{"title":"Association between movement behaviors and depression among vocational school students with different sleep duration - a study based on the isotemporal substitution model.","authors":"Biaoqian Tang, Bohao Chen, Shuxian Yao, Yiyang Li, Hanqing Liu, Qianhong Chen, Jing Zhao, Shuqing Xu, Shumei Wang","doi":"10.1080/13548506.2025.2482942","DOIUrl":"10.1080/13548506.2025.2482942","url":null,"abstract":"<p><p>The isotemporal substitution model can be used to explore the impact of the isotemporal substitution of different behaviors on human health. The association between sleep duration and mental health may be non-linear, but the relationship between the isotemporal substitution of movement behaviors and mental health in different sleep duration groups has not been explored. A questionnaire survey was conducted among Grade 1-3 students in 14 vocational schools in China, and 8149 valid questionnaires were obtained, of which 58.80% were in sleep-insufficient group, and 32.56% were detected with depression symptoms. The isotemporal substitution model was used for analysis. In the sleep-insufficient group, substituting 10 minutes/day of vigorous physical activity (β=-0.318, 95%I = -0.498~-0.138), walking (β=-0.254, 95%I = -0.381~-0.126) and sedentary behavior (β=-0.234, 95%I = -0.337~-0.130) with isotemporal moderate physical activity, or substituting vigorous physical activity (β=-0.465, 95%I = -0.577~-0.353), moderate physical activity (β=-0.147, 95%I = -0.263~-0.031), walking (β=-0.400,95%I = -0.476~-0.324) and sedentary behavior (β=-0.380,95%I = -0.434~-0.327) with isotemporal sleep, were negatively associated with depression; and substituting moderate physical activity (β = 0.318, 95%CI = 0.138 ~ 0.498) and sleep (β = 0.465, 95%CI = 0.353 ~ 0.577) with isotemporal vigorous physical activity was positively associated with depression. In the sleep-sufficient group, replacing sedentary behavior (β=-0.129, 95%I = -0.244~-0.013) with equivalent moderate physical activity was negatively associated with depression; replacing moderate physical activity (β = 0.219, 95%CI = 0.101 ~ 0.338), walking (β = 0.112, 95%CI = 0.040 ~ 0.185) and sedentary behavior (β = 0.091, 95%CI = 0.058 ~ 0.124) with equivalent sleep was positively associated with depression. For the sleep-insufficient group, substituting vigorous physical activity, walking, and sedentary behavior with isotemporal moderate physical activity and sleep had greater negative association with depression than the sleep-sufficient group. In conclusion, for the sleep-insufficient group, the substitution that was largest negatively associated with depression was sleep for other behaviors, and for sleep-sufficient group it was moderate physical activity for other behaviors. In future interventions, the sleep-insufficient group may achieve greater effects than the sleep-sufficient group if they use moderate physical activity and sleep instead of other behaviors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2021-2036"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744501","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":"Stigma in tuberculosis patients: a cross-sectional study in the southeast region of Turkey.","authors":"Sema Aytac, Özlem Ovayolu, Merve Gülpak, Sibel Dogru","doi":"10.1080/13548506.2024.2430792","DOIUrl":"10.1080/13548506.2024.2430792","url":null,"abstract":"<p><p>Since tuberculosis (TB) is an infectious disease, it affects patients not only physically but also socially and patients are reported to experience stigma. This study was conducted to determine the stigma levels of patients in a tuberculosis dispensary in the southeastern region of Turkey. The study was conducted between December 2020 and June 2021 with 79 patients who agreed to participate. 'Questionnaire' and 'Tuberculosis-Related Stigma Scale' (TSS) were used for data collection. The score obtained from the scale ranges between '33 and 132' and the higher the score, the higher the 'stigma level'. It was determined that 54.4% of the patients were male, 45.6% were primary school and the mean age was 44.98 ± 16.09 years. It was found that 60.8% of the patients had pulmonary TB, 40.5% had been on treatment for 3-6 months, 45.6% described the society's view of TB patients as 'bad, negative, and excluding', 64.8% had adverse effects on their communication with their family and close environment after being diagnosed with TB. The mean TSS score of the patients was 103.51 ± 10.65. TB patients were found to have 'very high' levels of stigma. The mean total stigma is higher in smokers, particularly in cases of pulmonary and extrapulmonary tuberculosis, as well as in those whose professional lives are affected.