Psychology Research and Behavior Management最新文献

{"title":"The Effect of Comparative Direction and Comparative Gap on Self-Deception","authors":"Ying Yang, Bowei Zhong, Wenjie Zhang, Wei Fan","doi":"10.2147/prbm.s467437","DOIUrl":"https://doi.org/10.2147/prbm.s467437","url":null,"abstract":"<strong>Purpose:</strong> Self-deception refers to an individual holding inflated beliefs about their abilities, plays a crucial role in human behavior and decision-making. Individuals may inflate their abilities when subject to comparisons with others. This study examined the impact of social comparison on self-deception through the implementation of two behavioral experiments.<br/><strong>Methods:</strong> In Experiment 1, we recruited a sample of 152 undergraduate students. Participants were falsely informed that they performed better (downward comparison) and worse (upward comparison) than average on a game. Subsequently, their level of self-deception was assessed by asking them to predict their performance in a future game, with more inflated predictions indicating greater self-deception. In Experiment 2, we gathered 126 undergraduate students to broaden the current study. This experiment examined the combined effects of comparison direction and comparison gap on self-deceptive behavior.<br/><strong>Results:</strong> The findings showed that self-deception was more common in circumstances of upward comparison than in downward comparison or no comparison (Experiment 1). Furthermore, Individuals were more inclined to participate in self-deception when encountering a notable performance gap relative to others, particularly in scenarios involving upward social comparison (Experiment 2).<br/><strong>Conclusion:</strong> The findings suggested that when confronted with threatening social comparative information, people tended to use self-deception to protect themselves. Members of the large gap group experienced strong feelings of unfairness and negative emotions, which led to self-protective behaviors and a greater likelihood of self-deception.<br/><br/><strong>Keywords:</strong> comparative direction, comparative gap, self-deception, self-protection, social comparison threat<br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"80 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141870536","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":"How Daily Job Insecurity Links to Next-Day Ingratiation: The Roles of Emotional Exhaustion and Power Distance Orientation","authors":"Bo Yang, Chaoyue Zhao, Yao Zhu, Xianchun Li","doi":"10.2147/prbm.s438242","DOIUrl":"https://doi.org/10.2147/prbm.s438242","url":null,"abstract":"<strong>Purpose:</strong> Numerous empirical studies consistently support the detrimental impact of job insecurity (JI) on employees. However, a new perspective suggests that individuals perceiving JI may proactively take measures to protect their positions. Drawing from the conservation of resources theory, this study argues that perceived resource loss due to JI motivates employees to engage in ingratiating behaviors for expanding their social capital. Additionally, this study empirically establishes the mediating role of emotional exhaustion and the moderating effect of power distance.<br/><strong>Methods:</strong> A daily diary design was used to examine the relationship between daily JI and next-day ingratiation. Our analyses of data collected from 134 full‐time employees across 10 consecutive working days using multi-level model.<br/><strong>Results:</strong> Our results showed that daily JI was found to affect next-day ingratiation (γ = 0.14, <em>p</em> &lt; 0.01), and this relationship was mediated by emotional exhaustion (indirect effect = 0.07, <em>p</em> &lt; 0.05, 95% CI [0.01, 0.13]). Power distance moderated the relationship between emotional exhaustion and ingratiation (γ = 0.25, <em>p</em> &lt; 0.001), and further moderated the indirect effect of JI on ingratiation via emotional exhaustion.<br/><strong>Conclusion:</strong> Our study has revealed that JI serves as a catalyst for employees to engage in resource creation behavior, thereby contributing to a deeper understanding of the implications of JI as an independent variable for both scholars and businesses.<br/><br/><strong>Keywords:</strong> job insecurity, emotional exhaustion, power distance, ingratiation<br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"114 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141769654","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":"The Relationship Between Social Media Information Sharing Characteristics and Problem Behaviors Among Chinese College Students Under Recommendation Algorithms.","authors":"Yadong Sun, Yanjie Shan, Jiaqiong Xie, Ke Chen, Jia Hu","doi":"10.2147/PRBM.S466398","DOIUrl":"10.2147/PRBM.S466398","url":null,"abstract":"<p><strong>Purpose: </strong>With the development of information technology and various social media, recommendation algorithms have increasingly more influence on users' social media usage. To date, there has been limited research focused on analyzing the impact of recommendation algorithms on social media use and their corresponding role in the development of problematic behaviors. The present study analyzes the impact of recommendation algorithms on college students' information sharing and internalizing, externalizing problem behaviors to address the aforementioned shortcomings.