Psychology Health & Medicine最新文献

{"title":"Pain interference and distress in chronic migraine: observing the influence of traumatic experiences through the lenses of the theory of mentalizing.","authors":"Marco Cannavò, Janine Gullo, Giorgio Falgares, Dorian A Lamis, Nadia Barberis","doi":"10.1080/13548506.2025.2482952","DOIUrl":"10.1080/13548506.2025.2482952","url":null,"abstract":"<p><p>Chronic migraine is a highly burdening neurological condition that is often associated with psychiatric complications such as distress symptoms. Many studies showed that pain interference may determine different degrees of adaptation to the condition, while other findings suggest that traumatic experiences are common in individuals suffering from chronic migraine. Failures in reflective functioning may be useful for the understanding of how these experiences may impact one's individual functioning. The present study sought to test the hypothesis that an association between traumatic experiences and general distress (depression, anxiety, and stress) in individuals with chronic migraine would be mediated by failures in reflective functioning, also examining the relations with pain interference. 332 individuals (93% women) with a clinical diagnosis of chronic migraine (<i>M</i> = 37.89; SD = 10.74) filled out a protocol to assess traumatic experiences, failures in reflective functioning, pain interference, and general distress. Structural Equation Modelling was used to assess the relationship between the observed variables. Significant paths were found from traumatic experiences to failures in reflective functioning, pain interference, and distress. Furthermore, significant paths were found from failures in reflective functioning to pain interference and distress. Furthermore, a significant path was found from pain interference to distress. Moreover, significant indirect effects were found from traumatic experiences to distress via failures in reflective functioning, and from traumatic experiences to distress by pain interference. Results underscore the importance of both traumatic experiences and failures in reflective functioning for determining levels of distress in individuals with chronic migraine. The implications of the findings for future empirical investigation and clinical intervention were deepened.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1450-1464"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702267","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":"Effectiveness of relaxation techniques for stress management and quality of life improvement in cardiovascular disease and hypertensive patients: a systematic review.","authors":"Andrea Calderone, Giulia Marafioti, Desirèe Latella, Francesco Corallo, Piercataldo D'Aleo, Angelo Quartarone, Rocco Salvatore Calabrò","doi":"10.1080/13548506.2025.2458255","DOIUrl":"10.1080/13548506.2025.2458255","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cardiovascular diseases (CVD) and hypertension are leading causes of morbidity and mortality worldwide, significantly affecting quality of life (QoL). Stress, anxiety, and poor psychological well-being often exacerbate these conditions, creating a vicious cycle. Relaxation techniques, including progressive muscle relaxation (PMR) and diaphragmatic breathing, assist in contracting and relaxing muscle groups to aid individuals in identifying and reducing physical tension and foster relaxation due to increased parasympathetic nerve activity, resulting in emotional tranquility. This systematic review explores the efficacy of relaxation techniques in reducing stress and improving QoL in patients with CVD and hypertension.</p><p><strong>Materials and methods: </strong>The review adhered to PRISMA guidelines, searching five major databases (PubMed, EBSCOhost, Web of Science, PsychINFO, and Scopus) with a search time range from 2014 to 2024. This review has been registered on Open OSF (n) 6HYG9.</p><p><strong>Results: </strong>The results from several studies highlight the positive effects of relaxation techniques on both cardiovascular health and psychological well-being. Various methods, such as PMR, breathing exercises, and biofeedback, significantly reduced blood pressure (BP), anxiety, and stress levels in hypertensive and cardiovascular patients. Additionally, interventions like Benson's relaxation and jaw relaxation demonstrated improvements in patient QoL and cardiovascular health outcomes, underscoring the potential benefits of integrating relaxation techniques into treatment programs for heart-related conditions.