{"title":"From repetition to habit: how variability in daily physical activity relates to physical activity habits.","authors":"Jie Wen, Yujie Liu, Rui Cao, Wei Qi, Miao Miao","doi":"10.1080/08870446.2025.2567333","DOIUrl":"https://doi.org/10.1080/08870446.2025.2567333","url":null,"abstract":"<p><strong>Objective: </strong>Repetition of physical activity (PA) contributes to the formation of PA habit. However, daily repetitions of PA of varied intensities might differ in their impact on PA habits. This study investigated the effect of daily variability in PA on various facets of PA habits: lack of intention (LOI), lack of control (LOC) and efficiency of PA.</p><p><strong>Methods: </strong>Daily time spent on light-, moderate- and vigorous-intensity of PA (LPA, MPA and VPA) were assessed for 14 consecutive days among 182 college students. PA habits were measured afterwards.</p><p><strong>Results: </strong>The results of mixed-effects random location-scale model showed that LOI was negatively predicted by variability in daily LPA; and that LOC was negatively predicted by daily variability in LPA and MPA.</p><p><strong>Conclusion: </strong>These findings suggest interventions of PA habit formation should focus on different facets of PA habits and consider the impact of daily repetition of PA of varied intensities.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-05-07DOI: 10.1080/08870446.2024.2349644
Selene Valero-Moreno, Inmaculada Montoya-Castilla, Marián Pérez-Marín
{"title":"Is bronchial asthma a risk factor for emotional well-being in adolescence? A comparative study.","authors":"Selene Valero-Moreno, Inmaculada Montoya-Castilla, Marián Pérez-Marín","doi":"10.1080/08870446.2024.2349644","DOIUrl":"10.1080/08870446.2024.2349644","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate whether bronchial asthma could be a risk factor for emotional well-being during adolescence.</p><p><strong>Methods and measures: </strong>This is a comparative cross-sectional design. A total of 450 participants aged 12 to 16 years (<i>M</i> = 13.61 and SD = 1.84) were included (150 with bronchial asthma and 300 healthy). For both groups, self-esteem, emotional distress, problems with peers, family styles and psychosocial bonds were assessed. T-tests and multi-group structural equation modelling were used for comparative analyses, and the moderating role was analysed through PROCESS.</p><p><strong>Results: </strong>The t-tests showed a difference in means between the groups, finding lower self-esteem scores in adolescents with asthma, but better emotional well-being, a greater number of bonds and healthier family styles than those of their healthy peers. In the multi-group, the moderating role of bronchial asthma on emotional well-being in adolescence could not be assessed. Moderation analyses indicated that asthma was a moderating variable for the relationship between self-esteem and emotional well-being in adolescence.</p><p><strong>Conclusions: </strong>Asthma can be a stressful event that makes emotional well-being difficult in the adolescent stage, but there seem to be other more influential factors such as perceived family style or self-esteem.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1685-1702"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-06-11DOI: 10.1080/08870446.2024.2352064
Brigitte Naderer, Tanja Fisse, Charlotte Schrimpff
{"title":"On the (in)effectiveness of textual disclosures on expectancies, attitudes, and perceived appropriateness of alcohol.","authors":"Brigitte Naderer, Tanja Fisse, Charlotte Schrimpff","doi":"10.1080/08870446.2024.2352064","DOIUrl":"10.1080/08870446.2024.2352064","url":null,"abstract":"<p><strong>Objective: </strong>Drinking alcohol is frequently portrayed in the media, often overemphasizing its positive attributes. In particular, hip-hop music videos regularly depict alcohol consumption. Building on social cognitive theory, we conduct three pre-registered experimental studies to examine whether textual disclosures from different sources and with varying degrees of explicitness about the consequences of alcohol consumption can influence viewers' alcohol expectancies, attitudes toward alcohol, and the appropriateness of alcohol presentations following a hip-hop video depicting alcohol consumption.</p><p><strong>Methods and measures: </strong>We test 1) the established YouTube product placement disclosure, 2) a disclosure that explicitly refers to alcohol and a disclosure that additionally refers to the harmful consequences of alcohol consumption, 3) and finally the role of user comments on YouTube that discuss the negative or positive consequences of alcohol.</p><p><strong>Results: </strong>We found that none of the disclosures tested were able to reduce positive attitudes toward alcohol, positive drinking expectancies, or perceived appropriateness of alcohol portrayals. Instead, one's own drinking behavior was most important in explaining these dependent variables, with frequent drinkers reporting higher scores on attitudes toward alcohol, positive drinking expectancies, and a positive evaluation of alcohol portrayals in the media compared to people who never or rarely drink.</p><p><strong>Conclusions: </strong>Our findings across the three studies paint a picture of the ineffectiveness of various forms of textual disclosure on alcohol-related attitudes, expectancies, and ratings of the appropriateness of alcohol portrayals in the media. Alternative steps forward, i.e., the creation of offerings for content creators that encourage them to consider the consequences of their representations, are therefore needed.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1587-1611"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-05-07DOI: 10.1080/08870446.2024.2352062
