Psychology Health & Medicine最新文献_第10页

Underserved older adults' treatment preferences for a mind-body activity program for chronic pain delivered via shared medical visits in a community clinic. 缺乏服务的老年人对通过社区诊所共享医疗访问提供的身心活动计划治疗慢性疼痛的治疗偏好。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-17 DOI: 10.1080/13548506.2025.2478517

Alexander M Presciutti, Madison Ehmann, Nadine Levey, Julie Brewer, Christina L Rush, Jonathan Greenberg, Katherine McDermott, Christine S Ritchie, Ana-Maria Vranceanu

{"title":"Underserved older adults' treatment preferences for a mind-body activity program for chronic pain delivered via shared medical visits in a community clinic.","authors":"Alexander M Presciutti, Madison Ehmann, Nadine Levey, Julie Brewer, Christina L Rush, Jonathan Greenberg, Katherine McDermott, Christine S Ritchie, Ana-Maria Vranceanu","doi":"10.1080/13548506.2025.2478517","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478517","url":null,"abstract":"Older adults with chronic pain from underserved communities need evidence-based pain management programs. To meet this need, we interviewed patients and staff from an underserved community clinic to identify their treatment preferences and barriers and facilitators to participating in a mind-body activity program. We conducted nine qualitative interviews (two staff; seven patients) and six focus groups (three staff groups; three patient groups), transcribed them verbatim and then used inductive-deductive thematic analysis guided by two pre-specified superordinate domains: (1) treatment preferences and (2) barriers and facilitators to participation. Participants recommended flexible, group participation options (in person, remote) with a credible leader and with multi-cultural considerations. They generally reacted positively to the proposed content. Barriers included logistical barriers (e.g. transportation, finances), weather, and skepticism about novel treatments; facilitators centered on expanding access and increasing sense of community. Our findings highlight important considerations to facilitate the uptake of mind-body activity programs for underserved older adults with chronic pain.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651708","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}

引用次数: 0

Incident multimorbidity and associated factors among middle-aged and older adults in Thailand. 泰国中老年人发病率及相关因素

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-13 DOI: 10.1080/13548506.2025.2478658

Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong

{"title":"Incident multimorbidity and associated factors among middle-aged and older adults in Thailand.","authors":"Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong","doi":"10.1080/13548506.2025.2478658","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478658","url":null,"abstract":"Assessing the longitudinal relationship between sociodemographic, lifestyle, and psychological characteristics and incident multimorbidity (IMM) in middle-aged and older persons in Thailand was the goal of this study. We examined prospective cohort data of individuals aged 45 and over from three successive waves of the Health, Aging and Retirement in Thailand (HART) research conducted in 2015, 2017, and 2020 (analytic sample N = 2442). IMM was assessed with 10 health care provider diagnosed medical conditions. To assess the longitudinal associations between measures of sociodemographic, lifestyle and psychosocial factors, and IMM between 2015 (baseline without MM), 2017 (first follow-up, IMM) and 2020 (second follow-up, IMM), we conducted Generalized Estimating Equations analysis (GEE). The 5-year cumulative IMM was 19.6% and the incidence rate was 39.1 per 1000 person-years. In the final GEE logistic regression model, sociodemographic factors (older age, urban residence, lower economic status, and central region), lifestyle factors (past alcohol use, overweight and obesity) and psychosocial factors (poor self-rated mental health, insomnia symptoms, loneliness, and low informal social engagement) were associated with IMM. We found that sociodemographic, factors and psychosocial factors were associated with IMM. Enhancing lifestyles related to reducing bodyweight, screening and treatment of poor mental health and improving social interaction may reduce MM in Thailand.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626962","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}

引用次数: 0

Disguising symptoms and a lack of treatment options: living with obstructive sleep apnea before, during and after diagnosis. 隐瞒症状和缺乏治疗选择：在诊断之前、期间和之后患有阻塞性睡眠呼吸暂停。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-11 DOI: 10.1080/13548506.2025.2471042

