Psychology Health & Medicine最新文献

{"title":"The relationship between excessive internet use and learning burnout in adolescents with depressive disorders: the chain mediating role of sleep quality and anxiety.","authors":"Furong Gou, Mengyuan Zhang, Xinrong Ma, Ling Dang, Yuelan Zhang, Xin Tian, Liqi Gu","doi":"10.1080/13548506.2026.2666693","DOIUrl":"https://doi.org/10.1080/13548506.2026.2666693","url":null,"abstract":"<p><p>The rapid expansion of digital technologies has significantly transformed the daily lives of adolescents, yet Internet-related problems have also raised various psychological and academic concerns, particularly among adolescents with depressive disorders. This study examined the association between excessive Internet use and learning burnout in this population, with sleep quality and anxiety included as chain mediators. This study adopted a cross-sectional design and included 330 adolescents with depressive disorders (102 males and 228 females). Data were collected through online self-administered questionnaires, including the Internet Addiction Test (IAT), the Adolescent Learning Burnout Scale, the Pittsburgh Sleep Quality Index (PSQI), and the Self-Rating Anxiety Scale (SAS). Data analyses were conducted using SPSS 26.0 to examine the hypothesized relationships among the variables. The results indicated that sleep quality and anxiety exert a significant chain mediating association in the relationship between excessive Internet use and learning burnout. Specifically, excessive Internet use was indirectly associated with learning burnout indirectly through decreased sleep quality and elevated anxiety. This study found that sleep quality and anxiety both partially mediated the association between excessive Internet use and learning burnout among adolescents with depressive disorders. Sleep quality and anxiety served as a chain mediating mechanism linking excessive Internet use to learning burnout. These findings highlight the importance of improving sleep management, reducing anxiety levels, and promoting healthy Internet use in interventions aimed at adolescents with depressive disorders.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823489","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":"Prevalence and predictors of self-medication among university students in Dodoma City, central Tanzania.","authors":"Neema Sempombe, Victoria Nicanor Urassa, David Munisi","doi":"10.1080/13548506.2026.2666492","DOIUrl":"10.1080/13548506.2026.2666492","url":null,"abstract":"<p><p>Self-medication carries substantial risk of deleterious consequences to individuals and the healthcare system. Understanding its prevalence and predictors is an important pre-requisite for changing this behavior. This was an analytical cross-sectional study that involved university students in two universities in Dodoma city council. We selected 620 study participants for inclusion through multistage sampling procedure, for a semi-structured questionnaire interview. We used STATA version 14 to perform logistic regression analysis in determining the strength of the association. The prevalence of self-medication in the past 12 months prior to data collection was found to be 85.65% (95% CI: 82.65-88.20) because of high cost of service (60.08%) and having the same condition (63.84%). Participants self-medicated for headache and fever (58.76%), and diarrhea (52.54%). Participants' sex, university, programme level, and marital status were the best predictors for self-medication; <i>p =</i> 0.011, 0.009, 0.014 and 0.030 respectively. This study demonstrated high prevalence of self-medication despite 100% health insurance coverage among the studied population. Having a similar symptom/condition, and cost of service were the most common drivers for self-medication. The findings from this study highlight the need for development of a targeted intervention for curbing this pervasive health care issue in Tanzania universities. Further research investigating student satisfaction with university health care services is recommended.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789255","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":"Psychometric evaluation of the monkey pox fear scale in the Turkish general population.","authors":"Merve İnan-Budak, Ali Mertcan Köse","doi":"10.1080/13548506.2026.2661321","DOIUrl":"https://doi.org/10.1080/13548506.2026.2661321","url":null,"abstract":"<p><p>We assessed the psychometric properties of the monkeypox fear scale (MFS) and examined the psychological impact of MPOX on the Turkish population. Data were collected from 635 participants via an online survey between September 2024 and February 2025. To evaluate the constructed validity, we performed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using diagonally weighted least squares (DWLS) estimation. Internal