Psychology Health & Medicine最新文献

{"title":"Fertility patterns and influencing factors in Ethiopia.","authors":"Derbachew Asfaw, Bosena Adigo, Workineh Muluken","doi":"10.1080/13548506.2025.2486504","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486504","url":null,"abstract":"<p><p>Fertility level, indicating the number of births per woman of reproductive age, plays a pivotal role in population dynamics. In Ethiopia, grappling with a substantial population growth rate poses a significant hurdle in its journey toward attaining middle-income status. This study aims to pinpoint the key determinants influencing fertility levels in the country. Data from the 2019 mini Ethiopian Demographic Health Survey were utilized, encompassing a sample of 8,885 reproductive women selected through stratified random sampling. Various statistical models, including Poisson, Negative Binomial, Zero-Inflated Poisson, Zero-Inflated Negative Binomial, Hurdle Poisson, and Hurdle Negative Binomial, were employed for analysis. Among these, the Zero-Inflated Poisson model emerged as the most suitable for the dataset. The average fertility level among women was 2.59 births, with a variance of 7.852. Findings revealed several significant determinants of fertility levels in Ethiopia. Notably, residing in rural areas, attaining primary, secondary, or higher education, lack of utilization of modern family planning methods, limited knowledge about family planning, and geographic location, such as living in the Afar, Gambella, Addis Ababa, or Dire Dawa regions, were identified as influential factors. Furthermore, being a female household head, experiencing child deaths, widowhood, and divorced were also found to impact fertility rates. The study underscores the importance of addressing these determinants to curb high fertility rates. Recommendations include prioritizing initiatives to enhance women's education levels, ensuring widespread access to family planning services, and bolstering awareness regarding family planning methods. By implementing these measures, strides can be made towards stabilizing fertility rates in Ethiopia and promoting sustainable demographic growth.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare worker burnout: rethinking the maslach burnout inventory.","authors":"Erin E Sullivan, Christie L Martin, Mark Linzer, Patrick N Balius, Ryan T Demmer, Jayne A Fulkerson","doi":"10.1080/13548506.2025.2487949","DOIUrl":"https://doi.org/10.1080/13548506.2025.2487949","url":null,"abstract":"<p><p>Burnout is a devastating consequence of an adverse work environment. Eliminating burnout will require a better understanding of its components and predictors. A sample of 228 healthcare workers (HCWs) in the United States responded to a burnout survey during the pandemic; 175 (77%) answered the query, 'How do you define burnout?', which sought to determine what burnout meant to them. After a formal qualitative analysis, we found that numerous comments (78%) did not fall within one of the classic three categories of burnout noted in the Maslach Burnout Inventory (emotional exhaustion, depersonalization, or lack of sense of personal accomplishment). These 'non-concordant' comments included varied work conditions (known and not well-known burnout predictors), mental health symptoms, physical symptoms, feelings, and important burnout consequences. We propose the Maslach Burnout Inventory may portray only a modest proportion of what HCWs consider to be 'burnout'; further studies are needed to confirm and extend these findings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from the past: medical school experiences, stigma, and help seeking for depression.","authors":"Sabrina Menezes, Kelsey M Carpenter, Jessica B B Diaz, Gregory Guldner, Jason T Siegel","doi":"10.1080/13548506.2025.2482956","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482956","url":null,"abstract":"<p><p>Experiencing lower psychological safety during medical school is linked to higher levels of impostorism and a diminished sense of meaning in work among incoming resident physicians. Furthermore, perceptions of a harmful hidden curriculum in medical school are associated with elevated levels of impostorism. This study aimed to build on these findings by examining whether incoming residents' perceptions of psychological safety and hidden curriculum in medical school correlate with various forms of mental health stigma and residents' intentions to seek help for depression. The participants (<i>n</i> = 244), surveyed from June 2023 to July 2023, were incoming medical residents starting their residency in the fall of 2023 at a large hospital organization. Residents responded to items inquiring about their medical school's psychological safety and hidden curriculum, as well as items asking about mental health stigma (i.e. self-stigma, perceived stigma from other doctors, and the perceived career consequences associated