Psychology Health & Medicine最新文献

{"title":"Effects of nursing interventions applied at night on sleep quality and sleep effort of patients in the intensive care unit.","authors":"Aynur Bahar, Mina Güner Muşluoğlu, Hilal Uygur","doi":"10.1080/13548506.2025.2450549","DOIUrl":"10.1080/13548506.2025.2450549","url":null,"abstract":"<p><p>This study aimed to evaluate the effect of nursing care interventions applied at night on the sleep quality and sleep effort of intensive care patients. This study is descriptive and cross-sectional in nature. The sample size consists of 82 intensive care patients. Personal information form, Glasgow Coma Scale, Richard-Campbell Sleep Scale, Glasgow Sleep Effort Scale were applied to the patients. In the analysis of the data, Independent Samples t test, One-Way Analysis of Variance (ANOVA), Pearson Correlation test, and multilinear regression analysis were used. Based on the findings of the examined patients, it was concluded that care interventions may disrupt the sleep of intensive care patients. It is thought that determining the care interventions that disrupt the sleep of intensive care patients may contribute to better planning of care and preserving the sleep patterns of the patients. Basd on our results, nursing education programs and intensive care unit introductory courses should be reviewed to understand the importance of sleep. In this context, reducing unnecessary interventions and diagnostic procedures at night, evaluating and managing pain, using questionnaires for daily bedside evaluation of sleep quality, and implementing interventions that support sleep quality and sleep should be an integral part of nursing care. Insomnia is a significant stressor in the intensive care unit. Therefore, it is important for nurses, who are primarily responsible for care, to determine the sleep quality of patients, evaluate the factors that reduce sleep quality, and implement preventive interventions to ensure patient comfort. It is expected that this study will lead to plans for grouping nursing care interventions in a way that will not affect sleep.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1947-1961"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967252","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":"Disguising symptoms and a lack of treatment options: living with obstructive sleep apnea before, during and after diagnosis.","authors":"Siobhán Cassidy, Donal O'Shea, Sinéad Smyth","doi":"10.1080/13548506.2025.2471042","DOIUrl":"10.1080/13548506.2025.2471042","url":null,"abstract":"<p><p>The ongoing underdiagnosis and undertreatment of obstructive sleep apnea (OSA) suggests an urgent need to better understand the broader implications of living with this condition. This qualitative study aimed to understand the wider psychosocial impact of living with OSA. Eight participants diagnosed with OSA (75% male; <i>M</i> age = 46.25 years) were asked to take part in semi-structured interviews over Zoom. Inductive and deductive methods were used to conduct a thematic analysis of the data. We identified three themes. Each theme discusses a core aspect of living with OSA before, during and after diagnosis. We identified disguising tiredness as a coping mechanism used pre-diagnosis which, along with misattribution of tiredness to lifestyle factors, may contribute to underdiagnosis of OSA. There was also evidence for the undertreatment of OSA and a bidirectional relationship between OSA treatment and supportive networks. We recommend implementing standardised screening practices, providing more thorough OSA knowledge for the general population as well as primary care health providers, and offering complementary treatment options. We would argue that more qualitative research is needed to understand the patient's perspective of living with OSA.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1989-2002"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598195","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 status of pregnant women during the COVID-19 pandemic in Nairobi County, Kenya: a cross-sectional study.","authors":"Khushboo J Sonigra, Krishan Sarna, Thomas Amuti, Samwel R Gesaka, Linnet Ongeri, Moses M Obimbo","doi":"10.1080/13548506.2025.2487227","DOIUrl":"10.1080/13548506.2025.2487227","url":null,"abstract":"<p><p>Pregnancy is associated with an increased psychological burden on women. This burden may be worsened by uncertainty occasioned by pandemics such as the recent coronavirus disease 2019 (COVID-19). The study aims to investigate the psychological status of pregnant women following the COVID-19 pandemic in Kenya. This descriptive cross-sectional study was conducted amongst 126 pregnant women at the Kenyatta National Hospital, Nairobi. Data on the women's sociodemographic and obstetric factors, levels of depression, anxiety, and insomnia were recorded on a questionnaire. SPSS version 29 was used to perform paired t-test and multivariate regression analysis to assess for statistically significant association between sociodemographic, obstetrics factors, and related factors on COVID-19-related stressors with depression, anxiety, and insomnia. High levels of depression, anxiety, and insomnia were noted with a mean Edinburgh Postnatal Depression Scale (EPDS) score of 14.90 ± 5.25, State-Trait Anxiety Inventory (STAI) score of 44.12 ± 9.73 and Women's Health Initiative Insomnia Rating Scale (WHIIRS) score of 10.07 ± 5.81 respectively. There was a strong association between depression, anxiety, and insomnia with specific factors. In conclusion, pregnant women in Kenya experienced significant symptoms of depression, anxiety, and insomnia following the onset of the COVID-19 pandemic.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2079-2093"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774874","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":"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":"1867-1885"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","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}

