Journal of Psychosomatic Research最新文献

{"title":"The factor structure of the Patient Health Questionnaire-9 in stroke: A comparison with a non-stroke population","authors":"J.J. Blake ,&nbsp;T. Munyombwe ,&nbsp;F. Fischer ,&nbsp;T.J. Quinn ,&nbsp;C.M. Van der Feltz-Cornelis ,&nbsp;J.M. De Man-van Ginkel ,&nbsp;I.S. Santos ,&nbsp;Hong Jin Jeon ,&nbsp;S. Köhler ,&nbsp;M.T. Schram ,&nbsp;J.L. Wang ,&nbsp;H.F. Levin-Aspenson ,&nbsp;M.A. Whooley ,&nbsp;S.E. Hobfoll ,&nbsp;S.B. Patten ,&nbsp;A. Simning ,&nbsp;F. Gracey ,&nbsp;N.M. Broomfield","doi":"10.1016/j.jpsychores.2024.111983","DOIUrl":"10.1016/j.jpsychores.2024.111983","url":null,"abstract":"<div><h3>Background</h3><div>It is unclear if certain post-stroke somatic symptoms load onto items of the Patient Health Questionnaire-9 (PHQ-9), a self-report depression questionnaire. We investigated these concerns in a stroke sample using factor analysis, benchmarked against a non-stroke comparison group.</div></div><div><h3>Methods</h3><div>The secondary dataset constituted 787 stroke and 12,016 non-stroke participants. A subsample of 1574 comparison participants was selected via propensity score matching. Dimensionality was assessed by comparing fit statistics of one-factor, two-factor, and bi-factor models. Between-group differences in factor structure were explored using measurement invariance.</div></div><div><h3>Results</h3><div>A two-factor model, consisting of somatic and cognitive-affective factors, showed better fit than the unidimensional model (CFI = 0.984 versus CFI = 0.974, <em>p</em> &lt; .001), but the high correlation between the factors indicated unidimensionality (<em>r</em> = 0.866). Configural invariance between stroke and non-stroke was supported (CFI = 0.983, RMSEA = 0.080), as were invariant thresholds (<em>p</em> = .092) and loadings (<em>p</em> = .103). Strong invariance was violated (p &lt; .001, ΔCFI = −0.003), stemming from differences in the tiredness and appetite intercepts. These differences resulted in a moderate overestimation of depression in stroke when using a summed score approach, relative to the comparison sample (Cohen'<em>s d = 0.</em>434).</div></div><div><h3>Conclusions</h3><div>The findings suggest that the PHQ-9 measures a single factor in stroke. Because stroke patients may report higher tiredness on item 4, caution is advisable when classifying patients as depressed if they are near the cut-off and have significant post-stroke fatigue. Caution is also advised when comparing total scores between stroke and other populations.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111983"},"PeriodicalIF":3.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of stressful life events with subjective age and the mediating role of depression: A cross-sectional study of older adults in China","authors":"Xiaoting Liu ,&nbsp;Jie Lin ,&nbsp;Jiaming Shi ,&nbsp;Qi Zhao","doi":"10.1016/j.jpsychores.2024.111979","DOIUrl":"10.1016/j.jpsychores.2024.111979","url":null,"abstract":"<div><h3>Objective</h3><div>While previous studies have examined the relationship between stressful life events (SLEs) and subjective age (SA), the results were inconclusive and the mechanisms linking the association were unclear. This study investigated whether the experience of SLEs was associated with an older SA and the potential mediating role of depression linking this association in a cross-sectional study of older adults in China.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2018 China Longitudinal Aging Social Survey (CLASS), comprising 7643 participants aged 60 and older. The association between SLEs and SA was examined using multivariate linear regression, and the mediation effect of depression was evaluated.</div></div><div><h3>Results</h3><div>Experiencing SLEs over the past year was associated with a 0.018 increase in proportional felt age (95 % CI: 0.012, 0.024) and a 0.011 increase in proportional look age (95 % CI: 0.005, 0.016), respectively. Depression appeared to be a significant mediator, accounting for 22.2 % and 27.3 % of the association of SLEs with proportional felt age and proportional look age, respectively.</div></div><div><h3>Conclusion</h3><div>Findings revealed that having SLEs was associated with an older SA, partially through the pathway of depression. More attention and appropriate intervention should be given to the older adults incurring SLEs to prevent the adverse effect of older SA.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111979"},"PeriodicalIF":3.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Circadian rhythm regulation as a target for alleviating bridge symptoms in comorbid internalizing and functional disorders","authors":"Akhmad Rizkhi Ridhani ,&nbsp;Rudi Haryadi ,&nbsp;Hartono ,&nbsp;Laelatul Anisah ,&nbsp;Jarkawi ,&nbsp;Eka Sri Handayani","doi":"10.1016/j.jpsychores.2024.111981","DOIUrl":"10.1016/j.jpsychores.2024.111981","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111981"},"PeriodicalIF":3.