Psychology Health & Medicine最新文献

{"title":"How intolerance of uncertainty affects negative emotions in patients with primary glaucoma: a chain mediation model.","authors":"Xuejia Li, Zhen Zeng, Xiaolin Ma, Jin Zhu, Juan Guo, Ling Qin","doi":"10.1080/13548506.2025.2564303","DOIUrl":"https://doi.org/10.1080/13548506.2025.2564303","url":null,"abstract":"<p><p>This study aims to investigate the relationship between intolerance of uncertainty and anxiety and depression in patients with primary glaucoma, and to analyze the mediating role of resilience and rumination as well as the chain-mediated effect in it. A total of 242 patients with primary glaucoma were enrolled in this study. Questionnaires were used to collect cross-sectional data on patients' intolerance of uncertainty, resilience, rumination, anxiety and depression. The chain mediation model was constructed by the IBM AMOS 26.0 statistical software and was tested by bias-corrected bootstrap method. Intolerance of uncertainty can directly affect anxiety and depression in patients with primary glaucoma, as well as indirectly through resilience and intrusive rumination. Moreover, resilience and intrusive rumination had a chain mediation effect between intolerance of uncertainty and anxiety and depression. Improving resilience and reducing intolerance of uncertainty and intrusive rumination are important interventions to improve anxiety and depression in patients with primary glaucoma.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233539","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":"Living alone as a social determinant of health: evidence from a national health survey.","authors":"Şenol Demirci, Keziban Avcı","doi":"10.1080/13548506.2025.2569102","DOIUrl":"https://doi.org/10.1080/13548506.2025.2569102","url":null,"abstract":"<p><p>The phenomenon of living alone has become an increasingly prevalent social reality in today's world. This situation affects individuals' living conditions and health in various ways. This study investigates whether living alone constitutes a social determinant of health status and aims to examine the socio-demographic factors associated with living alone. The study was based on the secondary analysis of the data from the 2022 Turkish Health Survey conducted by the Turkish Statistical Institute. Data from 13 151 individuals were used in a cross-sectional design. Logistic regression analyses were used to evaluate the effect of living alone on health status outcomes, controlling for variables such as age, gender, education, marital status, and working status. As a result of the study, it was determined that the likelihood of living alone was higher among males, individuals aged 65 years and older, those with higher levels of education, divorced or widowed individuals, and those who were actively working. It was found that those living alone had an increased risk for instrumental activities of daily living (IADLs) and depressive disorders. It was concluded that living alone has adverse effects on health, and the risks of depression and IADLs limitation are increased in individuals living alone. Therefore, it is recommended that living alone should be recognised as an important social determinant of health and policymakers should develop preventive and supportive interventions for this situation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233879","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":"'Continue or give up': a grounded theory study on the reasons for stopping drugs from the perspective of individuals diagnosed with depression.","authors":"Gülhan Küçük Öztürk, Soner Mete, Kamuran Özdil","doi":"10.1080/13548506.2025.2569108","DOIUrl":"https://doi.org/10.1080/13548506.2025.2569108","url":null,"abstract":"<p><p>The research was conducted to determine the reasons why individuals diagnosed with depression stop taking their drugs. This study is a qualitative study conducted using the grounded theory approach method. The population of the study consisted of individuals who were followed up with diagnosis of depression in a State Hospital Psychiatry Outpatient Clinic in a province of Nevşehir and who had experience of withdrawing drugs. The sample for the research was determined by the purposeful sampling method. The research was completed with 15 participants who agreed to participate in the study. The study was conducted between May and September 2023. The participants' ages ranged from 29 to 67 years old. The average number of years individuals were diagnosed with depression was 13.5 ± 5.8 years. Along with the themes, the sub-themes were misinformation <i>(doubt, social discourse, lack of information)</i> and unacceptable change <i>(side effects, expectation, loss, hopelessness)</i>. Individuals diagnosed with depression stopped taking drugs due to lack of knowledge about the drug, doubting the effectiveness of the drug, and negative social discourse. At the same time, they experienced side effects due to drug use, various losses in their lives, inability to meet their expectations and hopelessness.