Psychology Health & Medicine最新文献_第4页

Mediating role of self-compassion in the relationship between psychological flexibility and psychological well-being in women with breast cancer.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-23 DOI: 10.1080/13548506.2025.2478660

Nasser Said Gomaa Abdelrasheed, Iliya Petkov, Harmandeep Kaur, Abhishek Sharma, K D V Prasad, Dildora Nazarova, Zhanna R Gardanova, Denis Nikolenko, Sayed M Ismail, Ahmed Hussein Zwamel

{"title":"Mediating role of self-compassion in the relationship between psychological flexibility and psychological well-being in women with breast cancer.","authors":"Nasser Said Gomaa Abdelrasheed, Iliya Petkov, Harmandeep Kaur, Abhishek Sharma, K D V Prasad, Dildora Nazarova, Zhanna R Gardanova, Denis Nikolenko, Sayed M Ismail, Ahmed Hussein Zwamel","doi":"10.1080/13548506.2025.2478660","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478660","url":null,"abstract":"Previous studies have investigated the relationship between psychological flexibility and psychological well-being among several populations. In addition to examine the relationship between these two variables, this study enhances our understanding about the process underlying the relationship between psychological flexibility and psychological well-being among women with breast cancer. The aim of the present study is to test the mediating role of self-compassion in the relationship between psychological flexibility and psychological well-being among Iranian women with breast cancer. The participants of this study, 220 women with breast cancer (ages 28-58 years, mean age: 42.16, SD: ±6.9.54), from three hospitals in Tehran, Iran, completed questionnaires about psychological flexibility, self-compassion, and psychological well-being. The results from structural equation modeling indicated that psychological flexibility and self-compassion positively predicted psychological well-being and psychological inflexibility negatively predicted psychological well-being among breast cancer patients. The findings from mediation analysis demonstrated that self-compassion partially mediated the relationships between psychological flexibility and psychological inflexibility with psychological well-being. The present study brings to light an underlying mechanism of the relationships between psychological flexibility and psychological inflexibility with psychological well-being via the mediating variable of self-compassion for patients with breast cancer.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694594","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}

引用次数: 0

The network analysis of learning burnout and sleep quality among medical students during online learning in China.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-23 DOI: 10.1080/13548506.2025.2481195

Zhihan Chen, Jiexi Xiong, Junni Bai, Yunan Hu, Hui Wu, Bo Zhou, Yang Wang

{"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":"https://doi.org/10.1080/13548506.2025.2481195","url":null,"abstract":"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.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.3,"publicationDate":"2025-03-23","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}

引用次数: 0

Effect of anxiety-targeted care combined with seamless care on psychological status, stress response in patients undergoing gastroscopy.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-20 DOI: 10.1080/13548506.2025.2478661

Hong Yang, Yanfang Cao, Hanlin Liu, Xianfei Zhou

{"title":"Effect of anxiety-targeted care combined with seamless care on psychological status, stress response in patients undergoing gastroscopy.","authors":"Hong Yang, Yanfang Cao, Hanlin Liu, Xianfei Zhou","doi":"10.1080/13548506.2025.2478661","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478661","url":null,"abstract":"This study aimed to analyze the feasibility of anxiety-targeted care combined with seamless care for patients undergoing gastroscopy, and to investigate its effects on patients' psychological state, stress response and examination results. 120 patients undergoing gastroscopy were divided into a study group (anxiety care + seamless care, 70 cases) and a control group (routine care, 50 cases). The differences in SAS and SDS scores before the intervention did not differ between two groups (p > 0.05) and they were lower in observation group than in control group after the intervention (p < 0.05); The heart rate, systolic and diastolic blood pressure of patients in the study group were significantly lower than those in the control group at 10 min before intubation (T0), upon intubation (T1), 1 min after intubation (T2) and upon extubation (T3) (p < 0.05); The mean time to intubation was shorter and first-pass intubation success rate was higher in the study group than in the control group (p < 0.05); The complication rate in the study group was significantly lower than that in the control group (4.29% vs 16.00) (p < 0.05). Anxiety care combined with seamless care is feasible for patients undergoing gastroscopy.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665300","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}