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1932-1946"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645210","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":"Determination of anxiety, hopelessness and depression levels of patients after lung resection.","authors":"Burcu Bicer Yesilbas, Zuleyha Simsek Yaban","doi":"10.1080/13548506.2025.2538253","DOIUrl":"10.1080/13548506.2025.2538253","url":null,"abstract":"<p><p>This study aimed to investigate the levels of depression, anxiety, and hopelessness in patients following lung resection surgery, as well as the interrelationships among these variables. A descriptive and correlational study was conducted with 177 patients who underwent lung resection between November 2019 and May 2022. Data were collected using a Sociodemographic Information Form, the Beck Hopelessness Scale, the Beck Depression Scale (BDS), and the State-Trait Anxiety Scale (STAI), all administered postoperatively. Descriptive statistics (means, standard deviations, frequencies), independent samples t-tests, one-way analysis of variance (ANOVA) with post-hoc tests (Bonferroni or Tamhane's T2), and Pearson correlation analysis were performed using SPSS version 23. Levene's test was used to assess the homogeneity of variances. A p-value of < 0.05 was considered statistically significant. The average age of the participants was found 57.75 ± 6.65 and 61.6% of the patients were male and malignancy rate was 74.5%. According to the data, all patients experienced some level of hopelessness, with 33.3% of the participants experiencing minimal, 23.7% mild, 28.2% moderate and 14.7% severe hopelessness. Depression was also experienced by all participants. Specifically, 1.7% had mild depression, 11.9% had moderate depression, and 86.4% had severe depression. The mean state anxiety score was 50.73 ± 6.02, and the mean trait anxiety score was 50.82 ± 3.91. A positive and statistically significant correlation was found between the Beck Depression Scale and the State Anxiety scores (<i>p</i> < 0.05). The psychological condition of patients following lung resection is too significant to be overlooked. Therefore, it is essential to support patients undergoing thoracic surgery throughout the perioperative period using a holistic approach providing specialist psychological support when necessary. Routine screening for mental health symptoms and early psychosocial interventions such as therapeutic communication, psychiatric consultation, and nursing (consultation-liaison) support should be integrated into perioperative care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2113-2130"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735513","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":"Oral health-related quality of life and prosthetic rehabilitation in patients with mild cognitive impairment and early dementia: a systematic review.","authors":"Cesare D'Amico, Luca Fiorillo, Cosimo Galletti, Marco Gargari, Alessio Rosa, Mirko Martelli","doi":"10.1080/13548506.2025.2565524","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565524","url":null,"abstract":"<p><p>Older adults with mild cognitive impairment (MCI) face increased challenges in maintaining oral health and prosthetic functionality. As fixed and implant-supported prostheses are increasingly considered in geriatric dentistry, questions remain regarding their impact on oral health-related quality of life (OHRQoL) compared to conventional removable dentures. This systematic review and meta-analysis aimed to assess the effects of prosthetic rehabilitation types on OHRQoL among older adults with MCI or early dementia. Searches were conducted across PubMed, Scopus, Web of Science, and Cochrane CENTRAL through March 2025. Studies were included if they evaluated OHRQoL or related patient-reported outcomes (PROMs) in individuals aged 60+ with MCI undergoing prosthetic treatment. A total of 18 studies involving 1,457 participants were analyzed. A meta-analysis using a random-effects model revealed a significant improvement in OHIP-14 scores among recipients of fixed or implant-retained prostheses compared to those with conventional dentures (WMD = -5.63; 95% CI: -6.38 to - 4.87; <i>p</i> < 0.001), with negligible heterogeneity (I2 = 0%). Subgroup analysis suggested enhanced outcomes with implant-retained overdentures. Studies consistently showed improved comfort, mastication, retention, and social confidence with fixed prostheses. Conversely, removable dentures were associated with increased discomfort and dissatisfaction, particularly in individuals with reduced dexterity or poor caregiver support. The risk of bias was low in nearly half of the included studies. These findings highlight the clinical benefits of fixed prosthetic options in enhancing the quality of life in cognitively impaired older adults. Interdisciplinary care, caregiver involvement, and long-term follow-up are crucial for optimizing outcomes. The evidence supports a more tailored prosthetic approach, prioritizing cognitive and functional capacities in conjunction with prosthetic design. Future research should evaluate long-term adaptation, maintenance burden, and cost-effectiveness to further inform decision-making in this vulnerable population.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193875","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}
Wu Zhengyu, Zhao Haiyan, Huo Shuhui, Li Wei, Zhang Xueqi, Cao Jianqin