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233574","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 relationship between post-traumatic growth and psychosocial adaptation and mental well-being in oncological gastrointestinal surgery patients: a cross-sectional study.","authors":"Mustafa Kavak, Egemen Çiçek, Funda Kavak Budak","doi":"10.1080/13548506.2025.2569103","DOIUrl":"https://doi.org/10.1080/13548506.2025.2569103","url":null,"abstract":"<p><p>The aim of this study is to determine the relationship between post-traumatic growth and psychosocial adaptation and mental well-being in oncological gastrointestinal surgery patients. This descriptive and correlational study was conducted between April 2025 and July 2025 at the general surgery department of Turgut Özal Medical Center with 60 oncological gastrointestinal surgery patients determined by power analysis. The data collection tools included the Demographic Characteristics Form, Post-Traumatic Growth Scale, Psychosocial Adjustment Scale, and Mental Well-Being Scale. Data were analyzed using independent samples t-test, analysis of variance, Pearson correlation analysis, and simple linear regression analysis. The mean total score of the Post-Traumatic Growth Scale was low (31.60±9.70), the mean total score of the Psychosocial Adjustment Scale was at a poor level (54.32±18.62), and the mean total score of the Mental Well-Being Scale indicated possible depression (19.11±5.16). A strong positive correlation was found between post-traumatic growth and psychosocial adjustment (r=0.887). A strong positive correlation was also observed between psychosocial adjustment and mental well-being (r=0.889). Furthermore, a strong positive correlation was identified between post-traumatic growth and mental well-being (r=0.986) (p<0.05). The results of the study suggest that post-traumatic growth increases psychosocial adjustment in oncological gastrointestinal surgery patients, which in turn indicates an improvement in spiritual well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233882","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":"Mindfulness, self-compassion and flow: Mediators of body satisfaction and mental wellness of university faculty.","authors":"Leslie Ramos Salazar, Priscella Correa","doi":"10.1080/13548506.2025.2569109","DOIUrl":"https://doi.org/10.1080/13548506.2025.2569109","url":null,"abstract":"<p><p>The sedentary nature of the academic profession may lead to increased body weight and body concerns among faculty members, and when faculty deal with work pressures and stressors, they may also suffer from mental health issues. As such, the aim of this study is to investigate the mediating effects of mindfulness (e.g. awareness of the present moment), self-compassion (e.g. practicing self-kindness in difficult moments), and work-related flow (e.g. state-of-mind at work) in the positive relationship between body satisfaction (e.g. positive feelings about one's body) and mental wellness (e.g. an internal positive state of mind). Regression and mediation analyses were conducted using a cross-sectional sample including 181 U.S. faculty participants working in higher education. The sample was composed of 66% females (34% males) and 70.9% Caucasian/Non-Hispanic with an average age of 51.05 (range = 27 to 81, <i>SD</i> = 12.04). Results showed that body satisfaction was positively related to mental wellness. Additionally, this study provides evidence of the simple and multiple mediating effects of mindfulness, self-compassion, and work-related flow on the relationship between body satisfaction and mental wellness. These findings have implications for implementing interventions, workshops, and practices that increase body satisfaction, mindfulness, self-compassion, and work-related flow with the support of higher education institutions, administrators, and faculty.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233916","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":"Association between daytime napping and perceived stress levels among university students in Türkiye, Brazil, and Italy: a multicultural study.","authors":"Hacer Demirkol, Ebru Savucu, Elif Deniz Kaçmaz, Ahmet Erol, Selin Salmak, Eric Francelino Andrade, Ippolito Notarnicola, Alessandro Stievano, Giovanni Gioiello","doi":"10.1080/13548506.2025.2565516","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565516","url":null,"abstract":"<p><p>Stress is a common issue among university students, often affecting their academic performance and overall well-being. Therefore, there is a growing need for low-cost, time-efficient stress management strategies that students can easily adopt. This study aimed to examine the daytime napping habits of university students in Türkiye, Brazil, and Italy and to explore their association with perceived stress levels. This descriptive, cross-cultural study was conducted using online surveys, including an Introductory Information Form and the Perceived Stress Scale-14 (PSS-14). A total of 1,237 university students (74.4% female) participated. Data were analyzed using linear regression analyses. Overall, 35.7% reported taking a daytime nap once or twice a week, and 59.5% reported using naps for stress management. Students in Italy had significantly lower perceived stress than those in Türkiye and Brazil. In the univariable regression analysis, students who took daytime naps for stress management had higher stress levels than those who did not, and those who never took daytime naps had higher stress levels than those who did so once or twice a week. In the multivariable analysis, students who took daytime naps every day had significantly higher stress levels than those who never took naps. Additionally, belief in the positive effects of daytime naps on stress management was associated with lower stress levels (<i>p</i> < 0.05). The findings suggest that the frequency of daytime naps, their utilization for stress management, and belief in their effectiveness are associated with perceived stress levels. To strengthen these results, future cross-cultural studies should employ randomized controlled trials incorporating objective sleep measures and demographically more homogeneous samples.