Psychology Health & Medicine最新文献

{"title":"Does perceived social support buffer the impact of psychological distress on health-related quality of life among people living with tuberculosis?","authors":"Desmond Uchechukwu Onu, Christy Ngozi Obi-Keguna, Ernest Ike Onyishi, Elisha John Igwe","doi":"10.1080/13548506.2025.2469195","DOIUrl":"10.1080/13548506.2025.2469195","url":null,"abstract":"<p><p>People living with tuberculosis have been reported to encounter greater distress than normal population, and this distress is known to impact their quality of life adversely. However, studies examining the mechanisms that could mitigate this adverse impact of distress are sparse, hence this study. We investigated whether perceived social support (including emotional and instrumental support from family, friends, and significant others) plays a buffering role in the link between psychological distress and health-related quality of life (HRQoL) among people living with tuberculosis (PLWTB). We utilized a cross-sectional design to conveniently sample 200 tuberculosis patients drawn from a health facility in South-Eastern Nigeria. These participants completed measures of relevant variables. Results showed that psychological distress was negatively associated with HRQoL. Perceived social support (from family, friends, and significant others) significantly predicted HRQoL. Perceived social support moderated the link between psychological distress and HRQoL, but did not buffer against the association. Management of psychological distress associated with tuberculosis health condition should therefore be a major focus in efforts to improve the health and well-being of TB patients.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1373-1393"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506027","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":"Cross-lagged relationships among food insecurity, life satisfaction, and psychological distress in economically disadvantaged youth.","authors":"Arnat Wannasri, Jansen Cambia, Nirmin F Juber, Chih-Ting Lee, Meng-Che Tsai","doi":"10.1080/13548506.2025.2512153","DOIUrl":"10.1080/13548506.2025.2512153","url":null,"abstract":"<p><p>This study aimed to investigate the longitudinal triadic relationships among food insecurity (FI), life satisfaction (LS), and psychological distress (PD) of adolescents with economic disadvantages. Data (<i>N</i> = 1,173, M<i>age</i> = 13.2 years at T1) were derived from the Taiwan Database of Children and Youth in Poverty across three time points, namely, T1 (2013), T2 (2015), and T3 (2017). The study applied a random intercept cross-lagged path model to investigate between- and within-person associations among the three factors. Residual within-wave covariances pointed to intercorrelations among the three factors. We observed significant auto-regressive paths for the three factors at the within-person level, except for the one between FI at T2 and T3. Alternatively, reciprocal cross-lagged effects were observed between LS and PD, and FI predicted less PD. LS mediated the relationship between FI and PD, and likewise, PD mediated that between FI and LS. In conclusion, accounting for between- and within-person variances, the study highlighted the critical role of LS in psychological health among economically disadvantaged youth facing FI issues.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1524-1539"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192531","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":"Secondary traumatic stress and coping strategies in family caregivers.","authors":"Canan Demir Barutcu","doi":"10.1080/13548506.2025.2479259","DOIUrl":"10.1080/13548506.2025.2479259","url":null,"abstract":"<p><p>This study aimed to assess secondary traumatic stress and coping strategies among caregivers. A descriptive, correlational design was employed, involving 274 caregivers of patients with chronic illnesses. Data were collected through face-to-face interviews using the Stress Coping Strategies Scale and the Secondary Traumatic Stress Scale. The average age of caregivers was 55.88 ± 15.08 years, and the average duration of caregiving was 11.88 ± 7.00 years. It was found that caregivers mostly used ineffective coping methods such as the helpless and submissive approach to cope with stress. The overall secondary traumatic stress level was above the established scale midpoint (43.80 ± 10.46), with the highest scores in the avoidance subdimension and the lowest in the intrusion subdimension. The findings highlight that traumatic experiences impact not only those directly affected but also their caregivers. These results underscore the need for structured interventions to support caregivers in managing stress and mitigating secondary traumatic stress.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1437-1449"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659706","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":"1465-1484"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","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":"Analysis of the clinical-organizational pathway and well-being of obese patients undergoing bariatric surgery: impact on satisfaction and quality of life.","authors":"Irene Cappadona, Maria Pagano, Francesco Corallo, Lilla Bonanno, Maria Felicita Crupi, Vittorio Lombardo, Anna Anselmo, Davide Cardile, Rosella Ciurleo, Francesco Iaropoli, Antonio Galeano, Viviane Di Dio, Lea Lucchese, Antonino Todaro, Angelo Quartarone, Rocco Salvatore Calabrò, Elisabetta Morini","doi":"10.1080/13548506.2025.2495892","DOIUrl":"10.1080/13548506.2025.2495892","url":null,"abstract":"<p><p>Bariatric surgery is an effective treatment for obesity, promoting significant and lasting weight loss while improving health and quality of life. The study examines the clinical and organizational pathway of patients undergoing it, assessing the impact of health services on their well-being through health status analysis. It also seeks to understand whether patient satisfaction during the care process correlates with improved