The meaning of acceptance (Thum-jai) in Thai people: Letting it go…so life goes on

The influence of exercise adherence on peace of mind among Chinese college students: a moderated chain mediation model

Introduction

Exercising adherence constitutes a pivotal approach for college students to maintain physical well-being, while peace of mind serves as a crucial indicator of their psychological health. However, few previous studies have delved into the relationship between these two variables. Our study endeavors to investigate the association between the exercise adherence and the peace of mind of college students.

Methods

The Exercise Adherence Questionnaire, Meaning in Life Questionnaire, Brief Self-Control Scale, Peace of Mind Scale, and Self Acceptance Questionnaire were tested on 1,520 college students from four universities in western China, and SPSS 25.0 and Mplus 8.3 were used for analysis.

Results

The results indicate a significant positive correlation between exercise adherence and meaning in life (r = 0.208, p < 0.001), self-control (r = 0.210, p < 0.001), and peace of mind (r = 0.237, p < 0.001) among college students. Mediation analysis reveals that exercise adherence has a significant direct effect on peace of mind in college students, with an effect size of 0.087. Moreover, meaning in life and self-control independently mediate the relationship between exercise adherence and peace of mind, with mediation effect sizes of 0.046 and 0.052, respectively. Additionally, meaning in life and self-control collectively exhibit a chain mediation effect, with a mediation effect size of 0.032. At the same time, the interaction terms of meaning in life and self-acceptance had a significant predictive effect on self-control (b = 0.090, p = 0.002).

Conclusion

This study reveals both the relationship and intrinsic mechanisms by which exercise adherence influences the peace of mind among college students. Exercise adherence demonstrates a direct positive impact on peace of mind. Additionally, the association between exercise adherence and peace of mind is influenced by the individual mediating effects of meaning in life and self-control, as well as the chain mediation effect of meaning in life and self-control. Moreover, self-acceptance plays a positive role in regulating the relationship between meaning in life and self-control in the chain mediated pathway. This suggests that we need to encourage college students to develop the habit of exercise adherence and to carry out public welfare activities to enhance their meaning in life, self-control and self-acceptance, which will effectively promote their mental health.

Measurement properties of the Thai translation of the Recovery Assessment Scale - Domains and Stages (RAS-DS) and comparison of recovery experiences between Thai and Australian consumers living with serious mental illness

Personal recovery, a western conceptualisation that focuses on hope and living meaningful lives of choice rather than focusing on symptom reduction, is a more recent concept in many Asian countries including Thailand. One way to promote recovery-oriented service delivery is to use outcome measures that capture self-reported personal recovery. This study aimed to evaluate a Thai translation of a self-report measure of mental health recovery, the Recovery Assessment Scale - Domains and Stages (RAS-DS). The study also explored the cultural similarities and differences between Thai (n  =  190) and Australian (n  =  301) recovery experiences by comparing Thai and Australian participant responses to RAS-DS items. Data were analysed using Rasch analysis. Analyses revealed that the Thai version of the RAS-DS had adequate measurement properties. Cultural comparisons suggested that most aspects contained within the RAS-DS appear to be applicable across both Thai and Australian contexts. Three findings suggest linguistic or cultural differences in Thai and Australian recovery experiences: (i) a ceiling effect for Thai participants, (ii) some items were "harder" or "easier" for one cultural group to endorse than the other, and (iii) a few items were "misfitting" for Thai participants.

"Like a wake-up call for humankind": Views, challenges, and coping strategies related to public health measures during the first COVID-19 lockdown in Thailand

Following the first Thai COVID-19 case in January 2020, the Thai government introduced several non-pharmaceutical interventions (NPIs) in March 2020 (e.g., contact tracing, travel restrictions, closure of businesses, curfews, stay at home orders) to control COVID-19 transmissions. This study aimed to understand the views and experiences of a small number of Thai residents related to public health measures implemented during the first COVID-19 wave in Thailand. A total of 28 remote in-depth interviews with Thai residents (18-74 years old) were conducted between 8 May and 21 July 2020. Interviews were audio recorded, transcribed, and analysed using thematic analysis based on the Framework Method. Our results describe participants' views, challenges, and coping strategies relating to COVID-19 restrictions. Most participants expressed support for the introduction of strict public health measures, while some criticized lacking enforcement or rational of certain measures. Participants identified four major challenges, namely financial hardship; social isolation and loneliness; stigma and shaming; and fear of COVID-19 infection. Strategies adopted to address these challenges included practical coping strategies (e.g., reducing risks and fear of COVID-19 infection; mitigating financial, social, and mental health impacts), and embedded socio-cultural ways of coping (e.g., turning to religion; practicing acceptance; kindness, generosity and sharing ('Namjai'); 'making merit' ('Tham-bun')). The challenges identified from this study, in particular the role of stigma and discrimination, may be relevant to other infectious disease outbreaks beyond COVID-19. Findings from this study underscore the need for policies and interventions that mitigate the negative impacts of NPIs on the public, particularly on vulnerable groups, and highlight the importance of considering socio-cultural context to support community resilience in times of crisis. Our findings remain relevant in light of low COVID-19 vaccine availability and the potential need to implement further public health restrictions in Thailand and elsewhere against COVID-19 or future infectious disease threats.

Suffering experiences of people with cancer undergoing chemotherapy: A meta-ethnographic study

This meta-ethnography had the objectives of identifying, evaluating, and summarizing the findings of qualitative studies regarding the suffering experiences of people undergoing chemotherapy, as well as developing an explanatory conceptual structure regarding what affects these experiences. A systematic literature review was carried out, covering the past 10 years, in the following databases: CINAHL, Embase, Medline, LILACS and Scopus. By using meta-ethnographic synthesis methods, the following themes were found: the pain of loss; evaluating, measuring, and neutralizing the threat; and social contours of suffering. The experience of living with cancer and undergoing chemotherapy was synthesized into a theoretical-explanatory model with a structure that resembles barbed-wire loops. The model expresses people's suffering experiences as marked by the feeling of loss, restraint of emotions, and resilience. While transcendent movements broke the cycle of suffering, resilience emerged as a learning experience that made patients more resistant to the pain of loss. The results indicated a complex and diverse set of factors that influence suffering, which confirmed that experiences are individual, comprehensive, and continuously reinterpreted.