Perceptions of secondhand exposure may influence adolescent use of cigarettes, e-cigarettes, and cannabis. In Spring 2024, 4760 Connecticut high school students completed an online survey assessing perceived harms from secondhand exposure to cigarettes, e-cigarettes, and smoked or vaped cannabis. Compared to never use, low perceived harm of secondhand exposure to cigarettes, e-cigarettes, smoked and vaped cannabis were significantly associated with higher odds of current use of cigarettes, e-cigarettes, smoked and vaped cannabis, respectively (all p s < 0.05). Additionally, low perceived harm of secondhand exposure to smoked and vaped cannabis were associated with ever (vs never) smoked or vaped cannabis, respectively (all p s < 0.05). Low harm perceptions of secondhand exposure to cigarettes, e-cigarettes, or cannabis were associated with current use of these products. Public health interventions should provide evidence-based information about the potential risks of secondhand exposure to smoked and vaped nicotine and/or cannabis products and support informed perceptions of these risks among adolescents.
Women with gynecologic cancer may rely on both interpersonal and internal resources to adapt to illness. This study examined whether spiritual well-being may be involved in the association between perceived social support and psychological resilience. In this cross-sectional study, 161 women with gynecologic cancer in Ankara, T & uuml;rkiye, completed measures of spiritual well-being, perceived social support, and psychological resilience. Psychological resilience was positively associated with both perceived social support and spiritual well-being, and the mediation analysis produced a pattern consistent with partial mediation. These findings suggest that spiritual well-being may represent one possible pathway within the association between perceived social support and resilience in women with gynecologic cancer. The findings are consistent with Reed's Self-Transcendence Theory by suggesting that spiritual well-being may be one self-transcendent resource associated with both perceived social support and psychological resilience.
The working relationship between mental health practitioners and service users is one of the greatest determinants of therapeutic success. However, drivers of a productive service user-practitioner relationship are still insufficiently understood, with particularly limited exploration of service users' perspectives. The present study aims to address a gap in the working alliance literature through a qualitative exploration of service user attitudes towards seeking treatment from a practitioner with personal experience of mental ill-health. Semi-structured interviews and an online survey were completed by adults (N = 35) who self-identified as mental health service users. Participant attitudes were varied, although generally positive, and reflexive thematic analysis developed understandings of how a practitioner's lived experience of mental ill-health may be considered a therapeutic resource to strengthen working alliance. The social identity model of the working alliance provided valuable insights, where practitioner lived experience of mental ill-health poses an additional avenue for facilitating the therapeutic relationship.
This cross-sectional study examined whether psychological resilience and emotion regulation difficulties mediate the relationship between COVID-19 fear and mental health outcomes among 1483 Turkish adults. Anxiety and depression served as primary outcomes given their status as the most prevalent mental health consequences of pandemic-related fear. Structural equation modeling revealed partial mediation through both pathways. When examined simultaneously, emotion regulation difficulties showed substantially stronger mediating effects (β = 0.21 for anxiety, β = 0.27 for depression) than psychological resilience (β = 0.04 for anxiety, β = 0.05 for depression). Women reported higher fear, anxiety, depression, and emotion regulation difficulties; men showed greater resilience. Married participants exhibited higher resilience and lower distress than single participants, and income reduction predicted increased depression. Emotion regulation difficulties may represent a particularly relevant intervention target for reducing pandemic-related distress, although experimental research is needed to confirm intervention effectiveness.
Adverse Childhood Experiences (ACEs) have been linked to adverse outcomes, yet their associations with fear of happiness and alcohol abuse remain unclear. This study examined emotion dysregulation in relation to these associations in a sample of 350 participants (56.3% female, Mage = 25) from 47 Turkish cities. Participants completed the Adverse Childhood Experiences Scale, Difficulties in Emotion Regulation Scale, Fear of Happiness Scale, and Addiction Profile Index Risk Screening Scale. Structural equation modeling indicated that ACEs were associated with higher emotion dysregulation, and emotion dysregulation was associated with greater fear of happiness and alcohol abuse; direct associations between ACEs and these outcomes were not significant, consistent with an indirect association through emotion dysregulation. These findings suggest that emotion regulation difficulties are related to reduced capacity for positive affect and greater reliance on dysfunctional coping, including alcohol use. Findings highlight the relevance of emotion regulation among individuals with ACE histories.
