Psychology Health & Medicine最新文献

{"title":"Posttraumatic stress symptoms and rumination: the moderator effect of time.","authors":"Marialaura Di Tella, Annunziata Romeo","doi":"10.1080/13548506.2024.2433542","DOIUrl":"10.1080/13548506.2024.2433542","url":null,"abstract":"<p><p>The main aim of the present study was to evaluate the relationship between Posttraumatic Stress Symptoms (PTSS) and rumination (intrusive and deliberate) in individuals who experienced a traumatic event at different times. In particular, to better understand the possible mechanisms underlying the association between PTSS and rumination, the study aimed to explore whether the time since the traumatic event could serve as a moderator of the relationship between PTSS and rumination. To achieve this objective, 601 participants were recruited using a snowballing strategy and were asked to complete the PTSD Checklist for the DSM-5 and the Event-Related Rumination Inventory. Results of regression analyses showed that intrusive rumination was associated with the presence of PTSS regardless of the time since the event. Conversely, deliberate rumination was found to be significantly related to the presence of PTSS, but this association was moderated by time. From a clinical point of view, it appears particularly useful, when treating an individual with PTSS, to consider not only the type of trauma and the time elapsed since the event but also the type of cognitive re-elaboration that the individual enacts.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"697-707"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755637","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 grief in unprecedented times: risk factors in the wake of pandemic loss and end-of-life care.","authors":"Sara Albuquerque, Giovanna Pennetta, Alexandra Coelho, Ricardo J Pinto, Mayra Delalibera","doi":"10.1080/13548506.2024.2417312","DOIUrl":"10.1080/13548506.2024.2417312","url":null,"abstract":"<p><p>Coronavirus is an infectious disease that has left tens of millions of deaths around the world, and which has had social, economic, emotional, and psychological consequences. To mitigate the spread of the virus, several countries have adopted restrictive measures that impacted the way people experienced the end-of-life and the death of their loved one. This study aimed to identify the variables associated with prolonged grief symptoms in the context of both pandemic-related losses and the unique challenges related to end-of-life care. An anonymous online survey was disseminated widely through various channels including local press, social media, professional networks and hospitals. Socio-demographic information was collected, as well as information related to loss (cause of death, place of end-of-life care and death) and bereavement, and on the impact of the restrictions imposed by the pandemic. The participants were 163 bereaved who lost a loved one who received end-of-life care during the pandemic in Portugal. Most participants were female, married, professionally active and had lost their grandparents. A hierarchical multiple regression was performed to determine the factors associated with prolonged grief symptoms. The results showed that more prolonged grief symptoms were associated with less social support, worsening of the financial situation, greater psychological impact of restrictions on communicating with the deceased, and the deceas having received end-of-life care in a hospital. The early identification based on these factors of individuals at higher risk for more prolonged grief symptoms could allow for targeted interventions and support services.This study unveils crucial factors contributing to heightened grief amid pandemic-related losses and challenges in end-of-life care, which provide practical insights for healthcare practitioners. Highlight the importance of personalized interventions to fortify social connections, address financial challenges, and offer compassionate alternatives to hospital-centric care. Policymakers can leverage this information to optmise grief management during public health crises.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"663-676"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481054","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 of the symptoms of post-traumatic stress disorder (PTSD) and burnout syndrome (BOS) among intensive care unit (ICU) healthcare workers during the COVID-19 pandemic.","authors":"Katarzyna Wojnar-Gruszka, Magdalena Miernik, Jakub Cichoń, Donata Liberacka-Lenart, Lucyna Płaszewska-Żywko, Marcelina Potocka","doi":"10.1080/13548506.2025.2455468","DOIUrl":"10.1080/13548506.2025.2455468","url":null,"abstract":"<p><p>Pandemic COronaVIrus Disease-19 (COVID-19) was a traumatic event that had a significant impact on the mental health of healthcare workers (HCWs), especially intensive care units (ICUs). Months of exposure and the threat of death can lead to post-traumatic stress disorder (PTSD), and high physical and emotional strain can lead to burnout syndrome (BOS). The purpose of this study was to assess the prevalence of PTSD and BOS among ICU HCWs during the COVID-19 pandemic. A case-control study was conducted in 2022 using a diagnostic survey method with 148 hCWs from two intensive care units: a temporary intensive care unit (tICU, <i>n</i> = 93) and a general intensive care