Psychology Health & Medicine最新文献

{"title":"The effects of self-management skills training provided through the peer education module on problematic internet use and academic procrastination of nursing students: a randomized controlled trial.","authors":"Cennet Çiriş Yildiz, Seyit Safa Sayin, Aleyna Karayel, Ümran Esra Koç, Beyza Buse Kayta","doi":"10.1080/13548506.2025.2565523","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565523","url":null,"abstract":"<p><p>The objective of the current research is to assess the effects of self-management skills training provided through the peer education module on problematic internet use and academic procrastination behavior among nursing students. The research was conducted as a pre-test-post-test randomized controlled trial. The sample consisted of nursing students (intervention group: 86; control group: 87) studying at a non-profit university in Istanbul. Academic procrastination and problematic internet use scores were lower in the intervention group at the first month (<i>p</i> = 0.018, d = 0.36; <i>p</i> < 0.01, d = 0.62, respectively), while problematic internet use scores were lower at the third month compared to the control group (<i>p</i> = 0.02, d = 0.47). In addition, problematic internet use and its sub-dimensions differed statistically significantly between the pre-test, first-month, and third-month tests (<i>p</i> = 0.001, f = 0.17; <i>p</i> = 0.005, f = 0.16; <i>p</i> = 0.000, f = 0.17; <i>p</i> = 0.032, f = 0.14, respectively). The self-management skills training provided through the peer education module reduced nursing students' problematic internet use levels, but did not impact their academic procrastination behavior.</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":"145187680","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":"Effect of childbirth self-efficacy and fear of childbirth on prenatal attachment in risky pregnancies.","authors":"Şükran Başgöl, Emine Koç, Nazlı Baltacı","doi":"10.1080/13548506.2025.2565514","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565514","url":null,"abstract":"<p><p>This study aimed to investigate the effect of childbirth self-efficacy and fear of childbirth on prenatal attachment in patients with risky pregnancies. The study was designed as descriptive and cross-sectional research. Patients with risky pregnancies hospitalized in a perinatology clinic. A total of 210 pregnant women between 28 and 40 weeks of gestation were included in the study. Data were collected using the Personal Information Form, Childbirth Self-Efficacy Inventory Short Version 32 (CBSEI-32), Childbirth Attitudes Questionnaire, and Prenatal Attachment Inventory (PAI). The Statistical Package for the Social Sciences software version 23.0 was used to analyze study data. Pregnant women had moderate levels of childbirth self-efficacy, fear of childbirth, and prenatal attachment. A statistically significant weak positive correlation was observed between the total CBSEI-32 score, its subdimensions of outcome expectancy and efficacy expectancy, and PAI score (<i>p</i> = 0.000, <i>p</i> = 0.002, <i>p</i> = 0.000, respectively). The level of childbirth self-efficacy significantly and positively influenced prenatal attachment, with an explanatory power of 10.1% (<i>F</i>_<i>(1)</i> = 23.254, <i>p</i> = 0.000). In pregnant women, as the childbirth self-efficacy level increased, their prenatal attachment level also increased. However, the level of fear of childbirth did not affect prenatal attachment. Based on these findings, healthcare professionals are recommended to provide specialized care, counseling, and support for patients with risky pregnancies to enhance the perceptions of self-efficacy, thereby improving prenatal attachment levels.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193799","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":"Examination of anxiety levels of patients who underwent orthopedic surgical intervention before the first mobilization and related factors.","authors":"Altun Baksi, Figen Erol Ursavaş, Havva Hande Arasan, Emine Sarıca","doi":"10.1080/13548506.2025.2565521","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565521","url":null,"abstract":"<p><p>Orthopedic and trauma nurses are thought to play a crucial role in the effective management of anxiety and fear related to mobilization. In this respect, the purpose of this study was to examine the relationship between anxiety levels and affecting factors of patients who underwent orthopedic surgery before the first mobilization. In the study, the relational descriptive research design was used. The study was conducted in the Orthopedy and Traumatology Clinic of a state hospital in the central Anatolia region in Turkey between June 2021 and January 2023. The research sample consisted of individuals (n:129) treated in the Orthopedy and Traumatology Clinic when the sample was collected and met the criteria. Research data were collected using tools Introductory Information Form, State-Trait Anxiety Inventory and Visual Analog Scale (VAS). Among patients who underwent