Kemal Torpus, Galip Usta, Sevil Çinar Özbay, Yalçın Kanbay
{"title":"The moderating role of gender in the impact of intolerance of uncertainty on earthquake fear in Türkiye.","authors":"Kemal Torpus, Galip Usta, Sevil Çinar Özbay, Yalçın Kanbay","doi":"10.1080/13548506.2025.2564301","DOIUrl":"https://doi.org/10.1080/13548506.2025.2564301","url":null,"abstract":"<p><p>Intolerance of uncertainty can be explained as individuals negative emotional, cognitive, and behavioral reactions to uncertain situations. Earthquakes, however, can exacerbate this intolerance and trigger a fear of earthquakes because their timing and location are unpredictable. This study aimed to examine the moderating role of gender in the impact of intolerance of uncertainty on earthquake fear. A descriptive and correlational research design was adopted. Data for the study were collected from different age groups (<i>n</i> = 555), including residents of 11 provinces in the Southern and Southeastern Anatolia regions of Türkiye, which were severely affected by the February 6, 2023 earthquakes. In terms of gender distribution, 71.2% of the sample consisted of female individuals, while the mean age was calculated as 41.1 ± 4.4 (Min = 18; Max = 79). Personal Information Form, Intolerance of Uncertainty Scale, and Fear of Earthquake Scale were employed as data collection tools. The data of the study were examined using SPSS 26 and AMOS 23 package software. The moderation analysis was conducted using the 'Process Macro' developed by Hayes. Regression analysis based on the bootstrap method was performed to determine the moderation role of the 'gender' factor on the effect of intolerance of uncertainty on the fear of earthquakes. Gender was found to significantly influence earthquake fear, with females exhibiting higher levels than males. Gender also moderated the relationship between intolerance of uncertainty and earthquake fear, such that fear increased across low, medium, and high levels of intolerance of uncertainty, but more sharply among females. These findings indicate that intolerance of uncertainty and gender are significant determinants of earthquake fear. These results highlight the importance of considering gender differences in designing psychosocial interventions aimed at reducing earthquake-related fear.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between self-control and subjective well-being in university students: the role of psychological resilience and social anxiety.","authors":"Xufeng Ma, Yujie Wang, Yan Zhang, Aibao Zhou","doi":"10.1080/13548506.2025.2564305","DOIUrl":"https://doi.org/10.1080/13548506.2025.2564305","url":null,"abstract":"<p><p>While many studies have documented a close relationship between self-control and subjective well-being (SWB), the underlying mechanisms remain unclear. The goal of this study was to investigate the potential chain-mediating effects of psychological resilience and social anxiety on the relationship between self-control and SWB among university students. The participants were 1,503 undergraduate students in their first to third years at university (<i>M</i><sub>ageT1</sub> = 18.86 years, 660 males). We measured self-control, psychological resilience, social anxiety, and SWB at T1 (spring) and SWB at T2 (six months later). The results revealed the following: (1) There were significant positive correlations between self-control and current and future SWB. (2) Psychological resilience and social anxiety played chain-mediating roles in the relationship between self-control and current and future SWB. Our findings contribute to gaining a nuanced understanding of the underlying mechanisms that connect self-control and SWB among college students and have implications for educational practice and for improving university students' SWB.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139399","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 impact of traumatic events on dissociative experiences in hospitalized patients with anorexia nervosa: a moderated mediation study.","authors":"Margot Eibl, Maria Nicoleta Turliuc","doi":"10.1080/13548506.2025.2561738","DOIUrl":"https://doi.org/10.1080/13548506.2025.2561738","url":null,"abstract":"<p><p>Unresolved traumatic experiences are empirically associated with the development of a spectrum of severe mental health difficulties. This study explores the relationship between retrospectively reported traumatic events and dissociative symptoms (psychoform, somatoform, structural) in individuals with anorexia nervosa (AN) at present, as well as potential explanatory mechanisms of this association. We tested the mediating role of complex post-traumatic stress (CPTSD) symptoms and the moderating role of length of inpatient stay. In this cross-sectional survey of a clinical sample of 107 individuals with AN, we used internationally validated measures with strong psychometric properties (Cronbach's alphas ≥ .87): the ITQ for ICD-11 CPTSD symptoms, the TLEQ for intensity of traumatic experiences, and the SDQ-20 and DES-B for trauma-related dissociative experiences. Our findings indicated significant positive correlations between the retrospective ratings of intensity of traumatic events prior to AN onset and psychoform (<i>r</i><sub><i>s</i></sub> = .68, <i>p</i> = .006), somatoform (<i>r</i><sub><i>s</i></sub> = .59, <i>p</i> = .008), structural dissociation (<i>r</i><sub><i>s</i></sub> = .67, <i>p</i> = .006), and CPTSD symptoms (<i>r</i><sub><i>s</i></sub> = .53, <i>p</i> = .009). CPTSD symptoms were strongly associated with all forms of dissociation and mediated the relationship between retrospectively assessed trauma intensity and dissociative symptoms. Moreover, length of inpatient stay moderated these associations <i>(all p < .05)</i>. In conclusion, traumatic experiences may contribute to complex psychological outcomes in AN and should receive more attention in treatment settings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-21"},"PeriodicalIF":1.