unit (gICU, <i>n</i> = 55) in Cracow, Poland. The Impact of Events Scale (IES-R), Oldenburg Burnout Inventory (OLBI) and a proprietary questionnaire were used. The results obtained indicate that 46.62% (69) of HCWs had pronounced PTSD symptoms. In the tICU HCWs, 47.31% (44) had severe symptoms of PTSD, and in the gICU HCWs, 45.45% (25) were affected. HCWs in the tICU reported the highest score in the Hyperarousal domain (<i>x</i> = 1.52; SD = 0.87), while HCWs from the gICU reported higher scores in the Avoidance domain (x<i>x</i> = 1.45 SD = 0.81). HCWs presented moderate levels of job BOS in the domains of exhaustion (50.68%; 75) and lack of commitment (64.86%; 96). It was shown that lack of commitment to work was significantly more frequent in the tICU group than in the gICU group (<i>p</i> = 0.022). It was shown that the greater the level of exhaustion or withdrawal, the greater the severity of each PTSD symptom. Activity responsibility and fatigue were found to be the most stressful in the workplace. PTSD symptoms co-occurred with BOS. It is necessary to provide employees with targeted psychological support in dealing with the post-pandemic emotional crisis and support the retention of nurses in the profession.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"770-781"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025840","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 health of healthcare workers during Shanghai lockdown: Prevalence and associated factors.","authors":"Xiaofei Mao, Tianya Hou, Ning Liu, Yueyang Liu, Jianguo Zhang, Wenxi Deng, Wei Dong, Huamao Peng","doi":"10.1080/13548506.2025.2458250","DOIUrl":"10.1080/13548506.2025.2458250","url":null,"abstract":"<p><p>The 2022 Shanghai COVID-19 lockdown may lead to mental health issues among healthcare workers (HCWs). A cross-sectional study was conducted to investigate psychological health and its associated factors among HCWs. A total of 253 hCWs were recruited in Shanghai, China, through convenience sampling method. Demographic Questionnaire, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Insomnia Severity Index, and The Impact of Event Scale-Revised were used to assess demographic information, anxiety, depression, insomnia, and post-traumatic stress disorder (PTSD), respectively. The associated factors of psychological health were identified by binary logistic regression analysis. The prevalence of anxiety, depression, insomnia, and PTSD was 6.3%, 10.3%, 9.9% and 17.8%, respectively. Female HCWs were more likely to report anxiety (<i>OR</i> = 5.50, 95%<i>CI</i> = [1.45-20.82], <i>p</i> < 0.05) and PTSD (<i>OR</i> = 3.20, 95%<i>CI</i>= [1.23-8.28], <i>p</i> < 0.05). Besides, being a nurse was associated with a lower level of PTSD symptoms (<i>OR</i> = 0.23, 95%<i>CI</i> = [0.07-0.76], <i>p</i> < 0.05). Symptoms of psychological health were screened positive in HCWs during the 2022 Shanghai COVID-19 lockdown. Gender and occupation were associated with psychological health. The hospital authorities of Shanghai need to pay special attention to female HCWs.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"834-847"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470135","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":"Unraveling the fear of COVID-19 reinfection: insights from frontline doctors in China.","authors":"Bihua Zhang, Shiqiang Xiong, Yufang Sun, Chuyao Xiang, Ping Wang","doi":"10.1080/13548506.2024.2442110","DOIUrl":"10.1080/13548506.2024.2442110","url":null,"abstract":"<p><p>Considering the end of global emergency status of Coronavirus-19 (COVID-19) and the persistent risk of reinfection for healthcare workers (HCWs), it is important to evaluate the attitude of the HCWs toward reinfecting with COVID-19. To gather information about participants' concerns regarding reinfection with COVID-19, a comprehensive online questionnaire was administered to all individuals involved in the study. DASS-21 was used to assess their mental health. Logistic regression was used to evaluate the factors associated with fear of reinfection. A total of 982 questionnaires were collected for this study, with only 503 questionnaires included in the final analysis. Of the 503 respondents, 201 (39.96%) feared reinfection with COVID-19. Three factors emerged as significantly associated with the fear of reinfection: (a) having been infected with COVID-19 before, (b) feeling that COVID-19 had a lasting effect on one's life, and (c) experiencing anxiety. The most common factors reported by those who feared reinfection were: concern about the negative effects of reinfection on their physical health, worry about the possible long-term complications of reinfection, and belief that reinfection would not have a big impact. And the mental state of HCWs has improved and become more optimistic. Although the morale of HCWs has improved, it remains evident that a significant portion of them still have concerns about reinfection and continue to experience anxiety. Moving forward, it is crucial to provide timely psychological care and support to HCWs, alongside reinforcing efforts in epidemic management.