Psychology Health & Medicine最新文献

{"title":"The pandemic coping project: a randomized clinical trial of strategies for coping with isolation.","authors":"Jeffrey S Berman, Rivian K Lewin, Erin M Solomon, Olivia G Glasgow, Rachel L Pace, Andrew N Snell","doi":"10.1080/13548506.2025.2490228","DOIUrl":"https://doi.org/10.1080/13548506.2025.2490228","url":null,"abstract":"<p><p>Past research has suggested that isolation is associated with poorer psychological well-being, an issue of particular importance given the quarantines imposed during the recent coronavirus pandemic. The aim of the present randomized clinical trial was to evaluate the effectiveness of different strategies for coping with loneliness and distress during isolation. In the online study, participants (<i>N</i> = 330) from a nationwide and international sample were randomly assigned to practice one of six strategies (i.e. social support, prosocial behavior, structure, distraction, exercise, using helpful resources) or to a comparison group. They completed measures of psychological distress and loneliness at baseline and after one and two weeks assigned to their strategy for coping. Results revealed that a strategy of structuring daily activities was more effective at reducing distress than the other coping strategies. Younger and middle-aged participants experienced less distress using structure than other strategies, but there was no difference in distress based on extraversion or personal need for structure. For loneliness, results depended on personal need for structure such that those with average or higher need for structure experienced less loneliness when using the structure strategy. Neither age nor extraversion was a significant factor in the impact of structure on loneliness. Structuring daily activities appears to be superior to other strategies for coping during isolation, except for older individuals and those with lower need for structure, who may benefit from other strategies. Based on the study findings, providers should consider a recommendation of structuring daily activities as a way of managing distress and loneliness during social isolation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026881","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 migrant-native difference in the relationship between anxiety and depression among the elderly in China: a comparative network analysis.","authors":"Qian Tang, Chi Zhang, Yuefan Zhao, Man Yang, Ruyue Deng, Shiyuan Yan, Jun Yao","doi":"10.1080/13548506.2025.2491038","DOIUrl":"https://doi.org/10.1080/13548506.2025.2491038","url":null,"abstract":"<p><p>In the context of the ongoing COVID-19 pandemic, elderly individuals are confronted with an elevated vulnerability to psychological distress. However, disparities in the manifestation of anxiety and depression between migrant and native elderly populations have yet to be thoroughly examined. The purpose of this study was to identify the network characteristics of anxiety and depression among migrant and native elderly during the COVID-19 pandemic. Employing a cross-sectional design, we surveyed a total of 710 participants, encompassing both native and migrant elders. The Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) and the Patient Health Questionnaire-9 (PHQ-9) were utilized to assess anxiety and depression symptoms, respectively. R packages were used to construct the network. Expected influence and bridge expected influence were utilized to identify central and bridge symptoms. Network comparison tests were applied to examine the differences between networks. The anxiety and depression levels of native elderly are higher than those of migrant elderly. Migrant and native elderly networks exhibited identical central symptoms ('hypochondria', 'restless') and bridge symptoms ('worry', 'sad mood'). The 'anhedonia' was only more central in the migrant elderly network. Global strength and network structure differed significantly, with the migrant elderly network being more tightly knit. There are commonalities and differences in anxiety and depression networks among immigrant and native elders during the COVID-19 pandemic. This finding guides healthcare and mental health professionals to adopt targeted strategies for anxiety and depression in different populations of older adults.