53a7bb0819fbd40b049-4f92 20260801181651807 culhealth:culhealth YBM.office@gmail.com WEB-FORM International Journal of Science Annals IJSA 26172682 27073637 06 30 2026 06 30 2026 9 1 10.26697/ijsa.2026.1 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/271-volume-9-1-2026 Y. B. Melnyk https://orcid.org/0000-0002-8527-4638 I. S. Pypenko https://orcid.org/0000-0001-5083-540X Background and Aim of Study: The current stage of artificial intelligence (AI) development is characterised by the unpredictability and emergent nature of models, the hidden capabilities of which are not always recognised by developers. The widespread integration of digital products, coupled with the emergent nature of this process, inevitably lead to the creation of general artificial intelligence (AGI). In this context, identifying mechanisms that enable society to interact safely with the latest technological systems is becoming an increasingly important task. The aim of the study: to identify key trends in the development of artificial intelligence in contemporary society and to predict its impact on the transformation of the educational environment as a dominant factor in the digital adaptation of the younger generation. Material and Methods: The study is grounded in a systems approach, employing theoretical methods of analysis, synthesis, induction, deduction, abstraction, comparison, systematization, and data interpretation. Results: The present study provided a theoretical basis for the principle of responsibility for implementing and using artificial intelligence. The problem of anthropomorphism and human attachment to technologies was identified. It has been confirmed that the key risk does not stem from the use of AI itself, but rather from the environment in which it operates. It has also been established that the younger generation is the most adaptable demographic group in the process of acculturation to AI. The study identified four main vectors of AI’s influence on the transformation of the educational environment: 1) a paradigm shift: from digitalisation to an “AI-centred educational ecosystem”; 2) a radical change in the roles of stakeholders in education; 3) forming of new ethical and legal literacy among young people; 4) psychological adaptation and cognitive symbiosis. Conclusions: Long-term forecasting confirms that institutional transformation in education and the transition to AI-centred ecosystems are inevitable. Transforming the teacher into a mentor and facilitator will equip students with adaptive autonomy and change the nature of the subject-subject relationship. The education sector plays a crucial role in preparing society to use AI responsibly for the benefit of humanity. 06 30 2026 06 30 2026 5 15 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-03-10; Accepted: 2026-04-23; Published: 2026-06-30. 10.26697/ijsa.2026.1.1 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/273-volume-9-1-2026-1 A.V. Stadnik https://orcid.org/0000-0002-1472-4224 Y.B. Melnyk https://orcid.org/0000-0002-8527-4638 U.B. Mykhaylyshyn https://orcid.org/0000-0002-0225-8115 I.S. Pypenko https://orcid.org/0000-0001-5083-540X Background and Aim of Study: Examining the impact of war on the value of life among youth is a critical issue in contemporary society. The value of life serves as a psychological resource of equal importance to mental health, resilience. It acts as a key driving force for self-preservation, self-actualisation, coping with adversity, maintaining psychological equilibrium. The aim of the study: to examine university students’ attitudes towards the value of life in wartime, and to determine its impact on their mental health and psychological resilience. Material and Methods: In April 2026, a study was conducted among 89 students from Uzhhorod National University (Ukraine), aged between 18 and 35. The study used three psychological tests: the Value of Life Questionnaire, the Mental Health Continuum – Short Form, and the Connor-Davidson Resilience Scale 10. All scales exhibit a high level of internal consistency (Cronbach’s alpha ranging from 0.748 to 0.860). Results: The Value of Life Questionnaire exhibits stable, moderate-to-strong associations with all indicators of positive mental health and personal resilience. The most pronounced scale relationship for the Value of Life Questionnaire was observed with psychological well-being (r=0.493), closely followed by its correlation with the mental health scale in total (r=0.482) and psychological resilience (r=0.461). The regression tracking model is statistically highly stable and significant (F(4, 84)=10.392, p<0.001). The multiple correlation coefficient (R=0.575) denotes a strong linear relationship between the predictor constellation (psychological resilience along with the specific tracking subscales of mental health – emotional, social and psychological well-being) and dependent variable. Conclusions: The present study has clarified the meaning of the concept of “the value of life”. The study confirmed the methodological validity and predictive utility of the Value of Life Questionnaire, and provided empirical proof of its construct validity. The study has important practical implications for the research of mental health in university students during wartime. It is recommended that components promoting the value of life are incorporated into psychoprophylactic and psychotherapeutic programmes, alongside stress management techniques and resilience-building exercises. 06 30 2026 06 30 2026 31 37 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-04-27; Accepted: 2026-05-29; Published: 2026-06-30. 