British Journal of Health Psychology最新文献

{"title":"Dyadic coping and multiple sclerosis: A qualitative exploration of differences between couples high and low in relationship functioning.","authors":"K M McGarragle, C J Hare, T L Hart","doi":"10.1111/bjhp.70078","DOIUrl":"10.1111/bjhp.70078","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) affects approximately 2.8 million people worldwide. Twenty-five per cent of people with MS report that their romantic relationship is negatively affected by MS. However, partnered individuals with MS also report lower levels of disability, and several studies have found that patient and partner well-being are correlated. Therefore, examining coping with MS from a dyadic perspective is warranted. The objectives of this study were to explore (1) individual and (2) conjoint dyadic coping strategies in couples high and low in relationship functioning.</p><p><strong>Methods: </strong>People diagnosed with MS (n = 9) and their partners (n = 9) completed quantitative measures, and purposive sampling was used to recruit couples high and low in relationship functioning. Relationship functioning was operationalized as comprising dyadic satisfaction, cohesion and consensus, consistent with Spanier, 1976, in addition to the degree of illness-related interference within the relationship. Interviews were conducted with each member of the dyad separately, and the results were analysed using thematic analysis and later content analysis.</p><p><strong>Results: </strong>Differences were found between high and low relationship functioning couples. High relationship functioning couples generally engaged in more positive coping strategies, such as active engagement, illness acceptance and conceptualizing MS as a shared issue with their partner. Low relationship functioning couples generally engaged in more negative strategies, including avoidance, ineffective communication and conceptualizing MS as an individual issue.</p><p><strong>Conclusions: </strong>Our findings highlight the significant impact that romantic relationships have on the physical and psychosocial well-being of individuals with MS.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":"e70078"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"She just wants to be a normal kid\": Adolescents with inflammatory bowel disease and their caregivers' transition from paediatric to adult care.","authors":"Mikayla de Gooyer, Matthew I Mackay, Antonina Mikocka-Walus, Yao Coitinho Biurra, Catherine Emerson, Anna Klas, Leanne Raven, Wayne Massuger, Edward M Giles, Subhadra Evans","doi":"10.1111/bjhp.70079","DOIUrl":"https://doi.org/10.1111/bjhp.70079","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents with inflammatory bowel disease (IBD) experience disruptions to normal adolescent development. Lack of preparation for transition from paediatric to adult care can have negative biopsychosocial outcomes. We aimed to explore adolescents' perspectives on how IBD affects their lives. Additionally, we aimed to understand adolescents and their parents' views on transition from paediatric to adult IBD care.</p><p><strong>Design: </strong>Qualitative study. Adolescents and parents participated in semi-structured interviews together.</p><p><strong>Methods: </strong>Participants included eight adolescents with IBD (four females; four with Crohn's disease, two with ulcerative colitis and two with IBD-U; mean age = 16) and their parent(s) (n = 9). Data were analyzed using template thematic analysis.</p><p><strong>Results: </strong>Three themes were identified that reflected how IBD conflicts with typical adolescent development because of the need for careful planning to manage the disease and its symptoms (e.g., loss of bowel control, fatigue). They also described the active role parents currently play in managing their child's IBD, from managing medication to organizing appointments and communicating with healthcare professionals. Anxiety and apprehension of adolescent participants towards transitioning from adolescent to adult care were also captured.</p><p><strong>Conclusions: </strong>Healthcare providers and carers must work together with adolescents with IBD to ensure they are ready for adult care, where they will need to take sole responsibility for managing their chronic condition.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":"e70079"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to enhance work participation in people with chronic pain: A systematic review and meta-analysis including analysis of complex psychological intervention components.","authors":"Joanna McParland, Lorna Booth, Grace Dibben, Ukachukwu Abaraogu, Elaine Wainwright, Evangelia Demou, Lynn Williams, Paul Flowers, Lisa Kidd, Jo Daniels, Hussein Patwa, Paulina Wegrzynek, Sarah Audsley, Ronald O'Kane, Amelia Parchment, Hannah Ranaldi, Karen Walker-Bone","doi":"10.1111/bjhp.70077","DOIUrl":"https://doi.org/10.1111/bjhp.70077","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic pain impairs work participation. Psychological interventions can support people with chronic pain to work, yet little is known about which components are most effective. A systematic review and meta-analysis assessed the effectiveness of interventions targeting sick leave, return to work, work ability and work-related self-efficacy in chronic pain populations. Intervention content was analysed to identify effective components.