</p><p><strong>Conclusions: </strong>By targeting both the physiological and psychological aspects of the patient's well-being, these methods contribute to improved BP regulation, reduced heart rate, and alleviation of anxiety and stress symptoms. When incorporated into cardiac rehabilitation programs, these techniques have shown positive effects on emotional well-being and overall QoL, making them a valuable tool for patients recovering from cardiovascular events or managing chronic CVD. More robust, high-quality studies are needed to refine the optimal methods, duration, and frequency of these interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1281-1352"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366830","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":"Moderating role of social support in the relationship between pain and health-related quality of life among people living with HIV: a cross-sectional study.","authors":"Desmond Uchechukwu Onu, Chijioke Kenneth Ayogu, Christy Ngozi Obi-Keguna, Elisha John Igwe","doi":"10.1080/13548506.2025.2465656","DOIUrl":"10.1080/13548506.2025.2465656","url":null,"abstract":"<p><p>Pain is a prevalent and debilitating symptom among people living with HIV (PLWH) with negative impacts on their health and well-being. Studies examining factors that may mitigate the impacts of pain on health outcome variables are scarce. This study examined the moderating role of social support in the relationship between pain and health-related quality of life (HRQoL) among PLWH in Nigeria. One hundred and ninety-six (196) PLWH completed measures of pain, social support, and HRQoL. Results showed that Pain was negatively associated with HRQoL and that social support was positively associated with HRQoL. The result also showed that social support moderated the relationship between pain and HRQoL. This finding highlights the importance of social support in ameliorating the impact of pain on the health of people living with HIV.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1507-1523"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426668","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":"Anxiety, stress, and depression levels among dental students: gender, age, and stage of dental education related.","authors":"Diva Lugassy, Gil Ben-Izhack, Sara Zissu, Rotem Shitrit Lahav, Ophir Rosner, Ron Elzami, Asaf Shely, Sarit Naishlos","doi":"10.1080/13548506.2025.2476085","DOIUrl":"10.1080/13548506.2025.2476085","url":null,"abstract":"<p><p>Dental students may experience psychological disturbance due to the highly stressful dental education process, with no consensus regarding the influence of age, gender, and stage of education. Therefore, the present study aimed to identify sources of stressors that may influence the levels of stress, anxiety, and depression experienced by dental students and examine them based on gender, age, and stage of dental education. A cross-sectional study was conducted in the 2023 academic year with a total of 131 (male = 53, female = 78, mean age = 26.69, range = 22-33) undergraduate dental students. The psychological well-being was assessed using the Depression Anxiety Stress Scale (DASS-21), and the various sources of stress were evaluated using the Dental Environment Stress (DES) questionnaire. The overall prevalence of depression, anxiety, and stress was 52%, 57%, and 55%, respectively. Students in their fifth year (transition between preclinical and clinical years) showed higher depression symptoms compared to students in their fourth or sixth years (<i>p</i> = 0.039). No statistically significant differences were found between gender (males or females) and age regarding DASS symptoms (<i>p</i> > 0.540). The stressors identified as most stressful by all the students were related to academics (amount of classwork, examinations, and grades). The levels of depression, anxiety, and stress among dental students were relatively high. The depression levels among fifth-year students were the highest. Therefore, modifying the academic process to create a positive educational environment should be recommended.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1394-1408"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659702","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":"Eye movement desensitization and reprocessing (EMDR) improves symptoms of anxiety and depression, blood pressure, and heart rate variability in patients with hypertension: a randomized controlled trial.","authors":"Miao-Yi Chen, Ting-Yu Chen, Yun-Ju Wang, Shu-Meng Cheng, Wei-Shiang Lin, Fang-Jung Wan, Chieh-Yu Liu, Chi-Wen Kao","doi":"10.1080/13548506.2025.2482962","DOIUrl":"10.1080/13548506.2025.2482962","url":null,"abstract":"<p><p>Bidirectional associations have been demonstrated between negative emotions, such as anxiety and depression, and hypertension, which can lower quality of life and increase mortality. Eye movement desensitization and reprocessing (EMDR) has been recognized as a successful intervention for individuals experiencing significant psychological distress. This study aimed to investigate the impact of an eye movement desensitization and reprocessing intervention for patients with hypertension on improving symptoms of anxiety and depression, blood pressure, and heart rate variability (HRV). This longitudinal randomized controlled trial consecutively enrolled patients with hypertension. Patients were randomly divided into two groups: one group received the EMDR intervention (<i>n</i> = 50); the control group received routine care (<i>n</i> = 52). Data were collected at four different time points: pre-intervention (T0), immediately post-intervention (T1), and at one-month and three-month follow-ups (T2 and T3, respectively). Data were analysed using the generalized estimating equation. At T1, when compared with the control group, patients in the intervention group showed substantial improvements in systolic blood pressure and measures of HRV such as low frequency, high frequency, and ratios of low frequency/high frequency (all <i>p</i> < .01). Symptoms of anxiety were also significantly more decreased compared with controls (<i>p</i> < 0.001). Improvements in symptoms of anxiety and hypertension following EMDR suggest this should be considered as a clinical treatment option for this at-risk group of patients.