Psychology Health & Medicine最新文献

{"title":"Countdown to death: death anxiety fuels suicide risk through future time perspective and regulatory emotional self-efficacy.","authors":"Yu Liu, Xueping Wang, Meilan Chen, Weigong Li, Weijian Li, Lingfeng Gao, Lin Lin","doi":"10.1080/13548506.2025.2536870","DOIUrl":"10.1080/13548506.2025.2536870","url":null,"abstract":"<p><p>Death anxiety has been linked to suicide risk, but existing findings remain inconsistent and the underlying mechanisms are not well understood. Given that death anxiety typically peaks among college students, this study explores future time perspective and emotional regulation self-efficacy as potential psychological mediators of this relationship. This study recruited 1,234 college students to conduct a questionnaire survey and used Hayes' PROCESS macro (Model 6) to examine the chain mediating effects of future time perspective and regulatory emotional self-efficacy on the relationship between death anxiety and suicide risk. The results showed that death anxiety was significantly positively correlated with suicide risk (<i>r</i> = .09, <i>p</i> = .001), but the direct effect was not significant. The total indirect effect of death anxiety on suicide risk through future time perspective and regulatory emotional self-efficacy was significant (β = .07, 95% <i>CI</i>: 0.100 to 0.196). The independent mediating effect of future time perspective was 0.11, accounting for 52.74% of the total indirect effect. The independent mediating effect of regulatory emotional self-efficacy was 0.03, accounting for 12.44% of the total indirect effect. The chain mediating effect was 0.01, accounting for 6.97% of the total indirect effect. These findings suggest that when college students experience death anxiety, enhancing their future time perspective and self-efficacy in emotion regulation may help reduce their suicide risk.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2283-2298"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785969","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":"Family health and willingness to Receive Self-paid vaccines: the role of Self-efficacy and health literacy.","authors":"Yibing Chen, Ranran Li, Yixuan Liu, Ruirui Guo, Minfu He, Wenjun Li, Xinyu Gao, Wenjing Zhang, Yachen Wei, Ziqiang Chen, Hongjian Liu, Xiumin Zhang","doi":"10.1080/13548506.2025.2512158","DOIUrl":"10.1080/13548506.2025.2512158","url":null,"abstract":"<p><p>High level of willingness to receive self-paid vaccines is a prerequisite for the behavior of receiving self-paid vaccines. This study aimed to explore how family health can increase the willingness to receive self-paid vaccines among Chinese adults through the mediating role of self-efficacy and health literacy. Obtained from Psychology and Behavior Investigation of Chinese Residents (PBICR) 2021, the research data involved 9966 adults. Linear regression analysis and the PROCESS macro were used for examining the chain mediating effect of self-efficacy and health literacy on the associations of family health with the willingness to receive self-paid vaccines. The results showed that only 56.72% participants belonging to high willingness to receive self-paid vaccines. After controlling the potential confounding factors, family health had a significant positive effect on people's willingness to receive self-paid vaccines (<i>β</i> = 0.182, <i>p</i> < 0.001). Self-efficacy and health literacy played independent and chain mediating roles in the process (indirect effect = 0.261, effect weight = 34.85%). The independent mediating effect of self-efficacy was 0.093 with a weight of 12.42%, the independent mediating effect of health literacy was 0.079 with a weight of 10.55%, and the effect of the chain mediation of them was 0.089 with a weight of 11.88%. The findings indicate that improving family health can increase the level of self-efficacy and health literacy, which can promote willingness to receive self-paid vaccines for people. That provides an invaluable reference for the design of health education and vaccine promotion program.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2443-2464"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152803","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":"Diet, physical activity, sedentary time and demographic variables differentiate among drinkers and former drinkers who suffer or not depression: a CRT analysis.","authors":"Raquel Pastor-Cisneros, Ángel Denche-Zamorano, Ana Rubio-de la Osa, Damián Pereira-Payo","doi":"10.1080/13548506.2025.2496999","DOIUrl":"10.1080/13548506.2025.2496999","url":null,"abstract":"<p><p>Healthy lifestyles may have the potential to be protective factors for mental health problems. The aim was to classify drinkers and former drinkers in depression sufferers or non-sufferers according to demographic data and lifestyle habits, using a classification and regression tree (CRT). This cross-sectional study is based on the NHANES 2011-20. 