Articles

Introduction. The need to develop students’ ability to learn independently has been a widely discussed issue in the theory and practice of education over the past 50 years (in research on learning to learn, self-regulated learning, metacognitive learning, etc.). If we understand instruction as a system of activities by the student and teacher, associated primarily with the transmission of cultural experience, then studying the psychological mechanism for accepting and using the proffered knowledge as an orientation for future actions is highly relevant.

Objective. We surmised that the ability to use given knowledge in the school instruction process (which we call “orientation towards given knowledge” [OGK]) would differ between fourth-graders studying in traditional educational systems (TE) and those in Developmental Education (DE), since these systems differ significantly in the principles of the selection learning material and organization of learning activity. We also sought to clarify the correlation between OGK and such important educational outcomes as the ability to identify the most important thing in a text, logical skills, memorization skills, and academic achievement.

Design. To diagnose OGK, we gave fourth-graders (N = 115) the definition of a concept, an instruction to recognize and identify objects as either being described or not described by that concept, and 10 recognition problems in the form of short texts. We assessed the level of OGK by counting the number of problems for which the answer was justified by the given definition. In addition, we measured the ability to identify the main point in the text, logical skills, and random memorization skills.

Results. Almost a quarter of all the fourth-graders (25.7%) failed to use the given definition at all; however, the DE students demonstrated a higher level of OGK (U = 2038, p < .01) significantly more often. OGK among general sample also correlated with the ability to identify the most important thing in a text (R = 0.31, p < .001), logical skills (R = +0.35, p < .001), and memorization skills (R = +0.195, p < .05 for short-term memory and R = +0.301, p < .01 for long-term memory).

Conclusions. Possible reasons for the cognitive performance of the fourth-graders are discussed. We argue that orientation towards given knowledge can be considered an essential condition for effective learning, and therefore serious attention should be paid to its development.

Background. The search for cognitive predictors of success in language learning is associated both with basic cognitive characteristics (processing speed and spatial working memory) and with general characteristics (intelligence). However, the ratio between cognitive functioning and success in language learning can change during the period of school education and depends on the socioeconomic level of the society and the effectiveness of the national educational system.

Objective. To analyze the cognitive predictors of Russian language learning samples of Russian-speaking 11th graders from Russia, Kyrgyzstan, and Moldova, three countries with a similar organization of the educational system, but differing in the functional effectiveness of that educational system and in their socioeconomic levels.

Design. The sample comprised 545 Russian-speaking 11th graders (average age = 17.42 + 0.59; 36.1% male) studying Russian throughout their public-school education in Russia, Kyrgyzstan, and Moldova. The statistical methods of one-way analysis of variance, correlation, and multiple regression analysis were used.

Results. Among the indicators of cognitive development we analyzed, the functioning of the national educational system is the one most associated with the development of fluid intelligence of 11th graders, which is directly proportional to the quality of education in the country; to a lesser extent, it is associated with the development of working memory. In Kyrgyzstan (with an average level of socioeconomic development) and Moldova (with a high level of socioeconomical development), only fluid intelligence was associated with the score on the state exam on the Russian language. In Russia, which has a very high level of socioeconomic development, fluid intelligence and spatial working memory were updated.

Conclusion. Differences in the relationship between cognitive functioning and success in Russian-language learning are associated both with the objectives of the state exam (identification of pupils ready to attend university versus testing of what was learned in school), and, in conditions of low educational effectiveness, with a greater cognitive load during the exam.

Background. The search for cognitive predictors of success in language learning is associated both with basic cognitive characteristics (processing speed and spatial working memory) and with general characteristics (intelligence). However, the ratio between cognitive functioning and success in language learning can change during the period of school education and depends on the socioeconomic level of the society and the effectiveness of the national educational system.

Objective. To analyze the cognitive predictors of Russian language learning samples of Russian-speaking 11th graders from Russia, Kyrgyzstan, and Moldova, three countries with a similar organization of the educational system, but differing in the functional effectiveness of that educational system and in their socioeconomic levels.