Shanté C Jeune, Paulo Graziano, Adriana Campa, Catherine C Coccia
{"title":"The causal associations between interoception, self-regulation, non-purposeful eating behaviors, and weight status in college women: a longitudinal cross-lagged model analysis.","authors":"Shanté C Jeune, Paulo Graziano, Adriana Campa, Catherine C Coccia","doi":"10.1080/08870446.2024.2352062","DOIUrl":"10.1080/08870446.2024.2352062","url":null,"abstract":"<p><strong>Aims: </strong>Excessive weight gain has led to increased obesity and mortality risk among college students. Issues with maintaining a healthy weight may be attributed to poor internal awareness and unhealthy eating behaviors. The study's purpose was to determine the longitudinal effects among interoception, self-regulation, nonpurposeful eating behaviors, and weight status (BMI) among college women.</p><p><strong>Methods: </strong>Data from 103 females were collected <i>via</i> Qualtrics over 3 timepoints (T1, T2, T3) during an academic semester. Repeated measures ANOVA and cross-lagged model analyses were used. Significant changes were found in interoceptive responsiveness, external, and uncontrolled eating throughout 3 timepoints.</p><p><strong>Results: </strong>Longitudinally, significant causal effects were found among the study measures. Among all models, higher interoceptive responsiveness (T1) predicted increased self-regulation (T2). Higher non-purposeful eating behaviors (T1) predicted reduced self-regulation (T2). Higher BMI (T1) predicted reduced non-purposeful eating behaviors (T2), however higher BMI (T2) predicted increased non-purposeful eating (T3) and reduced interoceptive responsiveness (T3). Significant causal effects were found within each non-purposeful eating behavior models.</p><p><strong>Conclusion: </strong>Overall, the research study provided foundational evidence of the importance of self-regulatory skills to help prevent unhealthy eating behaviors and increased weight status in college women. Future interventions educating college women to become more internally aware and better self-regulate are needed.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1703-1720"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-04-28DOI: 10.1080/08870446.2024.2347659
Lorenz Rapp, Olga Pollatos
{"title":"Examining parental stress and its link to hair cortisol and DHEA levels in kindergartners.","authors":"Lorenz Rapp, Olga Pollatos","doi":"10.1080/08870446.2024.2347659","DOIUrl":"10.1080/08870446.2024.2347659","url":null,"abstract":"<p><strong>Background: </strong>Parental work-family conflict (WFC) and parental household income have been linked to negative outcomes for children. So far, no study has associated these two stressors with the hair concentration of cortisol (HCC) and dehydroepiandrosterone (DHEA) in kindergarteners as a measurement of their objective stress.</p><p><strong>Methods and measures: </strong>44 children (40.91% female) with a mean age of 5.16 years and their parents participated in this cross-sectional study. Children's cortisol and DHEA measurements reflected the hormones produced over the past two months. Parents filled out questionnaires concerning their WFC and parenting behavior.</p><p><strong>Results: </strong>Higher maternal WFC and a lower parental net household income were negatively associated with the DHEA and positively with HCC/DHEA ratio of their children. No significant associations were found between HCC and any included variables. Paternal WFC had no impact on the stress hormones and negatively affected parenting behavior of both parents. Levels of stress hormones were not correlated with parenting behavior.</p><p><strong>Conclusion: </strong>The present results indicated a higher stress exposure in children of mothers with a higher WFC and lower net household income. Conceivably, this may have led to an accumulation of allostatic load. Potential influences of demographic variables on the children's hormones are discussed.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1633-1657"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-05-19DOI: 10.1080/08870446.2024.2352182
Yannick Stephan, Angelina R Sutin, Antonio Terracciano