引用次数: 0

E-health literacy and health-promoting behaviors among nursing students in China: the mediating role of self-efficacy.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-20 DOI: 10.1080/13548506.2025.2481193

Xi Chen, Huang Xiao

{"title":"E-health literacy and health-promoting behaviors among nursing students in China: the mediating role of self-efficacy.","authors":"Xi Chen, Huang Xiao","doi":"10.1080/13548506.2025.2481193","DOIUrl":"https://doi.org/10.1080/13548506.2025.2481193","url":null,"abstract":"Adoption of health-promoting behaviors is crucial for improving people's well-being. As future health promoters, nursing students are encouraged to lead healthy lifestyles. The aim of this study was to investigate the status of health-promoting behaviors among nursing students and determine their associations with e-health literacy. The mediating effect of self-efficacy on the relationship between e-health literacy and health-promoting behaviors was also explored. A cross-sectional design was adopted to enroll 494 nursing students from the Hunan College of Foreign Studies in China. An online survey based on the simplified Chinese version of the e-Health Literacy Scale (SC-eHEALS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Health Promoting Lifestyle Profile-II (HPLP-IICR) were used to collect data. Statistical analysis was conducted using SPSS 27.0 and PROCESS macro. It was observed that self-efficacy mediated the relationship between e-health literacy and health-promoting behaviors among nursing students, and the mediating effect accounted for 35.10%% of the total effect (p < 0.001). Collectively, these findings indicate that nursing students have a moderate level of health-promoting behaviors, and that e-health literacy can improve health-promoting behaviors by enhancing self-efficacy.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665366","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}

引用次数: 0

Condom use self-efficacy mediates chemsex and condom use: a moderated mediation analysis.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-19 DOI: 10.1080/13548506.2025.2479260

Edmond Pui Hang Choi, Eric Pui Fung Chow

{"title":"Condom use self-efficacy mediates chemsex and condom use: a moderated mediation analysis.","authors":"Edmond Pui Hang Choi, Eric Pui Fung Chow","doi":"10.1080/13548506.2025.2479260","DOIUrl":"https://doi.org/10.1080/13548506.2025.2479260","url":null,"abstract":"Among men who have sex with men (MSM), chemsex is strongly associated with condomless anal sex, contributing to the increased burden of HIV and others sexually transmitted infections (STIs) in the community. In regions with limited accessibility to HIV pre-exposure prophylaxis, condoms remain a critical method for HIV prevention. However, there is a notable lack of research examining the impact of chemsex on condom use self-efficacy. This study aimed to examine condom use self-efficacy among chemsex users and to explore its interrelationship with chemsex and condomless anal sex. Adult MSM in Hong Kong were recruited in 2021. Logistic regression analysis was employed to explore factors associated with condomless anal sex, while mediation analysis was employed to examine the relationships among chemsex, condom use self-efficacy, and condomless anal sex. The analysis included 316 MSM, 51 (16.14%) of whom engaged in chemsex in the last three months, with significantly lower condom use self-efficacy scores. Multiple logistic regression analysis indicated that chemsex engagement was significantly associated with a higher likelihood of condomless sex. Mediation analysis showed that chemsex engagement indirectly increased the likelihood of condomless anal sex through its negative impact on condom use self-efficacy, with an odds ratio of 3.52 (95% CI: 2.12-7.09). Furthermore, sexual orientation was found to moderate this indirect effect. Among gay men, the indirect effect was more pronounced (odds ratio: 3.74, 95% CI: 2.20-7.71) compared to bisexual men (odds ratio: 2.01, 95% CI: 1.18-4.12). These findings highlight the importance of targeted interventions aimed at enhancing condom use self-efficacy among MSM, particularly among those engaging in chemsex. Strengthening self-efficacy may play a critical role in promoting condom use and reducing the risk of HIV and STIs in this population.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659704","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}

