The increase in organisms transference and infectious pandemics across the globe have been accelerated by an increase in travel, international exchange and global changes in earth's climate. COVID-19, a virus caused by the novel coronavirus that was initially identified on December 2019, in Wuhan city of China is currently affecting 146 territories, states and countries raising distress, panic and increasing anxiety in individuals exposed to the (actual or supposed) peril of the virus across the globe. Fundamentally, these concerns ascend with all infections, including those of flu and other agents, and the same worldwide safeguards are compulsory and suggested for protection and the prevention of further diffusion. However, media has underlined COVID-19 as rather an exclusive threat, which has added to panic and stress in masses which can lead to several mental health issues like anxiety, obsessive compulsive disorder and post-traumatic stress disorder which should be contained immediately in its initial phases.

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Purpose: Attaining equality between women and men and eliminating all forms of discrimination are fundamental human rights and United Nations values. Nevertheless, women globally suffer violations of their human rights throughout their lives. This necessitates investigation of the attitude that people hold towards women empowerment, which is defined as their ability to practice their rights, freedom and attain resources within a framework of gender inequality. The purpose of this study is to develop an instrument to measure attitudes regarding women’s empowerment, which can develop better understanding and future interventions to counter these negative attitudes for better social and health care, including mental and physical health. Design/methodology/approach: The factorial structure, reliability, content validity and impact of gender on factor structure of scale were examined among university students (N = 500) in study with male (n = 180) and female (n = 320) population. Findings: Exploratory factor analysis using direct oblimin method based on principal component analysis indicated a three-factor, 16-item scale including subscales of personal freedom; equal rights and women empowerment-related fears. Instrument exhibited decent reliability (0.80) and content validity in both male and female university students with a t = −7.64, p = 0.00, suggesting a highly significant difference between the two genders on the developed scale. Research limitations/implications: The major limitation was that the sample was obtained from student population; therefore, it will not be entirely correct to generalize it to the whole population of Pakistan. Similarly, there are issues regarding the availability of students because of a busy schedule or not having interest to take part in the study that led to variance in the sample. Lastly, the current scale is developed based on exploratory factor analysis (EFA) and it should be further enhanced using item response theory in future. Future studies need to include samples from different populations in Pakistan to bring out a more generalized view and try to minimize the variances in sample as much as possible for better results. Practical implications: The scale is constructed using the basic features of women empowerment at its core and is applicable in various settings to measure the attitude towards women empowerment. It will be a helpful tool to be used in various health, employment and educational settings. Moreover, this instrument can be applied for research purpose of measuring attitude as a predictor in combination with other variables such as domestic violence and harassment. Social implications: Empowering of women is one of the main agendas of 2019 of United Nations for Asian countries where women are not given equal rights, because of which suffer socially and economically from various problems along with issues regarding physical and mental health. By identifying the attitudes of general population, their causes for their attitudes can help in betterment of the women empowerment process. Originality/value: This paper in discussion is an original work and has been performed with the purpose of assessing attitudes of males and females regarding women empowerment as the previous measures are either not psychometric valid or are in interview or survey form. The current developed scale is an attempt to develop an instrument that can be globally used.

Background: Pakistan is a country where the rate of crime is constantly increasing, with many ex-convicts committing the crime again after getting released from prison, with no knowledge of the antecedents of their recidivism or their psychological consequences. The current study was conducted in order to develop a theory about the social and environmental causes of recidivism along with the psychological consequences for Pakistani recidivist ex-convicts. Methods: The sampling technique used was theoretical sampling, amounting to a total sample of 20 recidivist ex-convicts before reaching the saturation point. A grounded theory method was incorporated for the current research as the objective of the study was the development of a theory on the social and environmental causes of recidivism along with its psychological consequences. A semi-structured interview protocol was used for the purpose of data collection. Whereas the interview transcripts were coded in three phases, including open, axial, and selective coding for theory generation. Results: The individuals shared their detailed experiences of social and environmental factors which contributed to recidivism, and three main antecedents were identified, including negative social experiences, hatred for society, and a toxic environment. Additionally, several psychological symptoms as a consequence of the negative social experiences were also found. Conclusions: The findings of the study have added new information to the concept of recidivism as there were no previous theoretical concepts pertaining to recidivism in the context of Pakistan. These identified antecedents can be useful in strategizing interventions in Pakistan, as currently there are no such intervention programmes in Pakistan due to a lack of prior studies on the subject matter.