{"title":"Personality traits and polypharmacy: meta-analysis of five samples.","authors":"Yannick Stephan, Angelina R Sutin, Antonio Terracciano","doi":"10.1080/08870446.2024.2352182","DOIUrl":"10.1080/08870446.2024.2352182","url":null,"abstract":"<p><strong>Objective: </strong>The present study examined the prospective relationship between personality traits and the risk of polypharmacy.</p><p><strong>Methods and measures: </strong>Participants (age range: 16-101 years; <i>N</i> > 15,000) were from the English Longitudinal Study of Ageing (ELSA), the Midlife in the United States Study (MIDUS), the Health and Retirement Study (HRS), the Wisconsin Longitudinal Study of Aging (WLS), and the Longitudinal Internet Studies for the Social Sciences (LISS). In each sample, personality traits and demographic factors were assessed at baseline. Number of medications was obtained from 2 to 20 years later.</p><p><strong>Results: </strong>Random-effect meta-analyses revealed that higher neuroticism was related to a higher risk of polypharmacy (Odd Ratio = 1.30; 95% CI 1.17-1.46) and excessive polypharmacy (Odd Ratio = 1.44; 95% CI 1.18-1.77) whereas higher conscientiousness (Odd Ratio = 0.84; 95% CI 0.74-0.95) and extraversion (Odd Ratio = 0.85; 95% CI 0.73-0.98) were associated with a lower risk of polypharmacy. Openness and agreeableness were unrelated to polypharmacy. Body mass index, number of chronic conditions, and depressive symptoms partially mediated the association between personality and the number of medications.</p><p><strong>Conclusion: </strong>The present study provides replicable and robust evidence that neuroticism is a risk factor for simultaneous use of multiple medications, whereas conscientiousness and extraversion may play a protective role.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1721-1735"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-04-29DOI: 10.1080/08870446.2024.2347657
Erika A Waters, Thorsten Pachur, Gabrielle Pogge, Jean Hunleth, Gregory D Webster, David A Fedele, James A Shepperd
{"title":"Managing children's asthma: what role do caregivers' mental representations of trigger and symptom management behaviors play?","authors":"Erika A Waters, Thorsten Pachur, Gabrielle Pogge, Jean Hunleth, Gregory D Webster, David A Fedele, James A Shepperd","doi":"10.1080/08870446.2024.2347657","DOIUrl":"10.1080/08870446.2024.2347657","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric asthma management is challenging for parents and guardians (hereafter <i>caregivers</i>). We examined (1) how caregivers mentally represent trigger and symptom management strategies, and (2) how those mental representations are associated with actual management behavior.</p><p><strong>Methods: </strong>In an online survey, <i>N</i> = 431 caregivers of children with asthma rated 20 trigger management behaviors and 20 symptom management behaviors across 15 characteristics, and indicated how often they engaged in each behavior.</p><p><strong>Results: </strong>Principal components analysis indicated 4 dimensions for trigger management behaviors and 3 for symptom management behaviors. Bayesian mixed-effects models indicated that engagement in trigger management behavior was more likely for behaviors rated as <i>affirming caregiver activities</i>. However, trigger management behavior did not depend on how highly the behavior was rated as <i>challenging for caregiver</i>, <i>burdensome on child</i>, or <i>routine caregiving</i>. Engagement in symptom management behavior was more likely for behaviors rated as <i>affirming and common</i> and <i>harmless to the child</i>, but was unrelated to how highly a behavior was rated as <i>challenging for caregivers</i>.</p><p><strong>Conclusion: </strong>These results suggest that interventions might be particularly useful if they focus on the affirming nature of asthma management behaviors. However, such interventions should acknowledge structural factors (e.g. poverty) that constrain caregivers' ability to act.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1612-1632"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11518878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-04-28DOI: 10.1080/08870446.2024.2347662
Helena Sousa, Oscar Ribeiro, Daniela Figueiredo
{"title":"Development process, clinical utility, and preliminary psychometric evidence of a new tool for screening psychological distress in renal care settings: the Hemodialysis Distress Thermometer (HD-DT).","authors":"Helena Sousa, Oscar Ribeiro, Daniela Figueiredo","doi":"10.1080/08870446.2024.2347662","DOIUrl":"10.1080/08870446.2024.2347662","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop, evaluate the clinical utility, and test the psychometric properties of a new tool - the Hemodialysis Distress Thermometer (HD-DT) - designed to screen self-reported psychological distress and its sources in adults receiving hemodialysis.</p><p><strong>Methods and measures: </strong><i>Phase 1</i> focused on the process of developing and evaluating the content validity and clinical utility of the HD-DT using a stepwise mixed-methods approach; in <i>Phase 2</i>, the measurement properties of the European Portuguese version of the HD-DT were tested against reference measures in a cross-sectional study (<i>n</i> = 134 people on hemodialysis); while in <i>Phase 3</i> the HD-DT was translated and culturally adapted into American English using forward-backward translation and review by a panel of experts.