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032641","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":"Why are women more fatigued than men? The roles of stress, sleep, and repetitive negative thinking.","authors":"Shima Golmohamadi, Bronwyn M Graham","doi":"10.1080/13548506.2025.2490212","DOIUrl":"https://doi.org/10.1080/13548506.2025.2490212","url":null,"abstract":"<p><p>Fatigue, a state of prolonged tiredness that cannot be alleviated through rest, is twice as likely to affect women than men. To account for women's higher rates of fatigue, we examined three factors which have both exhibited consistent sex differences in the literature and have been linked to fatigue: stress, sleep, and repetitive negative thinking (RNT). In the first study, 193 undergraduate students reported their levels of fatigue, stress, sleep quality and RNT over the past month. Mediation analysis showed that the effect of sex on fatigue was partially mediated through stress, sleep, and the impact of stress on sleep, but not RNT. In the second study, 205 undergraduate students underwent the same procedures as in Study 1 to test the whether the findings from the first study were replicable in an independent sample. These students were then sent seven follow-ups across 2 weeks to measure their momentary fatigue, daily stress, and previous night's sleep quality. In the second mediation analysis, sleep did not mediate the impact of sex on fatigue; however, all other pathways found in the first study were replicated. With regard to the prospective measurements, women reported greater fatigue, even when accounting for sleep and stress, and poorer sleep and higher stress predicted fatigue both at population and individual levels. Taken together, these findings suggest that sex differences in fatigue could be in part driven by sex differences in stress.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-22"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043371","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":"Fertility patterns and influencing factors in Ethiopia.","authors":"Derbachew Asfaw, Bosena Adigo, Workineh Muluken","doi":"10.1080/13548506.2025.2486504","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486504","url":null,"abstract":"<p><p>Fertility level, indicating the number of births per woman of reproductive age, plays a pivotal role in population dynamics. In Ethiopia, grappling with a substantial population growth rate poses a significant hurdle in its journey toward attaining middle-income status. This study aims to pinpoint the key determinants influencing fertility levels in the country. Data from the 2019 mini Ethiopian Demographic Health Survey were utilized, encompassing a sample of 8,885 reproductive women selected through stratified random sampling. Various statistical models, including Poisson, Negative Binomial, Zero-Inflated Poisson, Zero-Inflated Negative Binomial, Hurdle Poisson, and Hurdle Negative Binomial, were employed for analysis. Among these, the Zero-Inflated Poisson model emerged as the most suitable for the dataset. The average fertility level among women was 2.59 births, with a variance of 7.852. Findings revealed several significant determinants of fertility levels in Ethiopia. Notably, residing in rural areas, attaining primary, secondary, or higher education, lack of utilization of modern family planning methods, limited knowledge about family planning, and geographic location, such as living in the Afar, Gambella, Addis Ababa, or Dire Dawa regions, were identified as influential factors. Furthermore, being a female household head, experiencing child deaths, widowhood, and divorced were also found to impact fertility rates. The study underscores the importance of addressing these determinants to curb high fertility rates. Recommendations include prioritizing initiatives to enhance women's education levels, ensuring widespread access to family planning services, and bolstering awareness regarding family planning methods. By implementing these measures, strides can be made towards stabilizing fertility rates in Ethiopia and promoting sustainable demographic growth.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796919","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":"Healthcare worker burnout: rethinking the maslach burnout inventory.","authors":"Erin E Sullivan, Christie L Martin, Mark Linzer, Patrick N Balius, Ryan T Demmer, Jayne A Fulkerson","doi":"10.1080/13548506.2025.2487949","DOIUrl":"https://doi.org/10.1080/13548506.2025.2487949","url":null,"abstract":"<p><p>Burnout is a devastating consequence of an adverse work environment. Eliminating burnout will require a better understanding of its components and predictors. A sample of 228 healthcare workers (HCWs) in the United States responded to a burnout survey during the pandemic; 175 (77%) answered the query, 'How do you define burnout?', which sought to determine what burnout meant to them. After a formal qualitative analysis, we found that numerous comments (78%) did not fall within one of the classic three categories of burnout noted in the Maslach Burnout Inventory (emotional exhaustion, depersonalization, or lack of sense of personal accomplishment). These 'non-concordant' comments included varied work conditions (known and not well-known burnout predictors), mental health symptoms, physical symptoms, feelings, and important burnout consequences. We propose the Maslach Burnout Inventory may portray only a modest proportion of what HCWs consider to be 'burnout'; further studies are needed to confirm and extend these