{"title":"The effect of disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model.","authors":"Ibrahim Kiymis, Damla Nur Yuce","doi":"10.1080/13548506.2025.2463030","DOIUrl":"10.1080/13548506.2025.2463030","url":null,"abstract":"<p><p>Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW's professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey's most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, <i>p</i> = 0.000), depression (β=+0.685, <i>p</i> = 0.000), and sleep disorders (β=+0.603, <i>p</i> = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=-0.278, <i>p</i> = 0.004) and depression (β=-0.322, <i>p</i> = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, <i>p</i> = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1962-1988"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374414","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 the phenotype of long COVID symptoms and one-year psychosocial outcomes: an exploratory clustering analysis.","authors":"Muneaki Hemmi, Naoki Kanda, Kensuke Nakamura, Shinya Suganuma, Keiichiro Kawabata, Hideaki Kato, Nao Ichihara, Takeshi Asami, Keiko Ide, Yoko Muto, Miyuki Hori, Arisa Iba, Mariko Hosozawa, Hiroyasu Iso","doi":"10.1080/13548506.2025.2465654","DOIUrl":"10.1080/13548506.2025.2465654","url":null,"abstract":"<p><p>The impact of Coronavirus Disease 2019 (COVID-19) is not limited to acute symptoms; it also extends to post-infection sequelae, such as long COVID and post-COVID conditions. These conditions are characterized by various symptoms, such as malaise, fatigue, and cognitive dysfunction, and are considered to reflect different underlying pathologies. Using a cluster analysis, we hypothesized that long COVID may have different psychosocial outcomes depending on the phenotype. This study is based on the COVID-19 RECOVERY STUDY II (CORES II) conducted in 20 centers in Japan. CORES II included patients aged 20 years and older who were hospitalized and discharged alive between April and September 2021. In CORES II, information collected at hospitalization was followed by an investigation one year after diagnosis into post-infection symptoms, physical and mental health, and patients' social circumstances. Long COVID symptoms, based on symptoms one month after infection, and psychosocial well-being, including anxiety, depression, post-traumatic stress disorder, and quality of life (QOL), one year after onset were assessed via questionnaires provided one year after diagnosis. We performed a cluster analysis based on long COVID symptoms. We also compared the psychosocial status between clusters. We identified five clusters of symptoms in 746 patients. These clusters were characterized by severe multi-organ dysfunction, olfactory and gustatory disturbances, shortness of breath, muscle weakness, and hair loss. The severe multi-organ dysfunction cluster included a large number of patients with malaise and who were more likely to have a poor psychosocial status one year after onset. In addition, the olfactory and gustatory disturbance cluster appeared to have the second highest depression and anxiety scores after the multi-organ dysfunction cluster. The results obtained on the five-symptom clusters suggest that the multi-organ dysfunction phenotype with malaise and olfactory and gustatory disturbances has psychosocial consequences. Patients with these phenotypes require more extensive follow-ups and interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2062-2078"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442783","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 of pain and fatigue with health related quality of life in people with osteoarthritis.","authors":"Julius Evelley, Pavol Mikula, Vladimira Timkova, Martin Vicen, Laura Kundratova, Peter Polan, Robbert Sanderman, Iveta Nagyova","doi":"10.1080/13548506.2025.2511183","DOIUrl":"10.1080/13548506.2025.2511183","url":null,"abstract":"<p><p>Osteoarthritis (OA) is a major contributor to years lived with disability among musculoskeletal conditions, with its prevalence rising due to aging populations and increasing obesity rates. Total knee (TKA) and hip (THA) arthroplasty are common surgical interventions aimed at restoring function and improving quality of life (QoL). However, the relative contributions of sociodemographic and clinical factors to overall OoL remain insufficiently understood. This study examined the associations between pain and fatigue with the physical component summary (PCS) and mental component summary (MCS) of QoL, while controlling for functional status and sociodemographic variables. The sample consisted of 423 patients with knee OA (<i>n</i> = 241, mean age 65.1 ± 8 years, 40.2% male) and hip OA (<i>n</i> = 182, mean age 63.5 ± 10 years, 60.9% male). Correlations, multiple linear regressions, and mediation analyses were used to analyse the data. For PCS, total explained variance was 44% in TKA and 40% in THA. FS was significantly associated with PCS in both groups, with a stronger association in TKA (β = -.60, <i>p</i> < .001). Pain was the most significant contributor to PCS in THA patients (β = -.42, <i>p</i> < .001) but was not significantly related to PCS in TKA (β = -.03). For MCS, total explained variances were lower (18% in TKA and 22% in THA), with fatigue emerging as the strongest contributor in both groups (β = -.42 knee OA; β = -.48, hip OA, <i>p</i> < .001). Fatigue fully mediated the relationship between pain and MCS, accounting for nearly 80% of the effect. No mediation effect was observed for PCS in THA, and only partial mediation (8.4%) was found in TKA. These findings underscore the need for tailored interventions to enhance post-arthroplasty recovery and QoL improvement. Pain management should be prioritized for hip OA to improve physical well-being, whereas comprehensive, long-term strategies targeting fatigue may be may be essential for mitigating mental health burdens in both OA groups.