Xue Fang, XiaoYan Wang, WenJun Zheng, Ying Yin, XiaoBin Ge
{"title":"Effect of Acupuncture on Anxiety, Depression, and Quality of Life in Patients with Irritable Bowel Syndrome: A Meta-Analysis.","authors":"Xue Fang, XiaoYan Wang, WenJun Zheng, Ying Yin, XiaoBin Ge","doi":"10.1007/s12529-025-10348-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10348-z","url":null,"abstract":"<p><strong>Background: </strong>Irritable bowel syndrome (IBS) has been effectively treated with acupuncture, but the significance of quality of life, depression, and anxiety in the assessment of IBS patients has received little consideration. This study examined the impact of acupuncture on depression, anxiety, and quality of life in IBS patients.</p><p><strong>Method: </strong>PubMed, Cochrane Library, China National Knowledge Infrastructure (CNKI), EMBASE, China Science and Technology Journal Database (VIP), Chinese Biological Medical (CBM, SinoMed) Database, and the Wan Fang Database were among the electronic databases from which relevant randomized controlled trials (RCTs) were systematically retrieved between their inception and July 2023. The outcomes included adverse events, total response rate, anxiety, and symptoms of depression, as well as quality of life. In this study, the heterogeneity, publication bias, standardized mean difference (SMD), and risk ratios (RR) with 95% confidence intervals (CI) were estimated.</p><p><strong>Results: </strong>In this study, 29 RCTs including 3114 participants for analysis (treatment group, 1730; control group, 1384) were included. Compared to other therapies, acupuncture significantly improved the quality of life (SMD = 0.61, 95% CI = [0.26, 0.96], P < 0.001) and alleviated anxiety (SMD = - 0.72, 95% CI = [- 1.76, 0.32], P = 0.18) and depression (SMD = - 0.74, 95% CI = [- 1.18, - 0.3], P < 0.001) in IBS patients. A statistically significant improvement was recorded in their quality of life, and they also displayed fewer symptoms of depression. The total response rate (RR = 1.18, 95% CI = [1.12, 1.25], P < 0.001) indicated that acupuncture significantly affected IBS treatment in comparison to other methods. Subgroup analysis of primary outcome indicators revealed that acupuncture demonstrated better results regardless of the duration of intervention and was more effective than Western medicine or sham acupuncture. In addition to the total response rate (I<sup>2</sup> = 0%), the other three outcome indicators showed significant heterogeneity (I<sup>2</sup> > 50%). No publication bias was noted in RR (P < 0.05); however, a significant publication bias was observed in quality of life (P > 0.05).</p><p><strong>Conclusion: </strong>Acupuncture can enhance the quality of life and relieve anxiety and depression in patients with IBS with apparent safety; however, a large number of high-quality RCTs are still needed.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054274","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":"Causal Relationship Between Different Sleep Traits and Dental Caries: A Bidirectional Mendelian Randomization Study.","authors":"Dan Zhou, Zehan Zhang, Jianxing Zhang, Heqing Lai, Qing Zhou, Chao Pei","doi":"10.1007/s12529-025-10350-5","DOIUrl":"https://doi.org/10.1007/s12529-025-10350-5","url":null,"abstract":"<p><strong>Background: </strong>Dental caries (DC) is a significant common disease of the oral cavity. Recently, researchers have focused more on the impact of poor sleep habits on the incidence and development of DC, which aroused our interest in the study of the correlation and causal relationship between sleep and dental caries.</p><p><strong>Methods: </strong>In this study, Linkage disequilibrium score (LDSC) regression method was used to found the genetic correlation between different sleep traits and DC, while bidirectional Mendelian randomization (MR) methods were used to explore the causal relationship. The main analysis of MR was inverse variance weighted method, and the outcomes were evaluated by odds ratio (OR) and 95% confidence interval (95% CI).</p><p><strong>Results: </strong>In LDSC regression analysis, genetic correlations were found between chronotype, dozing, insomnia, sleep duration and DC (P = 0.002, P = 0.026, P = 7.233E-09, P = 0.012). However, when utilizing the TSMR method, no discernible casual relationships were found between chronotype, dozing, insomnia, sleep duration and DC (P = 0.832, P = 0.129, P = 0.822, P = 0.644). This result was further substantiated through the utilization of additional validation datasets.</p><p><strong>Conclusions: </strong>Our study found no causal relationship between sleep traits and DC.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054272","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}