引用次数: 0

Anxiety, stress, and depression levels among dental students: gender, age, and stage of dental education related.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-19 DOI: 10.1080/13548506.2025.2476085

Diva Lugassy, Gil Ben-Izhack, Sara Zissu, Rotem Shitrit Lahav, Ophir Rosner, Ron Elzami, Asaf Shely, Sarit Naishlos

{"title":"Anxiety, stress, and depression levels among dental students: gender, age, and stage of dental education related.","authors":"Diva Lugassy, Gil Ben-Izhack, Sara Zissu, Rotem Shitrit Lahav, Ophir Rosner, Ron Elzami, Asaf Shely, Sarit Naishlos","doi":"10.1080/13548506.2025.2476085","DOIUrl":"https://doi.org/10.1080/13548506.2025.2476085","url":null,"abstract":"Dental students may experience psychological disturbance due to the highly stressful dental education process, with no consensus regarding the influence of age, gender, and stage of education. Therefore, the present study aimed to identify sources of stressors that may influence the levels of stress, anxiety, and depression experienced by dental students and examine them based on gender, age, and stage of dental education. A cross-sectional study was conducted in the 2023 academic year with a total of 131 (male = 53, female = 78, mean age = 26.69, range = 22-33) undergraduate dental students. The psychological well-being was assessed using the Depression Anxiety Stress Scale (DASS-21), and the various sources of stress were evaluated using the Dental Environment Stress (DES) questionnaire. The overall prevalence of depression, anxiety, and stress was 52%, 57%, and 55%, respectively. Students in their fifth year (transition between preclinical and clinical years) showed higher depression symptoms compared to students in their fourth or sixth years (p = 0.039). No statistically significant differences were found between gender (males or females) and age regarding DASS symptoms (p > 0.540). The stressors identified as most stressful by all the students were related to academics (amount of classwork, examinations, and grades). The levels of depression, anxiety, and stress among dental students were relatively high. The depression levels among fifth-year students were the highest. Therefore, modifying the academic process to create a positive educational environment should be recommended.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659702","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}

引用次数: 0

Secondary traumatic stress and coping strategies in family caregivers.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-19 DOI: 10.1080/13548506.2025.2479259

Canan Demir Barutcu

引用次数: 0

The role of depressive symptoms and self-efficacy in the relationship between activities of daily living and medication adherence among the elderly with chronic diseases: a serial mediation model.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-17 DOI: 10.1080/13548506.2025.2478659

Yong Yu, Qianyu Huang, Keke Qin

{"title":"The role of depressive symptoms and self-efficacy in the relationship between activities of daily living and medication adherence among the elderly with chronic diseases: a serial mediation model.","authors":"Yong Yu, Qianyu Huang, Keke Qin","doi":"10.1080/13548506.2025.2478659","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478659","url":null,"abstract":"The current study aimed to test the effects of depressive symptoms and self-efficacy in the relationship between activities of daily living (ADLs) and medication adherence using a serial mediation model. This cohort study was conducted among 797 elderly with chronic diseases in Hunan Province of China. Their ADLs, medication adherence, self-efficacy, and depressive symptoms were assessed by the Barthel Index (BI), the Morisky Medication Adherence Scale (MMAS-8), the Self-Efficacy for Appropriate Medication Use Scale (SEAMS), and the 20-item Center for Epidemiologic Studies Depression Scale (CES-D), respectively. The PROCESS SPSS Macro version 4.1, model 6, was used to test the serial mediation model of ADLs affecting medication adherence through self-efficacy and depressive symptoms. From baseline to follow-up, the elderly had a significant increase in depressive symptoms (from 15.3 ± 11.3 to 19.1 ± 13.1) and significant decreases in ADLs (from 71.4 ± 19.8 to 64.9 ± 17.61), self-efficacy (from 21.5 ± 5.4 to 20.4 ± 6.2), and medication adherence (from 6.7 ± 1.8 to 6.0 ± 1.5), all with p < 0.001. The serial mediation model demonstrated a robust association between ADLs and medication adherence, which was serially mediated by depressive symptoms and self-efficacy (total effect c = 0.499, 95% CI = 0.393 to 0.605; direct effect c' = 0.379, 95% CI = 0.281 to 0.477; total indirect effect ab = 0.120, 95% CI = 0.073 to 0.168). This study elucidates the association between ADL and medication adherence, clarifying the mediating roles of depressive symptoms and self-efficacy. Our findings suggest that future medication adherence intervention programs among the elderly with chronic illness may be effective by focusing on decreasing depressive symptoms and improving self-efficacy.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651530","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}