Design. The sample comprised 545 Russian-speaking 11th graders (average age = 17.42 + 0.59; 36.1% male) studying Russian throughout their public-school education in Russia, Kyrgyzstan, and Moldova. The statistical methods of one-way analysis of variance, correlation, and multiple regression analysis were used.

Results. Among the indicators of cognitive development we analyzed, the functioning of the national educational system is the one most associated with the development of fluid intelligence of 11th graders, which is directly proportional to the quality of education in the country; to a lesser extent, it is associated with the development of working memory. In Kyrgyzstan (with an average level of socioeconomic development) and Moldova (with a high level of socioeconomical development), only fluid intelligence was associated with the score on the state exam on the Russian language. In Russia, which has a very high level of socioeconomic development, fluid intelligence and spatial working memory were updated.

Conclusion. Differences in the relationship between cognitive functioning and success in Russian-language learning are associated both with the objectives of the state exam (identification of pupils ready to attend university versus testing of what was learned in school), and, in conditions of low educational effectiveness, with a greater cognitive load during the exam.

Background. Parents have a significant impact on the formation of their children’s attitude toward health. A detailed study of this effect will allow us to devise strategies for interaction with children and directions of psychological correction of maladaptive behaviors in health issues.

Objective. To study the relationship between attitude toward healthin primary-school-age children and their parents and styles of childrearing.

Design. The study comprised 69 primary-school-aged children and their parents. The method of “Unfinished Sentences About Health” and the questionnaire “Analysis of Family Relationships” were used.Components of attitude toward healthsuch as health self-esteem, assessment of healthy people, diseases, health promotion actions, health promotion factors (causes), and the value of health were considered. 

Results. [1]The findings showed that the parents’ components of attitude toward healthare interrelated with those in children’s at all levels (from behavioral to semantic and axiological) and are connected with the style of childrearing.

Conclusion. Data analysis showed the impact of the style of childrearing and the interrelation of certain parental attitude toward healthcomponents with attitude toward health in primary-school-age children. This problem requires detailed study due to its theoretical significance and the obvious social challenges it presents.

1. These are not Results, but part of the Design.

Background. Studies have shown that teaching children and youths chess can contribute to their academic achievements and improve their cognitive abilities. Recent studies further indicate the transfer of chess skills to subjects such as mathematics. However, the literature does not address the possible benefits of chess to link between inhibition and ADHD, a disorder in the operational executive functioning system, whenwith chess ias a game that requires various cognitive abilities, and is considered dependent on executive operational functioning abilities and especially inhibition. 

Objective. To investigate whether chess experience relates to inhibitory control in teenagers with and without ADHD. 

Design. Participants completed a visual-spatial task designed for the pur- pose of the study, comprising two conditions: In the “free” condition, par- ticipants were allowed to test different solutions before choosing the answer, whereas in the “touch-move” condition they were asked to choose the answer without any physical attempts. Participants also completed “Go/No-go” tasks. 

Results. The new task was found to be partially effective as only the “touch- move” condition produced group differences, with chess players performing better than non-chess players, regardless of diagnosis. The No-go task perfor- mance analysis also showed a significant main effect for chess training, and a significant interaction among chess, ADHD, and medicine use. 

Conclusion. Although not establishing causality, these results indicate that chess players were less impulsive than non-chess players, regardless of diagnosis. 

Background. This survey article reviews research and academic writings analyzing cognitive features of patients with cardiovascular diseases.

Objective. To review the academic literature on the feasibility of psychological rehabilitation of cardiovascular patients by correcting cognitive impairment.

Method. Analysis and compilation of academic writings by Russian and foreign researchers.

Results. The cognitive dimension of coronary heart disease (CHD) patients has a number of features linked to the effect of their disease, and to their cognitive and psychological status. The article presents diagnostic techniques used to assess the patient’s cognitive state. The experimental data demonstrates the effectiveness of cognitive training with cardiovascular patients. The article also describes recommendations for cognitive rehabilitation of coronary heart disease patients, for choosing the right “target” of remedial psychological intervention, and for assessment of the recovery process.