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214490","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":"Efficacy of gut microbiota-based therapy for autism Spectrum Disorder and attention Deficit Hyperactivity Disorder: a systematic review and meta-analysis.","authors":"Weijie Sun, Liang Ma, Xiangnan Feng, Yi Fan, Yiduo Cai, Xiaoming Li","doi":"10.1080/13548506.2025.2565181","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565181","url":null,"abstract":"<p><p>The gut-brain axis is an emerging therapeutic target for neurodevelopmental conditions such as Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD). However, the overall efficacy of gut microbiome-based interventions remains unclear. This systematic review and meta-analysis, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, aimed to synthesize the evidence on these interventions. Fifteen randomized controlled trials (RCTs) were identified from 1,080 records across PubMed, Embase, Web of Science, Cochrane, PsycInfo, MEDLINE, and ClinicalTrials.gov through August 2024. Interventions included probiotics, prebiotics, dietary changes, and fecal transplants. Using random-effects models, pooled analysis showed a small but significant overall benefit of gut microbiota-based interventions (Standardized Mean Difference, SMD = -0.12; 95% Confidence Interval, CI: -0.19 to -0.04), with low heterogeneity (I² = 5.9%). Effects differed by disorder: ADHD demonstrated greater improvement (SMD = -0.24; 95% CI: -0.42 to -0.06; I² = 50.4%) compared to ASD (SMD = -0.05; 95% CI: -0.15 to 0.04; I² = 0%). Duration-specific effects emerged: 8-week interventions showed significant outcomes (SMD = -0.32; 95% CI: -0.58 to -0.06), while shorter or longer durations lacked significance. Acceptability analysis from eight studies revealed comparable dropout rates between intervention and control groups (ASD: Risk Ratio, RR = 1.002; ADHD: RR = 0.943), with no serious adverse events reported. Subgroup analyses identified participant age, diagnosis type, and geographic location as heterogeneity sources. Despite methodological limitations and small sample sizes, findings suggest gut microbiome modulation may offer a safe adjunctive therapy, particularly for ADHD, with optimal effects emerging at 8 weeks. The gut-brain axis appears promising for neurodevelopmental disorders, but current evidence remains preliminary. Future research should prioritize large-scale RCTs with standardized protocols, mechanistic investigations, and long-term follow-up to establish clinical guidelines and clarify biological pathways. Findings underscore the need to tailor interventions to specific disorders and optimize treatment duration.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-25"},"PeriodicalIF":1.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214562","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":"Development of the Dysfunctional Beliefs about Sleep for shift Workers scale (DBSW) for shift-working registered nurses.","authors":"Jaeeun Song, Zehra Tugcehan Duman, Sooyeon Suh, Seockhoon Chung","doi":"10.1080/13548506.2025.2512135","DOIUrl":"10.1080/13548506.2025.2512135","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to develop a sleep-related dysfunctional beliefs scale that can be applied specifically to shift workers.</p><p><strong>Methods: </strong>The Dysfunctional Beliefs about Sleep for shift Workers scale (DBSW) was developed under the standard rating scale development process. We conducted two online surveys to run an exploratory factor analysis (EFA, Study I, <i>N</i> = 323) and a confirmatory factor analysis (CFA, Study II, <i>N</i> = 300) for the new scale. The convergent validity of the DBSW was explored with pre-existing rating scales, including the Dysfunctional Beliefs and Attitudes about Sleep-16 scale (DBAS-16), Insomnia Severity Index (ISI), and Glasgow Sleep Effort Scale (GSES).</p><p><strong>Results: </strong>We finally selected 10 items after EFA, and we observed that the scale has three factors. Based on the CFA, the three-factor model with a 10-item DBSW showed good fits for the model (CFI = 0.971, TLI = 0.959, RMSEA = 0.050, SRMR = 0.042). The internal consistency of reliability of the DBSW were excellent based on the McDonald's omega value of 0.802. Convergent validity analyses revealed significant correlations between the total DBSW score and ISI (<i>r</i> = 0.54, <i>p</i> < 0.01), DBAS-16 (<i>r</i> = 0.74, <i>p</i> < 0.01), and GSES (<i>r</i> = 0.48, <i>p</i> < 0.01). Three factors (Dysfunctional beliefs, Control, and Shift work) of the DBSW were correlated with each other: total score of DBSW, ISI, DBAS-16, and GSES scores.