British Journal of Health Psychology最新文献

筛选
英文 中文
Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions 调查态度和框架道德责任在医疗保健专业人员戒烟干预。
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-10-02 DOI: 10.1111/bjhp.70025
Angela Difeng Wu, Jamie Hartmann-Boyce, Rafael Perera, Rachna Begh, Nicola Lindson
{"title":"Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions","authors":"Angela Difeng Wu,&nbsp;Jamie Hartmann-Boyce,&nbsp;Rafael Perera,&nbsp;Rachna Begh,&nbsp;Nicola Lindson","doi":"10.1111/bjhp.70025","DOIUrl":"10.1111/bjhp.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Evidence-based support from healthcare professionals improves smoking cessation outcomes, yet intervention rates among UK general practitioners (GPs) remain suboptimal. This exploratory study explored whether framing messages around moral responsibility influences clinicians' intentions to offer smoking cessation support and explored their attitudes towards smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A between-subjects online experiment was conducted in May 2023 with 300 UK-based GPs and medical students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were randomised to one of three message conditions: professional obligation, shared responsibility, or neutral control. They rated their desire, duty, and intention to offer cessation support across clinical scenarios and completed attitude measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with control, professional obligation framing was associated with higher intention scores (<i>β</i> = .20, 95% CI [.01, .39]); shared responsibility showed no effect. Subgroup analyses suggested stronger effects among medical students. Contextual factors were influential: higher scores were observed for cardiovascular disease (<i>β</i> = .80) and bipolar disorder (<i>β</i> = .21), while time pressure and patient disinterest reduced intention (<i>β</i> = −.15 and −.14). Attitudes were mixed: 70% viewed smoking as a lifestyle choice, while 88% agreed addiction is a disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Professional obligation framing was associated with clinicians' intentions to offer cessation support, particularly among early-career clinicians. Attitudinal inconsistencies highlight a disconnect between clinicians' perceptions and public health guidance. Responsibility-based messaging may be promising for education and training. Given single-item outcomes and the exploratory design, findings should be interpreted cautiously and future work should examine measurement properties more rigorously.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214031","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}
引用次数: 0
A fearful adult attachment style is associated with double the presence of chronic pain compared to secure attachment: A national survey of a South African population 一项针对南非人口的全国性调查显示,与安全型依恋相比,恐惧型成人依恋类型与双倍的慢性疼痛相关。
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-23 DOI: 10.1111/bjhp.70024
Gabriella Elisabeth Stamp, Stella Iacovides, Antonia Louise Wadley
{"title":"A fearful adult attachment style is associated with double the presence of chronic pain compared to secure attachment: A national survey of a South African population","authors":"Gabriella Elisabeth Stamp,&nbsp;Stella Iacovides,&nbsp;Antonia Louise Wadley","doi":"10.1111/bjhp.70024","DOIUrl":"10.1111/bjhp.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Preliminary epidemiological evidence suggests that within chronic pain cohorts, insecure attachment styles (comprising dismissing, preoccupied and fearful styles) are more prevalent. Our aim was to determine, in a general population, the association between adult attachment style and the presence and burden of chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A nationwide online survey in South Africa determined adult attachment style (using the Experience in Close Relationships—Relationship Structures Questionnaire), the presence of chronic pain and typically associated psychological factors. In participants reporting chronic pain, the association with attachment style and pain burden (pain sites, severity and interference, using the Brief Pain Inventory [BPI]) was further explored. Results of the 2371 participants were analysed using multivariable generalized linear models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In our young (median age 23 years; IQR 20–28), well-educated and primarily female (74%) cohort with a predominantly middle-to-high socioeconomic status, we found a higher than typically reported prevalence of chronic pain (27%). Compared to the secure attachment style, all insecure attachment styles were associated with increased chronic pain presence (secure: 23%; dismissing: 31%, odds ratio [95% CI] = 1.38 [1.02–1.85], <i>p</i> = .037; preoccupied: 42%, odds ratio [95% CI] = 2.26 [1.62–3.13], <i>p</i> &lt; .001; fearful: 49%, odds ratio [95% CI] = 2.95 [2.03–4.29], <i>p</i> &lt; .001). All three insecure attachment styles were associated with worse pain interference, and a Fearful attachment style was associated with increased pain severity and .78 times more pain sites (95% CIs: not spanning 0, <i>p</i>s &lt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adult attachment style was associated with chronic pain presence and pain burden. The presence of chronic pain was more than double in the fearfully insecure compared to securely attached individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126358","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}