Conclusion. Rehabilitation programs are promising for patients with coronary heart disease and other somatic diseases.

Background. There is no generally accepted psychological understanding of how a doctor’s representation of risk and uncertainty affects professional medical decision-making. The concept of a Unified Intellectual and Personal Potential can serve as a framework to explain its multiple and multilevel regulation. Our objective was to research the connections between medics’ perceptions of risk and related personal factors.

Design. Medical doctors were compared to different control groups to identify their personal and motivational characteristics in three studies. 

Study 1 assessed the motivational profile of doctors (using Edwards Personal Preference Schedule) in connection with their risk-readiness and rationality (measured by the Personal Factors of Decision-making questionnaire, also known as LFR) in a sample of 33 doctors, as compared to 35 paramedics and 33 detectives. 

Study 2 compared 125 medical students and 182 non-medical students to 65 doctors as to the levels of their risk perception (measured by Implicit Theories of Risk questionnaire, the LFR, and their direct self-esteem of riskiness [1]), tolerance for uncertainty (measured by Budner's questionnaire), and rating on the Big-Five personality traits (TIPI). 

Study 3 presented two new methods of risk perception assessment and investigated the connection between personality traits, risk reduction strategies, and cognitive representations of risk in 66 doctors, as compared to 44 realtors.

Results. Study 1 found differences between the doctors’, paramedics’, and investigators’ motivational profiles. The doctors’ motivations were not associated with conscious self-regulation. In Study 2, risk-readiness was positively related to tolerance for uncertainty (TU) and the self-esteem of riskiness. The latter was significantly lower in doctors compared to the student groups and had different relationships with personality variables. In Study 3, doctors differed from realtors not only in their traits (i.e.,being less willing to take risks), but also in their choices and greater integration of their risk representations.

Conclusions. The three studies demonstrated the multilevel processes behind the willingness to take risks and risk acceptance, as well as the relationship between the multilevel personality traits and doctors’ assessments of medical risks and their preferences in risky decision-making.

1. The “self-esteem of riskiness” refers to an individual’s self-esteem in light of their willingness to take risks. This formulation will be used throughout this article, as to constantly elaborate its meaning would be too unwieldy.

Background. Both authors are working on the Board of Ethics of the Czech-Moravian Psychological Society. They face a recurring pattern of complaints, where one parent in the multilateral contractual field of the child custody domain complains about the psychological report in their case, including the psychologist´s procedure, conduct, partiality, etc. The child custody domain is under Civil Law jurisdiction, where psychologists serving as expert witnesses report their evaluations at the request of the court.   

Objective. To point out some of societal and professional challenges confronting psychologists as expert witnesses in child custody cases. To improve ethical awareness in this area of psychological expert witness practice. 

Design. We compiled an overview of the complaints obtained by the Board of Ethics of the Czech-Moravian Psychological Society from 2013 to 2019, against psychologists who served as expert witnesses in child custody cases in the Czech Republic. We then compared these complaints with the ethical norms established by the Czech Code of Ethics of the Psychological Profession; the recommendations of the European Federation of Psychologists’ Associations (EFPA) (c.f., The European psychologist in forensic work and as expert witness); and the guidelines of the American Psychological Association (APA) (c.f., Guidelines for Child Custody Evaluations in Family Law Proceedings).  

Results and Сonclusions. Testimony by psychological experts in child custody cases is occurring in the context of societal changes and political decisions concerning child custody arrangements, and the best interests of the child in the context of gender neutral laws. Several ethical concerns seem to be of special importance: 1) the “psychological best interest of the child” in the multilateral contractual field; 2) the purpose and contribution of psychological expert testimony in child custody cases; 3) the role, task, and responsibility of the expert witness, including establishing working alliances and parallel processes; 4) the appropriate allocation of responsibilities in the multilateral contractual field; and 5) the ethics of reflexivity, responsibility, and courage. The “complaint bias” is discussed.

Background. A growing body of evidence shows that people's attitudes toward lies could be predictive of their actual deceptive behavior. However, few studies have examined both attitudes and deceptive behavior, and none have related attitudes toward the likelihood of self-reported deception as it develops over people’s lifespans.