Helen Wing Yuk Tse, Marjolein M Hanssen, Linda M G Vancleef, Madelon L Peters
{"title":"Stress Appraisal, Stress Mindset, and Perceived Pain During a Cold Pressor Test.","authors":"Helen Wing Yuk Tse, Marjolein M Hanssen, Linda M G Vancleef, Madelon L Peters","doi":"10.1007/s12529-024-10346-7","DOIUrl":"https://doi.org/10.1007/s12529-024-10346-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies demonstrated that task-specific stress appraisals as well as the more general belief that stress is (mal)adaptive (i.e., stress mindset) can affect the stress response. Little is known about the influence of stress appraisals and stress mindset on pain perception. The current study investigated whether stress appraisals and/or stress mindset moderates the impact of stress on pain perception.</p><p><strong>Method: </strong>Sixty participants performed a stress-inducing speech preparation task followed by the cold pressor test (CPT) to induce pain. Threat appraisal of the speech task was measured with a questionnaire. Stress mindset was manipulated with a video clip emphasizing either the debilitating or enhancing nature of stress, after which another administration of the CPT took place.</p><p><strong>Results: </strong>Participants in the \"stress-is-enhancing\" condition reported less pain on the second CPT than on the first, while participants in the \"stress-is-debilitating\" condition demonstrated similar pain levels. There was no effect of threat appraisals of the speech task on pain perception.</p><p><strong>Conclusion: </strong>These findings provide evidence on the impact of stress mindset on pain perception. Future studies could extend these findings to patients with pain and examine whether mindset interventions can be a useful component in pain management.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958893","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}
Jeong Ha Choi, Kylie Szymanski, Daniel H Jung, Tricia Z King
{"title":"Beyond the Nest: The Role of Financial Independence in Young Adult Health.","authors":"Jeong Ha Choi, Kylie Szymanski, Daniel H Jung, Tricia Z King","doi":"10.1007/s12529-024-10339-6","DOIUrl":"https://doi.org/10.1007/s12529-024-10339-6","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to examine the impact of neighborhood conditions and household material hardship experiences on young adult health outcomes, while also considering financial autonomy as a critical determinant of health.</p><p><strong>Method: </strong>We employed a cross-sectional observational design with a diverse sample of young adults from a large urban university. Structural equation modeling was used to analyze the relationships between neighborhood conditions and material hardship with health outcomes by financial autonomy.</p><p><strong>Results: </strong>Material hardship and neighborhood conditions were significantly related to various health outcomes among young adults. Food insecurity emerged as a significant mediator linking neighborhood conditions to health including global physical health, cognitive functioning, and depression. Financially independent young adults showed stronger direct and indirect effects of neighborhood conditions on health compared to financially dependent counterparts.</p><p><strong>Conclusion: </strong>This study underscores the complex interplay of neighborhood conditions, household material hardship, and financial autonomy in shaping young adult health. Our findings also suggest how the impact of SDOH on young adult health may have long-term effects later in life. Future research should consider these factors comprehensively to address disparities in emerging adult health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923908","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}
Dorothy Ngo Sheung Chan, Kai Chow Choi, Winnie Kwok Wei So