findings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from the past: medical school experiences, stigma, and help seeking for depression.","authors":"Sabrina Menezes, Kelsey M Carpenter, Jessica B B Diaz, Gregory Guldner, Jason T Siegel","doi":"10.1080/13548506.2025.2482956","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482956","url":null,"abstract":"<p><p>Experiencing lower psychological safety during medical school is linked to higher levels of impostorism and a diminished sense of meaning in work among incoming resident physicians. Furthermore, perceptions of a harmful hidden curriculum in medical school are associated with elevated levels of impostorism. This study aimed to build on these findings by examining whether incoming residents' perceptions of psychological safety and hidden curriculum in medical school correlate with various forms of mental health stigma and residents' intentions to seek help for depression. The participants (<i>n</i> = 244), surveyed from June 2023 to July 2023, were incoming medical residents starting their residency in the fall of 2023 at a large hospital organization. Residents responded to items inquiring about their medical school's psychological safety and hidden curriculum, as well as items asking about mental health stigma (i.e. self-stigma, perceived stigma from other doctors, and the perceived career consequences associated with help seeking) and current intentions to seek help for depression. A series of correlations and path analyses were conducted to examine relationships between these variables. Lower perceptions of psychological safety and higher perceptions of a harmful hidden curriculum in medical school were significantly correlated with higher levels of perceived stigma from other doctors, greater agreement that seeking help would harm their career, and lower help-seeking intentions. Psychological safety, but not hidden curriculum, was significantly related to self-stigma. Moreover, self-stigma, perceived stigma from other doctors, and perceived career consequences mediated the positive association between psychological safety and help-seeking intentions, while only perceived career consequences were a significant mediator for the negative relationship between hidden curriculum and help-seeking intentions for depression. These findings have implications for both understanding and improving resident well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness as a motivating factor for maladaptive daydreaming among Vietnamese adolescents: the role of online novel reading.","authors":"Pham Quang Dao, Pecherkina Anna Alexandrovna","doi":"10.1080/13548506.2025.2486506","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486506","url":null,"abstract":"<p><p>In today's world, where digital consumption is prevalent, it's crucial to reflect on the psychological effects of online behaviors. This research focuses on exploring how abnormal online novel reading (AONR) mediates the connection between feelings of loneliness and maladaptive daydreaming (MD). A survey was conducted on 388 subjects who engage in online novel reading. The results revealed that AONR serves as a partial mediator between loneliness and MD. The findings suggest that loneliness may compel individuals to seek solace in the virtual narratives of online novels, which in turn may catalyze MD by offering fertile ground for elaborate fantasy worlds. These findings suggest that addressing the underlying issue of loneliness and reducing AONR could help alleviate MD. Interventions could focus on promoting social connections and fostering healthier coping mechanisms. Moreover, AONR should be considered a potential behavioral addiction, like other forms of digital addiction, as it involves preoccupation with online novels, withdrawal symptoms, increased tolerance, loss of control, continued engagement despite negative consequences, and escapism as a coping mechanism. They also highlight the importance for online novel readers who should be aware of the potential negative effects of this behavior on their mental health and strive to maintain a balance between reading habits and other activities to promote both personal fulfillment and psychological health.