</p><p><strong>Methods: </strong>A search strategy was developed and applied to six databases from inception until 2nd March 2023, being updated in December 2024: PsychInFO, Medline, Cinahl, Web of Science, Cochrane Library and Embase. Intervention descriptions were coded for intervention functions, theoretical domains and behaviour change techniques. Risk of bias was assessed using the ROB-2 tool.</p><p><strong>Results: </strong>51 randomized controlled trials were identified. Study quality was poor overall. Meta-analysis showed that psychological interventions were complex, that is, contained multiple components delivered alongside other interventions, which together were associated with reduced sick leave (SMD -.41, 95% CI: -.64 to -.18) and a small increase in those working at long-term follow-up (>12 months) (RR 1.03, 95% CI: 1.01-1.06; I² = 0%) but not work ability/capacity (SMD -.02, 95% CI: -.12-.08, I² = 0%) or return to work (RR .98, 95% CI: .91-1.05, I² = 0%). No intervention components appeared most effective, but five common components were identified: education, skills/training, social support, emotional regulation, and confidence building.</p><p><strong>Conclusion: </strong>Complex psychological interventions can positively influence work outcomes for people with chronic pain. Future research should prioritize high-quality studies and incorporate the five components to enhance work-focussed support.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":"e70077"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the 'train the trainer' model for delivering Making Every Contact Count (MECC) training at scale: A qualitative study.","authors":"Beth Nichol, Angela M Rodrigues, Sarah Audsley, Anna Haste, Mei Yee Tang, Craig Robson, Jill Harland, Catherine Haighton","doi":"10.1111/bjhp.70076","DOIUrl":"https://doi.org/10.1111/bjhp.70076","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the delivery of the train the trainer (TtT) model for Making Every Contact Count (MECC) training in the North East and North Cumbria (NENC) region of England.</p><p><strong>Design: </strong>A qualitative study, utilizing semi-structured interviews.</p><p><strong>Methods: </strong>Interviews were conducted with 21 participants, including MECC TtT trainees (n = 13), eligible non-trainees (n = 6) and principal trainers (n = 2). Data analysis utilized the Framework Method guided by the Theoretical Domains Framework (TDF), and meta-themes were generated that transcended individual TDF domains.</p><p><strong>Results: </strong>Four meta-themes were identified: the need for psychological preparedness to deliver MECC training, successful cascade is influenced by the MECC training content, limited accessibility of the pedagogical approach to both MECC TtT and MECC training, and a need to shift the focus from quantity to quality of MECC training cascade.</p><p><strong>Conclusions: </strong>The TtT model potentially provides unique value for delivering high-quality MECC training at scale, providing trainers feel ownership over and able to deliver MECC training. A skills-based approach to MECC training and an experiential learning approach to MECC TtT training are recommended. The MECC TtT programme should provide clear expectations of cascade at sign up stage, allow trainers to adapt content and evaluate success based on quality.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":"e70076"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Divorce conflict and health across the divorce process: A 10-year observational study of medicine prescriptions, primary care visits and hospitalisations.","authors":"Andreas Nielsen Hald, Gert Martin Hald, Peter Fallesen","doi":"10.1111/bjhp.70075","DOIUrl":"https://doi.org/10.1111/bjhp.70075","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the association between divorce conflict and medicine prescriptions, primary care visits and hospitalisations, over a 10-year period around juridical divorce.</p><p><strong>Design: </strong>A longitudinal observational study was conducted using a cohort of 1784 Danes who divorced between 2015 and 2017. Conflict was measured with the validated Divorce Conflict Scale, and health outcomes were obtained from national registers.</p><p><strong>Methods: </strong>Negative binomial and logistic regression models examined the relationship between divorce conflict and health outcomes, controlling for prior health status, demographic factors and socioeconomic variables. Analyses included sensitivity tests to explore pre- and post-divorce health patterns, and an exploratory analysis of health trajectories based on conflict levels.</p><p><strong>Results: </strong>A one-standard deviation increase in divorce conflict was associated with a significant 28% increase in medicine prescriptions, a 5% increase in primary care visits, and 13% higher odds of hospitalisation in the 5 years following juridical divorce. Sensitivity analyses showed that these associations were robust but also varied depending on the pre-divorce health period, highlighting the importance of pre-divorce health in explaining outcomes. Exploratory analyses indicated that high-conflict divorcees had consistently elevated health trajectories across all outcomes, with a significantly steeper increase in primary care visits before divorce compared to those with average or low conflict.</p><p><strong>Conclusions: </strong>High-conflict divorcees experienced consistently worse health outcomes, including more medicine prescriptions, primary care visits and hospitalisations, both before and after divorce. These findings stress the importance of conceptualising divorce as a process and addressing conflict during the divorce process to mitigate long-term health consequences.