Siobhán Cassidy, Donal O'Shea, Sinéad Smyth

{"title":"Disguising symptoms and a lack of treatment options: living with obstructive sleep apnea before, during and after diagnosis.","authors":"Siobhán Cassidy, Donal O'Shea, Sinéad Smyth","doi":"10.1080/13548506.2025.2471042","DOIUrl":"https://doi.org/10.1080/13548506.2025.2471042","url":null,"abstract":"The ongoing underdiagnosis and undertreatment of obstructive sleep apnea (OSA) suggests an urgent need to better understand the broader implications of living with this condition. This qualitative study aimed to understand the wider psychosocial impact of living with OSA. Eight participants diagnosed with OSA (75% male; M age = 46.25 years) were asked to take part in semi-structured interviews over Zoom. Inductive and deductive methods were used to conduct a thematic analysis of the data. We identified three themes. Each theme discusses a core aspect of living with OSA before, during and after diagnosis. We identified disguising tiredness as a coping mechanism used pre-diagnosis which, along with misattribution of tiredness to lifestyle factors, may contribute to underdiagnosis of OSA. There was also evidence for the undertreatment of OSA and a bidirectional relationship between OSA treatment and supportive networks. We recommend implementing standardised screening practices, providing more thorough OSA knowledge for the general population as well as primary care health providers, and offering complementary treatment options. We would argue that more qualitative research is needed to understand the patient's perspective of living with OSA.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598195","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}

引用次数: 0

Nutritional knowledge, carbohydrate quality, and fat phobia: cross-sectional study on vegetarians. 营养知识、碳水化合物质量和脂肪恐惧症：素食者的横断面研究。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-06 DOI: 10.1080/13548506.2025.2470878

Fatma Beyza Gökcüoğlu, Müge Arslan

{"title":"Nutritional knowledge, carbohydrate quality, and fat phobia: cross-sectional study on vegetarians.","authors":"Fatma Beyza Gökcüoğlu, Müge Arslan","doi":"10.1080/13548506.2025.2470878","DOIUrl":"https://doi.org/10.1080/13548506.2025.2470878","url":null,"abstract":"In contemporary society, where vegetarian diets are gaining popularity, it is imperative to develop a profound understanding of these individuals' dietary choices and their health implications. Specifically, it is crucial to examine how the prevalence of fat phobia affects their dietary preferences, in order to promote a balanced nutritional approach. The aim of the study is to evaluate the carbohydrate quality and nutrition knowledge level of vegan and vegetarian individuals in Istanbul, Turkey, and to examine their relationship with fatphobia. A questionnaire consisting of questions about sociodemographic characteristics, eating habits, the Nutrition Knowledge Level Scale for Adults, Fat Phobia Scale, and a 24-hour Food Consumption Record Form was administered face-to-face to 500 vegetarian individuals aged 18-65 living in Istanbul. Individuals in this study are 26.4% vegan, 10.4% lacto-vegetarian, 25.4% lacto-ovo-vegetarian, 12% pollo-vegetarian, 10.4% pesco-vegetarian and 15.4% semi-vegetarian. The group that has the highest Basic Nutrition Information (47.51 ± 7.95), Food Preference Information (24.27 ± 6.04), Evaluation of Daily Food Preferences as Correct (6.89 ± 1, 33) are vegans. The group with the highest Evaluating the Importance Degree of the Relationship Between Nutrition and Health (9.27 ± 0.89) and Carbohydrate Quality Index value (11.08 ± 2.14) are pesco-vegetarians. The group with the highest Fat Phobia Scale (3.23 ± 0.28) are pollo-vegetarians. There was no statistically significant difference between the Carbohydrate Quality Index values and 'Fat Phobia Scale Total' scores of the different vegetarian dietary types (p > 0.05). It has been found that pesco-vegetarians have the highest carbohydrate quality index. Pollo-vegetarians, on the other hand, are noted for having the highest fat phobia.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574449","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}

引用次数: 0

Latent profile analysis of anxiety and related factors among stroke patients' spouses. 中风患者配偶焦虑及相关因素的潜在特征分析。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-05 DOI: 10.1080/13548506.2025.2458249

Qingqing Zhang, Zhenxiang Zhang, Song Ge, Dandan Xiang, Beilei Lin, Suyan Chen, Lihong Xue, Lanling Xing, Yongxia Mei