with help seeking) and current intentions to seek help for depression. A series of correlations and path analyses were conducted to examine relationships between these variables. Lower perceptions of psychological safety and higher perceptions of a harmful hidden curriculum in medical school were significantly correlated with higher levels of perceived stigma from other doctors, greater agreement that seeking help would harm their career, and lower help-seeking intentions. Psychological safety, but not hidden curriculum, was significantly related to self-stigma. Moreover, self-stigma, perceived stigma from other doctors, and perceived career consequences mediated the positive association between psychological safety and help-seeking intentions, while only perceived career consequences were a significant mediator for the negative relationship between hidden curriculum and help-seeking intentions for depression. These findings have implications for both understanding and improving resident well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness as a motivating factor for maladaptive daydreaming among Vietnamese adolescents: the role of online novel reading.","authors":"Pham Quang Dao, Pecherkina Anna Alexandrovna","doi":"10.1080/13548506.2025.2486506","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486506","url":null,"abstract":"<p><p>In today's world, where digital consumption is prevalent, it's crucial to reflect on the psychological effects of online behaviors. This research focuses on exploring how abnormal online novel reading (AONR) mediates the connection between feelings of loneliness and maladaptive daydreaming (MD). A survey was conducted on 388 subjects who engage in online novel reading. The results revealed that AONR serves as a partial mediator between loneliness and MD. The findings suggest that loneliness may compel individuals to seek solace in the virtual narratives of online novels, which in turn may catalyze MD by offering fertile ground for elaborate fantasy worlds. These findings suggest that addressing the underlying issue of loneliness and reducing AONR could help alleviate MD. Interventions could focus on promoting social connections and fostering healthier coping mechanisms. Moreover, AONR should be considered a potential behavioral addiction, like other forms of digital addiction, as it involves preoccupation with online novels, withdrawal symptoms, increased tolerance, loss of control, continued engagement despite negative consequences, and escapism as a coping mechanism. They also highlight the importance for online novel readers who should be aware of the potential negative effects of this behavior on their mental health and strive to maintain a balance between reading habits and other activities to promote both personal fulfillment and psychological health.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological status of pregnant women during the COVID-19 pandemic in Nairobi County, Kenya: a cross-sectional study.","authors":"Khushboo J Sonigra, Krishan Sarna, Thomas Amuti, Samwel R Gesaka, Linnet Ongeri, Moses M Obimbo","doi":"10.1080/13548506.2025.2487227","DOIUrl":"https://doi.org/10.1080/13548506.2025.2487227","url":null,"abstract":"<p><p>Pregnancy is associated with an increased psychological burden on women. This burden may be worsened by uncertainty occasioned by pandemics such as the recent coronavirus disease 2019 (COVID-19). The study aims to investigate the psychological status of pregnant women following the COVID-19 pandemic in Kenya. This descriptive cross-sectional study was conducted amongst 126 pregnant women at the Kenyatta National Hospital, Nairobi. Data on the women's sociodemographic and obstetric factors, levels of depression, anxiety, and insomnia were recorded on a questionnaire. SPSS version 29 was used to perform paired t-test and multivariate regression analysis to assess for statistically significant association between sociodemographic, obstetrics factors, and related factors on COVID-19-related stressors with depression, anxiety, and insomnia. High levels of depression, anxiety, and insomnia were noted with a mean Edinburgh Postnatal Depression Scale (EPDS) score of 14.90 ± 5.25, State-Trait Anxiety Inventory (STAI) score of 44.12 ± 9.73 and Women's Health Initiative Insomnia Rating Scale (WHIIRS) score of 10.07 ± 5.81 respectively. There was a strong association between depression, anxiety, and insomnia with specific factors. In conclusion, pregnant women in Kenya experienced significant symptoms of depression, anxiety, and insomnia following the onset of the COVID-19 pandemic.