Psychological and Cognitive Well-Being: Prevention, Risk Factors and Planned Intervention throughout the Lifespan

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 July 2024 | Viewed by 8787

Special Issue Editors


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Guest Editor
Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy
Interests: neuropsychology; aging; creativity; cognitive reserve; divergent thinking; well-being; cognition

Special Issue Information

Dear Colleagues,

It is our pleasure to introduce this Healthcare Special Issue entitled “Psychological and Cognitive Well-Being: Prevention, Risk Factors and Planned Intervention throughout the Lifespan”.

During recent decades, it has become clearer that, from a bio-psycho-social perspective, studying health means including a more specific focus on different psychological variables and, most preeminently, mental health. This became even more evident during the COVID-19 pandemic. Some of the lingering effects of the pandemic included a high percentage of patients who recovered from COVID-19 showing mental health-related symptoms. Moreover, the general population reported increased mental health vulnerability, possibly due to the additional stress caused by prolonged social isolation, work insecurity, perceived health risks, etc. Many studies have highlighted how the pandemic has negatively influenced the well-being of youngest populations, even more than expected.

Starting from these premises, the study of both cognitive and psychological well-being throughout the lifespan has gained much attention not only from the research community and academia but also from mass media and the general public.

To be more specific, evidence supports the fact that there are likely several complex and multilevel factors that can be considered protective or risk factors for both cognitive and psychological well-being across the lifespan.

For instance, an increased body of literature has focused on the “cognitive reserve” (CR) model that hypothesizes the involvement of multiple protective factors protecting against potential cognitive decline in aging. Researchers have suggested that specific lifestyle factors and personal experiences (such as education, work, time and frequency of leisure activities, etc.), in combination with genetic factors, can make some people more resilient than others as they age. Thus, people with a higher CR will show lower rates of cognitive decline and a reduced risk of developing different types of neurodegenerative diseases. Recently, some studies also confirmed how CR can protect against cognitive decline in different pathological conditions, such as neurological (e.g., traumatic brain injury, multiple sclerosis, etc.) or psychiatric (sleep disturbance, schizophrenia, psychosis, etc.). The CR has also been reported to play a protective role in healthy subjects by making their cognitive processes more efficient and/or protecting them from negative mental health outcomes following stressful events (e.g., the COVID-19 pandemic). Although much is known about CR, there is still much to be discovered about the characterization of several different factors possibly associated with CR (such as creative thinking, bilingualism, and so on). Moreover, a full comprehension of the processes involved in cognitive well-being during the entire lifespan and the possible roles that CR-related mechanisms might play are still under-studied: these findings might have an important role in the development of interventions to increase overall well-being at a societal level.

Adding to this, over recent years, many researchers have focused on psychological well-being by exploring its trajectories throughout the lifespan, considering different contexts (school, work, etc.) and the influence of a wide range of factors such as physical activity, emotional intelligence, social and peer support, religious affiliation and beliefs, and so on. However, to the best of our knowledge, less is known about the possible relationship between cognitive and psychological well-being, the variables that might mediate or moderate this relationship, and how this relationship might change during one’s lifespan.

It is clear that the understanding of how mental health and well-being can be promoted is a critical societal challenge that cannot be ignored. Both the challenge and the relevance derive from the fact that well-being and mental health are protective or risk factors for many psychological diseases. They also play a long-term role in preventing or mitigating the potential development of health-threatening syndromes, such as psychopathologies or neurodegenerative diseases.

So, studies investigating these variables and their relationships, or the underlying psychophysiological processes, are of relevance for this Special Issue. Studies can thus encompass, but are not limited to, the following:

  1. Preventive or risk factors for cognitive and psychological wellbeing.
  2. The relationship between well-being and different genetic, psychological, cognitive and clinical variables.
  3. Intervention studies aimed at enhancing cognitive or psychological well-being.
  4. Neuroscientific approaches to investigate mechanisms related to CR or brain resilience, including behavioral, structural (volume; white matter tract integrity) or functional (resting-state or activation fMRI studies, metabolism) imaging studies.