</p><p><strong>Conclusions: </strong>The DBSW is a rating scale that can measure sleep-related cognition specific to shift workers with good reliability and validity.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2037-2048"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183218","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":"Understanding the impact of COPD and self-management interventions: a self-determination theory perspective.","authors":"Liam Knox, Rachel Rahman, Gareth Norris, Carol-Anne Davies, Sam Rice, Kim Littlemore, Claire Hurlin, Keir Lewis","doi":"10.1080/13548506.2025.2487226","DOIUrl":"10.1080/13548506.2025.2487226","url":null,"abstract":"<p><p>People with COPD (pwCOPD) experience a range of daily living limitations caused by breathlessness, which can affect their quality of life and physical and mental health. There are approximately 1.2 million pwCOPD in the UK. Two common behavioural interventions are self-management support and pulmonary rehabilitation, which support pwCOPD to exercise and adopt techniques to decrease their symptoms; however, adherence to these can be poor. This study aimed to understand whether these two different interventions can affect motivational concepts and explore how pwCOPD experience their condition and these interventions. This study used a mixed-method design. Participants were allocated to receive either: pulmonary rehabilitation and PocketMedic (a self-management intervention), only PocketMedic, or only pulmonary rehabilitation. Questionnaires measuring self-determination theory motivational concepts were completed at baseline and seven weeks. Semi-structured interviews were conducted and analysed using Reflexive Thematic Analysis. 53 participants were recruited to the three conditions. An ANOVA found no statistically significant differences between the groups for any of the questionnaires, which may be related to the low sample size. However, when the research condition was held constant, significant improvements were identified for competence satisfaction (<i>p</i> < 0.001) and relatedness satisfaction (<i>p</i> < 0.05) and autonomy frustration (<i>p</i> < 0.001) and competence frustration (<i>p</i> < 0.05). Seven participants from the PocketMedic conditions were interviewed. Overarching themes described the participants' experiences and adaptations to psychological need frustration, and how the interventions facilitated basic psychological need satisfaction. This study suggests that pulmonary rehabilitation and PocketMedic can improve basic psychological need satisfaction and frustration; however, there were no cumulative affects when the interventions were combined. Need frustration is important to consider in research on long-term conditions. The qualitative analysis provides greater knowledge on mechanisms by which healthcare interventions have been shown to be effective. Further research is needed including larger and more diverse samples to enable complete generalisability.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2094-2112"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045130","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 associations of sleep deficiency and frailty with multimorbidity among community-dwelling older adults in the Philippines and Viet Nam.","authors":"Chrispin Mandiwa, Tuo-Yu Chen, Grace T Cruz, Nguyen C Vu, Kai-Wen Hsu, Yasuhiko Saito","doi":"10.1080/13548506.2025.2519223","DOIUrl":"10.1080/13548506.2025.2519223","url":null,"abstract":"<p><p>We investigated the association of sleep deficiency and multimorbidity in the presence of frailty among community-dwelling older adults in the Philippines and Viet Nam. This cross-sectional study used data from the Longitudinal Study of Ageing and Health in the Philippines (2018, <i>N</i> = 3,598) and the Longitudinal Study of Ageing and Health in Viet Nam (2018, <i>N</i> = 4,396). Multimorbidity was defined as the presence of two or more chronic medical conditions within an individual. Sleep deficiency was conceptualized as self-reported short sleep duration (<6 hours), having trouble with falling asleep or maintaining sleep, and/or experiencing nonrestorative sleep. Frailty was estimated using self-reported measures based on a modified version of Fried's criteria. Logistic regression was used to analyze the data. Stratified analysis was used to investigate the association between sleep deficiency and multimorbidity by frailty status. The results showed that sleep deficiency was significantly related to 83% higher odds of experiencing multimorbidity in the Philippines and 57% higher odds of experiencing multimorbidity in Viet Nam when adjusting for frailty, demographics, body mass index, sleep medications, naps, mental health, and lifestyle. In the Philippines, sleep deficiency was significantly related to multimorbidity among individuals who were frail and not frail. In Viet Nam, sleep deficiency was significantly related to multimorbidity among individuals who were not frail. Overall, the findings suggest that managing or treating sleep deficiency among older adults in the Philippines and Viet Nam could reduce the risk of multimorbidity, although the associations were less clear among frail older adults in Viet Nam.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2049-2061"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602212","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}