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study exploring the experiences and needs of fear of disease progression in patients after open-heart surgery","authors":"Zilu Liang ,&nbsp;Shaoyan Lin ,&nbsp;Huimei Sun ,&nbsp;Yingying Liao ,&nbsp;Muchen Zhang ,&nbsp;Cuishan Chen ,&nbsp;Huijuan Song","doi":"10.1016/j.jpsychores.2024.111980","DOIUrl":"10.1016/j.jpsychores.2024.111980","url":null,"abstract":"<div><h3>Objective</h3><div>Open-heart surgery (OHS) is a stressful event for patients, all of whom experience varying levels of worry and fear, leading to fear of disease progression (FoP). An in-depth understanding of the experiences and needs of FoP in patients after OHS is beneficial for healthcare providers to make optimal decisions, but this has not been reported. We aimed to explore the experiences and needs of FoP in patients after OHS by adopting a qualitative interview method.</div></div><div><h3>Methods</h3><div>A qualitative study was performed to recruit 18 qualified patients through purposive sampling and then conduct face-to-face, semi-structured interviews. The research setting was the cardiovascular surgery ward of a tertiary hospital in Guangdong, China, in 2024. The data were analyzed and extracted using conventional content analysis.</div></div><div><h3>Results</h3><div>In the study, four themes emerged: a) sources of FoP; b) effects of FoP; c) attitudes towards FoP; d) supportive service needs. The desire to obtain meaningful assistance and the profound experiences of FoP in patients after OHS gave rise to these themes.</div></div><div><h3>Conclusions</h3><div>FoP following OHS is a subjective feeling characterized by fear and discomfort. Care workers must completely grasp the patients' fear and provide personalized interventions to support them through the difficult recovery phase, which will also be the focus of future efforts in this area.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111980"},"PeriodicalIF":3.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-pharmacologic interventions for treating fear of cancer recurrence in patients with cancer: A network meta-analysis of randomized controlled trials","authors":"Fei Dong ,&nbsp;Di Yang ,&nbsp;Na Dong ,&nbsp;Yujing Li ,&nbsp;Hongjuan Wan ,&nbsp;Jiangxia Gao","doi":"10.1016/j.jpsychores.2024.111970","DOIUrl":"10.1016/j.jpsychores.2024.111970","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the impact of non-pharmacological interventions on fear of cancer recurrence in patients with cancer by synthesizing evidence from various studies using the net meta-analysis (NMA) approach. Additionally, the study sought to rank the efficacy of these interventions.</div></div><div><h3>Methods</h3><div>Two investigators independently searched the PubMed, Cochrane Library, Embase, and Web of Science databases to identify randomized controlled trials(RCTs) that met the inclusion criteria. The search encompassed the period from the inception of the database to December 2023. The included studies were then subjected to a quality assessment, and a network meta-analysis was performed to evaluate and compare the effectiveness of the interventions.</div></div><div><h3>Results</h3><div>This study included 27 RCTs involving 3009 patients and examined seven types of non-pharmacological interventions. The NMA results indicated that, based on the Surface Under the Cumulative Ranking curve, Cancer and Living Meaningfully (CALM) was the most effective intervention (100 %), followed by Mindfulness Therapy (MT) at 76.5 % and Couples' Skills Training (CST) at 60.6 %. However, the league table results showed that, compared to the waitlist group, the effects of CALM [SMD = −4.83, 95 % <em>CI</em> (−5.93, −3.73)] and CST [SMD = −0.86, 95 % <em>CI</em> (−1.65, −0.07)] were significant, while MT [SMD = −1.52, 95 % <em>CI</em> (−3.46, 0.43)] did not reach statistical significance. Furthermore, CST was more effective than Cognitive Behavioral Therapy [SMD = −2.98, 95 % <em>CI</em> (−5.40, −0.56)].</div></div><div><h3>Conclusion</h3><div>The results of this study indicate that CALM is the most effective intervention for addressing mental health issues.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111970"},"PeriodicalIF":3.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meaning in life and all-cause and cause-specific mortality in the UK Biobank","authors":"Angelina R. Sutin ,&nbsp;Martina Luchetti ,&nbsp;Selin Karakose ,&nbsp;Yannick Stephan ,&nbsp;Antonio Terracciano","doi":"10.1016/j.jpsychores.2024.111971","DOIUrl":"10.1016/j.jpsychores.2024.111971","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the association between meaning in life and all-cause and cause-specific mortality, and whether associations vary by depression or sociodemographic factors.</div></div><div><h3>Methods</h3><div>Participants were UK Biobank cohort members who reported on their meaning in life in the mental health assessment from October 2016 to July 2017 (<em>N</em> = 153,505). All-cause mortality and cause-specific mortality were identified from ICD-10 codes from national death registries through December 2022.