Dr. Giulia Fusi
Dr. Barbara Colombo
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • well-being
  • cognition
  • prevention
  • risk factors
  • intervention
  • cognitive reserve
  • mental health

Published Papers (8 papers)

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13 pages, 406 KiB  
Article
Quality of Life and Its Psychosocial Predictors among Patients with Disorders of Gut–Brain Interaction: A Comparison with Age- and Sex-Matched Controls
by Agostino Brugnera, Chiara Remondi, Antonino La Tona, Greta Nembrini, Gianluca Lo Coco, Angelo Compare, Alice Cardinali, Alessandra Scollato, Fabio Marchetti, Matteo Bonetti and Marie Graciella Pigozzi
Healthcare 2024, 12(7), 757; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare12070757 - 30 Mar 2024
Viewed by 467
Abstract
The disorders of gut–brain interaction (DGBIs) are a heterogeneous group of chronic conditions that greatly reduce patients’ quality of life (QoL). To date, biopsychosocial factors (such as gastrointestinal symptoms, alexithymia, and interpersonal problems) are believed to contribute to the development and maintenance of [...] Read more.
The disorders of gut–brain interaction (DGBIs) are a heterogeneous group of chronic conditions that greatly reduce patients’ quality of life (QoL). To date, biopsychosocial factors (such as gastrointestinal symptoms, alexithymia, and interpersonal problems) are believed to contribute to the development and maintenance of DGBIs, but their role in affecting patients’ QoL is still under investigation. Out of 141 patients seeking treatment for their gastrointestinal symptoms, 71 were diagnosed with a DGBI (47 females, 66.2%; Mage: 41.49 ± 17.23 years) and were age- and sex-matched to 71 healthy controls (47 females, 66.2%; Mage: 40.45 ± 16.38 years) without any current gastrointestinal symptom or diagnosis. Participants completed a sociodemographic and clinical questionnaire and a survey investigating several psychosocial risk factors. We found greater symptom severity and difficulties in identifying feelings among patients compared to controls. Further, multiple linear regression analyses evidenced that, among patients, higher expressive suppression of emotions, difficulties in identifying feelings and interpersonal problems, and a lower cognitive reappraisal of emotions predicted lower QoL. Data suggest that the QoL of patients with DGBIs is affected not only by common risk factors (e.g., interpersonal problems) but also by specific difficulties in processing and regulating emotions. The implications of these findings are discussed. Full article
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17 pages, 1085 KiB  
Article
The Functional Neuroimaging of Autobiographical Memory for Happy Events: A Coordinate-Based Meta-Analysis
by Giulia Testa, Igor Sotgiu, Maria Luisa Rusconi, Franco Cauda and Tommaso Costa
Healthcare 2024, 12(7), 711; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare12070711 - 24 Mar 2024
Viewed by 682
Abstract
Neuroimaging studies using autobiographical recall methods investigated the neural correlates of happy autobiographical memories (AMs). The scope of the present activation likelihood estimation (ALE) meta-analysis was to quantitatively analyze neuroimaging studies of happy AMs conducted with autobiographical recall paradigms. A total of 17 [...] Read more.
Neuroimaging studies using autobiographical recall methods investigated the neural correlates of happy autobiographical memories (AMs). The scope of the present activation likelihood estimation (ALE) meta-analysis was to quantitatively analyze neuroimaging studies of happy AMs conducted with autobiographical recall paradigms. A total of 17 studies (12 fMRI; 5 PET) on healthy individuals were included in this meta-analysis. During recall of happy life events, consistent activation foci were found in the frontal gyrus, the cingulate cortex, the basal ganglia, the parahippocampus/hippocampus, the hypothalamus, and the thalamus. The result of this quantitative coordinate-based ALE meta-analysis provides an objective view of brain responses associated with AM recollection of happy events, thus identifying brain areas consistently activated across studies. This extended brain network included frontal and limbic regions involved in remembering emotionally relevant positive events. The frontal gyrus and the cingulate cortex may be responsible for cognitive appraisal processes during recollection of happy AMs, while the subthalamic nucleus and globus pallidus may be involved in pleasure reactions associated with recollection of happy life events. These findings shed light on the neural network involved in recalling positive AMs in healthy individuals, opening further avenues for future research in clinical populations with mood disorders. Full article