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":"e70075"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A longitudinal network analysis of pain, psychological processes and psychological and sexual distress in women with endometriosis","authors":"Sérgio A. Carvalho,&nbsp;Brittany Patafio,&nbsp;Patrícia M. Pascoal,&nbsp;Teresa Lapa,&nbsp;David Skvarc","doi":"10.1111/bjhp.70071","DOIUrl":"10.1111/bjhp.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Previous studies in endometriosis have linked the experience and impact of pain to psychological distress and sexual dysfunction. However, little is known about how these factors interact over time or how underlying cognitive-emotional processes contribute to their complex interconnections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study followed a Longitudinal Network Approach and explored the interconnections over time between pain (intensity and impact), psychopathological symptoms, sexual distress, and cognitive-emotional processes (cognitive fusion and difficulties in emotion regulation) in adult women with endometriosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data was collected in a sample composed of <i>N</i> = 210 Portuguese cisgender women with endometriosis in a three-wave online assessment spanning 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using multilevel vector autoregressive network analysis, results showed significant temporal pathways in which pain intensity and pain impact predicted future increases in cognitive fusion, depression, and somatization, indicating a directional cascading effect of physical symptoms on psychological processes. Higher sexual distress over time was associated with decreases in cognitive fusion. Results also found strong positive associations among pain, anxiety, depression, and somatization at each time point, as well as between-subjects asymmetrical relationships, with anxiety and somatization more strongly predicting sexual distress than the reverse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, these findings highlight the importance of targeting transdiagnostic cognitive-emotional processes in interventions to improve pain, mental health, and sexual outcomes in women with endometriosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does trait emotional eating intensify stress responses? A quasi-experimental study on cognitive control, biological reactivity and appetite","authors":"Mahsa AkbarianFiroozabadi,&nbsp;Jafar Hasani,&nbsp;Alireza Moradi","doi":"10.1111/bjhp.70060","DOIUrl":"10.1111/bjhp.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Emotional eating (EE), characterized by dysregulated food intake in response to emotional stimuli, is associated with adverse physical and psychological outcomes and has been linked to alterations in executive functioning and stress-related biological reactivity. This study aimed to investigate stress-induced changes in food-related inhibitory control, emotional working memory capacity (eWMC), appetite and fasting blood glucose (FBG) in individuals with high versus low EE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Ninety adults (45 high EE, 45 low EE), aged 18–45, were assessed before and after the Trier Social Stress Test (TSST). Measures included food-related inhibitory control, eWMC, appetite and FBG.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The main effect of time was significant for all variables except FBG. However, significant group × time interactions were observed for all outcomes. Specifically, compared with the lowEE group, the highEE group <i>showed</i> greater stress reactivity, with significant post-stress declines in inhibitory control (<i>p</i> &lt; .001), increased appetite (<i>p</i> = .001), increased FBG (<i>p</i> = .043) and weaker eWMC (<i>p</i> &lt; .001). The lowEE group only showed a significant post-stress decline in eWMC scores (<i>p</i> = .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight the importance of emotion regulation processes in stress-related eating and metabolic reactivity and may inform prevention and intervention strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of a conceptual model to predict physical activity identity among Canadian adults","authors":"Michael K. Smith,&nbsp;Alfred S. Y. Lee,&nbsp;Ryan E. Rhodes","doi":"10.1111/bjhp.70073","DOIUrl":"10.1111/bjhp.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence supports the benefits of physical activity (PA); however, many adults do not achieve recommended PA levels. Identity theories have been used to understand PA, but the antecedents of PA identity remain less clear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study presents an exploratory test of a conceptual model predicting PA identity strength using candidate antecedents identified in a recent narrative review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A three-week prospective survey was administered to 570 Canadian adults. Time 1 recorded weekly self-reported minutes of moderate-to-vigorous physical activity (MVPA), self-regulation domains and five candidate antecedents—social relatedness, personal investment, perceived capability, PA alignment and priority. PA identity was measured 3 weeks later (Time 2). Using a structural equation modelling approach, we explored the proposed pattern of direct and indirect paths.