</div></div><div><h3>Results</h3><div>Over the up to six-year follow-up, every standard deviation higher in meaning in life was associated with a 15 % decreased risk of death from any cause (HR = 0.87, 95 % CI = 0.85–0.90, <em>p</em> &lt; .001). The association was attenuated but remained significant accounting for socioeconomic, clinical, and behavioral risk factors (HR = 0.91, 95 % CI = 0.88–0.94, <em>p</em> &lt; .001). Meaning in life was associated with reduced risk of death from 7 of the 8 cause-specific deaths examined: external cause (47 %), respiratory (41 %), nervous (32 %), digestive (25 %), or circulatory (15 %) systems, COVID-19 (28 %), and cancer (8 %). Depression concurrent with the meaning assessment did not explain or moderate these associations, which indicated that meaning was similarly protective when concurrently experiencing psychological distress. The association between meaning and all-cause mortality was similar across age, ethnicity, and socioeconomic status but slightly stronger among female than male participants.</div></div><div><h3>Conclusion</h3><div>Feeling that one's life has meaning is associated with lower risk of mortality, particularly causes of death due to the respiratory system, nervous system, or COVID-19. Given that meaning in life can be modified through intervention, future research could address whether it could be a useful target of intervention.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111971"},"PeriodicalIF":3.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cultural adaptation and validation study of the Intentional Nonadherence Scale (INAS) among people with type 2 diabetes in Singapore","authors":"Vivien Teo ,&nbsp;John Weinman ,&nbsp;Kai Zhen Yap","doi":"10.1016/j.jpsychores.2024.111969","DOIUrl":"10.1016/j.jpsychores.2024.111969","url":null,"abstract":"<div><h3>Aims</h3><div>To examine the psychometric properties of the Intentional Non-adherence Scale (INAS) among people with type 2 diabetes mellitus (PwT2D) in Singapore.</div></div><div><h3>Methods</h3><div>This study consisted of Phase 1: translation and adaptation of the questionnaire into local Mandarin and English and Phase 2: a longitudinal validation study at the outpatient clinics of a hospital in Singapore. In Phase 1, cognitive interviews were conducted with 20 PwT2D and healthcare providers to examine the content validity of the INAS. In Phase 2, 290 PwT2D were recruited. Fifty-three of them were involved in test-retest reliability analysis, while 185 were followed-up in 3–6 months to assess the predictive validity of the INAS. The INAS was also evaluated for its structural validity, construct validity and internal reliability.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed four factors, namely “<em>Resisting illness and medication”, “Sensitivity to medication”, “Testing treatment”</em> and “<em>Inconvenience”.</em> All INAS factors showed good internal consistency (Cronbach's alpha = 0.84–0.94) and moderate test-retest reliability (intraclass correlation coefficient = 0.50–0.62). Construct validity of the INAS was demonstrated in its relationship with medication adherence, glycated haemoglobin (HbA1c), beliefs about medications, illness perception and mood. Quantile and linear regression for medication adherence and HbA1c in 3–6 months did not show statistical associations with the INAS after adjusting for potential confounders.</div></div><div><h3>Conclusions</h3><div>Our study supports the reliability and most aspects of validity of the INAS, which revealed new factors that may affect medication adherence and HbA1c. In clinical settings, healthcare providers may consider using this questionnaire to evaluate potential intentional nonadherence.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111969"},"PeriodicalIF":3.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the 9-year sleep trajectory and its implications for chronic disease risks among middle-aged and older adults","authors":"Qian Li ,&nbsp;Ngan Yin Chan ,&nbsp;Liping Zhang ,&nbsp;Samuel Yeung-shan Wong ,&nbsp;Xue Yang","doi":"10.1016/j.jpsychores.2024.111967","DOIUrl":"10.1016/j.jpsychores.2024.111967","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the 9-year trajectories of sleep duration and to assess the relationship between time-dependent sleep duration and sleep trajectories with 14 chronic diseases in adults.</div></div><div><h3>Methods</h3><div>This study used five waves of data of the China Health and Retirement Longitudinal Survey. Participants with complete sleep duration data and at least one record of 14 chronic diseases were included. The group-based trajectory model was used to identify sleep trajectories from 2011 to 2020. Time-dependent survival analysis and logistic regression were used to examine the relationship between time-dependent sleep duration and sleep trajectories with chronic diseases.