{"title":"Latent profile analysis of anxiety and related factors among stroke patients' spouses.","authors":"Qingqing Zhang, Zhenxiang Zhang, Song Ge, Dandan Xiang, Beilei Lin, Suyan Chen, Lihong Xue, Lanling Xing, Yongxia Mei","doi":"10.1080/13548506.2025.2458249","DOIUrl":"https://doi.org/10.1080/13548506.2025.2458249","url":null,"abstract":"To explore the potential classification of anxiety symptoms in stroke patients' spouses and analyze the characteristics of each category. From November 2019 to August 2020, a total of 224 stroke patients in the department of neurology of a tertiary hospital in Henan Province, and 224 spouse caregivers were conveniently selected. The general information questionnaire, Generalized Anxiety Disorder 7-item, the Patient Health Questionnaire 9-item scale, and modified Rankin Scale was used to assess patient and caregiver general information, anxiety, depression and patient prognosis, respectively. Latent profile analysis was used to analyze stroke patients' spouse anxiety symptoms, and polynomial logistic regression analysis was performed to assess factors associated with each category. The mean age of the patients were 62.54 years and the patients' spouses were 62.23 years. The patients' spouse anxiety symptoms were categorized into four groups: high anxiety-worry (13.4%); high anxiety-adaptive (58.9%); medium anxiety-high toughness (7.6%); anxiety-low risk (20.1%). There is heterogeneity in the anxiety symptoms of spouse caregivers of stroke patients, and nurses should develop targeted interventions based on the anxiety characteristics of different potential categories of spouse caregivers and their influencing factors in order to improve their anxiety symptoms.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558875","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}

引用次数: 0

Examining the relationship between social well-being levels of health personnel and their perception of gender roles: a university hospital example. 研究医务人员的社会福利水平与他们对性别角色的认知之间的关系：以大学医院为例。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1080/13548506.2024.2418440

Derya Şіmşeklі, Kader Öztürk, Tevfik Fikret Karahan

{"title":"Examining the relationship between social well-being levels of health personnel and their perception of gender roles: a university hospital example.","authors":"Derya Şіmşeklі, Kader Öztürk, Tevfik Fikret Karahan","doi":"10.1080/13548506.2024.2418440","DOIUrl":"10.1080/13548506.2024.2418440","url":null,"abstract":"The purpose of this research is to examine the relationship between the social well-being of healthcare professionals and their perception of gender roles. The correlational screening model was used in the research. The study group consisted of 247 healthcare professionals working in a university hospital. As a data collection tool in the research, the Social Well-Being Scale-Healthcare Professionals Version, Gender Roles Attitude Scale, and Demographic Data Form were used. Unrelated Samples t-test, One-Way Analysis of Variance, Pearson Product Moment Correlation Coefficient, and Multiple Linear Regression Analysis techniques were used to analyze the data. It was determined that the social well-being average of healthcare workers was 121.43 ± 24.46 and the gender role average was 99.48 ± 9.70. It was observed that the average social well-being of healthcare professionals differed at a statistically significant level according to family structure, length of service in the current institution, alcohol use, gender roles, gender, and profession (p < .05). As a result of the research, it was determined that there is a positive relationship between social well-being and gender roles. It was determined that gender roles, gender, length of service in the current institution and alcohol use status significantly predict social well-being.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"602-614"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513088","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}

引用次数: 0

Post-earthquake spiritual well-being and depression levels of postpartum women in Turkey. 土耳其产后妇女地震后的精神健康和抑郁程度。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-19 DOI: 10.1080/13548506.2024.2430859

Emine Ibici Akça, Hatice Gül Öztaş

{"title":"Post-earthquake spiritual well-being and depression levels of postpartum women in Turkey.","authors":"Emine Ibici Akça, Hatice Gül Öztaş","doi":"10.1080/13548506.2024.2430859","DOIUrl":"10.1080/13548506.2024.2430859","url":null,"abstract":"This study was carried out to examine the spiritual well-being and depression levels of postpartum women following the two major earthquakes that occurred in 2023 with the epicenter Kahramanmaraş in Turkey. This cross-sectional analytical study was conducted with the participation of 345 postpartum women admitted to the maternity ward of a medical faculty hospital in the provincial center of Kahramanmaraş in Turkey between June and September 2023. Data were collected using the Spiritual Well-Being Scale (SWBS) and the Edinburgh Postnatal Depression Scale (EPDS). Independent-samples t-tests, Pearson's correlation tests, and simple linear regression analysis were used in the analyses. It was determined that 48.7% of the participants were at risk of postpartum depression. The participants whose relatives were lost/injured in the earthquakes and those who experienced financial losses had significantly lower total SWBS scores and significantly higher total EPDS scores (p < 0.05). A negative and statistically significant relationship was found between the total SWBS and total EPDS scores of the participants (p < 0.001). In this study, it was determined that after the Kahramanmaraş earthquakes in 2023, almost one in every two postpartum women was at risk of depression, and their earthquake experience affected their mental health and spiritual well-being negatively. Moreover, as the spiritual well-being of the postpartum women increased, their risk of postpartum depression decreased.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"489-501"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677825","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}

