Light exposure at night is linked to increased risk for obesity and insulin resistance in the general population. While sleep health is recognized as a key component of diabetes management, there has been less emphasis on nighttime light exposure. This study aimed to investigate the effects of blue and white light exposure immediately prior to (1 h) and during sleep (LEDS) on glycemic control and psychosocial wellbeing in adults with type 1 diabetes (T1D). Using baseline data from a randomized controlled trial testing a sleep intervention (NCT04506151), we analysed the following data from 170 adults with T1D: light exposure pattern and sleep from one week of wrist-worn actigraphy, glucose levels from one week of continuous glucose monitoring (CGM), and A1C and self-reported psychosocial measures. Generalized linear models, adjusting for covariates, were employed to examine the relationship between log-transformed light variables and glycemic/psychosocial outcomes. The results revealed that greater blue LEDS was significantly associated with higher glucose levels from CGM including less % time spent in glucose range 70-180 mg/dL (B = -7.30; p = 0.022) and greater % time spent above glucose range 180 mg/dL (B = 6.95; p = 0.041), along with greater depressive (B = 4.41; p = 0.016) and anxiety symptoms (B = 2.25; p = 0.008), and worse diabetes quality of life (B = -5.81; p = 0.031). Light exposure one hour prior to sleep was related to increased fatigue. In conclusion, increased blue LEDS is linked to hyperglycemia and worse psychosocial outcomes in T1D. Thus, blue LEDS warrants further investigation as a modifiable risk factor. Trial Registration: NCT04506151, www.clinicaltrial.gov.

Drug addiction is a major global health problem marked by compulsive drug-seeking and profound neuropsychiatric disturbances. This systematic review and network meta-analysis aimed to evaluate the effectiveness of various acupuncture-related therapies for managing drug addiction.

Intravascular papillary endothelial hyperplasia (IPEH) is a rare vascular lesion that can histologically mimic malignant vascular tumors, particularly angiosarcoma, often leading to misdiagnosis and overtreatment. IPEH involving the uterine myometrium is a novel finding. We describe an 83-year-old postmenopausal woman presenting with a 6-day history of spontaneous vaginal bleeding. Pelvic examination revealed a patent vagina with minimal dark red blood and an enlarged, anteverted uterus. Pelvic magnetic resonance imaging showed a well-demarcated, heterogeneous intramural lesion (6.0 × 5.5 × 5.0 cm) in the right anterior uterine wall. Based on comprehensive imaging findings and clinical presentation, the preoperative differential diagnosis included possible sarcomatous transformation of a uterine leiomyoma versus endometrial carcinoma. The patient underwent total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and pelvic adhesiolysis. Gross examination revealed a well-circumscribed intramural cystic lesion. Histopathology demonstrated a collagenous cyst wall with residual smooth muscle, luminal organizing thrombus, and papillary structures lined by plump endothelial cells. Immunohistochemistry showed strong positivity for cluster of differentiation (CD)31 and ETS-related gene, focal positivity for CD34 and D2-40, negative hormone receptors (estrogen receptor/progesterone receptor), and a Ki-67 index of 20%. Histopathological examination confirmed a diagnosis of IPEH, a rare benign entity characterized by reactive endothelial proliferation. Complete surgical excision resulted in resolution of vaginal bleeding. At an 18-month telephone follow-up the patient was asymptomatic, and had received no adjuvant therapy, and pelvic ultrasonography demonstrated no evidence of recurrent disease. In conclusion, IPEH cannot be reliably distinguished from malignant vascular or uterine neoplasms based on preoperative clinical, imaging, or gross findings. Accurate diagnosis of this rare entity is contingent upon histopathological examination and immunohistochemical analysis. Awareness that IPEH can occur within the uterine corpus may facilitate its inclusion in preoperative differential diagnosis, thereby potentially improving diagnostic precision and alleviating patient anxiety associated with the suspicion of malignancy.

This article examines how language hegemony is being reconfigured in the age of digital intelligence and its psychological implications for language users, particularly regarding confidence, anxiety, and willingness to communicate. While research on linguistic imperialism has shown how dominant languages consolidate power through history, institutions, and ideology, less attention has been paid to how digital infrastructures reproduce linguistic inequality and shape speakers' confidence, perceived legitimacy, and communicative behaviour. The article argues that language hegemony increasingly operates through algorithmic dominance, reinforced by unequal data representation, platform visibility, uneven AI performance, and the naturalisation of dominant languages as default media of global communication. It proposes a four-dimensional framework of data dominance, platform dominance, model dominance, and ideological dominance. This framework suggests that language inequality in the age of digital intelligence is not only structurally reproduced but also psychologically consequential, influencing language anxiety, communicative confidence, willingness to communicate, and perceptions of linguistic adequacy. The article thus extends debates on linguistic imperialism into the era of platform governance and generative AI, while calling for greater attention to multilingual justice, digital inequality, the psychology of language technology, and speakers' strategies of adaptation and resistance.