3175 participants (2342 males and 833 females) drinkers and former drinkers formed the final sample. CRT analysis was used to classify them in depression sufferers and non-sufferers. Odds ratio (OR) and relative risks (RR) of suffering depression for each branch of the tree were calculated. The model was found to have an 82.0% accuracy. Independent variables were classified by their importance in the model, in this order: diet (0.007; 100.0%), gender (0.004; 60.4%), PA group (0.003; 45.4%), sedentary time (0.002; 32.6%), education level (0.001; 29.1%) and age (<0.001; 7.1%). Elevated OR and RR of suffering depression were found for participants with: fair and poor diet compared to good, very good or excellent diet (OR = 2.02, CI95%: 1.69-2.43, RR = 1.77, CI95%: 1.52-2.10), for inactive, walkers and low PA, compared to moderate PA and high PA (OR = 1.99,CI95% = 1.53-2.60, RR = 1.68, CI95%:1.37-2.07), for females compared to males (OR = 2.00, CI95%:1.54-2.66, RR = 1.81, CI95%:1.45-2.26), for people with a '9-11th grade' or below education level compared to those with a higher level of education (OR = 1.50, CI95%:1.05-2.15, RR = 1.32, CI95%:1.04-1.67) in branch beneath node 3; and for people with a high school/GED or below education level, compared to those with higher education (OR = 1.99, CI95%:1.27-3.13, RR = 1.71, CI95%:1.21-2.43), in branch beneath node 6. Diet, PA group, sedentary time, gender, education level and age allow us to classify drinkers and former drinkers in sufferers or non-sufferers of depression. The CRT model combined with OR and RR allow us to identify which participants have greater odds of suffering depression based on lifestyle and demographic data.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2424-2442"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057837","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 loneliness, death anxiety, and social networks in community-dwelling older adults.","authors":"Fatma Zafer, Nilgün Kuru Alici","doi":"10.1080/13548506.2025.2575408","DOIUrl":"10.1080/13548506.2025.2575408","url":null,"abstract":"<p><p>The aim of this study was to determine the relationship between loneliness, death anxiety, and social networks in community-dwelling older adults. A descriptive correlational study was conducted with 250 participants aged ≥65 years (mean age: 70.04 ± 5.65) between January and March 2024. Data were collected using the Loneliness Scale for Older Adults, Death Anxiety Scale, and Lubben Social Network Scale. A positive and moderate relationship was found between loneliness and death anxiety (<i>r</i> = 0.406, <i>p</i> < .001), and a negative and moderate relationship was found between loneliness and social network (<i>r</i> = -0.410, <i>p</i> < .001). While there was no significant relationship between death anxiety and social network scores, a negative and low-level relationship was found between the social network of friends and the sub-dimension scores of thinking about death and witnessing (<i>p</i> < .05). These results highlight that understanding loneliness, death anxiety, and social networks in older adults is important for improving their quality of life and emotional well-being. Strengthening older adults' social ties and developing educational and intervention programs may help reduce loneliness and alleviate death anxiety.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2299-2311"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of suicidal ideation in adolescents from southern Brazil.","authors":"Roges Ghidini Dias, Cristina Fioreze, Luísa Vitória Dóri, Maria Carolina Braccini, Nicole Ahlert Kohen, Aimê Fontes","doi":"10.1080/13548506.2025.2575405","DOIUrl":"10.1080/13548506.2025.2575405","url":null,"abstract":"<p><p>Although the literature demonstrates the relationship between symptoms of anxiety, depression, and suicidal ideation in adolescents, there are still gaps that allow for a greater understanding of this phenomenon in early adolescence and in specific regional contexts, such as southern Brazil. The objective of this study was to estimate the prevalence and factors associated with suicidal ideation among adolescents aged 11 to 14. A school-based cross-sectional study was carried out with 374 adolescents. A self-administered online questionnaire was used to assess suicidal ideation among adolescents, the Family APGAR to identify family functioning, and the Multidimensional Anxiety Scale for Children and the Child Depression Inventory to recognize symptoms of anxiety and depression, respectively. The researchers applied the instruments between March and June 2024. Descriptive statistics and linear regression model were used. Mediation analysis between predictable variables and outcome was carried out by PROCESS Macro package. A 95% confidence interval and <i>p</i> < 0.05 were used in al analyses. The prevalence of suicidal ideation (22%), anxiety (46.3%), and depression (26.2%) was identified. There was an association between suicidal ideation and depression (72%; χ² = 107.240; <i>p</i> < 0.00001) and between anxiety and suicidal ideation (78%; χ² = 41.323; <i>p</i> < 0.001). The results of the analyses demonstrated an association between the outcome and anxiety and depression. Family functioning moderated the effects on suicidal ideation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2229-2240"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304362","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":"Perceived stress, adherence to dietary guidelines and incident cardiovascular disease: findings from the