引用次数: 0

Underserved older adults' treatment preferences for a mind-body activity program for chronic pain delivered via shared medical visits in a community clinic.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-17 DOI: 10.1080/13548506.2025.2478517

Alexander M Presciutti, Madison Ehmann, Nadine Levey, Julie Brewer, Christina L Rush, Jonathan Greenberg, Katherine McDermott, Christine S Ritchie, Ana-Maria Vranceanu

{"title":"Underserved older adults' treatment preferences for a mind-body activity program for chronic pain delivered via shared medical visits in a community clinic.","authors":"Alexander M Presciutti, Madison Ehmann, Nadine Levey, Julie Brewer, Christina L Rush, Jonathan Greenberg, Katherine McDermott, Christine S Ritchie, Ana-Maria Vranceanu","doi":"10.1080/13548506.2025.2478517","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478517","url":null,"abstract":"Older adults with chronic pain from underserved communities need evidence-based pain management programs. To meet this need, we interviewed patients and staff from an underserved community clinic to identify their treatment preferences and barriers and facilitators to participating in a mind-body activity program. We conducted nine qualitative interviews (two staff; seven patients) and six focus groups (three staff groups; three patient groups), transcribed them verbatim and then used inductive-deductive thematic analysis guided by two pre-specified superordinate domains: (1) treatment preferences and (2) barriers and facilitators to participation. Participants recommended flexible, group participation options (in person, remote) with a credible leader and with multi-cultural considerations. They generally reacted positively to the proposed content. Barriers included logistical barriers (e.g. transportation, finances), weather, and skepticism about novel treatments; facilitators centered on expanding access and increasing sense of community. Our findings highlight important considerations to facilitate the uptake of mind-body activity programs for underserved older adults with chronic pain.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651708","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}

引用次数: 0

Incident multimorbidity and associated factors among middle-aged and older adults in Thailand.

IF 2.3 3区医学

Psychology Health & Medicine Pub Date : 2025-03-13 DOI: 10.1080/13548506.2025.2478658

Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong

{"title":"Incident multimorbidity and associated factors among middle-aged and older adults in Thailand.","authors":"Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong","doi":"10.1080/13548506.2025.2478658","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478658","url":null,"abstract":"Assessing the longitudinal relationship between sociodemographic, lifestyle, and psychological characteristics and incident multimorbidity (IMM) in middle-aged and older persons in Thailand was the goal of this study. We examined prospective cohort data of individuals aged 45 and over from three successive waves of the Health, Aging and Retirement in Thailand (HART) research conducted in 2015, 2017, and 2020 (analytic sample N = 2442). IMM was assessed with 10 health care provider diagnosed medical conditions. To assess the longitudinal associations between measures of sociodemographic, lifestyle and psychosocial factors, and IMM between 2015 (baseline without MM), 2017 (first follow-up, IMM) and 2020 (second follow-up, IMM), we conducted Generalized Estimating Equations analysis (GEE). The 5-year cumulative IMM was 19.6% and the incidence rate was 39.1 per 1000 person-years. In the final GEE logistic regression model, sociodemographic factors (older age, urban residence, lower economic status, and central region), lifestyle factors (past alcohol use, overweight and obesity) and psychosocial factors (poor self-rated mental health, insomnia symptoms, loneliness, and low informal social engagement) were associated with IMM. We found that sociodemographic, factors and psychosocial factors were associated with IMM. Enhancing lifestyles related to reducing bodyweight, screening and treatment of poor mental health and improving social interaction may reduce MM in Thailand.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626962","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}

引用次数: 0