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"723-736"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856733","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 role of wellbeing literacy in enhancing college students' mental health: evidence from a dual-factor model.","authors":"Jia Guo, Ying Xie, Fangfang Zheng, Guoyu Yang, Feifei Wang","doi":"10.1080/13548506.2025.2482958","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482958","url":null,"abstract":"<p><p>This study investigates the role of wellbeing literacy as part of a dual-factor model of mental health in Chinese college students. Utilising latent profile analysis (LPA) with data from over 11 000 participants, the research identifies four distinct mental health profiles: complete mental health, vulnerable, symptomatic with high WBL, and troubled. These categories highlight the diversity in mental health status among the students, influenced by demographic factors such as gender, age, and social circles. The findings reveal that female students and those with fewer friends are more likely to fall into vulnerable or troubled groups, whereas having a larger social network serves as a protective factor enhancing wellbeing. Consequently, the incorporation of wellbeing literacy proves essential for an enriched understanding of mental health beyond mere symptom assessment. The research outlines that younger and early college-year students are particularly at risk, underscoring the need for targeted interventions that integrate wellbeing literacy into mental health frameworks. Despite several limitations, including its cross-sectional nature and regional sampling, this study provides a novel approach to mental health assessment by integrating wellbeing literacy with traditional diagnostic measures, offering critical insights for improving mental health interventions in educational settings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765799","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":"Emotions, coping and psychological flexibility in earthquake survivors: a cross-sectional study.","authors":"Nazan Turan, Kök Eren Hülya, Gökçe Banu Acar Gül","doi":"10.1080/13548506.2024.2433540","DOIUrl":"10.1080/13548506.2024.2433540","url":null,"abstract":"<p><p>Earthquakes may play a role in the development of several psychological distresses or psychopathologies. Nevertheless, protective factors such as positive emotions, psychological flexibility, and coping mechanisms may be helpful for earthquake survivors in coping. On the other hand, the role of both positive and negative emotions of earthquake survivors in psychological flexibility and coping remains elusive. Accordingly, this study aimed to examine the relationship between emotions, coping, and psychological flexibility levels of earthquake survivors considering positive and negative emotions together. A total of 330 adult participants of the cross-sectional study completed the Participant Information Form, Perceived Ability to Cope with Trauma (PACT), Psychological Flexibility (PF), and Positive-Negative Affect Schedule (PANAS) scales. Participants were aged between 20 and 68 years (Mean ± SD = 42.42 + 12.88). It was determined that as the PACT levels increased, the PF and negative emotion levels increased yet positive emotion levels decreased. As the PF levels increased, the negative emotion levels increased yet the positive emotion levels decreased (<i>p</i> < 0.01). According to the established model, it was concluded that the PACT was related to positive-negative emotion levels and values, being in the moment, and dissociation sub-dimensions of PF were unrelated to contextual self and acceptance (<i>p</i> > 0.05). In conclusion, positive-negative emotions and PF were found to have a mediating role in the coping of earthquake survivors. Mental health professionals may contribute to increasing PACT in earthquake survivors through interventions aimed at maintaining positive emotions, recognizing negative emotions, and increasing PF.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"677-696"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787800","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 effect of psychoeducation on hope, loneliness and depression of nursing students who experienced 6 February 2023 Turkey earthquake.","authors":"Seher Çakmak, Sevda Uzun, Cansu Dere, Rabia Rümeysa Akdemir, Şevval Baygin, İclal Gül Çoban","doi":"10.1080/13548506.2025.2486503","DOIUrl":"10.1080/13548506.2025.2486503","url":null,"abstract":"<p><p>Psychoeducation after a traumatic event can help reduce negative effects by providing a cognitive framework for one's experience. It can also enable trauma survivors to increase their ability to help coping. The aim of this study was to examine the effect of psychoeducation on hope, loneliness and depression in nursing students who experienced 6 February 2023 Turkey earthquake. The study, which was conducted in experimental design, included 40 students who experienced the February 6 earthquake. 20 students were assigned to the psychoeducation group and 20 students to the control group. Students in the psychoeducation group received six sessions of psychoeducation, while students in the control group were not intervened. 