Objective. Our study addresses attitudes toward lies and the likelihood of deceptive behavior in a variety of contexts, relating them to self-reported frequency of lying. We were also interested in whether individual differences in social desirability and social anxiety predict self-reported frequency of lying across lifespans.

Design. Using a cross-sectional design that included children as well as young adults, we assessed a total of 177 participants with the same questionnaire about deception, adapted from Lundquist et al. (2009).

Results. The age differences in the frequency of self-reported lying followed an inverted U-shape trend over time. Children’s lower social desirability and more lenient attitudes toward white lies predicted higher lying frequency, whereas for adults, a greater likelihood of telling prosocial lies predicted higher lying frequency.Children with decreased anxiety were less likely to tell prosocial lies, implying that anxiety might be a key factor in children’s development of deception.

Conclusion. Our work offers an integrative view into people’s attitude towards deception and their self-reported lying as they mature. Attitudes toward white lies and the self-reported likelihood of telling prosocial lies were the most relevant predictors involved in self-reported lie-telling. Individual differences in anxiety and social desirability also played a relevant role in children’s and young adults’ attitudes toward deception.

Background. Throughout the last forty years, an emerging set of global norms addressing the rights and treatment of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) people have emerged and are continuing to evolve. This article will outline the trajectory of LGBTI concerns in the context of international human rights, and make a case for psychological ethics that are inclusive of concerns specific to sexual orientation, gender identity, and gender expression (SOGIE). These discussions will be framed in the context of the historical stigma and pathologization associated with SOGIE concerns, as well as the increasing global visibility and political and social organizing of LGBTQI communities.

Discussion. First, the rise of international and regional ethics codes pertaining to SOGIE concerns, including the role of the United Nations, will be reviewed. Second, recommendations for an ethical approach to psychological research, practice, training, and advocacy inclusive of SOGIEconcerns will be discussed. These recommendations will be informed by the existing ethical framework of the European Federation of Psychologists’ Associations (EFPA), and will address the unique concerns of sexual orientation minority populations; transgender, non-binary, and gender-expansive (TNG) people; and intersex populations. Finally, the International Psychology Network for LGBTI Issues (IPsyNet) will be introduced as a model for networking in support of SOGIE interests within LGBTQI-affirming national psychological organizations.

Conclusion. As European ethical practices respond to calls from human rights stakeholders for increased inclusion of SOGIE concerns, this paper proposes that it is the responsibility of international psychological practice to support the human rights of allglobal citizens.

Background. Although widely acknowledged as a distinct professional practice, clinical supervision has not consistently been a component of graduate training in psychology,and has not achieved recognition commensurate with its importance to the field in the United States or internationally. Although competence in supervision had been inferred, multiple international studies reveal high frequenciesof unethical, inadequate, and harmful supervision. Implicit in clinical supervision is ethical acumen, practice, modeling, teaching, andadherence to multiple ethical principles and codes.Specifically, this role calls for respect, integrity, doing no harm, competence, confidentiality, and not entering multiple relationships that may do harm.

Objective. The objective of the current article is to describe the essential components of ethical clinical supervision and training, ethical imperatives for both supervisor and supervisee, and aspects of training and supervision that ensure protection of the client. A framework of enlightened globalization harmonizes rules and ideals of the profession with cultural diversity and provides both a structure and guidance for supervisors and supervisees.

Results. We analyze the ethical development of supervisees which occurs through a complex process of integration of personal values and ethical positions with professional ethics; through an intentional, systematic process; and through supervision, to enhance their metacompetence (i.e.,knowing what one knows and doesn’t know). 

Conclusion. Through a review of the strategic literature, we define current international and cultural perspectives on ethical practice and training, outline critical ethical issues, and provide strategies for effective and ethical clinical supervision, including an informed consent document and a supervision contract.