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological status of pregnant women during the COVID-19 pandemic in Nairobi County, Kenya: a cross-sectional study.","authors":"Khushboo J Sonigra, Krishan Sarna, Thomas Amuti, Samwel R Gesaka, Linnet Ongeri, Moses M Obimbo","doi":"10.1080/13548506.2025.2487227","DOIUrl":"https://doi.org/10.1080/13548506.2025.2487227","url":null,"abstract":"<p><p>Pregnancy is associated with an increased psychological burden on women. This burden may be worsened by uncertainty occasioned by pandemics such as the recent coronavirus disease 2019 (COVID-19). The study aims to investigate the psychological status of pregnant women following the COVID-19 pandemic in Kenya. This descriptive cross-sectional study was conducted amongst 126 pregnant women at the Kenyatta National Hospital, Nairobi. Data on the women's sociodemographic and obstetric factors, levels of depression, anxiety, and insomnia were recorded on a questionnaire. SPSS version 29 was used to perform paired t-test and multivariate regression analysis to assess for statistically significant association between sociodemographic, obstetrics factors, and related factors on COVID-19-related stressors with depression, anxiety, and insomnia. High levels of depression, anxiety, and insomnia were noted with a mean Edinburgh Postnatal Depression Scale (EPDS) score of 14.90 ± 5.25, State-Trait Anxiety Inventory (STAI) score of 44.12 ± 9.73 and Women's Health Initiative Insomnia Rating Scale (WHIIRS) score of 10.07 ± 5.81 respectively. There was a strong association between depression, anxiety, and insomnia with specific factors. In conclusion, pregnant women in Kenya experienced significant symptoms of depression, anxiety, and insomnia following the onset of the COVID-19 pandemic.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 trauma-related stress in young people: do sensory-processing sensitivity, resilience, and life satisfaction play a role?","authors":"Christiana Iordanou, Ellie Turner","doi":"10.1080/13548506.2024.2439065","DOIUrl":"10.1080/13548506.2024.2439065","url":null,"abstract":"<p><p>Although COVID-19 was experienced as a traumatic event with long-lasting effects, there is limited data on its traumatic impact in relation to factors that can promote or threaten young people's mental wellbeing. This study investigated the association between sensory-processing sensitivity (SPS), resilience, and life satisfaction with COVID-19 trauma-related stress and whether resilience mediates the relationship between SPS and COVID-19 traumatic stress in a young sample. A total of 441 individuals aged between 16 and 25 years (<i>M</i>_age = 19.26, <i>SD</i> = 1.65) participated in an online survey in the UK between November 2021 and April 2022. We found that SPS was positively correlated, and resilience was negatively correlated with COVID-19 trauma-related stress. Life satisfaction was not significantly related to COVID-19 trauma-related stress. A mediation analysis showed that the relationship between SPS and COVID-19 trauma-related stress was mediated by resilience. Our findings suggest that resilience can be a protective factor against the traumatic effect of COVID-19 in young people, but other factors should also be considered. Our study makes implications about the potential benefits of including resilience in interventions which target young people's mental wellbeing.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"708-722"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830878","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 burnout and PTSD, and perceived stress in the workplace among healthcare workers in the intensive care unit: a PsyCOVID-ICU substudy.","authors":"Alicia Fournier, Victoire Deltour, Florent Lheureux, Anne-Laure Poujol, Fiona Ecarnot, Christine Binquet, Jean-Pierre Quenot, Alexandra Laurent","doi":"10.1080/13548506.2025.2454038","DOIUrl":"10.1080/13548506.2025.2454038","url":null,"abstract":"<p><p>The COVID-19 pandemic exposed intensive care unit (ICU) healthcare workers (HCWs) to acute stress (e.g. unpredictability, fear, helplessness) and chronic stress (e.g. prolonged crisis with recurring waves). While the psychological impact has been documented, few studies explore the overlap of these stressors. One year after the pandemic's first peak, we aimed to assess the psychotraumatic impact and burnout among ICU HCW and to examine the relationship between these disorders, and perceived workplace stressors. This study was conducted in 77 ICUs in France between June and July 2021. The online questionnaire included measures of perceived stress, burnout, and symptoms of post-traumatic stress disorder (PTSD). Descriptive analyses investigating the co-occurrence of PTSD/burnout symptoms were conducted and multinomial logistic regression was used to predict membership in these groupings from current perceived stress and a range of relevant demographic variables. Among 1108 hCW included, 318 (28.7%) exhibited only burnout, 34 (3.07%) exhibited only PTSD, and 182 (16.42%) exhibited both conditions simultaneously. These categories of professionals, particularly those with concurrent PTSD and burnout, perceived higher work-related stress than those without burnout and PTSD. These results can be used to provide personalized support for the specific psychological disorders present (burnout or PTSD), with a view to providing HCW with a work environment that is more conducive to their psychological recovery.Clinical trial registrationNCT04944394.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"752-769"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383994","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}