引用次数: 0
Women's experiences of living with chronic pain: A qualitative meta-synthesis 女性慢性疼痛的生活经验:定性综合
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-22 DOI: 10.1111/bjhp.70023
Sukhvinder Biring, Amy E. Burton, Lynn Dunwoody, Peter Kevern
{"title":"Women's experiences of living with chronic pain: A qualitative meta-synthesis","authors":"Sukhvinder Biring,&nbsp;Amy E. Burton,&nbsp;Lynn Dunwoody,&nbsp;Peter Kevern","doi":"10.1111/bjhp.70023","DOIUrl":"10.1111/bjhp.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The prevalence of chronic pain varies between males and females, and they also have distinct pain experiences. Improved understanding of these unique experiences is needed to improve support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This meta-synthesis aimed to develop a comprehensive understanding of women's lived experiences with chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six electronic databases were searched in May and June 2022: PubMed Central, the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), the Health Research Premium Collection, ScienceDirect, Web of Science and PsycINFO. Studies were included if they were full-text journal articles, reported in English, presented qualitative findings obtained using qualitative research methods and focused on the experience of females over eighteen years old, living with chronic pain (not associated with cancer or conditions that are terminal). The search was updated in November 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of the seventy studies retrieved identified four themes: Pain and Multiple Responsibilities; Countless Losses (and Their Psychological Effects); Lack of Understanding: Delegitimizing and Disempowering Encounters; and Solace and Self-Empowerment. Confidence in all four themes was evaluated as high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate that there are common themes that run through the lives of women living with chronic pain across a range of different age groups, locations and conditions. These domains present actionable opportunities to enhance pain management and well-being for women living with chronic pain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111415","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}
引用次数: 0
Dietary intake of fruits and vegetables, polyunsaturated fats, and fish and positive psychological well-being in older adults: A cross-sectional analysis of the English Longitudinal Study of Ageing (ELSA) 老年人饮食中水果、蔬菜、多不饱和脂肪和鱼类的摄入与积极的心理健康:英国老龄化纵向研究(ELSA)的横断面分析
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-15 DOI: 10.1111/bjhp.70022
Pepper Thanaporn Theeraoat, Ruth A. Hackett, Joseph Chilcot, Andrew Steptoe
{"title":"Dietary intake of fruits and vegetables, polyunsaturated fats, and fish and positive psychological well-being in older adults: A cross-sectional analysis of the English Longitudinal Study of Ageing (ELSA)","authors":"Pepper Thanaporn Theeraoat,&nbsp;Ruth A. Hackett,&nbsp;Joseph Chilcot,&nbsp;Andrew Steptoe","doi":"10.1111/bjhp.70022","DOIUrl":"10.1111/bjhp.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Research has linked diet to negative psychological states, but its influence on positive psychological well-being remains understudied. This study assessed the association between dietary intake of fruits and vegetables (F&amp;V), polyunsaturated fats (PUFAs), and fish on three domains of positive well-being: eudemonic, happiness, and life satisfaction in middle-aged and older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional analytical sample of 3013 participants from Wave 9 (2018/19) of the English Longitudinal Study of Ageing (ELSA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Multivariate linear regression assessed the association between diet and positive psychological well-being, adjusted for covariates including total energy intake, age, gender, ethnicity, wealth, education, living alone, social isolation, limiting long-standing illness, and depressive symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In minimally adjusted models, F&amp;V and fish intake were positively associated with all three domains of well-being, while PUFAs intake was positively associated with eudemonic well-being and happiness, but not life satisfaction. The positive associations between F&amp;V intake and eudemonic well-being, and between fish intake and happiness, remained significant in all models (<i>β</i> = .043, 95% CI [.037, .212], <i>p</i> = .005; <i>β</i> = .033, 95% CI [.011, .243], <i>p</i> = .032, respectively), whereas others became non-significant after adjusting for certain covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Diet may be associated with positive psychological well-being in middle-aged and older adults. Increasing dietary intake of F&amp;V, PUFAs, and fish could support well-being and may be encouraged through public or private initiatives aimed at making healthy diets accessible and affordable. Longitudinal studies are needed to clarify the influence of diet on well-being over time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062383","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}
