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Social misalignment occurs when a person's attitudes and opinions deviate from those of others. We investigated how individuals react to social misalignment in risky (outcome probabilities are known) or ambiguous (outcome probabilities are unknown) decision contexts. During each trial, participants played a forced-choice gamble, and they observed the decisions of four other players after they made a tentative decision, followed by an opportunity to keep or change their initial decision. Behavioral and event-related potential data were collected. Behaviorally, the stronger the participants' initial preference, the less likely they were to switch their decisions, whereas the more their decisions were misaligned with the majority, the more likely they were to switch. Electrophysiological results showed a hierarchical processing pattern of social misalignment. Misalignment was first detected binarily (i.e. match/mismatch) at an early stage, as indexed by the N1 component. During the second stage, participants became sensitive to low levels of misalignment, which were indexed by the feedback-related negativity. The degree of social misalignment was processed in greater detail, as indexed by the P3 component. Moreover, such hierarchical neural sensitivity is generalizable across different decision contexts (i.e. risky and ambiguous). These findings demonstrate a fine-grained neural sensitivity to social misalignment during decision-making under uncertainty.
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http://dx.doi.org/10.1093/scan/nsab022 | DOI Listing |
J Med Internet Res
September 2025
Dementia Care and Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.
Background: Informal caregivers of home-dwelling people with dementia experience significant unmet needs. However, family physician teams as primary health care gatekeepers for aging populations in China remain an underused resource for structured caregiver support.
Objective: This hybrid effectiveness-implementation study aimed to evaluate a policy-aligned integration of the World Health Organization's iSupport web-based program with China's family physician contract services for informal dementia caregivers while systematically assessing implementation determinants using the Consolidated Framework for Implementation Research (CFIR).
Psychometrika
September 2025
Department of Statistics and Data Science, https://ror.org/042tdr378Southern Methodist University, Dallas, TX, USA.
Empathic accuracy (EA) is the ability to accurately understand another person's thoughts and feelings, which is crucial for social and psychological interactions. Traditionally, EA is assessed by comparing a perceiver's moment-to-moment ratings of a target's emotional state with the target's own self-reported ratings at corresponding time points. However, misalignments between these two sequences are common due to the complexity of emotional interpretation and individual differences in behavioral responses.
View Article and Find Full Text PDFPsychoneuroendocrinology
August 2025
Department of Psychiatry, University of Illinois Chicago, United States.
Despite decades of research, there is no scientific consensus method for representing the menstrual cycle as a continuous timeline. Common phase- and count-based methods oversimplify hormonal dynamics and overlook individual variability in ovulation timing, reducing statistical power and misaligning trajectories. To address this, we introduce Phase-Aligned Cycle Time Scaling (PACTS) and its companion R package, `menstrualcycleR`, which generates continuous time variables anchored to both menses and ovulation, improving alignment of hormonal dynamics across individuals and cycles in an accessible, reproducible way.
View Article and Find Full Text PDFGlob Health Res Policy
September 2025
Engineering for International Development Centre, The Bartlett School of Sustainable Construction, UCL Faculty of the Built Environment, 1-19 Torrington Place, London, WC1E 7HB, UK.
Background: Health system development requires robust infrastructure systems support, particularly in countries with significant regional and socioeconomic disparities. Brazil's experience with its Unified Health System offers important insights into how the infrastructure and built environment is linked to health outcomes especially in underserved populations. This scoping review examines how different infrastructure systems such as sanitation, transportation, educational facilities, housing, influence population health in Brazil through two key pathways: (1) their role in shaping environmental conditions that affect health, and (2) their impact on healthcare service delivery among vulnerable populations.
View Article and Find Full Text PDFHealth Soc Care Deliv Res
August 2025
Department of Health & Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Background: The key role of medical workforce well-being in the delivery of excellent and equitable care is recognised internationally. However, doctors are known to experience significant mental ill health and erosion of their well-being due to challenging demands and pressurised work environments. Existing workplace support strategies often have limited effect and do not consider the multiple factors contributing to poor well-being in doctors (e.
View Article and Find Full Text PDF