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1353-1372"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058392","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":"The mediating effect of nomophobia in the relationship between problematic social media use/problematic smartphone use and psychological distress among university students.","authors":"Serene En Hui Tung, Wan Ying Gan, Wai Chuen Poon, Ling Jun Lee, Kamolthip Ruckwongpatr, Shikha Kukreti, Mark D Griffiths, Amir H Pakpour, Chung-Ying Lin","doi":"10.1080/13548506.2025.2478516","DOIUrl":"10.1080/13548506.2025.2478516","url":null,"abstract":"<p><p>As smartphones and social media become more common, the psychological impact on university students has garnered increasing research attention. The present study examined nomophobia as the mediator in the relatioship between problematic social media use (PSMU)/ problematic smartphone use (PSU), and psychological distress among university students during the COVID-19 pandemic. Of the 622 Malaysian university students recruited through online survey, socio-demographic information, Bergen Social Media Addiction Scale (BSMAS), Smartphone Application-Based Addiction Scale (SABAS), Nomophobia Questionnaire (NMPQ) and Depression, Anxiety and Stress Scale-21 (DASS-21) were completed. To analyze mediation effects, partial least squares structural equation modelling (PLS-SEM) was used. PSMU, PSU and psychological distress were found to be positively related to nomophobia. Nomophobia was a significant mediator between PSMU/PSU and psychological distress. Findings appear to highlight the importance of nomophobia in increasing psychological distress among young adults. Future research could examine these relationships longitudinally to better understand the relationship for effective interventions for the improvement of psychological well-being of young adults navigating the challenges of modern technology.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1409-1425"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006115","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":"Transformative power of suffering and the level of compassion of others' lives among nurses after the earthquake: a cross-sectional study.","authors":"Duygu Ayar, Fatma Karasu, Filiz Polat, Hüseyin Eriş","doi":"10.1080/13548506.2025.2539943","DOIUrl":"https://doi.org/10.1080/13548506.2025.2539943","url":null,"abstract":"<p><p>This study is conducted to analyze the relationship between the transformative power of suffering among nurses and their compassion level of others' lives after the earthquake. Nurses are under the risk of experiencing a second trauma since they give care for earthquake survivors while they are also survivors at the same time. This study is a descriptive cross-sectional study. This study was conducted among 238 nurses. Data of the study were collected with Socio-demographic Form, the Transformative Power of Suffering Scale (TPSS) and Compassion of Others' Lives Scale (COOL). The study was reported following the STROBE. The TPSS mean score of nurses was found as 20.61 ± 7.62, their total mean score of COOL was found as 10.63 ± 2.09. Statistically significant differences were found between the age, gender, working period, position in the unit of nurses and mean scores of TPSS. In the correlation analysis, a weak positive correlation between TPSS and total COOL and its subscales was found. It was found that TPSS mean score of nurses was at medium-level, that COOL total mean score of nurses was at good level and as the transformative power of suffering increased, the compassion of others' lives increased.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762366","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":"Unmet needs, burden, and quality of life among family caregivers of patients with advanced hematological malignancy.","authors":"Mohammad Minwer Alnaeem, Mohammad Al Qadire, Abdulqadir J Nashwan","doi":"10.1080/13548506.2025.2482954","DOIUrl":"10.1080/13548506.2025.2482954","url":null,"abstract":"<p><p>This study investigates caregiver burden, unmet needs, and quality of life (QoL) in family caregivers (FCs) of patients with advanced hematology malignancies (HMs). A descriptive cross-sectional survey was conducted at a governmental hospital (Between April - July 2021), involving 197 FCs. The survey used three validated tools: Needs Assessment of Family Caregivers-Cancer, Short form Zarit Burden Interview, and Caregiver Quality of Life Index-Cancer. The findings revealed that psychological needs (average score 29.6) and daily activity needs (average score 26.5) were the most unmet. The majority of caregivers reported experiencing a high burden (51.3%) and poor QoL, with an average score of 72.1. Those with higher daily activity unmet needs (β = 0.214, <i>p</i> < 0.001) and higher financial unmet needs (β = 0.696, <i>p</i> = 0.044) were associated with poor QoL. Also, patients with higher psychological unmet needs (β = .414, <i>p</i> < .001) and higher burden scores (β = 0.542, <i>p</i> < 0.001) had poor QoL. These results highlight an urgent requirement for measures addressing the unmet needs of FCs of patients with HMs in Jordan. The study underscores the importance of healthcare professionals recognizing and supporting the mental, psychological, and social needs of FCs.