orthopedic surgical intervention, 69.8% were female, with a mean age of 60.80 ± 14.78 years (range: 18-92), a postoperative period of 3.11 ± 2.21 days (range: 0-12), and a pain level of 5.22 ± 2.56 (range: 0-10). According to the research findings, the state anxiety score of patients who underwent orthopedic surgical intervention before their first mobilization was 46.64 ± 10.61 (24-71), and the trait anxiety score was 45.71 ± 8.49 (28-65). As a result of the analysis, the factors that contributed the most to the created model for state anxiety were determined as follows: patients' fear of mobilization (β = 0.376, <i>p</i> < 0.001), high pain score (β = 0.319, <i>p</i> < 0.001), and high oxygen saturation level (β = -0.242, <i>p</i> = 0.001). In this direction, it is recommended to consider the factors identified as significant in this study to reduce the anxiety experienced by patients before their first mobilization.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between psychoemotional variables and functional gastrointestinal symptoms in medical students: a cross-sectional study based on Rome IV criteria.","authors":"Julio Torales, Anthon Daniel Torres-Romero, Gabriela Vera-Villanueva, Martha Villalba-Ávalos, Alexandra Roa-Peña, Eliana Ayala-Páez, Liz Giménez-Correa, Marcelo O'Higgins, Tomás Caycho-Rodríguez, João Mauricio Castaldelli-Maia, Antonio Ventriglio, Iván Barrios","doi":"10.1080/13548506.2025.2565519","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565519","url":null,"abstract":"<p><p>This study examined the association between anxiety, perceived stress, and functional gastrointestinal symptoms in medical students. A cross-sectional survey was conducted among 224 students from the School of Medical Sciences at the National University of Asunción, Paraguay. Standardized instruments were used to assess anxiety symptoms, stress levels, and the presence of functional gastrointestinal symptoms based on adapted Rome IV criteria. Statistical analyses included descriptive statistics, bivariate comparisons, correlation analyses, and logistic regression modeling. Results showed that 79.0% of students reported moderate to severe anxiety symptoms, 31.7% presented high levels of perceived stress, and 66.1% had clinically relevant gastrointestinal symptoms. Female students scored significantly higher across all three clinical variables. In addition, perceived stress and gastrointestinal symptoms were associated with a family history of digestive disorders. Stress levels varied by academic year, with third- and sixth-year students reporting the highest scores. A strong positive correlation was found between anxiety and stress (rho = 0.649, <i>p</i> < 0.001), while weaker but significant correlations emerged between these emotional variables and gastrointestinal symptoms. Notably, 87.5% of students attributed their gastrointestinal discomfort to psychological causes such as stress or anxiety, suggesting a high level of insight. These findings underscore the clinical relevance of the gut - brain axis and support the need for integrated biopsychosocial approaches in university health programs. Promoting emotional regulation and early identification of stress-related symptoms may improve students' psychological well-being and contribute to the development of healthier, more resilient future health professionals.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the psychosocial mechanisms between media exposure and loneliness in aging China: evidence from empty-nesters.","authors":"Fangjie Dong, Xiaoqiu Yin, Yibo Wu","doi":"10.1080/13548506.2025.2561739","DOIUrl":"https://doi.org/10.1080/13548506.2025.2561739","url":null,"abstract":"<p><p>Loneliness among empty-nesters has become an increasingly pressing issue in the context of population aging, particularly in China. While media exposure has been proposed as a potential alleviator for loneliness, the psychosocial mechanisms through which it influences this experience remain insufficiently understood. Drawing on a nationally representative sample of 1,837 Chinese empty-nesters, this study employs structural equation modeling to examine the mediating roles of family communication, identity bubble reinforcement, and perceived social support in the relationship between media exposure and loneliness. The findings reveal a nuanced dynamic: although media exposure exhibits a negative total effect on loneliness, its direct effect is unexpectedly positive, suggesting that media exposure in the absence of meaningful social interaction may exacerbate feelings of isolation. Crucially, family communication emerges as a significant mediator, both independently and sequentially through perceived social support, indicating that media-facilitated familial interactions can enhance emotional connection and reduce loneliness. In contrast, identity bubble reinforcement does not significantly mediate this relationship, highlighting the limited compensatory value of weak-tie, peer-based digital communities for this demographic. These results underscore the importance of relational context in evaluating the psychosocial impacts of media exposure among older adults, and suggest that family-centered digital engagement may be a culturally resonant and psychologically effective strategy for alleviating loneliness in later life. However, the cross-sectional design limits causal inferences and the assessment of temporal dynamics, warranting future research using longitudinal or experimental methods to clarify the directionality and underlying mechanisms of these effects.