{"title":"Effects of Web-Based Decision Aid to Support Cervical Cancer Screening Decision Among Young Working Women: A Pilot Randomised Controlled Trial.","authors":"Dorothy Ngo Sheung Chan, Kai Chow Choi, Winnie Kwok Wei So","doi":"10.1007/s12529-024-10344-9","DOIUrl":"https://doi.org/10.1007/s12529-024-10344-9","url":null,"abstract":"<p><strong>Background: </strong>Young working women who devote most of their time to jobs and household chores may experience conflicts when faced with a cervical cancer screening decision. This study aimed to assess the acceptability and feasibility of a Web-based decision aid on cervical cancer screening by young working women, and to preliminarily examine the effects of the decision aid on the knowledge level, risk perception, decisional conflicts, screening decision and screening uptake.</p><p><strong>Method: </strong>This was a pilot randomised controlled trial. A total of 158 working women aged 25-44 years who had not undergone cervical cancer screening in the past 3 years were recruited. The recruited women allocated to the intervention group received a Web-based decision aid with information about the Papanicolaou test and HPV test, whereas the control group received usual care, i.e. a fact sheet about a healthy living.</p><p><strong>Results: </strong>A total of 138 of them (72 in the intervention group and 66 in the control group) completed the study and the screening uptake assessment. The intervention group showed greater improvement in the subscale scores and the overall scores for decisional conflicts (effect size, 0.71-0.90), and a statistical significantly larger proportion of the intervention group had undergone cervical cancer screening when compared to the control group (31.9% vs 6.1%). Most interviewees were satisfied with the intervention.</p><p><strong>Conclusion: </strong>It was feasible and acceptable to implement the Web-based decision aid to young working women. The preliminary findings suggest that the decision aid could help to reduce decisional conflicts and encourage uptake of screening. Full-scale studies are needed to confirm these findings.</p><p><strong>Trial registration: </strong>This study was registered at the International Standard Randomised Controlled Trial Number Registry (ISRCTN59163820) on 4 August 2022.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911078","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}
Claes Andersson, Anne H Berman, Petra Lindfors, Marcus Bendtsen
{"title":"Non-compliance with COVID-19 Health Recommendations: Five- and Ten-Month Effects on Mental Health and Academic Self-efficacy Among University Students in Sweden.","authors":"Claes Andersson, Anne H Berman, Petra Lindfors, Marcus Bendtsen","doi":"10.1007/s12529-024-10343-w","DOIUrl":"https://doi.org/10.1007/s12529-024-10343-w","url":null,"abstract":"<p><strong>Background: </strong>Addressing the effects of non-compliance with health-related recommendations in pandemics is needed for informed decision-making. This longitudinal study investigated the effects of non-compliance on mental health and academic self-efficacy among university students in Sweden.</p><p><strong>Methods: </strong>Baseline assessments were conducted in May 2020, with follow-ups after 5 and 10 months. Students (n = 3123) from 19 universities completed online questionnaires covering compliance, mental health, and academic self-efficacy. Effects of non-compliance were estimated using causal inference and multilevel multinomial regression.</p><p><strong>Results: </strong>Non-compliant students constituted a minority, but their proportion increased over time. Regarding mental health and academic self-efficacy, few differences were observed between compliant and non-compliant students. When differences were identified, non-compliant students experienced fewer negative effects on mental health and academic self-efficacy than compliant students.</p><p><strong>Conclusion: </strong>The findings may suggest that non-compliance may have involved a trade-off between increased individual freedom and mitigating negative outcomes. Addressing the research gap on non-compliance effects is crucial for informed decision-making and promoting the common good. This may guide strategies balancing individual autonomy and collective well-being during future pandemics.</p><p><strong>Pre-registration: </strong>Center for Open Science (OSF), https://accounts.osf.io/login?service=https://osf.io/37dhm/ .