{"title":"Interpersonal adaptation on problematic mobile internet use among college students: the mediating role of fear of missing out and self-differentiation.","authors":"Wu Zhengyu, Zhao Haiyan, Huo Shuhui, Li Wei, Zhang Xueqi, Cao Jianqin","doi":"10.1080/13548506.2025.2565515","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565515","url":null,"abstract":"<p><p>Previous studies have established associations between interpersonal adaptation and Fear of missing out (FoMO), self-differentiation, and problematic mobile Internet use (PMIU). However, the mediating roles of FoMO and self-differentiation in linking interpersonal adaptation to PMIU among Chinese university students remain unclear. In this study, a sample of 540 university students completed self-report measures using the Interpersonal Adaptation Scale, the Fear of Missing Out Scale, the Self-differentiation Scale, and the Problematic Mobile Internet Use Scale. The results supported a sequential mediation model. Specifically, poorer interpersonal adaptation was associated with higher levels of FoMO, which in turn was linked to lower self-differentiation, ultimately leading to more severe problematic mobile Internet use. In other words, difficulties in interpersonal adaptation may predict a heightened sense of FoMO, which could impede self-differentiation and consequently contribute to the development of PMIU.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193819","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}
Chris Segrin, Terry A Badger, Kristin E Morrill, Alla Sikorskii
{"title":"Neighborhood disadvantage and social isolation are associated with psychological and physical symptom burden in cancer survivors.","authors":"Chris Segrin, Terry A Badger, Kristin E Morrill, Alla Sikorskii","doi":"10.1080/13548506.2025.2564313","DOIUrl":"https://doi.org/10.1080/13548506.2025.2564313","url":null,"abstract":"<p><p>The specific aim of this project was to test a model of neighborhood disadvantage and social isolation as potential correlates of physical and psychological symptoms in a sample of cancer survivors who are either in, or have recently completed, treatment. Participants were 846 cancer survivors who were currently in treatment (<i>N</i> = 400) or who had recently completed treatment (<i>N</i> = 446). The sample was 80% women with a mean age of 58.72 (SD = 12.81) years. The most common type of cancer represented in the sample was breast (51%). Participants completed measures of physical and psychological symptoms and social isolation and social support. These data were merged with the 2021 American Community Survey indicators of neighborhood disadvantage by zip code and county. After controlling for Hispanic ethnicity, education, and household income, survivors who resided in disadvantaged neighborhoods, as indicated by the fraction of residents living in poverty, receiving income assistance, without health insurance, and with less than a high school education, reported higher psychological and physical symptoms. Similarly, social isolation was positively associated with psychological symptoms and physical symptoms. Residing in a disadvantaged neighborhood and feeling socially isolated may represent independent risk factors for psychological morbidity and physical symptom burden among cancer survivors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187711","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}
Bo Yan, Jie Hu, Junyan Xi, Ling Luo, Xiaohui Zheng, Shiyun Luo, Wei Hu
{"title":"The role of C-reactive proteins in tobacco smoke exposure and the risk of depression.","authors":"Bo Yan, Jie Hu, Junyan Xi, Ling Luo, Xiaohui Zheng, Shiyun Luo, Wei Hu","doi":"10.1080/13548506.2025.2565525","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565525","url":null,"abstract":"<p><p>This study investigates whether Tobacco smoke exposure (TSE) is associated with C-reactive protein (CRP) and depression and whether CRP plays a mediating role. The data set, including 8,917 adults aged more than 18 years old, was provided by US National Health and Nutrition Examination Survey during 2005-2010 and 2015-2018. A logistic-regression-based mediation analysis was applied to clarify the direct effect of serum cotinine on depression and the indirect effect mediated by CRP. The results indicated that serum cotinine was positively correlated with the risk of depression (Q4 vs. Q1, <i>OR</i><sub>Model 1</sub> = 2.72, 95% <i>CI</i>: 1.95-3.82; <i>OR</i><sub>Model 2</sub> = 1.62, 95% <i>CI</i>: 1.10, 2.37 <i>OR</i><sub>Model 3</sub> = 1.58, 95% <i>CI</i>: 1.07, 2.34). Active smoking was associated with the risk of depression (<i>OR</i><sub>Model 2</sub> = 1.69, 95% <i>CI</i>: 1.23, 2.31; <i>OR</i><sub>Model 3</sub> = 1.66, 95% <i>CI</i>: 1.21, 2.28), while passive smoking was not significantly associated with the risk of depression after adjusting for covariates (<i>OR</i><sub>Model 2</sub> = 1.02, 95% <i>CI</i>: 0.72, 1.44; <i>OR</i><sub>Model 3</sub> = 1.02, 95% <i>CI</i>: 0.72, 1.44). Increased serum cotinine level was associated with an increased risk of depression, and the effect (4.95%) can be explained by a significant indirect effect of CRP (<i>OR</i> = 3.80 × 10<sup>-6</sup>, 95% <i>CI</i>: 2.81 × 10<sup>-7</sup>, 8.52 × 10<sup>-6</sup>). The findings suggest that anti-inflammation may be a potential goal for depression intervention among the tobacco-smoke-exposed population.