10.26697/ijsa.2026.1.2 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/275-volume-9-1-2026-2 B.Y. Rozumovych https://orcid.org/0009-0004-4588-3377 N. Abashidze https://orcid.org/0009-0002-4002-4448 Background and Aim of Study: The full-scale war in Ukraine causes the population to experience numerous stressors that are layered on top of each other (forced displacement, losses, constant threats and existing traumas). This leads to emotional confusion (a state of reduced control of one’s own emotions), fatigue, narrowing of attention and impaired self-validation, which complicates self-understanding and self-care. All this poses numerous problems for the psychotherapist. They are due to the fact that standard psychotherapeutic programs may not be effective enough when clients are overwhelmed by the intensity of their problems. At the same time, assistance has to be provided within an extremely limited time frame. The aim of the study: to propose an integrated short-term intervention strategy for psychological counseling and psychotherapy to address emotional confusion in clients who have experienced multiple crises during wartime, utilizing the strengths of trauma-sensitive mindfulness, eye movement desensitization and reprocessing (EMDR), dialectical behavioral therapy (DBT), and self-compassion-based approaches. Conclusions: The integrative approach allows therapists and clients to create a snapshot of current difficulties. It involves the sequential application of elements from different modalities: grounding techniques (EMDR/Mindfulness), internal state description (DBT), external stressor inventory, identification of key maladaptive beliefs (EMDR), and the use of stabilization or reprocessing techniques. This structured, brief intervention helps clients describe their condition, understand the sources of emotional confusion, practice self-compassion, and prioritize problems. Implemented over 1–2 sessions, this approach helps clients move beyond emotional confusion and motivates adaptive change, thereby instilling hope. 06 30 2026 06 30 2026 56 58 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-04-30; Accepted: 2026-06-03; Published: 2026-06-30. 10.26697/ijsa.2026.1.3 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/279-volume-9-1-2026-3 S. Skrypynets https://orcid.org/0009-0005-4505-0524 Background and Aim of Study: Mental trauma and its consequences are among the most common and at the same time the most complex problems of modern clinical practice. This is especially true in areas affected by war. A trauma-focused therapist systematically immerses himself in narratives of extreme suffering: violence, losses, disasters, hostilities, etc. Sometimes he simultaneously faces his own professional burnout, secondary traumatization, and his own life crisis. Such professional influence inevitably creates a specific risk in the form of a multiple crisis, which has no analogs in other types of psychotherapeutic work. The aim of the study: to analyse the phenomenon of multiple crises in the work of a trauma-focused therapist with complex post-traumatic stress disorder and to offer practical recommendations for overcoming it. Conclusions: The multiple crises that trauma-focused therapists regularly face when working with complex post-traumatic stress disorder are not resolved either by hasty technicalisation according to the protocol or by compassionate attachment. Conscious self-compassion is a more effective mechanism of psychotherapeutic practice. It allows the therapist to regulate their own problems while maintaining the clinical structure of care. This preserves the effectiveness of psychotherapy while preventing professional decompensation. 06 30 2026 06 30 2026 59 61 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-05-03; Accepted: 2026-06-05; Published: 2026-06-30. 10.26697/ijsa.2026.1.4 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/278-volume-9-1-2026-4 D.E. Durcheva https://orcid.org/0000-0003-2428-3730 L.M. Georgieva https://orcid.org/0000-0002-9320-9203 Background and Aim of Study: The COVID-19 pandemic was accompanied by an unprecedented infodemic – a massive overabundance of information, including misinformation and disinformation – that posed significant threats to public health. Bulgaria, like many countries, experienced the dual burden of both the pandemic and the spread of health misinformation through traditional and social media channels. The aim of the study: to examine public attitudes towards COVID-19 misinformation, assess levels of institutional trust during the infodemic, and identify differences in information behaviour between the general public and healthcare professionals in Bulgaria. Material and Methods: A cross-sectional quantitative survey was conducted in October 2024 among two groups: 800 members of the general public (representative urban sample, ages 18–70) and 101 healthcare professionals (physicians and nurses). Data were collected and aggregated via the Alchimer online survey platform, with face-to-face interviews also conducted among healthcare professionals. Descriptive statistics (frequencies and percentages) were used to summarise responses, and comparative analyses were performed primarily using Q-Research software, with IBM SPSS-26 Statistics used for supplementary analyses; the chi-square test was applied to compare categorical variables (statistical significance set at p<0.05). Results: Over 92.0% of respondents confirmed that fake news circulated during the pandemic. The most trusted information sources were healthcare experts (79.8% general public; 90.1% healthcare professionals) and official health websites. Social media received the lowest trust ratings and the largest post-pandemic decline in trust (net change: −35.8% general public; −15.4% healthcare professionals). Fake news most strongly affected mental health (67.5% general public; 71.4% healthcare professionals reported strongly negative impact). A majority of the general public (62.8%) believed institutions failed to adequately address misinformation, while healthcare professionals were nearly evenly divided. Significant differences were observed between the two groups regarding information-seeking behaviour, source evaluation, and perceived pandemic authenticity. Conclusions: The COVID-19 infodemic substantially eroded institutional trust in Bulgaria, particularly towards social media and political actors. Healthcare professionals demonstrated stronger media literacy and maintained higher trust in expert sources. These findings underscore the urgent need for institutional communication strategies, media literacy programmes, and coordinated infodemic management policies. 