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13 pages, 306 KiB  
Article
Predictors of Psychological Well-Being and Quality of Life in Patients with Hypertension: A Longitudinal Study
by Maura Crepaldi, Jessica Giannì, Agostino Brugnera, Andrea Greco, Angelo Compare, Maria Luisa Rusconi, Barbara Poletti, Stefano Omboni, Giorgio Angelo Tasca and Gianfranco Parati
Healthcare 2024, 12(6), 621; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare12060621 - 09 Mar 2024
Viewed by 679
Abstract
Previous research has highlighted the positive impact of greater health-related quality of life (Hr-QoL) and subjective well-being (SWB) on chronic diseases’ severity and progression. There is a paucity of studies investigating the long-term trajectories of these variables among hypertensive patients. The present study [...] Read more.
Previous research has highlighted the positive impact of greater health-related quality of life (Hr-QoL) and subjective well-being (SWB) on chronic diseases’ severity and progression. There is a paucity of studies investigating the long-term trajectories of these variables among hypertensive patients. The present study aims to investigate the relationships between psychological variables (Type A and D personality, locus of control—LoC, self-esteem, and trait anxiety) with SWB and Hr-QoL in patients with hypertension and comorbid metabolic syndrome. A total of 185 volunteer patients (130 males, 70.3%; mean age 54 ± 10.93) were enrolled. Patients filled out measures of Hr-QoL and SWB, LoC, and self-esteem at three time points—Type A and D behaviors and anxiety measures only at baseline. Analyses were run through two-level hierarchical mixed models with repeated measures (Level 1) nested within participants (Level 2), controlling for sociodemographic and clinical confounders. Neither Hr-QoL nor SWB changed over time. Patients with greater self-esteem and internal LoC (and lower external LoC) increased their SWB and Hr-QoL up to 1-year follow-up. A greater Type A behavior and trait anxiety at baseline predicted a longitudinal increase in most of the dependent variables. Results suggest that it could be useful to tailor interventions targeting specific variables to increase Hr-QoL and SWB among hypertensive patients. Full article
18 pages, 606 KiB  
Article
Can Creativity and Cognitive Reserve Predict Psychological Well-Being in Older Adults? The Role of Divergent Thinking in Healthy Aging
by Giulia Fusi, Jessica Giannì, Virginia Maria Borsa, Laura Colautti, Maura Crepaldi, Massimiliano Palmiero, Francesca Garau, Salvatore Natale Bonfiglio, Ylenia Cao, Alessandro Antonietti, Maria Pietronilla Penna, Luca Rozzini and Maria Luisa Rusconi
Healthcare 2024, 12(3), 303; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare12030303 - 24 Jan 2024
Viewed by 859
Abstract
The maintenance of psychological well-being (PWB) in the older adult population is a pivotal goal for our rapidly aging society. PWB is a multicomponent construct that can be influenced by several factors in the lifespan. The beneficial role of divergent thinking (DT) and [...] Read more.
The maintenance of psychological well-being (PWB) in the older adult population is a pivotal goal for our rapidly aging society. PWB is a multicomponent construct that can be influenced by several factors in the lifespan. The beneficial role of divergent thinking (DT) and cognitive reserve (CR) in sustaining older subjects’ PWB has been scarcely investigated so far. The present study aims to investigate the relationships between DT, CR, and PWB in a sample of 121 healthy older adults (61 females; M age: 73.39 ± 6.66 years; M education: 11.33 ± 4.81 years). The results highlight that better DT performance predicts higher CR, which mediates an indirect positive effect of DT on emotional competence, one of the PWB factors. It follows that DT and CR can be considered protective factors in aging, and their effects go beyond cognitive functioning, revealing a positive effect even on some PWB components. The practical implications regarding targeted health interventions for prevention in the older adult population to support well-being and promote healthy aging are discussed. Full article
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11 pages, 529 KiB  
Article
The Key Role of Empathy in the Relationship between Age and Social Support
by Paola Guariglia, Massimiliano Palmiero, Anna Maria Giannini and Laura Piccardi
Healthcare 2023, 11(17), 2464; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare11172464 - 04 Sep 2023
Cited by 2 | Viewed by 1672
Abstract
Aging involves several changes depending on genetic and behavioral factors, such as lifestyle and the number and quality of social relationships, which in turn can be influenced by empathy. Here, the change in the perceived social support across the lifespan as a function [...] Read more.