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 trauma-related stress in young people: do sensory-processing sensitivity, resilience, and life satisfaction play a role?","authors":"Christiana Iordanou, Ellie Turner","doi":"10.1080/13548506.2024.2439065","DOIUrl":"10.1080/13548506.2024.2439065","url":null,"abstract":"<p><p>Although COVID-19 was experienced as a traumatic event with long-lasting effects, there is limited data on its traumatic impact in relation to factors that can promote or threaten young people's mental wellbeing. This study investigated the association between sensory-processing sensitivity (SPS), resilience, and life satisfaction with COVID-19 trauma-related stress and whether resilience mediates the relationship between SPS and COVID-19 traumatic stress in a young sample. A total of 441 individuals aged between 16 and 25 years (<i>M</i>_age = 19.26, <i>SD</i> = 1.65) participated in an online survey in the UK between November 2021 and April 2022. We found that SPS was positively correlated, and resilience was negatively correlated with COVID-19 trauma-related stress. Life satisfaction was not significantly related to COVID-19 trauma-related stress. A mediation analysis showed that the relationship between SPS and COVID-19 trauma-related stress was mediated by resilience. Our findings suggest that resilience can be a protective factor against the traumatic effect of COVID-19 in young people, but other factors should also be considered. Our study makes implications about the potential benefits of including resilience in interventions which target young people's mental wellbeing.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"708-722"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between burnout and PTSD, and perceived stress in the workplace among healthcare workers in the intensive care unit: a PsyCOVID-ICU substudy.","authors":"Alicia Fournier, Victoire Deltour, Florent Lheureux, Anne-Laure Poujol, Fiona Ecarnot, Christine Binquet, Jean-Pierre Quenot, Alexandra Laurent","doi":"10.1080/13548506.2025.2454038","DOIUrl":"10.1080/13548506.2025.2454038","url":null,"abstract":"<p><p>The COVID-19 pandemic exposed intensive care unit (ICU) healthcare workers (HCWs) to acute stress (e.g. unpredictability, fear, helplessness) and chronic stress (e.g. prolonged crisis with recurring waves). While the psychological impact has been documented, few studies explore the overlap of these stressors. One year after the pandemic's first peak, we aimed to assess the psychotraumatic impact and burnout among ICU HCW and to examine the relationship between these disorders, and perceived workplace stressors. This study was conducted in 77 ICUs in France between June and July 2021. The online questionnaire included measures of perceived stress, burnout, and symptoms of post-traumatic stress disorder (PTSD). Descriptive analyses investigating the co-occurrence of PTSD/burnout symptoms were conducted and multinomial logistic regression was used to predict membership in these groupings from current perceived stress and a range of relevant demographic variables. Among 1108 hCW included, 318 (28.7%) exhibited only burnout, 34 (3.07%) exhibited only PTSD, and 182 (16.42%) exhibited both conditions simultaneously. These categories of professionals, particularly those with concurrent PTSD and burnout, perceived higher work-related stress than those without burnout and PTSD. These results can be used to provide personalized support for the specific psychological disorders present (burnout or PTSD), with a view to providing HCW with a work environment that is more conducive to their psychological recovery.Clinical trial registrationNCT04944394.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"752-769"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish version of the German Eating Behavior Scale (SEV-Tr): a study of reliability and construct validity.","authors":"Öykü Peren Türk, Selçuk Dağdelen, Tomris Erbas, Zehra Buyuktuncer","doi":"10.1080/13548506.2024.2440656","DOIUrl":"10.1080/13548506.2024.2440656","url":null,"abstract":"<p><p>This two-phase study aims to develop the Turkish version of the German Eating Behavior Scale (SEV-Tr), and to investigate the potential associations of health-conscious and weight-controlling eating behaviors with nutritional and health status. In the first phase, the original scale was adapted to the Turkish language and its validity and reliability were assessed in 299 healthy individuals aged 19-64 years. In the second phase, the SEV-Tr was retested in a study population of 110 healthy individuals, aged 19-64 years, and the potential associations between the SEV-Tr score, anthropometrical and biochemical measurements, and other eating behaviors assessed by the Three-Factor Eating Questionnaire (TFEQ-Tr21) were examined. Statistical analyses were performed using AMOS 20.00 and SPSS 22.0 software packages. A two-dimensional structure was identified for the SEV-Tr, and named 'health-conscious eating behavior' and 'weight- controlling eating behavior'. In the second phase, participants were clustered based on their weight-controlling and health-conscious eating behaviors (F = 59.46, <i>p</i> = 0.01). Participants with lower health-conscious and weight-controlling eating behaviors had higher lean body mass (<i>p</i> = 0.03), serum triglyceride levels (<i>p</i> = 0.01), emotional eating behavior (<i>p</i> = 0.03), and lower cognitive restraint behavior (<i>p</i> = 0.01, <i>p</i> < 0.05). Furthermore, participants with high levels of health-conscious eating behavior had higher serum HDL cholesterol (<i>r</i> = 0.23, <i>p</i> = 0.02). Regression models suggested that lower levels of emotional eating and higher levels of cognitive restraint were associated with increased weight-controlling and health-conscious eating behaviors. This study provided a valid and reliable version of the SEV to assess the health-conscious and weight-controlling eating patterns in people from Turkish culture.