Background. It is crucial for psychology students and graduates to study ethics. However, neither teaching nor learning ethics is always an easy process. Course syllabi often include philosophical texts, specialized concepts, and numerous ethics or procedural codes. Could we consider all of this as a cognitive process? The students should be aware of all the vulnerabilities that can impact ethical decision-making, such as cognitive errors, emotional factors, social and organizational pressures, and situational factors.

There is a great deal of new research on the advantages of including emotional dimensions in the decision-making process (Decety & Cacioppo, 2012; Decety & Cowell, 2015); this research evenclaims that emotions strengthen the contribution of the cognitive process, and as a result enrich the final ethical judgments. Additionally, there is also a kind of hidden curriculum that we provide to students (Goold & Stern, 2006; Hafferty & Franks, 1994). It is exactly this area (internships, the way we relate to the students) to which we need to pay attention during their undergraduate and graduate years.

Conclusion. Expecting students to learn and internalize knowledge in a meaningful way necessitates new modes of instruction. Specifically, teaching and learning ethics in an interactive way, while paying attention to both good decision-making skills and emotional cues, would provide exactly what students would enjoy and learn from the most. In this article, we will suggest that, if the question is how to sensitize students to ethical issues in psychology, and in the profession, it is important to give them an active role and responsibility for disseminating ethical principles. We will also introduce different techniques that help combine knowledge with emotionality while teaching ethics in psychology. 

Background. There is a growing movement worldwide for ethical regulation of psychologists’ research-oriented, educational, and practical activities. However, expectations that the better the code of ethics, the safer and more effective the professional activity will be, are not being met. For this reason, it is beneficial to distinguish two levels of the psychologist’s professional functioning: that related to his or her role, and that on the personal level; this makes it possible to more adequately analyze the psychological aspects of ethical and moral regulation in professional interaction.

Objective. To compare the psychological foundations of the educational psychologist’s ethical and moral professional behavior at the role and personal levels.

Design. Analysis, generalization, and identification, through a review of the literature, of the main factors influencing the ethical and moral regulation of professional behavior of psychologists.

Results. Surveys of specialists show that it is difficult both for the client and for the psychologist to follow a formal ethical code unconditionally. We considered the limitations of ethical regulation of professional activity, when, even with a good knowledge of the ethical norms on the part of the specialists, external monitoring is required to guarantee the safety of their subjects. We emphasize that the wide variety of psychological assistance provided by psychologists to their clients requires different degrees of personal involvement on the part of the specialist. We propose to distinguish two levels of professional interaction in the psychologist’s activity: the role level and the personal level, corresponding to different mechanisms of the moral regulation of the specialist’s behavior. At the role level, there is no need for deep personal involvement; the external motives of moral regulation (knowledge of the code requirements and fear of administrative sanctions for negative consequences) serve as psychological mechanisms of compliance with ethical standards. On the personal level, other psychological mechanisms are required for the performance of professional duties, such as internal motives underlying moral behavior (a mature and sensitive conscience and a positive philosophy of life). The personal level of moral professional behavior regulation makes it possible to provide a much greater degree of safety in the interaction between psychologist and client, and in the absence of external oversight.

Conclusion. We compare two approaches to the explanation of the psychological foundations of moral functioning: models enumerating the personal qualities defining moral behavior and models of integrated moral functioning. The article describes the existential-ontological concept of moral functioning, correlating the maturity of individual moral consciousness, awareness of the adoption of a particular ethical system of norms and ideals, and the conscience. We conclude that it is necessary to educate future specialists as mature, integrated personalities, ensuring integrated moral functioning in their professional interactions.

Background. The implementation of ethical principles in forensic psychology in Russia is facing serious challenges.  Expert’s evaluations have to be managed in accordance with the basic ethical principles of practical psychology in general. At the same time, the specific activities and role of a forensic psychologist differ from the professional activities and roles of a psychiatrist, psychologist-consultant, or psychotherapist. 

Objective. This study focused on the identification of the main ethical problems of psychologists, who are obligated to conduct expert evaluations for the court. 