引用次数: 0
Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use 患者和卫生保健专业人员对术后疼痛管理的看法:影响阿片类药物持续使用的关键因素
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-11 DOI: 10.1111/bjhp.70021
Neetu Bansal, Rhiannon E. Hawkes, Li-Chia Chen, Darren M. Ashcroft, Christopher J. Armitage
{"title":"Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use","authors":"Neetu Bansal,&nbsp;Rhiannon E. Hawkes,&nbsp;Li-Chia Chen,&nbsp;Darren M. Ashcroft,&nbsp;Christopher J. Armitage","doi":"10.1111/bjhp.70021","DOIUrl":"10.1111/bjhp.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study applied the Theoretical Domains Framework (TDF) to explore the barriers and enablers to optimizing post-operative pain management and supporting safe opioid use from the perspectives of both patients and health care professionals, applying the Theoretical Domains Framework (TDF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Experience-based co-design (EBCD) qualitative study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the initial phase of the EBCD approach, focus groups were conducted comprising 20 participants, including 8 patients and 12 health care professionals involved in post-operative care. The data were systematically analysed using framework analysis and mapped to the TDF. Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis revealed significant barriers faced by patients, including a lack of continuity in care, inadequate preoperative preparation, and insufficient guidance on opioid tapering. Health care professionals reported barriers associated with deficiencies in knowledge, skills, and environmental resources, particularly workforce constraints and ineffective communication across care settings. Notable enablers included pharmacist-led medication reviews and the adoption of digital technologies to enhance education and support tapering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study identifies critical barriers and facilitators that influence postoperative pain management and opioid use. Targeted interventions are imperative to optimize these outcomes. Key recommendations include implementing pharmacist-led medication reviews, integrating digital tapering support tools and enhancing preoperative educational efforts. Furthermore, strengthening communication pathways and addressing workforce challenges through dedicated training and resource allocation are essential. Future research should assess the efficacy of these tailored interventions across diverse clinical contexts to improve patient outcomes and refine prescribing practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034333","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}
引用次数: 0
Using machine-assisted topic analysis to expedite thematic analysis of free-text data: Exemplar investigation of factors influencing health behaviours and wellbeing during the COVID-19 pandemic 利用机器辅助主题分析加快自由文本数据的主题分析:COVID-19大流行期间影响健康行为和福祉因素的范例调查
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-11 DOI: 10.1111/bjhp.70017
Emma Ward, Felix Naughton, Pippa Belderson, Trisevgeni Papakonstantinou, Ben Ainsworth, Sarah Hanson, Caitlin Notley, Paulina Bondaronek
{"title":"Using machine-assisted topic analysis to expedite thematic analysis of free-text data: Exemplar investigation of factors influencing health behaviours and wellbeing during the COVID-19 pandemic","authors":"Emma Ward,&nbsp;Felix Naughton,&nbsp;Pippa Belderson,&nbsp;Trisevgeni Papakonstantinou,&nbsp;Ben Ainsworth,&nbsp;Sarah Hanson,&nbsp;Caitlin Notley,&nbsp;Paulina Bondaronek","doi":"10.1111/bjhp.70017","DOIUrl":"10.1111/bjhp.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Investigate the use of machine learning to expedite thematic analysis of qualitative data concerning factors that influenced health behaviours and wellbeing during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative investigation using Machine-Assisted Topic Analysis (MATA) of free-text data collected from a prospective cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Free-text survey data (2177 responses from 762 participants) of influences on health behaviours and wellbeing were collected among UK participants recruited online, using Qualtrics at 3, 6, 12 and 24 months after the COVID-19 pandemic started. MATA, which employs structural topic modelling (STM), was used (in R) to discern latent topics within the responses. Two researchers independently labelled topics and collaboratively organized them into themes, with ‘sense checking’ from two additional researchers. Plots and rankings were generated, showing change in topic prevalence by time. Total researcher time to complete analysis was collated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen STM-generated