引用次数: 0

Improvements of depression, anxiety, stress, and social support through a telerehabilitation system in discharged COVID-19 patients: a randomized controlled pilot study. 通过远程康复系统改善COVID-19出院患者的抑郁、焦虑、压力和社会支持：一项随机对照试点研究

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-17 DOI: 10.1080/13548506.2024.2439180

Beatriz Carpallo Porcar, Sandra Calvo, Irene Liñares Varela, Laura Bafaluy Franch, Natalia Brandín de la Cruz, Manuel Gómez Barrera, Carolina Jiménez-Sánchez

{"title":"Improvements of depression, anxiety, stress, and social support through a telerehabilitation system in discharged COVID-19 patients: a randomized controlled pilot study.","authors":"Beatriz Carpallo Porcar, Sandra Calvo, Irene Liñares Varela, Laura Bafaluy Franch, Natalia Brandín de la Cruz, Manuel Gómez Barrera, Carolina Jiménez-Sánchez","doi":"10.1080/13548506.2024.2439180","DOIUrl":"10.1080/13548506.2024.2439180","url":null,"abstract":"Introduction: Post-acute COVID-19 patients who were discharged from hospitals during the epidemic faced significant challenges, not only physical sequelae, but also psychological distress, anxiety, and depression. It is already known that continued exercise improves psychosocial components, but few studies have explored the impact of multimodal rehabilitation programs, including therapeutic education, in this type of patient. There are no studies that explore the application of these programs through asynchronous telerehabilitation, which would open up new therapeutic windows.Methods: This pilot single-blinded randomized controlled trial included 35 post-discharge COVID-19 patients allocated to two intervention arms: an asynchronous telerehabilitation group (ATG) and a booklet-based rehabilitation group (BRG). The aim was to analyze the preliminary changes in depression, anxiety, stress, and social support comparing both groups.Results: The ATG exhibited statistically significant reductions in depression (p = 0.048) and stress (p = 0.033) compared to the BRG after intervention. While both groups showed improvements in psychosocial variables, the ATG demonstrated consistent lower depression levels at 3- and 6-month follow-ups (p = 0.010, p = 0.036 respectively) and notably higher social support at 3- and 6-month follow-ups (p = 0.038, p = 0.028 respectively).Discussion: This pilot study suggests that a multimodal rehabilitation program using asynchronous telerehabilitation provides substantial benefits in terms of alleviating psychological distress and improving social support in discharged COVID-19 patients. These data will enable for larger studies to confirm these results.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"519-539"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848422","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}

引用次数: 0

A network analysis on the relationship between depression symptoms and loneliness in elderly Peruvians. 秘鲁老年人抑郁症状与孤独感之间关系的网络分析。

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-26 DOI: 10.1080/13548506.2024.2430795

Tomás Caycho-Rodríguez, Andy Sánchez-Vilela, Renzo Carranza Esteban, Mario Reyes-Bossio, Jonatan Baños-Chaparro, Lindsey W Vilca, Julio Torales, Iván Barrios