Design. This study was conducted according to a qualitative paradigm, using a combination of the  methods: content analysis of court materials and written expert opinion; analysis of court cases; interviews with experts; and analysis of international standards and guidelines for the professional activities of forensic experts. 

Results. The ethical problems are determined by several factors: 1) the lack of a scientific basis for the regulations; 2) the complexity of the role structure of the expert’s practice; 3) the lack of practically oriented studies devoted to ethics; and 4) the lack of a venue for systematic discussion and supervision. Ethical problems are often solved by specialist exclusively according to their personal attitudes which could be risky in terms of violations of professional ethics. 

Conclusion. There is a lack of systematic studies on the ethical problems in forensic practice. The preliminary data show that the rapidly growing field of expert evaluation requires the closest attention in developing ethical standards and  understanding of the expert’s activity and role structure. 

Background. Rationality, emotions, and intuition all seem to underlie the decision-making process. In a profession such as psychology, it is crucial to improve the rational dimension of decision making. Ethical reasoning can be compared to moral decision-making, but it is also linked to professional judgment. In psychology and other professions, ethical reasoning seems to be the basis for the development of professional skills. 

Objective. Present and discuss the role that rationality, emotions, and intuition can play in people's decision making, especially in the field of psychological intervention.

Design. A theoretical perspective is presented which takes into account the relevant literature in the field.

Results. We support the idea of five fundamental preconditions for ethical reasoning: self-knowledge, excellent training, experience or supervision, humility, and intervision. We recommend that psychologists meet these conditions in their professional decision making in order to promote the best quality of professional practice.

Conclusion. We can say that ethical reasoning is a professional moral decision. As professionals, we are primarily intuitive in our decision making, which is why we make decisions almost automatically; but our decisions are based on our professional experience. Psychologists should reflect on and understand the processes involved in decision making in order to avoid conclusions based on their personal experiences. 

Today, Russia is a member of the European Federation of Psychological Associations (EFPA) and in the summer 2019 the Russian Psychological Society was the host to the 16th European Congress of Psychology (ECP) in Moscow, gathering psychologists from all over the world. In connection with the 2019 ECP, this special edition has been compiled by members of EFPA’s Standing Committee on Psychology in Education (SCPiE) and represents a collection of papers highlighting the range of work that educational psychologists undertake with schools and youth. This volume is also the next step for the EFPA Standing Committee for Psychologists in Education to strengthen and promote educational psychology in Europe, in order to reach our end goal: efficient and wellfunctioning institutions of learning.

Background. Supporting pupils’ social, emotional, and mental health (SEMH) development is a task that schools are expected to undertake in England, yet many staff members find it challenging due to their belief that they don’t possess the necessary skills.

Objective. To evaluate a commercially available, training resource, The Emotional Wellbeing Toolkit, aimed at raising the skills of adults working with children in the SEMH area.

Design. The Toolkit was adapted and used as training material by a professional team comprised of educational psychologists, clinical psychologists, and specialist teachers, for schools within an eastern region in England. A mixed methodology was employed to evaluate the usefulness of the Toolkit as a training resource, as well as its perceived effectiveness in raising the skills of school professionals working within the SEMH area. Qualitative as well as quantitative data was gathered from the two groups participating in training, as school staff delegates, and as facilitators of training delivery. Descriptive statistics and content analysis were used for data analysis.

Results. The findings suggest evidence of improved skills and knowledge in the area of SEMH, with some specific impact on delegates’ practice. Implications for practice are discussed.

Background. Thepriority for today's educational psychologists in Lithuanian schools is to promote psycho-educational activities aimed at fostering children’s well-being. School psychologists are to provide services for, and consult with, children and adolescents with mental health challenges, in order to facilitate their transitions to positive developmental trajectories. Therefore, it is important to test the construct validity of the adolescent social emotional health survey (SEHS-S) in a Lithuanian sample.

Objective. To investigate the social emotional health, empathy, and self-esteem of a Lithuanian adolescent sample using the adolescent Social Emotional Health Survey (SEHS-S), as well as to perform regression and confirmatory factor analysis.