topics were labelled and integrated into six themes: the influences of and impacts on (1) health behaviours, (2) physical health (3) mood and (4) how these interacted, partly moderated by (5) external influences of control and (6) reflections on wellbeing and personal growth. Topic prevalence varied meaningfully over time, aligning with changes in the pandemic context. Themes were generated (excluding write-up) with 20 h combined researcher time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>MATA shows promise as a resource-saving method for thematic analysis of large qualitative datasets whilst maintaining researcher control and insight. Findings show the interconnection between health behaviours, physical health and wellbeing over the pandemic, and the influence of control and reflective processes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038249","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}
引用次数: 0
Social anxiety in people with facial palsy: The role of fear of negative evaluation and appearance-fixing behaviour 面瘫患者的社交焦虑:对负面评价和美化行为的恐惧的作用
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-02 DOI: 10.1111/bjhp.70018
Jessica A. E. Dring, Emily Reeves, Matthew Hotton
{"title":"Social anxiety in people with facial palsy: The role of fear of negative evaluation and appearance-fixing behaviour","authors":"Jessica A. E. Dring,&nbsp;Emily Reeves,&nbsp;Matthew Hotton","doi":"10.1111/bjhp.70018","DOIUrl":"10.1111/bjhp.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>People with facial palsy (<i>n</i> = 78) and people without facial palsy (<i>n</i> = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927475","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}
引用次数: 0
The effects of communicating illness diagnostic and treatment information and C-reactive protein test results on people's antibiotic expectations 沟通疾病诊疗信息和c反应蛋白检测结果对人们抗生素预期的影响
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-09-02 DOI: 10.1111/bjhp.70020
Andriana Theodoropoulou, Matteo Lisi, Jonathan Rolision, Miroslav Sirota
{"title":"The effects of communicating illness diagnostic and treatment information and C-reactive protein test results on people's antibiotic expectations","authors":"Andriana Theodoropoulou,&nbsp;Matteo Lisi,&nbsp;Jonathan Rolision,&nbsp;Miroslav Sirota","doi":"10.1111/bjhp.70020","DOIUrl":"10.1111/bjhp.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Patients' expectations for antibiotics are among the strongest predictors of clinicians' decisions to overprescribe antibiotics. In this registered report, we used a signal detection theory framework to investigate the experimental effects of the communication interventions that family physicians can use to reduce patients' diagnostic uncertainty, and consequently, their antibiotic expectations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>UK participants (<i>N</i> = 769) read hypothetical consultations for respiratory tract infections and were randomly assigned to one of three conditions: standard information (control), recommended information about the nature of the illness and antibiotic efficacy (recommended communication) or recommended information accompanied by point-of-care test results (recommended communication and CRP). Using a multilevel Bayesian probit regression, we estimated both decision bias (criterion) and sensitivity (d-prime).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Aligned with our bias hypotheses, participants displayed a more liberal antibiotic bias in the control condition compared to both the recommended communication (Δ<i>c</i> = −1.34, 95% CI [−1.57, −1.11]) and the recommended communication and CRP (Δ<i>c</i> = −1.73, 95% CI [−1.99, −1.48]) conditions. They also showed greater liberal bias in the recommended communication condition compared to the recommended communication and CRP condition (Δ<i>c</i> = −0.39, 95% CI [−0.65, 0.13]). Aligned with our sensitivity hypotheses, participants displayed significantly higher sensitivity in both the recommended communication (Δ<i>d</i>' = 2.34, 95% CI [1.92, 2.79]) and the recommended communication and CRP (Δ<i>d</i>' = 2.49, 95% CI [2.08, 2.95]) conditions compared to control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Simple, evidence-based communication strategies—particularly when combined with diagnostic test results—can reduce antibiotic expectations, offering practical tools for clinicians to support appropriate prescribing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927476","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}
引用次数: 0
Identifying the active components through the behaviour change techniques taxonomy in complex interventions for people living with multiple long-term health conditions: A systematic review 通过行为改变技术分类法确定对患有多种长期健康状况的人进行复杂干预的有效成分:一项系统综述
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-08-27 DOI: 10.1111/bjhp.70019
Tasmin A. Rookes, Danielle Nimmons, Rachael Frost, Megan Armstrong, Wing Nga Tsang, Laura Davies, Jamie Ross, Jane Hopkins, Manoj Mistry, Stephanie J. C. Taylor, Kate Walters