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1573-1588"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702268","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":"Effect of anxiety-targeted care combined with seamless care on psychological status, stress response in patients undergoing gastroscopy.","authors":"Hong Yang, Yanfang Cao, Hanlin Liu, Xianfei Zhou","doi":"10.1080/13548506.2025.2478661","DOIUrl":"10.1080/13548506.2025.2478661","url":null,"abstract":"<p><p>This study aimed to analyze the feasibility of anxiety-targeted care combined with seamless care for patients undergoing gastroscopy, and to investigate its effects on patients' psychological state, stress response and examination results. 120 patients undergoing gastroscopy were divided into a study group (anxiety care + seamless care, 70 cases) and a control group (routine care, 50 cases). The differences in SAS and SDS scores before the intervention did not differ between two groups (<i>p</i> > 0.05) and they were lower in observation group than in control group after the intervention (<i>p</i> < 0.05); The heart rate, systolic and diastolic blood pressure of patients in the study group were significantly lower than those in the control group at 10 min before intubation (T0), upon intubation (T1), 1 min after intubation (T2) and upon extubation (T3) (<i>p</i> < 0.05); The mean time to intubation was shorter and first-pass intubation success rate was higher in the study group than in the control group (<i>p</i> < 0.05); The complication rate in the study group was significantly lower than that in the control group (4.29% vs 16.00) (<i>p</i> < 0.05). Anxiety care combined with seamless care is feasible for patients undergoing gastroscopy.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1426-1436"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665300","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":"The interplay of pain, emotional regulation difficulties, and social support in individuals diagnosed with fibromyalgia: impact on depression, anxiety, functional disability, and quality of life.","authors":"H Telli, M Akkus","doi":"10.1080/13548506.2025.2469191","DOIUrl":"10.1080/13548506.2025.2469191","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the impacts of the interplay of pain, emotional regulation difficulties, and social support on depression, anxiety, functional disability, and quality of life in individuals diagnosed with fibromyalgia. This observational, descriptive study included 367 patients who met the 2016 diagnostic criteria for fibromyalgia set by the American College of Rheumatology (ACR). The demographic characteristics of all participants were recorded. Pain levels were measured using the Visual Analog Scale, emotional regulation difficulties were assessed using The Difficulties in Emotion Regulation Scale - 16 item version (DERS-16), and social support was evaluated using the Two-Way Social Support Scale (2-Way SSS). Functionality was assessed using the Revised Fibromyalgia Impact Questionnaire (FIQR), depression was measured using the Beck Depression Inventory (BDI), anxiety was evaluated using the Beck Anxiety Inventory (BAI), and quality of life was assessed using the World Health Organization Quality-of-Life Scale-Bref (WHOQOL-Bref). Depression scores were higher in the moderate and severe pain groups as determined by VAS activity scores and in the severe pain group as determined by VAS night scores. A statistically significant low positive correlation was observed between VAS night scores and both BAI scores and BDI scores. Higher WHOQoL-BREF physical health and psychological well-being scores were observed in the mild pain group as determined by VAS activity scores. A statistically significant positive correlation was found between FIQR scores and pain severity groups determined by both VAS activity and VAS night scores; between anxiety and depression levels and DERS-16 scores; between DERS-Total and FIQR-Global Impact. The relationship between pain, emotional regulation difficulties, and social support significantly influences mental health outcomes, functional disability, and quality of life in individuals diagnosed with fibromyalgia. Multidisciplinary interventions that address these interconnected factors are essential for improving the overall well-being and quality of life of individuals living with fibromyalgia.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1540-1559"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460608","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}