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"798-817"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the effectiveness of a new French assisted resilience program among long-term unemployed people: a randomized control trial.","authors":"Sophie Barraud Froget, Béatrice Perez-Dandieu, Claire Marquebieille, Géraldine Tapia","doi":"10.1080/13548506.2025.2450548","DOIUrl":"10.1080/13548506.2025.2450548","url":null,"abstract":"<p><p>Long-term unemployment can affect life satisfaction, reduce well-being and increase mental health problems. Promoting psychological resilience to support the ability to cope with life challenges such as unemployment, may be a useful strategy. A specific program named AD-Ré was designed for Long-Term Unemployed (LTU) people in order to improve their mental health by fostering psychological resilience. A randomized control trial design was used. A total of 160 LTU people, recruited from the French National Employment Service, were randomly assigned to the experimental group (<i>n</i> = 89) or the control group (<i>n</i> = 71). The experimental condition consisted in following the usual counseling protocol and participating in the assisted resilience program AD-Ré while the control condition consisted in following the usual counseling protocol only. Resilience and mental-health outcomes were measured at baseline (T1) and following the last session of the program (T2). The results were analyzed using descriptive statistics, repeated measures analysis of variance (ANOVA) and t-test. ANOVA showed a significant crossed effect between time and group on resilience, well-being, and emotional dysregulation measures (<i>p</i> < .05) and a trend effect on perceived stress and optimism measures (<i>p</i> < 10). The intervention had a significant effect on resilience (d = 0.62), well-being (d = 0.37) and emotional dysregulation (d = 0.32) and a trend effect on perceived stress measures (d = 0.26). For the first time in France, an assisted resilience program significantly improved psychological resilience among LTU compared to an usual counseling protocol.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"737-751"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the mechanism of work-family conflict on obesity-related eating behavior among employees: a large-scale cross-sectional study in China.","authors":"Fangjie Dong, Tingting Liao","doi":"10.1080/13548506.2025.2486507","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486507","url":null,"abstract":"<p><p>Previous research has demonstrated associations between work-family conflict (WFC) and obesity-related eating behaviors (OEB). However, the mechanism underlying this relationship remain unclear, especially regarding the differential impacts of work-to-family conflict (WtFC) and family-to-work conflict (FtWC). Based on conservation of resources theory, this study investigated how WtFC and FtWC influences OEB through self-efficacy and anxiety, and whether intention to have the first-child (IC1) and second-child (IC2) moderates these relationships. Data were collected from 1,708 Chinese employees aged 19-35 using a cross-sectional survey. Results showed that both WtFC and FtWC positively predicted OEB (<i>β</i> = 0.141, <i>p</i> = 0.001; <i>β</i> = 0.223, <i>p</i> < 0.001). FtWC predicted OEB through two pathways: directly through anxiety (<i>β</i> = 0.066, 95% CI: 0.045 to 0.089) and sequentially through self-efficacy and anxiety (<i>β</i> = 0.003, 95% CI: 0.001 to 0.006). WtFC showed no significant indirect effects through these pathways. IC2 strengthened the mediating effect of anxiety in the FtWC-OEB relationship (Index = 0.011, 95% CI: 0.003 to 0.019), while no significant moderating effect was found for IC1. These findings reveal distinct mechanisms through which WtFC and FtWC influence eating behaviors among Chinese employees, highlighting the complex interplay between work-family dynamics, psychological resources, emotions, and health behaviors. The results provide insights for developing targeted interventions to address OEB in workplace settings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-22"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}