</p><p><strong>Methods: </strong>An online questionnaire survey was conducted among 34,752 college students in China. A latent profile analysis was conducted to explore the various behavioral patterns of Chinese college students' information sharing across the three social media platforms identified for this study. The Bolck-Croon-Hagenaars (BCH) method Regression Mixture Modeling was then used to analyze the differences in internalizing and externalizing problem behaviors among the different subgroups of Chinese college students.</p><p><strong>Results: </strong>The level of information sharing by college students across different social media platforms could be divided into \"WeChat Moments low-frequency information sharing\", \"middle-frequency comprehensive information sharing\", \"TikTok high-frequency information sharing\", and \"Sina Weibo high-frequency information sharing\". Significant differences were observed regarding internalizing and externalizing problem behaviors among college students in different information-sharing subgroups.</p><p><strong>Conclusion: </strong>This study identified four subgroups with different information-sharing characteristics using latent profile analysis. Among them, college students who are in subgroup of social media information sharing influenced by recommendation algorithms exhibit higher frequency of information sharing and higher level of internalizing and externalizing problematic behaviors. These results expand our understanding of college students' social media usage and problem behaviors from a technological perspective. In future, the negative impacts of recommendation algorithms on college students can be reduced by improving their awareness of these algorithms and optimizing the algorithms themselves.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"2783-2794"},"PeriodicalIF":2.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788945","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}

{"title":"Parent-Child Relationships: A Shield Against Maternal Depression in the Midst of Household Chaos.","authors":"Baocheng Pan, Chengli Zhao, Yizhao Gong, Jiaxuan Miao, Bingda Zhang, Yan Li","doi":"10.2147/PRBM.S456739","DOIUrl":"10.2147/PRBM.S456739","url":null,"abstract":"<p><strong>Background: </strong>Depression, a severe mental disorder, not only jeopardizes the health of mothers but also significantly negative impacts on families and their children. This study investigates the correlation between household chaos and maternal depression.</p><p><strong>Methods: </strong>This study adopted a cross-sectional design and used the Confusion, Hubbub, and Order Scale, Dyadic Adjustment Scale, Parent-Child Relationship Scale, and Beck Depression Inventory to assess 1947 mothers of children in seven kindergartens in Shanghai, China.</p><p><strong>Results: </strong>The findings revealed a significant positive correlation between household chaos, marital conflict, and maternal depression. Marital conflict also showed a significantly positively correlated with maternal depression. Marital conflict mediates the relationship between household chaos and maternal depression. Parent-child relationships moderated the direct effect of household chaos on maternal depression. When parent-child relationships were low, household chaos had a greater predictive effect on maternal depression. Conversely, when parent-child relationships were high, the predictive effect of household chaos on maternal depression was reduced.</p><p><strong>Conclusion: </strong>This study reveals that parent-child relationships play a protective role in the impact of household chaos on maternal depression. This study significantly contributes to enriching the social support buffering model.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"2769-2781"},"PeriodicalIF":2.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788942","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}