Australian Longitudinal Study on Women's Health.","authors":"Eline Van Bennekom, Gita D Mishra, Zhiwei Xu, Johanna M Geleijnse, Sabita S Soedamah-Muthu","doi":"10.1080/13548506.2025.2593567","DOIUrl":"10.1080/13548506.2025.2593567","url":null,"abstract":"<p><p>Previous research suggests perceived stress and healthy eating are associated with cardiovascular disease (CVD) risk, but studies investigating their combined association are lacking. The aim was to assess associations between stress, adherence to dietary guidelines and CVD, individually and combined. Data from the Australian Longitudinal Study on Women's Health (ALSWH) including 9303 women (52 ± 2 y) without history of CVD were analysed. Dietary and perceived stress data were collected with validated questionnaires, respectively, with the 74 item food frequency questionnaire and a questionnaire addressing 10 different life domains. Adherence to dietary guidelines was defined by using two guideline indices, the Australian Dietary Guidelines Index (DGI) and the food-based Dutch Healthy Diet Index-15 (DHD-15). Hard incident CVD events were collected from linked hospital physician diagnosis data. Cox proportional hazards models were performed adjusted for multiple covariates, being demographic, socioeconomic, health and behavioural factors. During 15 years follow-up 1091 CVD incident events occurred. Higher compared to lower perceived stress at baseline was significantly associated with higher incidence of CVD both in crude (HR = 1.32, 95%CI: 1.13, 1.54) and adjusted (HR = 1.30, 95%CI: 1.10, 1.52) models. No associations between neither the DGI-2013 score nor the DHD15 index score and CVD incidence were found. Also, no interaction between perceived stress and adherence to dietary guidelines was shown. The current study underscores the importance of perceived stress levels as an independent risk factor for CVD incidence among women. Thus, stress management could be important for CVD risk reduction.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2392-2408"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643099","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":"Loneliness, laughter, and mental health in the Japanese general population: findings from a cross-sectional study.","authors":"Andrew Stickley, Aya Shirama, Risa Yamada, Ayumu Wada, Tomiki Sumiyoshi","doi":"10.1080/13548506.2025.2575403","DOIUrl":"10.1080/13548506.2025.2575403","url":null,"abstract":"<p><p>Little is known about the link between laughter and loneliness in the general population. This is a significant omission given that both phenomena may be important for health. This study examined the loneliness-laughter association in Japanese adults and whether laughter is important for mental health in lonely individuals. Data were analyzed from 3,551 adults who participated in an online survey in 2023. Loneliness was assessed with the Three-Item Loneliness Scale, while a single question was used to obtain information on laughter status. The Patient Health Questionnaire-9 (PHQ-9) was used to obtain information on depression, while anxiety was assessed with the Generalized Anxiety Disorder-7 (GAD-7) scale. Logistic regression was utilized to examine associations. In an analysis that was adjusted for sociodemographic and mental health variables, loneliness was significantly associated with never/almost never laughing in the total sample (OR: 2.07, 95% CI: 1.64-2.61). In a sex-stratified analysis, loneliness was linked to never laughing in both men and women, although the association was stronger in women. Further analyses showed that compared to individuals who were not lonely and laughed (reference category), all combinations of the loneliness and laughter variables were associated with significantly higher odds of anxiety and depression in both men and women, with the highest odds observed in those who were lonely and never laughed. Loneliness is associated with never laughing among adults in Japan, with an absence of laughter being linked to higher odds of anxiety and depression in lonely individuals. These findings underscore the public health importance of reducing loneliness and promoting positive emotional experiences, such as laughter, to help mitigate the risk of anxiety and depression.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2376-2391"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395246","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":"Cognitive-behavioral stress management program alleviates anxiety and depression in parents of adolescent patients with osteosarcoma.","authors":"Zhirong Yan, Nana Wang, Bei Wang, Rui Guan, Hong Xue, Xue Li, Yuena Wang","doi":"10.1080/13548506.2025.2524863","DOIUrl":"10.1080/13548506.2025.2524863","url":null,"abstract":"<p><p>Cognitive-behavioral stress management program (CSMP) can alleviate anxiety and depression, while its effect on parents of adolescent patients with osteosarcoma remains unclear. This study purposes to investigate the influence of CSMP on anxiety and depression in these parents. Totally, 31 parents of adolescent patients with osteosarcoma were enrolled to receive CSMP. Parents were followed up at baseline (week 0, W0), 4 weeks (W4, visit window ± 1 weeks) and 10 weeks (W10, visit window ± 2 