consistency was verified through Cronbach's alpha coefficients. Furthermore, we employed Structural Equation Modeling (SEM) to determine the predictive roles of PHQ-9, GAD-7, perceived helplessness (PH), perceived self-efficacy (PSE), and WHO-5 on MFS sub-dimensions. The MFS demonstrated a robust two-factor structure: emotional and physiological fears. Model fit indices indicated an excellent fit (X²/df = 2.49, CFI = 0.99, RMSEA = 0.048, SRMR = 0.056). While clinical symptoms (PHQ-9 and GAD-7) correlated with MFS, they did not yield significant direct paths in the structural model (<i>p</i> > 0.05). Instead, we identified perceived helplessness, perceived self-efficacy, and psychological well-being as the primary direct predictors of MPOX fear. The MFS is a valid and reliable instrument for the Turkish context. Our findings suggest that at this stage of the outbreak, MPOX fear is governed by cognitive appraisals of control - specifically self-efficacy and helplessness - rather than pre-existing clinical distress.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789338","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":"Dyadic relationship between caregiving burden and perceived stress among people with HIV: moderated mediation analysis.","authors":"Cuihong Huang, Xueying Yang, Yuejiao Zhou, Shuaifeng Liu, Qun Zhao, Xiaoming Li","doi":"10.1080/13548506.2026.2661322","DOIUrl":"https://doi.org/10.1080/13548506.2026.2661322","url":null,"abstract":"<p><p>People with HIV (PWH) and their family members (FM) function as an interdependent system, where the experience and resources of one member may shape the psychological outcomes of the other. While existing studies have shown caregiving burden of FM might negatively affect mental health of PWH, few research examined the underlying mechanism of this association at a dyadic perspective. This study aimed to examine the association between FM's caregiving burden and PWH's perceived stress, and the potential mediating role of FM's resilience and moderating effect of FM's HIV status. Study data were extracted from the baseline survey of an ongoing clinical trial in Guangxi, China. A total of 800 PWH-FM dyads were included in this study. FM's caregiving burden, resilience, HIV status and PWH's perceived stress were measured by self-reported instruments. A moderated mediation model was conducted to explore whether FM's resilience mediated the effect of FM's caregiving burden on PWH's perceived stress and whether such mediation effect varied by FM's HIV status, adjusting for demographic characteristics. The results showed that when FM experienced more caregiving burden, PWH reported higher levels of perceived stress. This relationship was partially explained by FM's resilience; that is, greater caregiving burden reduced FM's resilience, which in turn increased the perceived stress of PWH. This pathway differed by FM's HIV status. Specifically, the indirect effect of FM's resilience existed only in FM with HIV-positive status, while no significant indirect effect was found among FM without HIV. These findings underscore that FM's caregiving burden and PWH's mental health are not isolated variables; interventions should consider PWH and their families as interdependent systems. Effective family-based interventions targeting improving PWH's mental health might consider placing greater emphasis on reducing the caregiving burden and improving family resilience, especially for HIV-seroconcordant families.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789321","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":"Navigating Equality, Diversity and Inclusion: the impact of cultural competency training on social prescribing in the UK.","authors":"J Yoon Irons, Gulcan Garip, David Sheffield","doi":"10.1080/13548506.2026.2661323","DOIUrl":"https://doi.org/10.1080/13548506.2026.2661323","url":null,"abstract":"<p><p>This study aimed to understand experiences of social prescribers and those whose roles are closely linked to social prescribing in taking part in Equality, Diversity, and Inclusion (EDI), and cultural competency training programmes in the UK. Online survey responses from 40 participants were analysed using qualitative content analysis. Two main themes were identified: 1) Perceptions of EDI and Cultural Competency Training, and 2) EDI and Cultural Competency Beyond the Training. This paper provides recommendations and offers suggestions for professionals who work in social prescribing contexts regarding how to improve EDI and cultural competency training. In particular, co-production approaches with individuals from diverse backgrounds are highlighted to establish acceptable and effective social prescribing interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789336","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":"Correction.","authors":"","doi":"10.1080/13548506.2026.2661564","DOIUrl":"https://doi.org/10.1080/13548506.2026.2661564","url":null,"abstract":"","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"i"},"PeriodicalIF":1.9,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724850","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 predictors of disease flares in pediatric inflammatory bowel disease: a prospective study.","authors":"F Milo, D Menghini, S Vicari, P De Angelis","doi":"10.1080/13548506.2026.2659695","DOIUrl":"https://doi.org/10.1080/13548506.2026.2659695","url":null,"abstract":"<p><p>Previous research suggests that anxiety and depressive symptoms may influence the clinical course of Inflammatory Bowel Disease (IBD) in adults. Only few studies have evaluated the influence of mental health on the course of pediatric inflammatory bowel disease. This study aimed to examine the impact of anxiety and depressive symptoms, along with relevant covariates, on (1) the risk of disease flares during follow-up and (2) the time from baseline to the first flare. A cohort of 102 pediatric patients in clinical remission at baseline - comprising patients with Crohn disease and ulcerative colitis - was followed for four years. Negative binomial regression was used to assess predictors of the total number of flares, while survival analysis and Cox proportional hazards models evaluated predictors of the time to the first flare. To ensure robust estimates, multivariable models were adjusted using propensity scores to account for baseline pharmacological treatment variability and clinical complexity. Flares occurred in 59.3% of CD and 72.9% of UC patients. Survival analysis showed no significant difference in time-to-first-flare between groups (<i>p</i> = .13). In UC, negative binomial regression identified younger age at baseline (IRR 0.84, <i>p</i> = .046), shorter disease duration (IRR 0.98, <i>p</i> = .010), and absence of prior surgery (IRR 0.26, <i>p</i> = .002) as significant predictors of higher flare frequency. Conversely, no clinical or psychological predictors reached significance for CD. While initial UC models suggested a link between depressive symptoms and earlier relapse, this effect was attenuated (<i>p</i> = .335) after propensity score adjustment for pharmacological burden. In pediatric UC, disease duration and surgical history are the primary independent predictors of clinical stability. While psychological distress is prevalent, its independent impact on the disease course seems modulated by clinical and treatment variables.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724864","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":"Financial toxicity and healthcare disruptions among working-age cancer survivors in the United States: Insights from the COVID-19 pandemic and future challenges.","authors":"Siddhi Korgaonkar, Nga-Weng Ivy Leong, John P Bentley, Yi Yang","doi":"10.1080/13548506.2026.2659693","DOIUrl":"https://doi.org/10.1080/13548506.2026.2659693","url":null,"abstract":"<p><p>The COVID-19 pandemic worsened financial toxicity (FT) for individuals with cancer. Its ongoing economic and healthcare consequences continue to influence cancer survivorship, especially for working-age cancer survivors (WACS). This study examines the association between pandemic-related FT and healthcare disruptions (HCDs) among WACS aged 27-64 years in the US, and discusses ongoing implications in the post-pandemic context. A cross-sectional study was conducted using an online survey from January - March 2022. Self-reported FT was measured as: 1) perceived FT using the COmprehensive Score for financial Toxicity (COST) instrument [categorized as mild (COST score: ≥26), moderate (14-25), and severe (0-13)]; 2) experience of any material financial stressors (FS) in the past 12 months. Self-reported disruptions to 8 types of healthcare services were assessed. The association between FT and any HCD was assessed using multivariable logistic regression. Responses from 309 WACS were analyzed. Most WACS were aged 51-64 (56.31%), female (71.20%), and White (80.91%). 46.60% reported ≥ 1 HCD since COVID-19 pandemic began. A higher proportion of WACS reporting HCDs reported severe perceived FT (49.31% vs. 24.85%, <i>p</i> < 0.001) and past FS (84.03% vs. 58.18%, <i>p</i> < 0.001), vs. those reporting none. Adjusted odds of any HCD were higher for respondents with severe perceived FT vs. mild perceived FT (aOR: 3.26, 95% CI: 1.27-8.38) or past experiences of material FS vs. none (aOR: 2.40, 95% CI: 1.19-4.82). WACS who reported HCDs during the pandemic were more likely to report experiencing FT, with those experiencing FT havin5g 2- to 3-fold higher odds of reporting HCDs. As pandemic-era healthcare protections (e.g. Medicaid continuous enrollment, expanded unemployment benefits) end, continuing and emerging financial and health policy stressors may further limit healthcare access for WACS. These findings reinforce the need for integrated financial and psychosocial support to mitigate HCDs and improve health outcomes for vulnerable WACS in the post-pandemic era.