As a pivotal pathway for talent advancement in higher education, the postgraduate entrance examination not only shapes the depth of individuals' academic engagement and the breadth of career development, but also carries candidates' distinctive trajectories of psychological growth across the long preparation cycle. To explore these trajectories during exam preparation, this study focuses on postgraduate entrance examination candidates and adopts a qualitative research design. Analysis of candidates' preparation experiences shows that their psychological States change dynamically over time: in the early stage, they are often marked by confusion. In the middle stage they tend to slip into anxiety, and in the late stage some candidates respond with composure whereas others become so tense under pressure that they approach psychological breakdown. When confronting confusion, anxiety, and a range of other difficulties, candidates regulate themselves through goal orientation, emotional regulation, and social support, thereby preparing for the examination in a better condition. The preparation experience and psychological growth accumulated by these candidates provide valuable points of reference for subsequent cohorts. Accordingly, drawing on the interview findings, this paper proposes stage-specific recommendations in the hope of offering practical and effective guidance and support for more candidates.

Mentalization (the ability to hold in mind and interpret one's own and others' mental states in order to make sense of behaviour) has been consistently linked with the development of secure parent-infant attachment as well as with adult mental health. A smaller body of research has begun to examine how mentalizing capacity may be linked with coparenting (parents' ability to work together for the wellbeing of their child), which is another factor consistently linked with better child outcomes, as well as lower levels of anxiety and depression and greater overall wellbeing in parents. Reflective functioning is an aspect of mentalization that involves the outward reflection of the mental states of the self and others.

Against the backdrop of enterprise digital transformation, the increasing displacement of routine roles by technology has intensified workplace competition. This has led to persistently heightened pressure and induced anxiety among employees in a highly competitive environment. Such pressure and anxiety have progressively evolved into a psychological state characterized by diminishing returns cognition and development prospect anxiety, namely, perceived involution, which subsequently affects employees' willingness to apply and innovate in digital technology.

Mental health among female financial employees is a critical occupational concern, yet the role of work-family conflict in this high-pressure field remains underexplored. This study assesses the mental health status of 2,342 female employees in China's financial sector and examines the specific impact of work-family conflict. Participants completed the Patient Health Questionnaire, Generalized Anxiety Disorder Scale, Insomnia Severity Index, and Perceived Stress Scale, while work-family conflict was measured with the Work-Family Conflict Scale. Results revealed elevated prevalence rates: depression (74.64%), anxiety (66.78%), insomnia (53.33%), and perceived stress (73.40%). Multivariate regression identified work-family conflict as a significant predictor of poorer mental health. This association persisted after controlling for demographic and occupational variables. The findings highlight work-family conflict as a key occupational risk factor. Implementing structured organizational measures, such as flexible work arrangements, is recommended to safeguard the wellbeing of this workforce.

Online gambling has expanded faster than the public health systems and regulatory frameworks designed to contain its harms. Unlike venue-based gambling, digital platforms combine constant accessibility, rapid betting cycles, frictionless payments, algorithmic personalization, and intensive marketing, features that may heighten risk and hinder early detection of problematic use. In this perspective, we argue that online gambling should be understood not only as an individual behavioral disorder, but also as a public health and regulatory challenge with broader social consequences. Recent evidence shows that online gambling is associated with gambling disorder, depression, anxiety, suicidality, financial distress, family conflict, and harms to affected others, although much of the current literature remains cross-sectional and heterogeneous. We further examine how vulnerabilities are unequally distributed across age, sex, socioeconomic position, and regional regulatory context. To move beyond a purely descriptive account, we compare recent policy responses across jurisdictions, including stake limits and a statutory levy in Great Britain, restrictive advertising rules in Belgium, and new federal controls in Brazil. These examples suggest that effective harm reduction requires more than self-regulation or individual responsibility messaging. A precautionary public health approach should include restrictions on advertising and inducements, binding deposit or loss limits, centralized exclusion systems, robust age verification, financial safeguards, and insulation of research and policymaking from industry influence.