Aging involves several changes depending on genetic and behavioral factors, such as lifestyle and the number and quality of social relationships, which in turn can be influenced by empathy. Here, the change in the perceived social support across the lifespan as a function of empathy was investigated, considering the mediating role of empathy after controlling for gender and education. In total, 441 people (18–91 years old) filled in the Italian short version of the Interpersonal Support Evaluation List (ISEL-12), the Social Support Questionnaire (SSQ6), as well as the Empathy Questionnaire (EQ), and the Reading the Mind in the Eyes test (RMET). The mediation analyses with ISEL-12 showed that age and the EQ fully mediated the relationship between age and appraisal, belonging, and tangible scores. Further, the EQ fully mediated only the relationship between age and SSQ6-People. These results showed that empathic skills are key in the relationships between age and social support. This suggests that empathy can trigger social support and, ultimately, well-being if stimulated across the lifespan, especially from a young age; this would help to form the socio-emotional competence across the years as a sort of cushion that can be useful in the older to fulfill active aging. Full article
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14 pages, 432 KiB  
Article
Feasibility and Early Outcomes of a Parent Training Intervention to Engage Parents in Children’s Media Education
by Maria Clara Cavallini, Simona Carla Silvia Caravita and Hildegunn Fandrem
Healthcare 2023, 11(15), 2130; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare11152130 - 26 Jul 2023
Viewed by 1248
Abstract
The importance of parents in mediating adolescents’ Internet use is documented by many studies in the literature. Very few, however, regard interventions to support parents in this role. We wanted to assess the feasibility and the early outcomes of an Internet-based parent educational [...] Read more.
The importance of parents in mediating adolescents’ Internet use is documented by many studies in the literature. Very few, however, regard interventions to support parents in this role. We wanted to assess the feasibility and the early outcomes of an Internet-based parent educational group course aimed to support parents in adolescents’ media education. The intervention was conducted with two different groups of parents (N = 20, 75% women; mean age = 46.9 y; SD = 6.3) at different time-points. The intervention included five sessions, during which information about parental mediation strategies was provided and practical exercises based on the Acceptance and Commitment Therapy (ACT) approach were proposed. The intervention generated greater awareness, openness and flexibility and increased parental familiarity with technological devices. Overall, the proposed web-based and group-based parent training model has shown good feasibility and promising early outcomes in supporting parents as Internet mediators. Full article
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12 pages, 542 KiB  
Article
Understanding Cognitive Deficits in People with Arthritis
by Weixi Kang, Edward Whelan and Antonio Malvaso
Healthcare 2023, 11(9), 1337; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare11091337 - 06 May 2023
Viewed by 1053
Abstract
Cognitive deficits are commonly seen in people with arthritis. However, previous studies focused primarily on small-sized clinical samples. There is a need for cohort-based studies, which are characterized by high generalizability. In addition, these studies mainly focused on attention, memory, and executive function. [...] Read more.
Cognitive deficits are commonly seen in people with arthritis. However, previous studies focused primarily on small-sized clinical samples. There is a need for cohort-based studies, which are characterized by high generalizability. In addition, these studies mainly focused on attention, memory, and executive function. However, cognition is not a single concept, but includes other cognitive domains, such as verbal fluency and arithmetic abilities. Thus, we aim to explore how arthritis can affect cognitive abilities, including episodic memory, semantic verbal fluency, fluid reasoning, and numerical ability by using a large cohort from the United Kingdom. The main findings were that people with arthritis have significantly lower immediate word recall (t(2257) = −6.40, p < 0.001, Cohen’s d = −0.12, 95% C.I. = [−0.16, −0.08]), delayed word recall (t(2257) = −5.60, p < 0.001, Cohen’s d = −0.11, 95% C.I. = [−0.14, −0.07]), semantic verbal fluency (t(2257) = −3.03, p < 0.01, Cohen’s d = −0.06, 95% C.I. = [−0.10, −0.02]), fluid reasoning (t(2257) = −3.96, p < 0.001, Cohen’s d = −0.07, 95% C.I. = [−0.11, −0.04]), and numerical ability (t(2257) = −3.85, p < 0.001, Cohen’s d = −0.07, 95% C.I. = [−0.10, −0.03]) compared to what they would expect given their demographics. Interventions are needed to improve cognitive abilities in people with arthritis. Full article