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724953","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":"Associations of COVID-19 history, substance use, and mental illness with mental health treatment utilization in the United States: age and gender differences.","authors":"Youping Zhao, Muyiwa Ategbole, Yongke Lu, Kesheng Wang, Chun Xu","doi":"10.1080/13548506.2026.2659694","DOIUrl":"https://doi.org/10.1080/13548506.2026.2659694","url":null,"abstract":"<p><p>This study examined the associations of COVID-19 history, substance use, and mental health problems with mental health treatment (MHT) utilization among U.S. adults in 2022 and explored age- and gender-related differences in these relationships. Data were drawn from 27 147 adults participating in the 2022 National Health Interview Survey. Multiple logistic regression (MLR) models were used to estimated adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for past-year MHT utilization. Analyses were conducted for the overall sample and stratified by gender and age groups (18-25, 26-45, 46-64, and ≥65 years). Overall, 23.5% of adults reported using MHT (17.3% of males; 29.1% of females). In MLR, female, prior COVID-19 infection, alcohol use, and e-cigarette use, anxiety, depression, and long sleep duration were independently associated with higher MHT odds (all <i>p</i> < 0.05). Gender-stratified analyses indicated that COVID-19 history, alcohol use, and physical activity were significant predictors of MHT utilization among females only, whereas former cigarette smoking was associated with MHT utilization among males. Age-stratified analyses showed that female, health insurance coverage, and the presence of anxiety or depression were consistently associated with higher MHT use across all age groups. Higher educational attainment was associated with increased MHT utilization among adults aged 26-45 years. Among middle-aged (46-64 years) and older adults (≥65 years), COVID-19 history, current e-cigarette use, former cigarette smoking, and long sleep duration were linked to greater MHT utilization. Former e-cigarette use and current alcohol consumption were associated with MHT use among adults aged 26-45 years and ≥65 years, while moderate physical activity was positively associated with MHT utilization among older adults. These findings underscore the need for integrated post-COVID mental health and substance-use screening and for age- and gender-responsive strategies to improve equitable access to mental health care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700746","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":"Gambling behavior among adolescent and young recreational athletes: the role of gender, gambling modality, and sport characteristics.","authors":"Ana Estévez, Maitane Llanos, Gema Aonso-Diego","doi":"10.1080/13548506.2026.2659696","DOIUrl":"https://doi.org/10.1080/13548506.2026.2659696","url":null,"abstract":"<p><p>Adolescence and youth are periods of increased vulnerability to risk behaviors, including gambling, particularly among athletes. The present study aimed to examine 1) the prevalence and severity of gambling, 2) gender differences in gambling-related behaviors, and 3) associations between sport modality, betting on one's own sport, and engagement in specific gambling activities with gambling severity and motives among recreational athletes. The sample consisted of 244 athletes aged 15 to 35 years (<i>M</i> = 20.58, <i>SD</i> = 4.58), of whom 68% were male. Gambling severity and motives were assessed, along with sport type, involvement in different modalities of gambling activities, and betting on the sport they practiced. Results indicated that 73% of the participants had gambled in their lifetime, and 16.3% presented at-risk or problem gambling behaviors. Males showed higher involvement in strategic and online gambling, higher gambling severity, and stronger gambling motives than females. Regression analyses indicated that online gambling, card games, and sports betting were associated with higher gambling severity. Furthermore, betting on own's sport and participation in specific gambling types (particularly slot machines) were related to higher enhancement, social, coping, and financial motives. Early identification of at-risk athletes, with attention to gender differences in gambling behaviors and motives, may help in developing tailored educational and preventive strategies within recreational sports environments.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700706","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}