quality of life. A total of 50 patients with severe obesity were included between July 2020 and October 2022. The evaluation was conducted using the Short Form Health Survey 36 and an ad hoc questionnaire at three stages: before the intervention (T0), at six months (T1) and at 12 months (T2). ANOVA analysis showed significant differences between T0, T1 and T2 for most variables except for the number of health professionals consulted (<i>p</i> = 0.09). The Tukey post-hoc test confirmed these differences for several variables, with some exceptions, including medication use (T0-T1: <i>p</i> = 0.14), number of health professionals consulted (T0-T1: <i>p</i> = 0.68; T0-T2: <i>p</i> = 0.08; T1-T2: <i>p</i> = 0.37), and patient-care team relationship between T1 and T2 (<i>p</i> = 0.08). The study confirms the effectiveness of bariatric surgery and emphasizes the importance of a multidisciplinary approach to patient management.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1589-1605"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009415","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":"Why are women more fatigued than men? The roles of stress, sleep, and repetitive negative thinking.","authors":"Shima Golmohamadi, Bronwyn M Graham","doi":"10.1080/13548506.2025.2490212","DOIUrl":"10.1080/13548506.2025.2490212","url":null,"abstract":"<p><p>Fatigue, a state of prolonged tiredness that cannot be alleviated through rest, is twice as likely to affect women than men. To account for women's higher rates of fatigue, we examined three factors which have both exhibited consistent sex differences in the literature and have been linked to fatigue: stress, sleep, and repetitive negative thinking (RNT). In the first study, 193 undergraduate students reported their levels of fatigue, stress, sleep quality and RNT over the past month. Mediation analysis showed that the effect of sex on fatigue was partially mediated through stress, sleep, and the impact of stress on sleep, but not RNT. In the second study, 205 undergraduate students underwent the same procedures as in Study 1 to test the whether the findings from the first study were replicable in an independent sample. These students were then sent seven follow-ups across 2 weeks to measure their momentary fatigue, daily stress, and previous night's sleep quality. In the second mediation analysis, sleep did not mediate the impact of sex on fatigue; however, all other pathways found in the first study were replicated. With regard to the prospective measurements, women reported greater fatigue, even when accounting for sleep and stress, and poorer sleep and higher stress predicted fatigue both at population and individual levels. Taken together, these findings suggest that sex differences in fatigue could be in part driven by sex differences in stress.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1485-1506"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043371","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":"Aging in place as a mediator between satisfaction with life and geriatric depressive symptoms in Turkish older adults.","authors":"Esma Altındiş, Taner Artan, Ahmed Taha Arifoglu","doi":"10.1080/13548506.2025.2538252","DOIUrl":"https://doi.org/10.1080/13548506.2025.2538252","url":null,"abstract":"<p><p>The concept of aging in place refers to older adults' capacity to undergo the aging process without being separated from their physical and social environments. However, existing literature on the mediating role of this concept in the relationship between geriatric depression and life satisfaction among older adults is limited. Accordingly, the present study aims to investigate the mediating role of satisfaction with aging in place in the relationship between life satisfaction and geriatric depression among Turkish older adults. The study population comprised older adults residing in Istanbul, and the sample consisted of 412 individuals aged 65 years and above living at home, selected through stratified and cluster sampling methods (42.23% female, 57.77% male). Data were analyzed using confirmatory factor analysis and structural equation modeling - based mediation analysis. the findings indicated a positively association with satisfaction with aging in place and life satisfaction, while a negatively association was observed between satisfaction with aging in place and geriatric depression levels. Moreover, satisfaction with aging in place was found to partially mediate the relationship between life satisfaction and geriatric depression. These results suggest that policies aimed at enhancing satisfaction with aging in place among older adults may be an effective strategy to reduce symptoms of geriatric depression.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-24"},"PeriodicalIF":1.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745883","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":"Health care worker mental health and coping during the COVID-19 pandemic: Qualitative perspectives.","authors":"Jeffrey M Pavlacic, Caitlyn O Hood, Nihar Shah, Tenelle Jones, Alyssa A Rheingold","doi":"10.1080/13548506.2025.2539941","DOIUrl":"https://doi.org/10.1080/13548506.2025.2539941","url":null,"abstract":"<p><p>The COVID-19 pandemic has impacted health care workers (HCWs) and systems. Health care workers are susceptible to psychological and physical impacts from COVID-19, as these individuals work in stressful environments. It is clear that COVID-19 has exacerbated psychological and physical health difficulties for HCWs. In line with evidence-based models for promoting workplace well-being (e.g. Stanford Model of Professional Fulfillment), understanding cultural, systemic, and individual factors exacerbating duress for HCWs is imperative for designing intervention and prevention efforts in health care systems. The current manuscript consists of data from a quality improvement project of qualitative (<i>N</i> = 224) assessments of burnout, coping, and contextual factors contributing to psychological and physical health in HCWs in a large health care system during the early stages of the COVID-19 pandemic. Mental and physical health difficulties experienced by HCWs were evident through qualitative assessments. Despite experiencing mental health problems and physical difficulties, many individuals engaged in self-care practices. Overall, HCWs felt supported by individual units. Health care workers reported that strengthening communication, protecting time off, and being shown appreciation may promote and protect morale. These data inform intervention and policy change efforts in health care systems, particularly prevention and intervention strategies focusing on modification of systems and individual behaviors to enhance psychological well-being in line with evidence-based intervention models.