{"title":"Psychometric Properties of Scales Assessing Psychosocial Determinants of Staff Compliance with Surgical Site Infection Prevention: The WACH-Study","authors":"Karolin ME Nettelrodt, Ivonne Tomsic, Maike Stolz, Christian Krauth, Iris F Chaberny, Thomas von Lengerke","doi":"10.2147/prbm.s464335","DOIUrl":"https://doi.org/10.2147/prbm.s464335","url":null,"abstract":"<strong>Purpose:</strong> Psychosocial determinants influence healthcare workers’ compliance with surgical site infection (SSI) preventive interventions. In order to design needs-based interventions promoting compliance, such determinants must first be assessed using valid and reliable questionnaire scales. To compare professional groups without bias, the scales must also be measurement-equivalent. We examine the validity/reliability and measurement equivalence of four scales using data from physicians and nurses from outside the university sector. Additionally, we explore associations with self-reported SSI preventive compliance.<br/><strong>Participants and Methods:</strong> N = 90 physicians and N = 193 nurses (response rate: 31.5%) from nine general/visceral or orthopedic/trauma surgery departments in six non-university hospitals in Germany participated. A written questionnaire was used to assess the compliance with SSI preventive interventions and the determinants of compliance based on the Capability-Opportunity-Motivation-Behavior-Model. Psychometric testing involved single- and multiple-group confirmatory factor analyses, and explorative analyses used <em>t</em>-tests and multiple linear regression.<br/><strong>Results:</strong> The scales assessing individual determinants of compliance (capability, motivation, and planning) were found to be reliable (each Cronbach’s α ≥ 0.85) and valid (each Root-Mean-Square-Error of Approximation ≤ 0.065, each Comparative-Fit-Index = 0.95) and revealed measurement equivalence for physicians and nurses. The scale assessing external determinants (opportunity) did not demonstrate validity, reliability, or measurement equivalence. Group differences were found neither in compliance (p = 0.627) nor determinants (p = 0.192; p = 0.866; p = 0.964). Capability (β = 0.301) and planning (β = 0.201) showed associations with compliance for nurses only.<br/><strong>Conclusion:</strong> The scales assessing motivation, capability, and planning regarding SSI preventive compliance provided reliable and valid scores for physicians and nurses in surgery. Measurement equivalence allows group comparisons of scale means to be interpreted without bias.<br/><br/><strong>Keywords:</strong> infection prevention and control, surgical site infections, compliance, nurses, physicians, capability-opportunity-motivation-behavior (COM-B) model, measurement equivalence<br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"49 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141754201","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":"The Influence of Doctor-Patient Communication on Patients' Trust: The Role of Patient-Physician Consistency and Perceived Threat of Disease.","authors":"Xiaofan Liu, Jianji Zeng, Liuxiang Li, Qixiu Wang, Junyi Chen, Li Ding","doi":"10.2147/PRBM.S460689","DOIUrl":"10.2147/PRBM.S460689","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the influence mechanism of doctor-patient communication on patients' trust, especially the mediating role of patient-physician consistency and the moderating role of perceived threat of disease.</p><p><strong>Methods: </strong>A total of 699 patients in Guangzhou, China was investigated by questionnaire. The main effect, mediating effect, and moderating effect of the model was verified by SPSS23.0 and LISREL8.71 statistical software.</p><p><strong>Results: </strong>It was revealed that doctor-patient communication has a significant positive effect on patients' trust. The consistency between patient and physician partially mediates the relationship between doctor-patient communication and patients' trust. Additionally, the perceived threat of the disease moderates the psychological process through which doctor-patient communication affects patients' trust.</p><p><strong>Conclusion: </strong>Both doctor-patient communication and patient-physician consistency have predictive effects on patients' trust. Doctor-patient communication is not only a direct influence on patient trust but also an indirect influence mediated by patient-physician consistency. Perceived threat of disease moderates the psychological process through which doctor-patient communication affects patients' trust. Specifically, compared to a high level of perceived threat of disease, a low level of perceived threat of disease can enhance the effect of doctor-patient communication on patients' trust. The results of this study underscore the importance of doctor-patient communication and the value of patient-physician consistency for building patients' trust. To foster a harmonious doctor-patient relationship, medical colleges should place great emphasis on cultivating medical students' communication skills. Hospitals should enhance on-the-job training and provide institutional support for doctors, encourage agreements between doctors and patients regarding disease diagnosis and decision-making, and be attentive to patients' perceived threat of disease, particularly for those with high level of perceived threat of disease.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"2727-2737"},"PeriodicalIF":2.8,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11276858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788943","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}