weeks). Zung Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores were assessed, and the improvement of anxiety or depression was defined as a more than 5-point decline in SAS or SDS from W0 to W10. During CSMP, there were 10 (32.3%) parents who received anxiolytics or antidepressants. SAS and SDS scores decreased gradually from W0 to W10 (both <i>p</i> < 0.001). The mean SAS and SDS decline points from W0 to W10 were 4.5 ± 3.7 and 3.1 ± 2.6, respectively. There were 13 (41.9%) parents achieving the improvement of anxiety and 10 parents (32.3%) achieving the improvement of depression. Higher educational degree (<i>p</i> = 0.021) and anxiolytics or antidepressant administration during CSMP (<i>p</i> = 0.029) were associated with the improvement of anxiety. Married parents tended to be linked with the improvement of depression (<i>p</i> = 0.050). Overall, CSMP effectively reduces anxiety and depression in parents of adolescent patients with osteosarcoma, whose effects are better for those with a higher educational degree and anxiolytics or antidepressant administration during CSMP. However, further randomized, controlled studies with a larger sample size and a longer follow-up period are required.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2482-2492"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531136","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":"Physical activity among people with an inflammatory bowel disease: a systematic review of antecedents.","authors":"Cameron Trim, Sharan Srinivasa Gopalan, Ryan Rhodes","doi":"10.1080/13548506.2025.2539937","DOIUrl":"10.1080/13548506.2025.2539937","url":null,"abstract":"<p><p>People with an inflammatory bowel disease experience challenges that can severely limit their quality of life. Physical activity intervention may be an efficacious method to improve outcomes of inflammatory bowel disease, however many people with an inflammatory bowel disease do not meet physical activity guidelines. The current review aims to synthesize available literature on the factors influencing physical activity in inflammatory bowel disease and identify differences between two main subgroups: Crohn's disease and ulcerative colitis. Six databases were searched for all studies published until 31 August 2023, which collected data regarding physical activity antecedents within a population of persons with an inflammatory bowel disease. The identified antecedents were contextualized within the COM-B model for behaviour change to provide implications for physical activity interventions. The search resulted in 1816 titles and abstracts, of which 30 full-text papers were screened and 14 papers met inclusion criteria for this review. A modified thematic analysis integrating quantitative and qualitative data among 3,985 participants identified disease activity, fatigue, depression, pain and urgency as the most influential antecedents to physical activity. These antecedents were identified as factors affecting physical capability, reflective motivation and physical opportunity within the COM-B model. Persons with Crohn's disease were found to be more susceptible to barriers and engage in less total physical activity than those with ulcerative colitis, however such a small number of studies weakens this finding. Future research should emphasize the collection of longitudinal and experimental data among antecedents of physical activity in a homogenous sample, such that definitive quantitative syntheses can be conducted.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2328-2357"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790764","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 need to belong and pathological celebrity worship in Chinese adolescents: the mediating role of desire for fame and the moderating role of gender.","authors":"Zhenyong Lyu, Xinyue Shen, Panpan Zheng","doi":"10.1080/13548506.2025.2605192","DOIUrl":"10.1080/13548506.2025.2605192","url":null,"abstract":"<p><p>The purpose of this study was to examine the relationship between need to belong (NTB) and celebrity worship, with a focus on the mediating roles of desire for fame. Additionally, the moderating role of gender in this mediation model was examined. A sample of 408 boys and 331 girls from Chinese high schools completed a survey measuring NTB, desire for fame, and pathological celebrity worship. Mediation analyses revealed that desire for fame mediated the association between NTB and adolescents' pathological celebrity worship. Specifically, higher levels of NTB were associated with a stronger desire for fame, which in turn was linked to more pathological celebrity worship. Furthermore, moderated mediation analysis indicated that gender played a significant moderating role: the effect of NTB on desire for fame was stronger for boys, whereas the effect of desire for fame on pathological celebrity worship was more pronounced for girls. This study provides novel insights into the relationship between NTB and adolescents' pathological celebrity worship, highlighting the crucial role of desire for fame in shaping this link among boys and girls.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2409-2423"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835206","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}