{"title":"A network analysis on the relationship between depression symptoms and loneliness in elderly Peruvians.","authors":"Tomás Caycho-Rodríguez, Andy Sánchez-Vilela, Renzo Carranza Esteban, Mario Reyes-Bossio, Jonatan Baños-Chaparro, Lindsey W Vilca, Julio Torales, Iván Barrios","doi":"10.1080/13548506.2024.2430795","DOIUrl":"10.1080/13548506.2024.2430795","url":null,"abstract":"Loneliness and depression are the most prevalent mental health issues among older adults, and their relationship has been documented in studies using reflective psychopathological models based on the total scores. However, mental health problems should be investigated at the level of individual symptoms in order to develop intervention strategies aimed at mitigating the adverse impact of both variables. The goal was to examine the extent to which symptoms of loneliness relate to symptoms of depression in elderly Peruvians using the network method in 328 Peruvian adults with an average age of 68.44 years (SD = 7.64). The participants were selected through non-probability convenience sampling, which may limit the generalizability of the results. The Patient Health Questionnaire-2 (PHQ-2) and three-item UCLA Loneliness Scale were used in this study. Network analysis was used to identify central and bridging symptoms within the network of loneliness and depressive symptoms. Furthermore, the invariance in symptom networks between men and women was estimated. The results indicated that 'feeling excluded' was the most central symptom. Furthermore, the symptoms 'feeling excluded' and 'anhedonia' have the strongest relationship and can be considered as bridge symptoms between loneliness and depressive disorders. Symptom networks were invariant between men and women (M = .26; p = .42; S = .09; p = .38). In conclusion, the network structure provides valuable insights into the relationship between the symptoms of loneliness and depression in older Peruvian adults. The results suggest that the symptoms 'feeling excluded' and 'anhedonia' could serve as potential targets for psychological interventions aimed at efficiently reducing loneliness and depression.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"473-488"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717818","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}

引用次数: 0

Depression and anxiety in patients with type 2 diabetes in Indonesia and Malaysia: do age, diabetes duration, foot ulcers, and prescribed medication play a role? 印度尼西亚和马来西亚2型糖尿病患者的抑郁和焦虑：年龄、糖尿病病程、足部溃疡和处方药物是否起作用？

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1080/13548506.2025.2450545

Mohamed Hassan Elnaem, Nur Aqilah Syuhada Bukhori, Tengku Karmila Tengku Mohd Kamil, Sinta Rahayu, Diana Laila Ramatillah, Mahmoud E Elrggal

{"title":"Depression and anxiety in patients with type 2 diabetes in Indonesia and Malaysia: do age, diabetes duration, foot ulcers, and prescribed medication play a role?","authors":"Mohamed Hassan Elnaem, Nur Aqilah Syuhada Bukhori, Tengku Karmila Tengku Mohd Kamil, Sinta Rahayu, Diana Laila Ramatillah, Mahmoud E Elrggal","doi":"10.1080/13548506.2025.2450545","DOIUrl":"10.1080/13548506.2025.2450545","url":null,"abstract":"Patients with type 2 diabetes mellitus (T2DM) are susceptible to mental health issues, impacting medication adherence and diabetes control. This study aimed to evaluate factors associated with depression and anxiety among T2DM patients in Indonesia and Malaysia. A cross-sectional study was conducted in Indonesia and Malaysia from October 2022 to April 2023 among T2DM patients. The study utilised an instrument with patient and disease data and three validated tools to assess depression, anxiety, and medication adherence. Statistical analysis, including binary logistic regression, was performed using SPSS® version 28 software. A study of 606 T2DM patients revealed that 56.5% were at risk of depression, while 41.6% were at risk of anxiety. Older patients with T2DM had lower rates of depression (AOR = 0.41, 0.25-0.68) and anxiety than younger patients. Normal-weight patients were less likely to experience depression and anxiety (AOR = 0.44, 0.27-0.72) than overweight patients. Patients without diabetic foot ulcers had a lower risk of depression (AOR = 0.34, 0.21-0.55) and anxiety than those with foot ulcers. Patients with a shorter duration of diabetes had a higher risk of depression (AOR = 3.27, 1.70-6.30) and anxiety than those with a longer duration. Patients on insulin-based regimens had higher rates of depression and anxiety (AOR = 2.28, 1.20-4.30) than those on metformin-based regimens. Nonadherent patients were more likely to experience depression and anxiety (AOR = 4.30, 2.22-8.32) than patients who adhered to their medication. The prevalence of depression and anxiety is concerning and influenced by factors such as age, diabetes duration, the presence of diabetic foot ulcers, and the prescribed medication regimen. Further efforts are necessary to enhance the mental health of T2DM patients and improve management outcomes.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"555-571"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025837","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}

引用次数: 0