</p><p><strong>Results: </strong>Qualitative findings suggested that the HD-DT was perceived by feedback panels as practical and useful for rapidly screening psychological distress in nephrology centers. The European Portuguese version of this new tool showed good test-retest reliability and high diagnostic accuracy using a cutoff point of ≥ 6 for total distress. High convergent validity was found with reference measures that assess psychological health, and symptoms of anxiety and depression.</p><p><strong>Conclusion: </strong>This study highlights the potential clinical utility of the HD-DT as an acceptable, reliable, and valid measure that can be used by health psychologists in clinical practice and research in renal care settings. Data collection to validate the American English version of the HD-DT is currently underway.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1658-1684"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are vaccination uptake and non-uptake influenced by our emotions? An experimental study on the role of emotional processes and compassion.","authors":"Céline Bodelet, Marine Paucsik, Caroline Landelle, Aurélie Gauchet","doi":"10.1080/08870446.2024.2357293","DOIUrl":"10.1080/08870446.2024.2357293","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the effects of emotional arousal, emotional competence, emotion regulation (ER), and compassion on COVID-19 and flu vaccination intentions (VI) among the French population.</p><p><strong>Design: </strong>Data were collected online from October to December 2020. Altogether, 451 participants (<i>M<sub>age</sub></i> = 35.8, <i>SD</i> = 16.4) were allocated to four groups. High positive (<i>n</i> = 104) or negative (<i>n</i> = 103) emotional arousal were induced into two groups using pictures and music, and compared against a control group (flu group; <i>n</i> = 116) and a reference group (COVID-19 group; <i>n</i> = 114). All groups completed questionnaires on emotional arousal, ER, emotional competence, compassion, and VI.</p><p><strong>Results: </strong>The findings indicated a significant effect of group on VI, <i>h<sup>2</sup></i>=.023, 95% CI [-.002, .09]. The Group*Gender interaction on emotional arousal was non-significant, <math><mrow><msubsup><mrow><mi>η</mi></mrow><mrow><mi>p</mi></mrow><mrow><mn>2</mn></mrow></msubsup></mrow></math>=.015, 95%CI [.000, .041]. However, emotional arousal was observed to have a significant main effect on VI, <math><mrow><msubsup><mrow><mi>η</mi></mrow><mrow><mi>p</mi></mrow><mrow><mn>2</mn></mrow></msubsup></mrow></math>=.09, 95% CI [.043, .238]. The ER type*Emotional arousal*Gender interaction on ER use was trend, <math><mrow><msubsup><mrow><mi>η</mi></mrow><mrow><mi>p</mi></mrow><mrow><mn>2</mn></mrow></msubsup></mrow></math> = .002, 95% CI [.000, .005]. The emotional competence*ER type interaction on ER use was significant, <math><mrow><msubsup><mrow><mi>η</mi></mrow><mrow><mi>p</mi></mrow><mrow><mn>2</mn></mrow></msubsup></mrow></math> = .028, 95% CI [.011, .049]. Only experiential avoidance mediated the relationship between emotional arousal and VI, <i>p</i> < .018, 95% CI [.015, .18].</p><p><strong>Conclusion: </strong>Emotional arousal impacts VI. High emotional competence only reduces the use of dysfunctional ER strategies.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1774-1797"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychology & HealthPub Date : 2025-10-01Epub Date: 2024-05-12DOI: 10.1080/08870446.2024.2352191
Robin Lamb, Zetta G Kougiali
{"title":"Women and shame: narratives of recovery from alcohol dependence.","authors":"Robin Lamb, Zetta G Kougiali","doi":"10.1080/08870446.2024.2352191","DOIUrl":"10.1080/08870446.2024.2352191","url":null,"abstract":"<p><strong>Objective: </strong>Existing literature indicates distinct pathways and the key role of shame and stigma into alcohol dependence (AD) and recovery for women. Internationally, there is a paucity of research exploring these factors from women's perspectives.</p><p><strong>Methods and measures: </strong>Taking a critical realist epistemological position, unstructured life story interviews were analysed <i>via</i> narrative analysis to explore how seven women from the UK, storied shame in their recovery from AD.</p><p><strong>Results: </strong>Shame followed a common trajectory across participants' stories, appearing as a reoccurring factor throughout AD and recovery. Participants narrated shame as gendered, contributing to a loss of personal control in defining a valued personal identity. Drinking began as a shame-management strategy but evolved into a source of shame, compounded by fears of being labelled an 'alcoholic woman'. Recovery involved reclaiming the self through de-shaming a shame-based identity and developing a positive, non-drinking identity. By evaluating 'shaming' recovery frameworks, sharing stories and reconstructing their own, participants were able to work through shame, resist pathologising identity labels and internalise esteemed 'sober' identities.</p><p><strong>Conclusion: </strong>This research provides important insights into the intersection between shame, identity, gender and culture in women's recovery from AD. Implications for clinical practice, future research and policy are considered.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1736-1773"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}