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745884","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":"Determination of anxiety, hopelessness and depression levels of patients after lung resection.","authors":"Burcu Bicer Yesilbas, Zuleyha Simsek Yaban","doi":"10.1080/13548506.2025.2538253","DOIUrl":"https://doi.org/10.1080/13548506.2025.2538253","url":null,"abstract":"<p><p>This study aimed to investigate the levels of depression, anxiety, and hopelessness in patients following lung resection surgery, as well as the interrelationships among these variables. A descriptive and correlational study was conducted with 177 patients who underwent lung resection between November 2019 and May 2022. Data were collected using a Sociodemographic Information Form, the Beck Hopelessness Scale, the Beck Depression Scale (BDS), and the State-Trait Anxiety Scale (STAI), all administered postoperatively. Descriptive statistics (means, standard deviations, frequencies), independent samples t-tests, one-way analysis of variance (ANOVA) with post-hoc tests (Bonferroni or Tamhane's T2), and Pearson correlation analysis were performed using SPSS version 23. Levene's test was used to assess the homogeneity of variances. A p-value of < 0.05 was considered statistically significant. The average age of the participants was found 57.75 ± 6.65 and 61.6% of the patients were male and malignancy rate was 74.5%. According to the data, all patients experienced some level of hopelessness, with 33.3% of the participants experiencing minimal, 23.7% mild, 28.2% moderate and 14.7% severe hopelessness. Depression was also experienced by all participants. Specifically, 1.7% had mild depression, 11.9% had moderate depression, and 86.4% had severe depression. The mean state anxiety score was 50.73 ± 6.02, and the mean trait anxiety score was 50.82 ± 3.91. A positive and statistically significant correlation was found between the Beck Depression Scale and the State Anxiety scores (<i>p</i> < 0.05). The psychological condition of patients following lung resection is too significant to be overlooked. Therefore, it is essential to support patients undergoing thoracic surgery throughout the perioperative period using a holistic approach providing specialist psychological support when necessary. Routine screening for mental health symptoms and early psychosocial interventions such as therapeutic communication, psychiatric consultation, and nursing (consultation-liaison) support should be integrated into perioperative care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735513","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 \"RE.COMMUNICATION\" training program to optimize medical communication and emotion regulation: lessons learned from a mixed-method feasibility study.","authors":"Ana C Alves-Nogueira, Cláudia Melo, Maria Cristina Canavarro, Carlos Carona","doi":"10.1080/13548506.2025.2536869","DOIUrl":"https://doi.org/10.1080/13548506.2025.2536869","url":null,"abstract":"<p><p>Effective communication skills, including emotion regulation (ER) skills, are critical for physicians to manage patient interactions and their own well-being. However, ER skills are rarely included in medical communication training programs. This study evaluated the feasibility of 'RE.COMMUNICATION', an 8-h online synchronous training program designed to enhance communication skills, including ER, among physicians. Using a mixed-methods approach, the study primarily examined five feasibility dimensions including (1) recruitment procedures, (2) data collection procedures, (3) resources and the ability to implement the training, (4) acceptability and (5) suitability of the training. Additionally, the study attested the preliminary effects of the training through the analyses of change scores in communication competence and ER (i.e. cognitive reappraisal and expressive suppression) one-month post-training. First, several adjustments for future iterations regarding recruitment, data collection and implementation procedures were identified by the researchers. Second, the 52 physicians enrolled in the training rated very positively the training's content, relevance, utility, satisfaction and applicability, indicating high rates of acceptability and suitability of the training. Thematic analyses revealed that group dynamics, trainer competence and practical exercises were particularly valued as strengths of the training program. And third, communication competence and cognitive reappraisal improved significantly 1 month post-training. No significant changes were observed in expressive suppression. While no changes were registered regarding physicians' sex, differences emerged based on professional status: specialists significantly increased their use of cognitive reappraisal, and they displayed contrasting tendencies in the use of expressive suppression, with specialists increasing its use post-training. This study attested the feasibility of 'RE.COMMUNICATION' and highlighted opportunities for refinement, providing a foundation for optimizing this training program and designing a pilot randomized controlled trial.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-33"},"PeriodicalIF":1.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735515","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}