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10 pages, 598 KiB  
Study Protocol
Moderating Effect of Variables Associated with Positive Mental Health in a Mediation Model on Depression among College Students: Protocol for a Longitudinal Study
by Thanthai Thongprem, Rawich Deechaiya, Saranphong Chanachai, Angkul Ngaoratsamee, Nahathai Wongpakaran, Punjaree Wiriyacosol and Tinakon Wongpakaran
Healthcare 2023, 11(12), 1709; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare11121709 - 11 Jun 2023
Cited by 1 | Viewed by 1214
Abstract
Background: Depression is significant mental health issue among university students and can decrease their ability to succeed academically. While various factors associated with mental health problems have been identified, researchers are increasingly exploring the role of positive mental health, such as character strengths [...] Read more.
Background: Depression is significant mental health issue among university students and can decrease their ability to succeed academically. While various factors associated with mental health problems have been identified, researchers are increasingly exploring the role of positive mental health, such as character strengths and inner strengths, in relation to mental health problems. Objective: This study aims to build upon previous research by examining the influence of positive mental health on the mediation model of depression among students enrolled at Chiang Mai University. Method/Design: This study will employ an observational and longitudinal study that collects data from undergraduate students at Chiang Mai University during the 2023–2024 academic year. The primary outcome of this study will be depression. In the mediation models, insecure attachment and negative family climate will serve as predictors, while borderline personality symptoms will be the mediator. Positive mental health, including character strengths, inner strengths, and resilience, will be tested for moderation effects on the mediation models. Data will be collected at three intervals, with a three-month gap between each collection period. Discussion and Conclusion: This study will provide insights into the positive and negative mental health outcomes of university students in Chiang Mai. Through comprehensive analysis, this study intends to offer valuable insights into both positive and negative mental health outcomes among university students in Chiang Mai. Moreover, by employing a longitudinal approach, it aims to establish a more robust understanding of the causal relationships between positive mental health, predictors, mediators, and depression. The study’s limitations will also be discussed. Full article
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Personality and psychological well-being: advancing pro-environmental behaviors as a promoting factor
Authors: Maria Chiara Pino; Marco Giancola; Simonetta D’Amico; And Massimiliano Palmiero
Affiliation: Department of Communication Sciences, University of Teramo, 64100, Teramo, Italy
Abstract: The realization of well-being represents the most important purpose of human beings. Past research in psychology attempted to identify predictors and strategies useful to promote well-being. In general, personality represents one of the primary factors involved in well-being, although the key mechanisms that explain such a relationship are not fully disclosed and remain a matter of debate. Specifically, emotional and social dispositions are considered to play a key role, as well as different attitudes and specific behaviors can also support the link between personality and well-being. The current research sought to verify the involvement of the individual compliance with pro-environmental behaviors in the relationships between the Big Fives (openness, extraversion, agreeableness, conscientiousness, and neuroticism) and psychological well-being (eudaimonic) in a sample of 176 young adults (Mage = 21.55 years; SDage = 1.76 years). Results revealed that pro-environmental behaviors mediated the association between personality and eudaimonic well-being only when openness and agreeableness were entered as independent variables. These findings contributed to identifying the potential mechanisms through which personality contributes to individual eudaimonic well-being, providing also insights into the development of promoting interventions based on eco-sustainable behaviors. Limitations and future research directions are discussed.

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