</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911080","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":"Body Shame Predicts Healthcare Discomfort and Avoidance in College Women Through the Mechanism of Low Body Responsiveness.","authors":"Jean M Lamont, Abigail R Flynn, S Megan Stewart","doi":"10.1007/s12529-024-10341-y","DOIUrl":"https://doi.org/10.1007/s12529-024-10341-y","url":null,"abstract":"<p><strong>Background: </strong>Many cultures promote ideals for women's bodies that are difficult to meet, and not meeting these ideals may result in body shame. Body shame predicts discomfort in and avoidance of situations in which the body may be scrutinized. As the healthcare setting frequently involves examination of the body, body shame may predict discomfort in and avoidance of the healthcare setting. However, these relationships have been tested minimally and only in higher-weight women. Since body shame may occur regardless of BMI, body shame may predict healthcare discomfort and avoidance across the weight spectrum. Moreover, these relationships may occur because body shame predicts low body responsiveness, or the detection and valuing of bodily signals, which in turn may predict healthcare discomfort and avoidance.</p><p><strong>Method: </strong>The present investigation tested these ideas in weight-diverse undergraduate women (N = 467) using cross-sectional (studies 1 and 2) and experimental (study 3) designs and imagined healthcare settings.</p><p><strong>Results: </strong>In study 1, body shame correlated positively with healthcare discomfort, and low body responsiveness mediated this relationship. In study 2, body shame was not directly related to healthcare avoidance, but low body responsiveness mediated this relationship. In study 3, participants who underwent a body shame induction reported lower state body responsiveness than control participants, and lower state body responsiveness mediated the links between condition and healthcare discomfort and avoidance.</p><p><strong>Conclusion: </strong>Attitudes toward internal bodily functions may link body shame to healthcare avoidance and discomfort in college women across the weight spectrum. Future research may examine this model in more diverse populations.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866453","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":"Conscious Initiation to Promote Physical Activity: A Behavioral Experiment and A Randomized Controlled Trial Intervention.","authors":"Cong Zhang, Qianqian Ju, Yiqun Gan","doi":"10.1007/s12529-024-10342-x","DOIUrl":"https://doi.org/10.1007/s12529-024-10342-x","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have investigated the encouragement of healthy behaviors through both conscious manipulation and unconscious priming. However, direct comparisons between these two approaches are limited, resulting in interventions that may lack precision. This study aimed to evaluate the effects of conscious and unconscious priming on the intention to engage in physical activity, with the goal of identifying and applying the most effective method as a targeted intervention to bridge the gap between intention and actual physical activity.</p><p><strong>Method: </strong>In study 1, 116 participants were screened in a 2 × 2 (conscious vs. unconscious) × (prime vs. control) online experiment to examine the influence of implementation intention manipulation and goal priming on physical activity. Building on these results, study 2 employed a randomized controlled trial with 127 participants to assess the effects of conscious mental simulation interventions on physical activity behavior.</p><p><strong>Results: </strong>Study 1 showed that both conscious manipulation (p = .046) and unconscious priming (p = .004) significantly increased the choice of sports activities, with conscious manipulation being more effective. Study 2 found significant impacts of mixed simulation on activity levels immediately and one-week post-intervention (p = .001), with day-after intervention effects notable in the simulation group.</p><p><strong>Conclusions: </strong>This study explored the causal relationship between priming process physical activity, and found out the promotion effect of conscious mental simulation intervention on physical activity.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856813","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}
Barbara L Niles, Anica Pless Kaiser, Thomas Crow, Maria McQuade, Craig Polizzi, Carole Palumbo, Maxine Krengel, Kimberly Sullivan, Chenchen Wang, DeAnna L Mori