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The model fit the data adequately, χ² = 795.92, <i>df</i> = 324, CFI = .95, TLI = .95, RMSEA = .05 (90% CI = .05–.06) and SRMR = .07. Significant direct paths to Time 2 identity were observed for Time 1 MVPA, reactive regulation, self-monitoring, relatedness, perceived capability, alignment and priority (<i>β</i> = .11–.34, <i>p</i>s ≤ .04). Indirect paths from Time 1 relatedness, personal investment and priority to Time 2 identity—operating via Time 1 MVPA and self-regulation strategies (especially reactive regulation and self-monitoring)—were also significant (<i>β</i> = .09–.18, <i>p</i>s ≤ .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PA identity may have multivariate inputs. These findings provide preliminary evidence for the proposed conceptual model and experimental work is needed to determine whether modifying these inputs changes PA identity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designing interventions for chronic pain: A participatory action research study with south Asian women","authors":"Sukhvinder Biring,&nbsp;Amy E. Burton,&nbsp;Peter Kevern","doi":"10.1111/bjhp.70072","DOIUrl":"10.1111/bjhp.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Chronic pain is a significant health issue, particularly for women, with South Asian women being an underrepresented group in research. This study aimed to explore the needs and challenges of South Asian women living with chronic pain and develop strategies to address them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Participatory Action Research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixteen South Asian women in the United Kingdom, aged 30 to 78 years, participated in three rounds of data collection through focus groups, co-development of two intervention approaches and feedback sessions. Participants completed the full long-form Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) prior to phase 1 and again in phase 3. A paired-samples <i>t</i>-test was conducted using SPSS to determine whether there was a significant difference between pre- and post-intervention scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Phase one identified two pain management intervention approaches: a tailored written resource and a group peer support intervention. Phase two provided insights into their design. Phase three evaluated the strategies following creation and pilot and identified key themes regarding effectiveness: resource design, effects and continued engagement. Quantitative analysis showed significant improvements in mental well-being scores across the course of the Participatory Action Research process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights barriers and facilitators to pain management among South Asian women, offering transferable insights for culturally sensitive interventions. Participatory approaches can facilitate the development of culturally tailored interventions with the potential to enhance coping, self-efficacy, empowerment and mental well-being. This study provides methodological and practical guidance for co-designing interventions for underrepresented communities, with implications for broader implementation and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Death anxiety predicts fear of progression in people with rheumatic conditions","authors":"Bethany Richmond,&nbsp;Louise Sharpe,&nbsp;Jack B. Boyse,&nbsp;Joanne Shaw,&nbsp;Rachel E. Menzies","doi":"10.1111/bjhp.70069","DOIUrl":"10.1111/bjhp.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rheumatic diseases often have a progressive course and place individuals at increased risk of mortality. Despite this, little research has investigated the relationship between death anxiety and fears about disease progression (FoP), and how these might relate to health-related quality of life (HRQoL) outcomes. This study investigated the relationship between death anxiety, FoP and HRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional design with a longitudinal follow-up at 3 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 145 participants with at least one rheumatic condition were recruited through Prolific. They completed online questionnaires assessing FoP, death anxiety, HRQoL, pain and psychological distress. They also completed an additional measure of FoP 3 months later. A series of regression analyses were conducted to examine whether death anxiety predicted unique variance in FoP cross-sectionally, as well as three months later. We also investigated whether death anxiety and FoP were associated with HRQoL after controlling for pain, demographics and psychological distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Death anxiety contributed unique variance to FoP, even when controlling for other variables of interest, and continued to predict FoP 3 months later. Surprisingly, neither death anxiety nor fear of progression were found to predict unique variance in psychological or physical HRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results indicate that death anxiety plays an important role in FoP. As such, death anxiety appears to be a particularly pertinent factor in the experience of FoP for people with rheumatic conditions that deserves further investigation. However, quality of life outcomes may be robust to the impact of death anxiety and FoP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"31 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}