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-23"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187793","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":"Dietary inflammatory index and risk of depressive symptoms: a Cohort study of university students.","authors":"Ana Paula Alves de Souza, Vitor Barreto Paravidino, Rosely Sichieri, Rosângela Alves Pereira, Luana Senna Blaudt, Paulo Rogério Melo Rodrigues, Ana Paula Muraro, Lorena Barbosa Fonseca, Márcia Gonçalves Ferreira","doi":"10.1080/13548506.2025.2565527","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565527","url":null,"abstract":"<p><p>Diet and lifestyle are modulators of low-grade chronic inflammation, which has been associated with depressive symptoms. This study aimed to examine the association between the dietary inflammatory index (DII) and the risk of depressive symptoms among university students. Data were from 675 students of both sexes, aged between 16 and 25 years old, who entered a Brazilian public university in 2016 and 2017 and were followed up until 2018. The inflammatory potential of the diet was assessed by the DII, which was estimated based on 39 dietary parameters obtained from 24-hour dietary recalls. The presence of depressive symptoms was determined by the Patient Health Questionaire-9, and the cutoff point adopted was ≥ 10 to classify the individuals as 'with' and 'without' depressive symptoms. Generalized linear models with binomial distribution and logarithmic linkage function estimated the relative risk (RR) and confidence intervals (95%CI) of the association between DII and depressive symptoms. The risk for depressive symptoms during follow-up increased for those eating a more inflammatory diet at baseline, reaching an increased risk of 28% in the second year of follow-up (RR = 1.28, 95%CI = 1.06; 1.56). A pro-inflammatory diet contributed to the increased risk of depressive symptoms among university students.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193551","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 factors mediate the relationship between trauma exposure and pain intensity in women with endometriosis: a cross-sectional study.","authors":"Mariagrazia Merola, Stefano Cosma, Chiara Melotti, Elisa Aral, Paola Berchialla, Giulia Zanaga, Giovanna Cacciato, Annalisa Tancredi, Luca Ostacoli, Chiara Benedetto, Sara Carletto","doi":"10.1080/13548506.2025.2564309","DOIUrl":"https://doi.org/10.1080/13548506.2025.2564309","url":null,"abstract":"<p><p>Endometriosis, a chronic inflammatory condition often characterized by chronic pelvic pain, significantly impacts women's quality of life. While psychological distress, including depression and anxiety, is prevalent in women with endometriosis, the influence of trauma exposure on pain perception remains poorly understood. Although previous research has shown that psychological factors can mediate the link between trauma and pain in other chronic pain conditions, this relationship has not yet been systematically investigated in women with endometriosis. This study therefore aimed to investigate whether psychological factors mediate the relationship between trauma exposure and pain intensity in women with endometriosis. A cross-sectional study was conducted in an Endometriosis outpatient referral center enrolling consecutive female patients with a clinical and/or histologic diagnosis of endometriosis. Clinical parameters, socio-demographic information, exposure to traumatic experiences, symptoms of depression, anxiety, post-traumatic stress, and pain catastrophizing levels were collected during gynecological examinations using specific questionnaires. Of the 156 women invited, 120 agreed to participate (response rate 76.9%). Nearly half of the participants reported clinically significant symptoms of depression and anxiety, while a quarter reported significant symptoms of post-traumatic stress and pain catastrophizing. Approximately half of the participants reported experiencing one or more traumatic events. The study confirmed the presence of a relationship between a history of trauma and pain perception; however, whilst no direct association was found between the two, symptoms of depression and pain catastrophizing were identified to act as mediators of the relationship between the two. The findings of this study highlight the complex interplay between trauma exposure, psychological symptoms and pain perception in women affected by endometriosis. Addressing these psychological aspects could offer a viable strategy for improving pain management and overall quality of life in women with endometriosis.