{"title":"Tai Chi and Wellness Interventions for Veterans with Gulf War Illness: A Randomized Controlled Feasibility Trial.","authors":"Barbara L Niles, Anica Pless Kaiser, Thomas Crow, Maria McQuade, Craig Polizzi, Carole Palumbo, Maxine Krengel, Kimberly Sullivan, Chenchen Wang, DeAnna L Mori","doi":"10.1007/s12529-024-10338-7","DOIUrl":"10.1007/s12529-024-10338-7","url":null,"abstract":"<p><strong>Background: </strong>Gulf War Illness (GWI) is a chronic multi-symptom illness that affects up to one-third of the 700,000 American military personnel deployed to the Persian Gulf region in 1990 and 1991. We conducted a randomized controlled trial to examine feasibility and the relative efficacy of two 12-week in-person group treatments (Tai Chi and Wellness) to address GWI symptoms of chronic pain, fatigue, and changes in mood and cognitive functioning.</p><p><strong>Method: </strong>Male and female veterans were randomly assigned to Tai Chi (n = 27) or Wellness (n = 26) group interventions and assessed at four time points: baseline, post-treatment, 3-, and 9-month follow-up. Multilevel models with a treatment-by-time interaction term were utilized to evaluate treatment effects and changes in GWI-related outcomes over time.</p><p><strong>Results: </strong>Satisfaction was high, there were no adverse events, and over half the participants attended 75% or more sessions with no significant differences between groups. For pain interference, analyses revealed a significant quadratic effect of time with no differences between treatment groups. For general fatigue and a cognitive test of trail making, no significant effects were detected. For depressed mood, linear and quadratic time effects and the group x linear time interaction were significant indicating greater reductions for Tai Chi participants. For a verbal learning test, linear and quadratic time and the group x quadratic time interaction significantly predicted total recall with Tai Chi participants demonstrating more rapid initial improvements.</p><p><strong>Conclusion: </strong>Findings indicate that both Tai Chi and Wellness are feasible and acceptable. Both interventions may have a salutary impact on pain interference, depression, and verbal learning with some advantages for Tai Chi.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12167744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840254","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}
Katharina Loibnegger-Traußnig, Andreas R Schwerdtfeger, Franz Flaggl
{"title":"Perceived Psychological and Physical Health as Predictors of Mortality and Quality of Life in Patients with Lymphedema: A Prospective Study Spanning Almost Two Decades.","authors":"Katharina Loibnegger-Traußnig, Andreas R Schwerdtfeger, Franz Flaggl","doi":"10.1007/s12529-024-10340-z","DOIUrl":"https://doi.org/10.1007/s12529-024-10340-z","url":null,"abstract":"<p><strong>Background: </strong>How does living with a chronic disease of the lymphatic system affect quality of life and mortality? Lymphedema is a chronic disease mostly affecting women and research is sparse. To this date, longitudinal studies evaluating biopsychosocial predictors for mortality and quality of life in lymphedema are largely missing. This study aims to identify possible predictors and could open innovative ways for treatment options.</p><p><strong>Method: </strong>Two hundred ninety-two patients with lymphedema partaking in a rehabilitation program in a lymphedema clinic were longitudinally assessed. The sample consisted of 86.2% women, aged between 18 and 83 years (M = 53.42, SD = 12.54), with a mean BMI (kg/m<sup>2</sup>) of 31.64 (SD = 8.26). Beginning with baseline assessment in 2002-2006, follow-up was evaluated 15-19 years later (N = 91). We assessed a variety of potential biopsychosocial predictors of mortality and quality of life (i.e., depression, anxiety, cancer). At follow-up, 19.5% of participants were deceased.</p><p><strong>Results: </strong>Age, gender, and cancer significantly predicted mortality (R<sup>2</sup> = .27) and quality of life (R<sup>2</sup> = .29). Anxiety and depression significantly predicted both quality of life and mortality when entered simultaneously. However, further analyses indicated suppressor effects and when entered separately, effects solely for depression or anxiety did not reach significance level.</p><p><strong>Conclusion: </strong>Age, gender, and cancer were the main predictors of mortality and quality of life in patients with lymphedema. Psychological predictors of mortality and quality of life were mainly due to suppressor effects, thus calling for caution when analyzing the contribution of mental health indicators for clinical outcomes.</p><p><strong>Trial registration: </strong>This study was preregistered with the German Clinical Trials Register (Identifier DRKS00024450) and Open Science Framework ( https://doi.org/10.17605/OSF.IO/RHXQJ ).</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803008","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}