'Personal Information Form', 'Beck Hopelessness Scale', 'UCLA Loneliness Scale' and 'Beck Depression Scale' were used to collect the data. Mean, standard deviation and percentage calculations, chi-square test and t test were used to analyze the data. Sociodemographic characteristics of the students in the psychoeducation and control groups were similar except for the place of residence (<i>p</i> > 0.05). It was determined that the mean score of the hope sub-dimension of the 'Beck Hopelessness Scale' was statistically significantly higher in the control group (<i>p</i> < 0.05). It was determined that there was no statistically significant difference between the students in the psychoeducation and control groups in terms of hopelessness levels and mean scores of 'UCLA Loneliness Scale' and 'Beck Depression Scale' (<i>p</i> > 0.05). There was a statistically significant difference between the students in the psychoeducation and control groups in terms of depression levels (<i>p</i> < 0.05). In conclusion, psychoeducation was partially effective on hope and depression and not on loneliness in students who experienced the earthquake. Students in the psychoeducation group had lower levels of depression. It is recommended that students experiencing natural disasters such as earthquakes should be monitored by a specialized psychologist and the duration of psychoeducation should be regulated.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765721","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":"Enhancing smart healthcare with female students' stress and anxiety detection using machine learning.","authors":"Farhad Lotfi, Amin Lotfi, Matin Lotfi, Artur Bjelica, Zorica Bogdanović","doi":"10.1080/13548506.2025.2484698","DOIUrl":"10.1080/13548506.2025.2484698","url":null,"abstract":"<p><p>Machine learning (ML) is widely used to predict and detect stress and anxiety. Early detection of stress or anxiety is crucial for clinical pathways to enhance the supportive environment in society, particularly among female students. This study aims to assess and improve the accuracy of detecting stress and anxiety among female students using machine learning algorithms and functions. Three primary features are cigarette smoking, physical activity and grade point average (GPA). The multiple linear regression analysis conducted on 160 datasets obtained from the State-Trait Anxiety Inventory (STAI) at the University of Belgrade was selected. A heat map was utilised to identify the least engaging areas of the model along with most state anxiety factors. Additionally, R-squared (R²), mean absolute error (MAE), mean squared error (MSE) and root mean squared error (RMSE) were employed to assess the errors of the linear regression model for both pre-intervention and post-intervention, focusing on key features related to female students' anxiety. Using the K-Means algorithm, cluster analysis was executed on samples (<i>N</i> = 160) with three key features. The total average anxiety score was 44.39% (out of 80%) and is considered moderate. The heat map indicated a strong relationship between the variables. Overall, the post-intervention stage yielded acceptable results compared to the pre-intervention stage. Two clusters of anxiety among female students were identified, demonstrating that these features can accurately detect anxiety in female students. This research aims to analyse female students' stress and anxiety better using the linear regression algorithm. Additionally, ML functions demonstrated that smoking cigarettes, physical activity and GPA related to the stress and anxiety of female students have reduced errors during anxiety detection.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756003","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 interventions for reducing depressive symptoms in rheumatoid arthritis patients: a systematic review and network meta-analysis.","authors":"Lijuan Zhang, Weiyi Zhu, Shiguang Liu","doi":"10.1080/13548506.2025.2482949","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482949","url":null,"abstract":"<p><p>Depression has long been recognized as the most common mental disorders of rheumatoid arthritis (RA) patients. This study aimed to compare and rank the efficacy of different psychological interventions for reducing depressive symptoms among RA patients. The PubMed, Embase, PsycINFO, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang databases, and grey literature were searched between inception and 1 June 2023. Pairs of reviewers screened studies, abstracted aggregate-level data, and appraised risk of bias with the Cochrane risk of bias tool. The study was conducted using the STATA software version 14.0. A total of 23 randomized controlled trials, involving 1885 participants and 16 interventions were included in our analyses. In this network meta-analysis, two interventions were associated with a greater reduction in symptoms of depression compared with treatment as usual care group: mindfulness-based cognitive therapy (MBCT) and combined psychological interventions (CP). Although most psychological interventions showed non-significant effects, the surface under the cumulative ranking curve (SUCRA) values revealed that the best psychological intervention for depression was MBCT (99.9%), followed by CP (85.6%). MBCT may be the most recommended intervention against the depression among RA patients according to our network meta-analysis results. Considering the methodological limitations of the included studies, more high-quality and large-sample RCTs are needed to confirm this result in the future.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744561","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}