Psychology Health & Medicine最新文献

{"title":"Disclosure of hepatitis B and reduced access to health care due to stigma: an exploratory study with Chinese people living with hepatitis B in Australia.","authors":"Elena Cama, Robyn Horwitz, Simin Yu, K O E Wu, Timothy Broady, Carla Treloar, Loren Brener","doi":"10.1080/13548506.2026.2746786","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746786","url":null,"abstract":"<p><p>Decisions of whether to disclose a stigmatised health condition are complex and have ramifications for affected populations; however, there is very limited knowledge of hepatitis B-related disclosure. This study explored disclosure of hepatitis B, concerns around disclosure, and whether these concerns are associated with other outcomes among Chinese people living with hepatitis B. Surveys with 65 Chinese people living with hepatitis B in Australia measured disclosure of hepatitis B, concerns around disclosure, reduced access to care due to stigma, perceived and experienced stigma, negative treatment by health workers, frequency of health check-ups, and personal wellbeing. Disclosure of hepatitis B to family and sexual partners was high. While 66% of participants had disclosed their status to their doctor, only 19% reported disclosing to other health workers. Concerns around disclosure centred on whether they would be isolated by others (48%) and whether they would be a burden to family or an employer (20%). Correlations revealed that those who reported greater perceived and experienced hepatitis B-related stigma had more concerns around disclosure and poorer personal wellbeing. Negative treatment by health workers was associated with greater perceived and experienced hepatitis B-related stigma, lower frequency of check-ups, and reduced access to care. Participants who reported a greater frequency of check-ups reported higher personal wellbeing. Findings highlight the need to support people living with hepatitis B to build community connectedness to mitigate the negative impacts of stigma, as well as among the broader community to address stigmatising attitudes towards hepatitis B. Supporting people living with hepatitis B and building community connectedness may help mitigate the wellbeing impacts of stigma and promote sustained engagement with health care services.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139083","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":"Which cognitive emotion-regulation strategies are implicated in the association between sleep quality and negative affect?","authors":"Alexander J Scott, Jennifer Lomas, Scott Weich, Thomas L Webb","doi":"10.1080/13548506.2026.2746788","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746788","url":null,"abstract":"<p><p>Poor sleep is causally related to the experience of mental health difficulties, and improving sleep can also improve mental health, positioning sleep as an important transdiagnostic treatment target in mental healthcare. However, considerably less is known about the psychological processes through which sleep may influence mental health. Identifying these processes could refine theoretical understanding and reveal specific targets for interventions. This large preregistered cross-sectional study examined cognitive emotion regulation as a candidate mechanism. A total of 899 adults completed measures of sleep quality, cognitive emotion regulation and negative affect. Parallel mediation models examined indirect associations through adaptive and maladaptive regulation and nine specific strategies. The analyses indicated that poorer sleep quality was associated with greater negative affect (<i>β</i> = 0.51, 95% CI = 0.46 to 0.56). Indirect associations were observed through maladaptive regulation (<i>β</i> = 0.15, 95% CI = 0.12 to 0.18) and adaptive regulation (<i>β</i> = 0.02, 95% CI = 0.01 to 0.04). When all nine strategies were modelled simultaneously, indirect associations were observed through self-blame (<i>β</i> = 0.07), rumination (<i>β</i> = 0.05), catastrophising (<i>β</i> = 0.04) and refocusing on planning (<i>β</i> = 0.03). Cognitive emotion regulation therefore represents a plausible psychological process linking sleep quality with negative affect, particularly through maladaptive strategies. Self-blame, rumination and catastrophising provide specific, theoretically coherent priorities for future research. Nevertheless, the cross-sectional design cannot establish temporal ordering or causality. Longitudinal and experimental studies are now required to test whether poor sleep changes the use of these strategies, whether they subsequently influence negative affect, and whether modifying them improves the mental-health benefits of sleep interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139124","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":"Interactive vs non-interactive virtual reality for pain, anxiety, and emotional behaviour during venipuncture in children: a randomized trial.","authors":"Gülçin Özalp, İpek Göçer, Ramazan Telek, Şeyhmus Öz","doi":"10.1080/13548506.2026.2738082","DOIUrl":"https://doi.org/10.1080/13548506.2026.2738082","url":null,"abstract":"<p><p>This randomized controlled trial evaluated the effects of interactive and non-interactive virtual reality (VR) distraction on pain, anxiety, procedure-related emotional behaviour, and parent and nurse satisfaction during venipuncture in school-age children. The study was conducted in the phlebotomy unit of a children's hospital with 86 children aged 6-12 years. Participants were assigned to three groups using stratified randomization: interactive VR, non-interactive VR video, and usual care. Pain