery. METHODS: In this study, the Persian version of the Sense of Belonging Instrument (SOBI) for older adults in Iran was evaluated psychometrically to develop an accurate measure for belonging. Participants in the study were 302 older adults, 60 years old and above, living independently in Iran and chosen through convenience sampling. RESULTS: An exploratory factor analysis indicated that the four-factor structure, which included 16 items, accounted for 54.12% of the total variance, and was characterized by strong factor loadings, with values ranging from .50 to .87. Thereafter, a confirmatory factor analysis confirmed the four-factor latent structure of the SOBI, providing adequate data-model fit statistics. All latent structures were characterized by adequate-to-strong latent construct (H) internal reliability (α) coefficients. CONCLUSIONS: The Persian version of the SOBI is a useful tool in understanding older adult patients' sense of belonging when living independently within the community. The implications for practice and research are discussed.

A model of nurses' intention to care of patients with COVID-19: Mediating roles of job satisfaction and organisational commitment.

AIM AND OBJECTIVES: This study aims to test the hypothesis that job satisfaction and organisational commitment might play a mediating roles between workload, quality of supervision, extra-role behaviour, pay satisfaction and intention to care of patients with COVID-19. BACKGROUND: Given the high incidence of coronavirus and shortage of nurses in Iranian hospitals, learning about nurses' intention to care for patients with COVID-19 is important. DESIGN: In this cross-sectional study, 648 Iranian nurses were surveyed during March 2020. The online questionnaire consisted of two parts. The mediating role was explored for the following: job satisfaction and commitment in the association of workload, quality of supervisor, extra-role behaviours, and pay satisfaction with the intention to care. The study adhered to STROBE checklist for cross-sectional studies. RESULTS: The results of this study show that job satisfaction and organisational commitment mediated the relationship of nurses' workload, quality of supervisor, extra-role behaviours, and pay satisfaction with the intention to care for patients with COVID-19. CONCLUSION: The results of the study indicate the importance of job satisfaction and organisational commitment as mechanisms that help to understand the association of nurses' workload, quality of supervisor, extra-role behaviours and pay satisfaction with the intention to care during the COVID-19 pandemic. RELEVANCE TO CLINICAL PRACTICE: Hospital managers need to attend to the role of nurses' job satisfaction and other organisational factors to ensure that they can cope with the challenges of the COVID-19 pandemic.

Psychological Maltreatment and Spiritual Wellbeing in Turkish College Young Adults: Exploring the Mediating Effect of College Belonging and Social Support.

The purpose of this study is to examine whether college belonging and social support mediate the association between childhood psychological maltreatment and spiritual wellbeing among college young adults. The sample of the present study included 493 college young adults (33% male), ranging in age between 18 and 39 years (M = 21.35, SD = 2.56). The results showed that psychological maltreatment not only had a direct predictive effect on spiritual wellbeing but also an indirect predictive effect on spiritual wellbeing through college belonging and social support. These findings present important implications for research and practices by providing an in-depth understanding of the association between psychological maltreatment and spiritual wellbeing among Turkish college students.

Resilience in Iranian adolescents during the COVID-19 pandemic: Psychometric Evaluation of the Connor-Davidson Resilience Scale.

Background: Resilience is a measure of the ability to cope with stress and the accurate measurement of it is critical. This study aimed to translate and evaluate the psychometric properties of the Connor-Davidson Resilience Scale in Iranian adolescents during the Coronavirus Disease (COVID-19) pandemic.Methods: In this cross-sectional study, after the scale translation, the content and construct validity were assessed using exploratory and confirmatory factor analysis. Moreover, internal consistency, composite reliability, and invariance measurement were evaluated.Results: The content validity ratio was greater than 0.49, and the modified kappa coefficient for all items was higher than 0.6. With exploratory factor analysis, two factors were extracted consisting of 16 items and explaining 43% of the total variance. The results of confirmatory factor analysis indicated a good fit for the model. Cronbach's alpha and composite reliability for both factors were greater than 0.7. Although there is no significant difference (p = 0.09) in the average resilience of adolescents in different provinces, boys (42.64 ± 10.90) had a significantly (p < 0.001) higher resilience score than girls (40.10 ± 11.92).Conclusion: The study results showed that the Persian 16-item version of the Connor-Davidson Resilience Scale has acceptable reliability and validity in the Iranian adolescent population.

Why Do People High in COVID-19 Worry Have More Mental Health Disorders? The Roles of Resilience and Meaning in Life.

BACKGROUND: The existing literature has not adequately studied the influence of COVID-19 worry on mental health disorders. This study tested the mediating roles of resilience and meaning in life between COVID-19 worry and mental health disorders. SUBJECTS AND METHODS: We recruited 284 Arabic speaking young adults (60.6% females; mean age = 26.25±7.57 years) to complete the COVID-19 Worry Scale, Brief Resilience Scale, Meaning in Life Measure, and Patient Health Questionnaire-9. RESULTS: Results showed that COVID-19 worry negatively predicted resilience and meaning in life and positively predicted mental health disorders. Furthermore, indirect effect of COVID-19 worry on mental health disorders via resilience and meaning in life was significant. CONCLUSION: These results will contribute to find effective measures to prevent mental health disorders and promote reduced mental health disorders from the perspective of mitigating COVID-19 worry and increasing resilience and meaning in life.