Design. We used the Social Emotional Health Survey-Secondary (SEHS-S)(Furlong et al., 2014), the Interpersonal Reactivity Index (IRI)(Davis, 1980), and the Rosenberg Self-Esteem Scale (SES) (M. Rosenberg, 1989). The sample was comprised of 935 students (12-18 years old) from various Lithuanian schools: 482 boys and 453 girls. 

Results. The self–esteem of the adolescent boys was higher than that of the adolescent girls. A positive correlation between the adolescents’ social emotional health and their self-esteem and empathy was identified.  The strongest predictors of the adolescents’ social and emotional health included empathic concern, self-esteem, and perspective-taking. The confirmatory factor analysis confirmed the validity of the structural model of the Lithuanian version of the SEHS-S survey.

Conclusion.The findings of the regression and confirmatory factor analysis supported the use of the SEHS-S as a valid and reliable instrument for mental health research with the Lithuanian adolescents. School psychologists will be able to use the Lithuanian version of SEHS–S surveyto monitor adolescent social emotional health.

Background. The psychological health of young people in Sweden has declined since measurements began to be taken in 1985. The reasons for the increase in stress and decline in psychological well-being among adolescents have been debated during the past few years.

Objective. The aims of this study were to explore: 1) pupils’ experience of student health services, family, friends, recuperation and the learning environment; 2) whether there is a difference between introverted and extroverted pupils’ sense of well-being, perceived stress, views of the learning environment, and relationships with friends and family; and 3) the degree to which the different aspects of school life predict well-being and stress. 

Design. Data were collected by means of a web survey in which 1045 respondents participated. 

Results. The results showed that there are significant differences in perceptions of well-being and stress depending on gender and the type of study program pupils were enrolled in. The results also revealed significant differences between introverts’ and extraverts’ relationships with family and friends, experience of the learning environment, and reported well-being and stress. A series of hierarchical linear regressions revealed that there were several factors affecting pupils’ reported well-being and stress. The learning environment and relationships with family and friends were significant predictors for both outcome variables. Pupils’ ability to recuperate from their work was found to be the most impactful predictor for well-being and stress. 

Conclusion. Our results suggest that the way in which teachers interact with pupils is an important factor influencing pupils’ experience of well-being and stress. Furthermore, our results suggest that pupils would benefit from student health services being made more visible and pro-active in their interaction with students.

Background. More than 295,000 people have been identied with bleeding disorders worldwide, the majority being hemophiliacs (184,560; data from the World Federation of Hemophilia, 2017). Hemophilia poses a paradox: Physical activity is recommended for children with hemophilia for the sake of their health and to promote inclusion, but teachers are reluctant to involve them in sports at school. School psychologists play a key role in helping patients and their families adapt and learn to cope with their new reality, and they provide psychosocial support by helping patients and their families develop strategies to cope with physical, mental, emotional, and social challenges related to hemophilia.

Objective. The objective of this study is to include children with hemophilia, and their parents and teachers, in a participatory process to design an innovative digital tool for modifying mental representations of parents and teachers about the importance of physical activity and sports at school for hemophiliacs.

Design. The present study is based on a pre-/post-test design where the mental representation about hemophilia of all individuals concerned (16 children with hemophilia: mean age = 7.8 years, SD = 1.9; their parents; and their teachers) is collected twice: at the beginning (pre-test) and at the end (post-test) of the process of collaborative game design.

Results. Even though fathers, mothers, and teachers perceive some sports as more risky than others (e.g., rugby, soccer, cycling), they modied their opinions positively about the necessity of physical activity and sports at school for children with hemophilia. The results showed that the collaborative design of this prototype of an innovative educational tool positively influenced the opinions of fathers, mothers, and teachers about the role of physical activity and sports at school, for their children with hemophilia.

Conclusion. Although the choice of physical activity or sport must be individual and must be discussed with the psychologist, parents, teachers, and children, this hemophilia “team” must discuss the risks and benefits of different sports, taking account of the physical and psychological conditions, because for all these children, physical activity and exercise have many positive benefits for health and can help self-esteem, learning, and inclusion in schools.