was measured using the Wong-Baker FACES Pain Rating Scale, anxiety using the Children's Anxiety Scale-State, and procedure-related emotional behaviour using the Children's Emotional Manifestation Scale. Parent and nurse satisfaction with the distraction process were assessed using 0-10 numeric rating scales. The groups were similar in terms of sociodemographic and clinical characteristics. Pain scores were significantly lower in the interactive VR group than in the non-interactive VR video and usual care groups. No statistically significant between-group difference was found in pre- or post-procedure anxiety scores. Both VR groups had more positive emotional manifestation scores and higher parent and nurse satisfaction than the usual care group, but these outcomes did not differ significantly between the two VR groups. These findings suggest that VR distraction may be useful during venipuncture in children. Interactivity may provide additional benefit mainly for pain reduction, whereas both VR formats may support more positive procedural behaviour and higher satisfaction compared with usual care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129051","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":"Daily activity patterns and the association between widowhood and cognitive function in older adults: evidence from the Chinese Longitudinal Healthy Longevity Survey.","authors":"Hao Xu, Penggen Li, Qinglong Sun, Xiaowen Li","doi":"10.1080/13548506.2026.2738083","DOIUrl":"https://doi.org/10.1080/13548506.2026.2738083","url":null,"abstract":"<p><p>Widowhood is a major life-course transition in later life and has been associated with cognitive health. However, less is known about whether the association between widowhood and cognitive function differs across older adults' daily activity patterns. Using data from three waves (2008, 2011, and 2014) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study included 4,427 married or widowed adults aged 60 years and older. Latent class analysis (LCA) was used to identify daily activity patterns based on eight daily activities. Multinomial logistic regression examined the association between marital status and activity pattern membership, and linear mixed-effects models (LMMs) assessed whether the association between marital status and cognitive function differed across activity patterns. Cognitive function was measured using the total score of the Modified Mini-Mental State Examination (MMSE-R). Four daily activity patterns were identified: Manual-Media Mixed Type, Low-engagement Passive Type, Domestic-Agricultural Active Type, and TV-dominant Sedentary Type. Compared with married older adults, widowed older adults were more likely to belong to the Low-engagement Passive Type and TV-dominant Sedentary Type. The association between marital status and cognitive function differed significantly across activity patterns. Widowhood-related lower cognitive function was mainly observed in the Low-engagement Passive Type and TV-dominant Sedentary Type, whereas no significant widowhood-related cognitive disadvantage was observed in the Domestic-Agricultural Active Type. In the Manual-Media Mixed Type, widowed older adults showed slightly higher adjusted cognitive function scores than married older adults. Overall, these findings suggest that the association between widowhood and cognitive function is context-dependent and varies across daily activity patterns, highlighting the importance of considering older adults' broader daily activity structures when understanding cognitive health in later life.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118502","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":"What determines people's willingness to donate a kidney as part of an organ exchange programme?","authors":"Taylor Nealon, Katherine M White","doi":"10.1080/13548506.2025.2528116","DOIUrl":"10.1080/13548506.2025.2528116","url":null,"abstract":"<p><p>Living organ donation through exchange programmes, where donors are anonymously matched with recipients, is a growing practice that addresses compatibility barriers in transplantation. However, limited research explores predictors influencing individuals' willingness to engage in such programmes. This study used the prototype willingness model (PWM) along with moral norm to examine key predictors of people's willingness to participate in living organ (kidney) donation within an exchange programme based on a hypothetical scenario. Given the recent introduction of a national exchange programme, participants (<i>N</i> = 147) were adult Australians with no current conditions affecting organ donation eligibility. Hierarchical multiple regression analysis showed attitudes towards organ donation and similarity to a typical organ donor significantly contributed to people's willingness to donate their kidney via an exchange programme. Moral norm, the personal belief that organ donation is a moral obligation, also predicted willingness. Willingness to donate in an exchange programme is more closely tied to one's personal attitude, self-image (similarity to a typical donor) and moral obligation than any external social pressures. Given their increasing prevalence, future research should continue to explore individuals' motivations for donating in exchange programes which are crucial for enhancing donor recruitment efforts to save lives.