06 30 2026 06 30 2026 39 46 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-05-09; Accepted: 2026-06-18; Published: 2026-06-30. 10.26697/ijsa.2026.1.5 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/276-volume-9-1-2026-5 B. Sá-Sousa https://orcid.org/0009-0001-8156-0725 M.S. Oliveira https://orcid.org/0000-0002-1764-1475 A. Serra https://orcid.org/0000-0003-0482-6179 C.S. Peixoto https://orcid.org/0000-0002-8755-5265 Background and Aim of Study: Domestic violence constitutes a serious public health problem, manifesting itself through various forms of abuse, namely physical, psychological, sexual, and economic, affecting people of any age or gender. The aim of the study: to characterize violence in intimate relationships in a municipality in the Porto Metropolitan Area based on the sociodemographic profile of victims assisted by a specialized service, as well as on the characteristics of the violence, the perpetrators, and the criminal proceedings. Material and Methods: This quantitative, descriptive, and retrospective study based on the procedural analysis of 206 cases assisted by the Integrated Victim Support Service (SAIV) in a municipality in the Porto Metropolitan Area between 2022 and 2025. Sociodemographic variables, characteristics of the violence, and data regarding perpetrators and criminal proceedings were analyzed using IBM SPSS Statistics software (version 27). Results: The results showed that most victims are female (93.7%), with a mean age of 45.3 years. Violence in intimate relationships is predominantly ongoing (99.5%), with multiple forms of violence being predominant (78.2%), particularly physical and psychological violence. A high prevalence of psychological symptoms was also observed, namely anxiety (25.7%), depression (20.4%), and sleep disorders (15.5%). Perpetrators are predominantly male (93.2%), with an average age of 47.05 years, and a notable prevalence of illicit substance use (64.6%). Conclusions: The data obtained highlight the complexity and multidimensionality of violence in intimate relationships, as well as its significant impact on the mental health of victims, reinforcing the need for integrated and locally adapted responses. 06 30 2026 06 30 2026 31 37 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-05-19; Accepted: 2026-06-19; Published: 2026-06-30. 10.26697/ijsa.2026.1.6 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/274-volume-9-1-2026-6 Y.B. Peneva https://orcid.org/0009-0004-8758-1086 D. Gencheva https://orcid.org/0000-0001-7664-4329 G. Genchev https://orcid.org/0000-0003-0561-029X L.M. Georgieva https://orcid.org/0000-0002-9320-9203 Background and Aim of Study: Cardiovascular diseases remain the leading cause of mortality worldwide. Effective management of cardiovascular risk depends not only on medical treatment but also on patients’ health literacy, psychological status and adherence to prescribed therapy. Increasing evidence suggests that psychosocial determinants play an important role in long-term cardiovascular outcomes. The aim of the study: to compare health literacy, mental health status and medication adherence among patients from Bulgaria and Germany and to evaluate their associations. Material and Methods: A cross-sectional survey was conducted among 862 adult patients from Bulgaria (n=186) and Germany (n=676). Data were collected using a structured questionnaire including measures of cardiovascular risk factors, health literacy, mental health (PHQ-based assessment) and medication adherence (Modified Medication Adherence Report Scale). Statistical analyses were performed using IBM SPSS Statistics 27.0 and MedCalc 23.5.5. Results: German patients demonstrated significantly higher medication adherence scores compared to Bulgarian patients (p<0.01). Bulgarian participants showed a higher prevalence of moderate and severe psychological symptoms. A significant association was found between mental health status and medication adherence (p=0.009), with patients reporting normal psychological status demonstrating higher adherence levels. Health literacy was also significantly associated with medication adherence (p=0.034), particularly among German participants. No significant relationship was observed between health literacy and lifestyle score. Conclusions: Health literacy and mental health are important determinants of medication adherence among adult primary care patients from Bulgaria and Germany. Integrating psychological assessment and health literacy interventions into primary care may improve cardiovascular prevention and long-term treatment outcomes. The findings also support the development of the Bulgarian-HEART Model as an integrated framework for cardiovascular risk management in primary care. 06 30 2026 06 30 2026 47 54 10.26697/ijsa.3.1 www.ijsa.culturehealth.org true Peer review type: double-blind The publishing and review policy for this paper is described on the IJSA website: https://doi.org/10.26697/ijsa.2.3 Received: 2026-05-11; Accepted: 2026-06-25; Published: 2026-06-30. 10.26697/ijsa.2026.1.7 https://ijsa.culturehealth.org/index.php/en/archiv/previous-issues-ijsa/277-volume-9-1-2026-7