Purpose: There is an ever-increasing number of patients suffering from various forms of acute and chronic pain and getting treatment for such ailments is a basic human right. Opioid analgesics remain one way of managing and attending to such patients. However, due to the prevalence of opiophobia, many doctors avoid prescribing opioid-based medicines, even at the cost of patients suffering leading to a hindrance in providing optimal health care. Up till now, there has been no reliable and valid instrument to measure the severity of opiophobia in doctors. For this reason, the purpose of this study is to represent the construction of a precise and reliable instrument for measuring opiophobia along with its validation for doctors in Pakistan. Design/methodology/approach: Interviews and theoretical knowledge relating to opiophobia were used as the basis for the purpose of generating an item pool. The generated item pool was evaluated by subject matter experts for content validity and inter-rater reliability, followed by Velicer’s minimum average partial method and maximum likelihood factor analysis for establishing the factorial structure of the scale. As opiophobia in doctors prevails the most and causes a lower ratio of prescription of opioid analgesics. The present sample selected for the study was that of n = 100 doctors (men = 50; women = 50) from various hospitals, treating patients with chronic pain, in Rawalpindi and Islamabad. Findings: A two-factor structure was suggested by Velicer’s minimum average partial method and maximum likelihood factor analysis, which were labeled as fear of opioid analgesics and justified acceptance of opioids. The developed opiophobia questionnaire along with its subscales displayed appropriate levels of reliability α = 0.733, α = 0.760 and α = 0.725, respectively, suggesting the scale to be reliable. Research limitations/implications: Like any other study, this study also tried to address every essential aspect, but still lacked at some places which should be considered and catered for in future studies. In the first place the sample size was very limited which was due to the fact, the study was conducted during a pandemic and physically going for data collection was unavailable, thus leading to consequent sample size. It is recommended a correspondent study can be conducted with larger sample size, so they can get more reliable results with greater precision and power. Then, they will have the advantage of a small margin of error. The second limitation was the study involved only doctors as that was the main focus of the present study. However, other hospital staff such as nurses should also be incorporated to assess their level of opiophobia. The current scale suggests the severity of opiophobia with higher scores though no cutoff point has been suggested. Future studies should try and incorporate a cutoff point to assess the difference between doctors who have conventional levels of reservations against opioids and those suffering from opiophobia. Another limitation was that the present scale did not establish additional validities such as convergent and divergent validity. Future studies should collect data from a larger sample to establish these validities to further refine the scale. Practical implications: This instrument can be immensely effective in identifying doctors who have concerns and fears about prescribing opioids to patients with chronic pain. The findings acquired on such a scale can help in developing appropriate academic and psychological interventions which can help such doctors to overcome their opiophobia. This can enable more doctors to prescribe appropriate medicine to their patients instead of letting them suffer from pain. Additionally, researchers can equally benefit from the instrument as it can enable them to investigate opiophobia with other possible variables. Social implications: Developing such a scale about the fear faced by doctors while treating patients would be very useful as it is not possible to take such fear when it comes to a patient’s life. This fear is also common among patients where they have a fear about the undesirable effects, addiction of drugs and fear of dying. Better awareness should be given to them which will be helpful for successful and less painful treatment in hospitals. Originality/value: This scale is an original work with the aim of accessing opiophobia among doctors toward (chronic) patients with severe pain. There was a lot of research work that has been done on opiophobia in developed countries and few Pakistani researchers have also worked on opiophobia and its impact on pain management but still, no scale has been developed to measure the extent or tendency of opiophobia among doctors or patients. This scale can be used globally on both men and women doctors to access the tendency of opiophobia among them.