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2312-2327"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669010","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":"Masculinity and gender norms as risk factors in suicide and suicide ideation among male university students in Zimbabwe.","authors":"Songile Mhlanga, Munyaradzi Chidarikire","doi":"10.1080/13548506.2025.2601064","DOIUrl":"10.1080/13548506.2025.2601064","url":null,"abstract":"<p><p>This study explores the expression of masculinity and gender norms as risk factors in suicide and suicide ideation among male university students. With a focus on Midlands State University, Zimbabwe, male students are increasingly becoming a vulnerable demographic facing unique pressures in a highly competitive era. Traditionally, masculinity emphasizes traits such as stoicism, resilience and emotional restraint, which can significantly increase susceptibility to mental health challenges, suicide ideation and suicide. Suicide has become the third leading cause of death among youth and more males than females die of suicide annually in developing countries such as Zimbabwe. This paper examines how these entrenched and emerging masculine expectations and gender norms contribute to increased risks of suicidality among male students. Thomas Joiner's Interpersonal theory of suicide and Hegemonic masculinity were adapted to place into perspective the phenomenon under study. Qualitative methodology was used to collect data through semi-structured interviews and focus group discussions from 32 purposively selected both male and female students and key informants. Data collection methods, sources and theoretical frameworks were triangulated in adherence to quality standards. Through a thematic analysis, data identifies key factors such as failure of romantic relationships, sexual orientation, drug and substance abuse, and societal expectations exacerbate mental health struggles which lead to suicidality. Results indicate that male students felt compelled to conform to culturally rigid masculine ideals and gender norms in the face of adverse socio-economic environment. Furthermore, social and self-stigmatization surrounding mental health reduced their help seeking behaviors, compromising their ability to cope effectively. The findings highlight the role of cultural narratives in trivializing the psychosocial well-being of young adult males. This underscores the urgent need for adaptation of inclusive gender sensitive mental health strategies that challenge harmful gender norms, masculine ideologies and stimulate conversations on socio-emotional vulnerabilities.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2241-2261"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846866","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":"When cure ends: lived experiences of palliative care among Jordanian adults with hematological malignancies.","authors":"Mohammad M Alnaeem, Hala Bawadi, Loai Abu Sharour","doi":"10.1080/13548506.2025.2587258","DOIUrl":"10.1080/13548506.2025.2587258","url":null,"abstract":"<p><p>Hematological malignancies (HMs) are aggressive cancers with unpredictable trajectories, high symptom burden, and frequent intensive end-of-life interventions. Despite global recognition of palliative care (PC) as essential for life-limiting illnesses, patients with HMs - particularly in Jordan - often have limited access to timely PC. This study aimed to explore the experience of PC from the perspective of Jordanian adult patients in the terminal stage of HMs. A qualitative interpretive design which followed a phenomenological approach was used to collect and analyze data. Ten participants (aged 45-83 years) were interviewed in-depth using an unstructured approach. The results showed two main themes emerged: '<i>This care is far from the spirit of palliative care'</i>, encompassing subthemes such as delayed referral and missed opportunities, fragmented communication and limited emotional support, psychological distress and spiritual guilt, loss of agency and social identity; '<i>Living between acceptance and resistance</i>,' which included faith as a source of strength and acceptance, resistance through hope and uncertainty, and disrupted sense of meaning and purpose; and '<i>Faith as an anchor amid suffering'</i>, including illness as a divine test and path to acceptance, prayer and religious rituals as sources of strength, and faith amid doubt and exhaustion. In conclusion, physical and psychosocial suffering was a dominant feature of the lived experiences of patients with terminal HMs. Despite the severity of their needs, patients often received care that lacked core elements of palliative support, leading to feelings of neglect and compromised dignity. These findings underscore the need for timely, coordinated, and patient-centered palliative interventions to ensure that individuals receive compassionate and holistic care as they approach the end of life.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2262-2282"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514534","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":"My inner barometer: an explorative co-research study on the development of the embodied cognition in dementia assessment scales (EmDAS).","authors":"Hanne Mette Ridder, Janni Lund Hansen, Charlotte Lindvang, Lukas Ochsner Reynaud Ridder","doi":"10.1080/13548506.2025.2565513","DOIUrl":"10.1080/13548506.2025.2565513","url":null,"abstract":"<p><p>When psychosocial interventions for persons with dementia are examined, standardized screening tools are often used. These tools are designed to quantify symptom reduction and may therefore overlook the changes and benefits that persons with dementia themselves find important. This addresses the need for tools that are developed from the perspective of persons with dementia themselves in order to integrate the nuanced benefits of psychosocial interventions that