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193794","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 smartphone addiction on obesity in children and adolescents.","authors":"Eunsun Gill, Wankyo Chung","doi":"10.1080/13548506.2025.2561741","DOIUrl":"https://doi.org/10.1080/13548506.2025.2561741","url":null,"abstract":"<p><p>The objective of this study is to ascertain the long-term risk of obesity associated with smartphone addiction in children and adolescents. We utilized a 4-year dataset from the Korean Children and Youth Survey 2018 (2018-2021). At baseline, the sample comprised 2,607 4th-grade elementary school students and 2,590 1st-grade middle school students (mean age: 11.3 ± 0.3, 14.3 ± 0.3 years, respectively). Of these, 2,718 (52.3%) were boys. Obesity was defined as a body mass index Z-score of at least the 95th percentile according to the 2017 Korean National Growth Charts. During the four-year follow-up period, the prevalence of obesity ranged from 6.9% to 8.4%, while the prevalence of being at high risk of smartphone addiction ranged from 2.1% to 4.8%. The logistic generalized estimating equation (GEE) was employed to examine the risk of obesity in those with addiction to smartphones. The risk of obesity was analyzed by adding smartphone screen time in Model 1, smartphone addiction in Model 2, and smartphone screen time and addiction in Model 3. The GEE results indicated that the odds of obesity increased by 16% in the potential-risk group for smartphone addiction compared to the normal group, even with the same duration of smartphone usage (OR [odds ratio] = 1.16, 95% CI [confidence interval] 1.01-1.33). Although the increase was not statistically significant, the odds of obesity were 1.24 times higher in the high-risk smartphone addiction group (OR = 1.24, 95% CI 0.94-1.65). Spending more than 3 hours on a smartphone was linked to 1.37-fold higher odds of obesity compared to spending less than 1 hour (95% CI 1.14-1.63). Smartphone addiction and overuse among children and adolescents can potentially raise obesity risks. Active interventions are needed to promote healthy smartphone behaviors in children and adolescents.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"My inner barometer: an explorative co-research study on the development of the embodied cognition in dementia assessment scales (EmDAS).","authors":"Hanne Mette Ridder, Janni Lund Hansen, Charlotte Lindvang, Lukas Ochsner Reynaud Ridder","doi":"10.1080/13548506.2025.2565513","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565513","url":null,"abstract":"<p><p>When psychosocial interventions for persons with dementia are examined, standardized screening tools are often used. These tools are designed to quantify symptom reduction and may therefore overlook the changes and benefits that persons with dementia themselves find important. This addresses the need for tools that are developed from the perspective of persons with dementia themselves in order to integrate the nuanced benefits of psychosocial interventions that they value. There are conflicting results about whether persons with dementia can complete self-report scales, still, the aim of this study was to outline the detailed process of the development of a dementia-specific self-reported outcome measure. The research was motivated by a person with dementia and unfolded in an inductive, iterative and explorative co-research design in seven phases. Each phase covered different research methods and in total included 36 participants and stakeholders. The participants' perspectives and ideas were prioritized with the overall goal to enhance and improve outcomes for psychosocial interventions that are co-created and balanced between deficits and strengths and based on what persons with dementia considered the most meaningful outcomes. The result was a co-constructed self-report outcome measure covering eight items of embodied cognition (Body, Emotions, Language, Overview, Empathy, Memory, Imagination, Meaning). The Embodied Cognition in Dementia Assessment Scales (EmDAS) shows promising validity and sensitivity, is relevant for further psychometric testing, and may provide a valuable contribution to inclusive health care research.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dark tetrad may mediate the link between adverse childhood experiences and tramadol abuse among youths.","authors":"Desmond Uchechukwu Onu, Glory Chinenye Eze, Blessing Nneka Onyekachi, Elisha John Igwe","doi":"10.1080/13548506.2025.2565517","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565517","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs), encompassing various forms of childhood abuse, neglect, and household dysfunctions, have been documented as a risk factor in tramadol abuse among young people. However, studies exploring the mechanism through which this association occurs remain sparse. We investigated whether dark tetrad traits would mediate the relationship between ACEs and tramadol abuse among youths in Nigeria. Through a cross-sectional design and convenience sampling technique, 250 youths aged 15-35 years (males: <i>n</i> = 163, 65.2%; females: <i>n</i> = 87, 34.8%; mean age = 23.16 years, <i>SD</i> = 4.65 years) were sampled. These participants completed relevant measures of ACEs, dark tetrad, and tramadol abuse. Results showed that higher scores on ACEs were associated with dark tetrad traits, except on the Machiavellianism domain. ACEs also positively predicted tramadol abuse. Although all domains of the dark tetrad traits predicted tramadol abuse, only the narcissism, psychopathy, and sadism domains mediated the ACEs-tramadol abuse link, whereas Machiavellianism did not mediate this relationship. Interventions may do well to incorporate personality-targeted approaches in addressing narcissism, psychopathy, and sadism while also integrating trauma-informed care to reduce tramadol abuse among youths.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187670","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}