{"title":"Prevalence of Internet Addiction and Its Association with Psychological Disorders Among Medical Students in Saudi Arabia","authors":"Amani M Alqarni, Leila A Boubshait, Dana Ahmed Alnufaily, Sajidah J Alalwan, Hassn Reda Al Fardan, Marwah Foud Alabdulmhsin, Malak Abdulrahman Alotaibi, Nadeen A Boubshait","doi":"10.2147/prbm.s466605","DOIUrl":"https://doi.org/10.2147/prbm.s466605","url":null,"abstract":"<strong>Background:</strong> Internet addiction is increasing worldwide. Internet addiction (IA) refers to excessive Internet usage in an uncontrolled and time-consuming manner, causing loss of time and disruption of daily life. However, the prevalence of IA may vary according to age, sex, and ethnicity, and is more prevalent among college students. There is a strong link between problematic Internet usage and an increased risk of developing Post Traumatic Stress Disorder PTSD and depression symptoms. Medical students were chosen for this study due to their unique stressors, including rigorous academic demands, extensive study hours, and clinical practice requirements. It is critical to address behavioral addictions and their psychological effects in this group, as they are linked to the future quality of healthcare provision compared with their non-medical peers.<br/><strong>Objective:</strong> To estimate the prevalence of Problematic Internet Use (PIU) in medical students and explore their correlation with the medical students’ PTSD and Patient Health Questionnaire − 9 (PHQ9) scores.<br/><strong>Methods:</strong> A cross-sectional online survey was conducted including 506 medical students in the second year of medical school up to internship year at Imam Abdulrahman bin Faisal University (IAU) between June 2021 and January 2022. The questionnaire consisted of consent forms, sociodemographic data, and screening tools for PTSD, the GPIU, and PHQ-9.<br/><strong>Results:</strong> The prevalence of problematic internet usage (PIU) was 30.6% in the sample group. Students with moderate-to-moderately severe PTSD were 1.7 times more likely to have PIU OR (95% CI): 1.7 (1.091, 2.879). Students with moderate to severe depression were 2.2 times more likely to have PIU OR (95% CI); 2.2 (1.333, 3.950).Having a Saudi nationality, lower income, and being single was significantly associated with PIU.<br/><strong>Conclusion:</strong> Single Saudi medical students with lower income are at risk of developing more problematic internet use. Especially those who score moderate to high on PTSD and PHQ-9 scales.<br/><br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"49 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141742353","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":"The Mediating Effect of Symptom Burden in the Depression and Quality of Life in Patients with Maintenance Hemodialysis.","authors":"Ning-Ning Xia, Kuei-Ching Pan, Jing Liu, Daxi Ji","doi":"10.2147/PRBM.S465215","DOIUrl":"10.2147/PRBM.S465215","url":null,"abstract":"<p><strong>Objective: </strong>To investigate current status of quality of life and the association between depression and symptom burden in a sample of Chinese maintenance hemodialysis (MHD) patients.</p><p><strong>Methods: </strong>A self-designed patient general information questionnaire, disease-related information questionnaire, dialysis patient symptom burden scale, depression scale, and quality of survival scale were used to investigate 380 maintenance haemodialysis patients in haemodialysis centres. A regression model of the factors affecting the quality of survival was established using structural equation modelling.</p><p><strong>Results: </strong>The regression model data had a high goodness of fit: <i>c²/df =</i> 4.736, RMSEA = 0.099, GFI = 0.918, CFI = 0.972, TLI = 0.962, SRMR = 0.0469. Structural equation model analysis showed that depression had a positive predictive effect on symptom burden, β = 0.398, <i>P <</i> 0.001; Symptom burden had a negative predictive effect on the quality of life, β =-0.851, <i>P <</i> 0.001; and Depression had a negative predictive effect on the quality of life, β =-0.151, <i>P</i> < 0.001. Depression indirectly affects the quality of life through symptom burdens.</p><p><strong>Conclusion: </strong>Depression and symptom burden directly or indirectly affect the quality of life in patients with maintenance hemodialysis. Symptom burden moderates the relationship between depression and quality of life as a mediating variable.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"2739-2746"},"PeriodicalIF":2.8,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788944","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}