they value. There are conflicting results about whether persons with dementia can complete self-report scales, still, the aim of this study was to outline the detailed process of the development of a dementia-specific self-reported outcome measure. The research was motivated by a person with dementia and unfolded in an inductive, iterative and explorative co-research design in seven phases. Each phase covered different research methods and in total included 36 participants and stakeholders. The participants' perspectives and ideas were prioritized with the overall goal to enhance and improve outcomes for psychosocial interventions that are co-created and balanced between deficits and strengths and based on what persons with dementia considered the most meaningful outcomes. The result was a co-constructed self-report outcome measure covering eight items of embodied cognition (Body, Emotions, Language, Overview, Empathy, Memory, Imagination, Meaning). The Embodied Cognition in Dementia Assessment Scales (EmDAS) shows promising validity and sensitivity, is relevant for further psychometric testing, and may provide a valuable contribution to inclusive health care research.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2358-2375"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187648","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 students' knowledge and self-efficacy through integrated first aid and psychological first aid training.","authors":"Mehmet Halil Öztürk, Tuğçe Yeşilyaprak, Ahmet Doğan Kuday","doi":"10.1080/13548506.2025.2506017","DOIUrl":"10.1080/13548506.2025.2506017","url":null,"abstract":"<p><p>This study aimed to evaluate the effect of integrated first aid training, including Psychological First Aid (PFA), on health sciences students' first aid knowledge and psychological self-efficacy. A quasi-experimental, pretest - posttest control group design was used, involving a total of 76 health sciences students, with 38 in the intervention group and 38 in the control group. The intervention group received a structured 14-week training program that incorporated both physical first aid practices and PFA. Pretest and posttest data on first aid knowledge and psychological self-efficacy were collected from both groups. The results showed significant improvements in the intervention group's outcomes. First aid knowledge scores increased from a pre-test mean of 29.95 ± 6.36 to a post-test mean of 33.07 ± 7.66 (<i>p</i> = 0.006). Similarly, psychological first aid self-efficacy scores improved from 122.97 ± 19.27 to 164.07 ± 7.75 (<i>p</i> < 0.001). These findings support the integration of PFA into first aid training programs, highlighting the importance of addressing both the physical and psychological dimensions of emergency care. The study also emphasizes the need to include such programs in health sciences curricula and recommends extending first aid education to broader populations, including the general public, in order to promote a culture of preparedness and resilience.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2493-2506"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112848","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":"Autistic traits in fibromyalgia are associated with hypersensitivity and central sensitisation.","authors":"Helen Johnston, Alison M Bacon","doi":"10.1080/13548506.2025.2519237","DOIUrl":"10.1080/13548506.2025.2519237","url":null,"abstract":"<p><p>Fibromyalgia presents with symptoms of central sensitisation (CS). Allodynia is the defining symptom, with evidence for general hypersensitisation extending beyond the pain symptoms that characterise fibromyalgia, to sensory and psychological domains. Generalised sensory processing sensitivity (SPS) may increase vulnerability to hypersensitisation; while a direct association exists between sensory sensitivity and autistic traits in autistic people, CS symptoms are also associated with autistic traits in a broader participant sample. This study complements previous lines of enquiry by examining the relationship between SPS, CS symptoms and autistic traits in samples with and without fibromyalgia. It proposes that SPS is indirectly associated with autistic traits via CS and that this association is stronger in fibromyalgia because CS symptoms impact social, physical and psychological functioning. A sample was diagnosed with fibromyalgia (<i>n</i> = 260) and another from the general population (<i>n</i> = 139) completed the Sensory Processing Sensitivity Questionnaire, a measure of sensory and psychological sensitivities, the Central Sensitisation Inventory, a measure of CS symptoms, and the Subthreshold Autistic Traits Questionnaire. Higher levels of SPS, CS symptoms and autistic traits were reported in the sample with fibromyalgia, and all three factors were significantly positively correlated. As predicted, CS symptoms fully mediated the relationship between SPS and autistic traits in the sample with fibromyalgia, and less expectedly, also in the control. Participant samples moderated the relationship between CS symptoms and autistic traits, with autistic traits increasing more rapidly with CS symptoms in the sample with fibromyalgia. Results suggest autism may be prevalent in people with fibromyalgia, particularly those with extremely high levels of CS symptoms. However, clinicians should also be aware of the potential to misdiagnose autism in this population, as CS symptoms may elevate self-reported autistic traits.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2465-2481"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477901","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}