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193842","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 role of child maltreatment and resilience in the association between caregiver anxiety and child anxiety: a longitudinal study.","authors":"Xiuxiu Ding, Jian Zhang, Peng Xie, Weihang Xia, Haixia Liu, Shaodi Ma, Qirong Qin, Liang Sun, Mingchun Chen, Guangbo Qu, Yehuan Sun","doi":"10.1080/13548506.2025.2565526","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565526","url":null,"abstract":"<p><p>This study aimed to explore the development of child anxiety and examine multiple mediating roles of child maltreatment and resilience in the association between caregiver anxiety and child anxiety. The longitudinal study included 1595 preschool children and their caregivers in Anhui Province, China. Paired <i>t</i>-tests were employed to compare differences in child anxiety between the baseline and follow-up. Linear regression analyses were performed to explore predictive effects of individual and family factors on child anxiety, while path analyses were applied to analyze mediating effects. The results indicated that child anxiety decreased during the one year follow-up. Child sex, resilience, mother's education, caregiver anxiety and child maltreatment could longitudinally predict child anxiety. Child maltreatment and resilience not only independently mediated the association between caregiver anxiety and child anxiety but also played a chain-mediating effect. These results elucidated a complex mechanistic model involving both risk and protective factors, indicating that caregiver anxiety transmits its effects through increased maltreatment risk and diminished child resilience. Consequently, comprehensive intervention strategies should concurrently target the reduction of caregiver anxiety, prevention of maltreatment, and strengthen child resilience to effectively mitigate the development of anxiety in preschool children.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193792","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":"Rationality outperforms emotionality in building trust in doctor-patient interaction: a mixed-method approach.","authors":"Kun Yang","doi":"10.1080/13548506.2025.2565511","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565511","url":null,"abstract":"<p><p>The trust-related issue has attracted considerable attention, and prior studies found that trust can be established through various linguistic strategies. Nevertheless, the specific strategies for building trust remain insufficiently clarified, and their relative effectiveness is still underexplored. As such, this paper aims to explore different linguistic strategies for fostering trust and their effectiveness within doctor-patient interaction discourses. The study identifies two primary types of trust-building linguistic strategies: rational strategies and emotional strategies. Rational strategies refer to instances where doctors aim to maximise patients' benefits while minimising potential risks, whereas emotional strategies involve doctors seeking to enhance patients' positive emotions and alleviate negative ones. A subsequent experimental study corroborates these findings, demonstrating that rational strategies tend to exert a stronger influence than emotional strategies in doctor-patient interactions. The findings of this study hold both theoretical and practical significance, as they advance our understanding of trust-building mechanisms and offer insights for improving doctor-patient relationships.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179532","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":"Relationship between dermatological quality of life, disease activity, depression, and anxiety levels in Behçet's syndrome: a structural equation modelling approach.","authors":"Yasemin Karacan, Yeliz Akkus, Kevser Kasap, Kubra Unlu","doi":"10.1080/13548506.2025.2565518","DOIUrl":"https://doi.org/10.1080/13548506.2025.2565518","url":null,"abstract":"<p><p>This descriptive and cross-sectional study was conducted with 263 individuals diagnosed with Behçet's disease to determine the effect of dermatological quality of life, psychological status and disease activity in Behçet's syndrome. The data of the study were collected from the online platform for patients with Behçet's disease using the sociodemographic data form, Behçet's Disease Symptom Activity Score (BSAS), Hospital Anxiety Depression Scale (HADS) and Dermatological Quality of Life Scale (DLQI). According to the results of structural model path analyses, BSAS positively affects DLQI by 24% and has a very low (1%) positive effect on HADS-D, while HADS-A shows a positive effect by 31%. Furthermore, a high correlation of 68% was found between HADS-A and HADS-D. BSAS, HADS-A and HADS-D variables explained 16.2% of the total change in DLQI level. BS is recommended to evaluate dermatological quality of life, anxiety and depression as well as disease activity in patients with Behçet's disease.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180039","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}