{"title":"Association of Physical Activity and Sleep Metrics with Depression in People with Type 1 Diabetes","authors":"Abdullah Al-Ozairi, Mohammad Irshad, Husain Alsaraf, Jumana AlKandari, Ebaa Al-Ozairi, Stuart R Gray","doi":"10.2147/prbm.s459097","DOIUrl":"https://doi.org/10.2147/prbm.s459097","url":null,"abstract":"<strong>Objective:</strong> This study aimed to investigate the association of physical activity and sleep metrics, measured via wrist-worn accelerometers, with depression in people with type 1 diabetes.<br/><strong>Patients and Methods:</strong> People with type 1 diabetes were recruited from the Dasman Diabetes Institute in Kuwait and were invited to wear a wrist-worn accelerometer device for 7 days. Mean physical activity (overall acceleration), inactivity, light activity, moderate activity, vigorous activity, the distribution of physical activity intensity (intensity gradient), sleep duration and sleep efficiency were quantified from the accelerometer data. The associations of these metrics with depression were investigated using multiple linear regression.<br/><strong>Results:</strong> A total of 551 people with type 1 diabetes (age 33.1 (9.5) years) were included. Overall physical activity (B = − 0.09, CI = − 0.14 to – 0.04), moderate intensity activity (B = − 0.02, CI = − 0.02 to − 0.01), vigorous intensity activity (B = − 0.16, CI = − 0.27 to − 0.05), and the intensity gradient (B = − 2.11, CI = − 3.51 to − 0.72) were negatively associated with depression score (p &lt; 0.01) and these associations remain significant even after adjustment for age, sex, diabetes duration, and BMI. However, sleep duration and efficiency were not associated with depression. After mutual adjustment overall physical activity (B = − 0.07, CI = − 0.12 to − 0.01), but not the intensity gradient (B = − 0.90, CI = − 2.47 to 0.68), remained associated with depression.<br/><strong>Conclusion:</strong> Overall, moderate and vigorous physical activity, and the intensity gradient were associated with lower symptoms of depression. Overall physical activity, rather than the distribution of activity intensity, appears more important in depression. This information can help guide physical activity interventions to improve depression in people with type 1 diabetes.<br/><br/><strong>Keywords:</strong> type 1 diabetes, depression, physical activity, sedentary behaviors<br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"42 1","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141746100","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":"Psychosocial Clusters and Their Associations with Depression, Anxiety and Stress Among Older Adults in Shanghai Communities: Results from a Longitudinal Study.","authors":"Jiawen Kuang, Wei Zhang, Haoran Zhang, Nan Lin, Jialie Fang, Rui Song, Zhaohua Xin, Jingyi Wang","doi":"10.2147/PRBM.S464848","DOIUrl":"https://doi.org/10.2147/PRBM.S464848","url":null,"abstract":"<p><strong>Purpose: </strong>Psychosocial factors have been found to profoundly impact mental health of older adults, but the main focus in the current literature has been on one particular aspect of these factors. This study aimed to identify latent classes of older adults based on four psychosocial factors (loneliness, social isolation, perceived social support, and social capital) and the transition of classes over 6 months. We also sought to assess the predictive role of changes in these classes in relation to depression, anxiety, and stress at 18-month follow-up.</p><p><strong>Methods: </strong>We analyzed longitudinal data from 581 community-dwelling older adults in Shanghai, China. The data were collected at baseline (T0), 6-month follow-up (T1) and 18-month follow-up (T2) between March 2021 and April 2023. Using latent class analysis, we identified three underlying classes (Social Connectors, Subjective Social Isolates, and Social Isolates) of the sample. We also established five transition categories from T0 to T1 (Social Connectors T0-T1, Subjective Social Isolates T0-T1, Social Isolates T0-T1, Good Transition, and Bad Transition) using latent transition analysis. Logistic regression was employed to examine the temporal relationships between these transition categories and subsequent symptoms of depression, anxiety and stress, adjusting for age, sex, education, marital status, family income level, sleep quality, health status and outcome variables at T0.</p><p><strong>Results: </strong>Multivariable associations revealed that compared to older adults with persistent good social environment (Social Connectors T0-T1), those with persistent high levels of loneliness and social isolation and low levels of perceived social support and social capital (Social Isolates T0-T1), and those who shifted towards a poorer social environment (Bad Transition) were more likely to experience depression, anxiety and stress at T2. Sustained subjective social isolation (Subjective Social Isolates T0-T1) was associated with more severe depressive symptoms at T2.</p><p><strong>Conclusion: </strong>Our study indicated that adverse psychosocial environment worsened mental health in older adults. These findings highlight the importance of early identification of older individuals at long-term psychosocial risk and development of tailored interventions to improve their social environment and mental health.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"2701-2716"},"PeriodicalIF":2.8,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760631","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}