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1886-1903"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188553","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 network analysis of learning burnout and sleep quality among medical students during online learning in China.","authors":"Zhihan Chen, Jiexi Xiong, Junni Bai, Yunan Hu, Hui Wu, Bo Zhou, Yang Wang","doi":"10.1080/13548506.2025.2481195","DOIUrl":"10.1080/13548506.2025.2481195","url":null,"abstract":"<p><p>Previous studies had identified the significant issue of burnout and sleep quality in medical students. However, no studies have explored the interactions between learning burnout and sleep quality on a symptom level. This study used network analysis to explore the interaction and construct the network structure of learning burnout and sleep quality among medical students in China. We recruited 553 medical students to participate in our study. Learning Burnout of Undergraduates and Scale (LBUS) and the Pittsburgh Sleep Quality Index (PSQI) were used to measure learning burnout and sleep quality. Expected influence and bridge expected influence were used to identify the central and bridge symptoms. Results showed 'B9' (Tired of learning) and 'B17' (I want to learn but feel bored with it) had the highest expected influence. 'B12' (I often fall asleep while studying) and 'P_DD' (Daytime dysfunction) had the highest bridge expected influence. Our findings revealed the characteristics of learning burnout and sleep quality in online learning and provided information to further understand the difference in the influence of mental health between online and offline learning.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2003-2020"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694596","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":"Learning from the past: medical school experiences, stigma, and help seeking for depression.","authors":"Sabrina Menezes, Kelsey M Carpenter, Jessica B B Diaz, Gregory Guldner, Jason T Siegel","doi":"10.1080/13548506.2025.2482956","DOIUrl":"10.1080/13548506.2025.2482956","url":null,"abstract":"<p><p>Experiencing lower psychological safety during medical school is linked to higher levels of impostorism and a diminished sense of meaning in work among incoming resident physicians. Furthermore, perceptions of a harmful hidden curriculum in medical school are associated with elevated levels of impostorism. This study aimed to build on these findings by examining whether incoming residents' perceptions of psychological safety and hidden curriculum in medical school correlate with various forms of mental health stigma and residents' intentions to seek help for depression. The participants (<i>n</i> = 244), surveyed from June 2023 to July 2023, were incoming medical residents starting their residency in the fall of 2023 at a large hospital organization. Residents responded to items inquiring about their medical school's psychological safety and hidden curriculum, as well as items asking about mental health stigma (i.e. self-stigma, perceived stigma from other doctors, and the perceived career consequences associated with help seeking) and current intentions to seek help for depression. A series of correlations and path analyses were conducted to examine relationships between these variables. Lower perceptions of psychological safety and higher perceptions of a harmful hidden curriculum in medical school were significantly correlated with higher levels of perceived stigma from other doctors, greater agreement that seeking help would harm their career, and lower help-seeking intentions. Psychological safety, but not hidden curriculum, was significantly related to self-stigma. Moreover, self-stigma, perceived stigma from other doctors, and perceived career consequences mediated the positive association between psychological safety and help-seeking intentions, while only perceived career consequences were a significant mediator for the negative relationship between hidden curriculum and help-seeking intentions for depression. These findings have implications for both understanding and improving resident well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1904-1919"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796924","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":"Lored interventions should address stigma-related barriers to improve adherence in younger RA patients.","authors":"Yuying Qian, Minli Liu, Jian Sun, Lixing Sun","doi":"10.1080/13548506.2025.2496998","DOIUrl":"10.1080/13548506.2025.2496998","url":null,"abstract":"<p><p>This study explored the impact of stigma on medication adherence among rheumatoid arthritis (RA) patients across different age groups. Researchers assessed 250 RA patients aged over 18 using the Stigma Scale for Chronic Illness (SSCI) and the 8-item Medication Adherence Scale (MMAS-8). Stratified linear regression analysis revealed significant differences in stigma levels across age groups (P<0.05), while no significant differences were found in medication adherence. Stigma significantly influenced adherence in the 18   ~   44 and 45   ~   59 age groups (P<0.05). These findings suggest that tailored interventions should address stigma-related barriers to improve adherence in younger RA patients.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1920-1931"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026860","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}