</div></div><div><h3>Results</h3><div>A total of 9063 participants were included, with a mean (standard deviation, SD) sleep duration of 6.37 (1.83) h/d. Sleeping &lt;7 h/d predicted higher risks of 11 chronic diseases at follow-up, with hazard ratios (HR) and 95 % confidence intervals (CI) ranging from 1.71 (1.26–2.33) for psychiatric disease to 1.15 (1.04–1.27) for dyslipidemia. Five sleep trajectories were identified and labeled as group 1–5 based on ascending order of sleep duration. Consistently sleeping &lt;4 h/d (group 1) and 4–6 h/d predicted higher risks of most chronic diseases, with the highest HR (95 %CI) of 3.50 (1.73–6.92) and 2.94 (1.82–4.49) for psychiatric diseases, respectively. Consistently sleeping 6–7 h/d (group 3) predicted higher risks of digestive diseases and arthritis. Decreasing sleep (group 4) predicted higher risks of psychiatric diseases and memory-related diseases.</div></div><div><h3>Conclusions</h3><div>Consistently sleeping &lt;6 h/d predicted higher risks of most chronic diseases, especially psychiatric diseases. Digestive disease and arthritis were more sensitive to consistently inadequate sleep.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111967"},"PeriodicalIF":3.5,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network structure of functional somatic symptoms","authors":"Alexandra Litzenburger ,&nbsp;Yannick Rothacher ,&nbsp;Kay-Uwe Hanusch ,&nbsp;Ulrike Ehlert ,&nbsp;Urs M. Nater ,&nbsp;Susanne Fischer","doi":"10.1016/j.jpsychores.2024.111968","DOIUrl":"10.1016/j.jpsychores.2024.111968","url":null,"abstract":"<div><h3>Objective</h3><div>The overlap among functional somatic syndromes (FSS) is substantial, which is why various empirical attempts at an improved understanding of related symptoms have been undertaken. Network analyses are particularly valuable from a clinical point of view, since they focus on the extent to which symptoms expression is co-dependent. The aim of this study was to provide the first estimation of the network structure of symptoms in 17 FSS.</div></div><div><h3>Methods</h3><div><em>N</em> = 3054 young adults participated in an online survey. The Questionnaire on Functional Somatic Syndromes (FSSQ) was used to diagnose FSS and to assess related symptoms. The Patient Health Questionnaire (PHQ-9) was used to assess (comorbid) depression. Various R packages were used for network analysis, which yielded correlations between symptoms (edges), symptom groups (communities), and measures of centrality for individual symptoms (e.g., node strength).</div></div><div><h3>Results</h3><div>The final network had a relatively small number of edges, with small (46.5 %) or small- to medium-sized (47.1 %) correlations. Ten communities were identified: cognitive problems/fatigue/depression, sensory problems, facial pain, head/neck/upper back pain, dizziness/nausea, throat pain/problems with swallowing, chest pain, widespread pain, abdominal pain/problems with digestion, and genital pain. The highest node strength in the network was found for the symptoms “tired”, “down, depressed, or hopeless”, and “tired after minimal exertion”.</div></div><div><h3>Conclusions</h3><div>The network analyses pointed to ten distinct groups of moderately associated symptoms in individuals with FSS. Fatigue and depression emerged as important symptoms connecting groups. Future studies should test whether (transdiagnostic) interventions specifically targeting these symptoms are particularly potent in alleviating FSS.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"188 ","pages":"Article 111968"},"PeriodicalIF":3.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiving, caring intensity, and allostatic load: A comparison of caring to others inside and outside the home","authors":"Stephen Gallagher ,&nbsp;Aoife Bowman Grangel ,&nbsp;Ailbhe Dempsey ,&nbsp;Siobhán Howard","doi":"10.1016/j.jpsychores.2024.111966","DOIUrl":"10.1016/j.jpsychores.2024.111966","url":null,"abstract":"<div><h3>Objective</h3><div>Caregiving to a sick or disabled relative is a key chronic stress model in health psychology. However, caregiving is not uniformly stressful, and this study tested whether caregiving effects on life satisfaction and allostatic load varies by caring intensity, i.e., caring within the home, outside the own home, or both (e.g. Dual caring).</div></div><div><h3>Method</h3><div>Using data from the UK Understanding Society Wave 2, a sample of non-caregivers (<em>N</em> = 3149) and caregivers (<em>N</em> = 562) met inclusion criteria and completed measures of life satisfaction and provided blood samples for capturing endocrine, cardiovascular and immune parameters for assessment of allostatic load.</div></div><div><h3>Results</h3><div>Dual caregivers had lower life satisfaction compared to non-carers, and other caregiver groups. Further, dual caregivers had higher levels of allostatic load compared to non-carers and those caring within the home and those caring outside the home. These group differences withstood adjustment for several co-variates including gender, education, income and lifestyle factors.</div></div><div><h3>Conclusions</h3><div>These results confirm that caregiving is not uniformly stressful with dual caring, an index of caring intensity being more damaging for health. The findings are also discussed in relation to the caregiver-control model of chronic stress.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111966"},"PeriodicalIF":3.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}