{"title":"Identifying the active components through the behaviour change techniques taxonomy in complex interventions for people living with multiple long-term health conditions: A systematic review","authors":"Tasmin A. Rookes,&nbsp;Danielle Nimmons,&nbsp;Rachael Frost,&nbsp;Megan Armstrong,&nbsp;Wing Nga Tsang,&nbsp;Laura Davies,&nbsp;Jamie Ross,&nbsp;Jane Hopkins,&nbsp;Manoj Mistry,&nbsp;Stephanie J. C. Taylor,&nbsp;Kate Walters","doi":"10.1111/bjhp.70019","DOIUrl":"10.1111/bjhp.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>More older adults are living with multiple long-term conditions (M-LTCs). Understanding the ‘active components’ of complex interventions to manage these is challenging. The Behaviour Change Techniques Taxonomy (BCTTv1) helps identify the ‘active components’ to understand which are associated with improved outcomes. This is important for people with M-LTCs due to health complications, competing health care regimes and conflicting clinical teams, requiring complex decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review explores which BCTs are associated with effective complex interventions in people with M-LTCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases were systematically searched to identify RCTs evaluating behaviour change intervention effectiveness in people with M-LTCs, published between 1999 and 2025. Data on intervention characteristics, effectiveness and BCTs were synthesized. A BCT index of potential was calculated by determining the percentage of studies that used a BCT that had a positive primary outcome. To be considered to have potential, a BCT had to have an index of potential higher than 50%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-nine eligible articles were included. 44/93 possible BCTs were identified, ranging from 1 to 16 different techniques per intervention (mean = 7). Thirty-two BCTs were present in three or more studies, of which 17 had the potential to improve outcomes, such as behavioural goal setting, monitoring outcomes, problem solving and providing information about health and emotional consequences. Interventions designed for people with both physical and mental LTCs were more likely to contain BCTs with higher potential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interventions delivered to those living with M-LTCs should incorporate relevant BCTs with a high index of potential and use mechanisms of action to identify other BCTs to include alongside these.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910475","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}
引用次数: 0
Exploring physical symptoms and distress in early-stage breast cancer survivors on hormone therapy: A qualitative study 探索激素治疗早期乳腺癌幸存者的身体症状和痛苦:一项定性研究
IF 2.5 2区 心理学
British Journal of Health Psychology Pub Date : 2025-08-18 DOI: 10.1111/bjhp.70012
Sophie Fawson, Zoe Moon, Melanie Rattue, Rona Moss-Morris, Lyndsay D. Hughes
{"title":"Exploring physical symptoms and distress in early-stage breast cancer survivors on hormone therapy: A qualitative study","authors":"Sophie Fawson,&nbsp;Zoe Moon,&nbsp;Melanie Rattue,&nbsp;Rona Moss-Morris,&nbsp;Lyndsay D. Hughes","doi":"10.1111/bjhp.70012","DOIUrl":"10.1111/bjhp.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Distress and physical symptoms are ongoing for early-stage breast cancer survivors on adjuvant hormone therapy. While previous qualitative research has focused on reporting the outcomes of distress and symptoms, as well as medication adherence, this study aimed to understand the link between symptoms and distress, exploring specifically how symptoms are distressing to inform interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>A qualitative design was used with online semi-structured interviews conducted with 23 women with Stage I–III hormone receptor positive breast cancer, living in the United Kingdom and prescribed hormone therapy in the previous 2 years, about their experience of hormone therapy. Interviews were transcribed verbatim and analysed using inductive reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The emotional burden of side-effects was an overarching theme. Other themes depicting why symptoms are distressing included the sense of helplessness around symptoms, living with and managing difficult feelings around loss and change, living with fear, worry and uncertainty around treatment side-effects and the internal conflict when making treatment decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate specific areas of emotional need in women prescribed hormone therapy related to living with and managing physical symptoms. This provides insight into how symptoms can contribute to distress, which goes beyond previous research that reports the perceived consequences of symptoms and distress. The results, therefore, can inform healthcare professional communication to support and validate ongoing experiences and the underlying decision conflict, which may be distressing for some women. Furthermore, psychological interventions could address the sense of loss and acceptance of limitations and change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861881","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信