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139327","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":"Mindfulness-based stress reduction program improves psychological well-being and blood pressure in an Italian context: potential mechanisms and benefits.","authors":"Rita Canella, Teresa Fazia, Concetta Gardi","doi":"10.1080/13548506.2025.2561740","DOIUrl":"https://doi.org/10.1080/13548506.2025.2561740","url":null,"abstract":"<p><strong>Background: </strong>Chronic psychosocial stress may exacerbate inflammation and oxidative stress, potentially contributing to the aetiology of many lifestyle-related diseases, including elevation of blood pressure (BP) and increased cardiovascular risk. Mindfulness-based stress reduction (MBSR) improves psychological well-being, but few studies have investigated its effect on biological parameters related to stress. This study evaluated whether the MBSR program can lower stress and anxiety and improve some biological stress markers.</p><p><strong>Methods: </strong>This is a one-group pretest-posttest quasi-experimental design. We recruited 42 adult volunteers to partake in a standard 8-week MBSR program. The main outcomes were psychological well-being (perceived stress, anxiety and awareness) and stress-related biomarkers (systolic and diastolic BP, salivary cortisol, IL-6 and IL-8 levels, plasma carotenoids concentration).</p><p><strong>Results: </strong>MBSR decreased stress (<i>p</i> = 0.002) and anxiety (<i>p</i> = 0.05) and increased awareness (<i>p</i> = 0.01). MBSR also significantly lowered systolic and diastolic BP (<i>p</i> = 0.02; <i>p</i> = 0.001), cortisol (<i>p</i> = 0.01), and IL-6 and IL-8 pro-inflammatory cytokines (<i>p</i> = 0.02; <i>p</i> = 0.03), and enhanced carotenoids (<i>p</i> = 0.03). We found a strong positive correlation between Δ PSS and Δ STAI-Y1 (<i>r</i> = 0.62, <i>p</i> = 0.008), Δ STAI-Y1 and Δ IL8 (<i>r</i> = 0.74, <i>p</i> = 0.0007), and Δ PSS and Δ IL8 (<i>r</i> = 0.5, <i>p</i> = 0.04). Significant negative correlations were observed between Δ PSS and Δ MAAS (<i>r</i> = -0.77, <i>p</i> = 0.0003), Δ STAI-Y1 and Δ MAAS (<i>r</i> = -0.51, <i>p</i> = 0.04), and Δ MAAS and Δ IL8 (<i>r</i> = -0.68, <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>These preliminary data indicate that the MBSR program significantly improves all the analysed parameters. This program can help cope with stress and anxiety and lower BP by reducing nervous system activation and cortisol levels. By regulating cortisol levels, MBSR can lower inflammation and oxidative stress responses involved in many diseases, including hypertension. Further studies are needed to unravel the complex relationship between mindfulness and its effects on human health.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132848","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":"Factors associated with the risk for loneliness in older adults with diabetes.","authors":"Emma Cho","doi":"10.1080/13548506.2025.2562601","DOIUrl":"https://doi.org/10.1080/13548506.2025.2562601","url":null,"abstract":"<p><p>As the U.S. population ages, the prevalence of loneliness among older adults, especially those living with chronic conditions such as diabetes, has become a serious public health concern. Previous studies have identified a variety of factors associated with loneliness in older adults with diabetes, but have limitations to generalize to U.S. older adults. This study analyzed data from the National Social Life, Health, and Aging Project (NSHAP), which included 542 participants aged 50 years and older with a diagnosis of diabetes. Multiple hierarchical regression analyses were conducted to identify predictors of loneliness, including covariates that were demographic factors and variables such as depressive symptoms, social support, and functional limitations. Analyses showed that being divorced and never married, having low levels of social support, and having high levels of depressive symptoms were significant predictors of loneliness; these factors explained an additional 20.2% of the variance in loneliness risk beyond demographic covariates. This study highlights the complex interplay of social, psychological, and physical factors in predicting loneliness among older adults with diabetes in the United States, highlights the important role of social support and mental health in mitigating loneliness, and suggests the need for targeted interventions focused on strengthening social networks and addressing depressive symptoms. Future studies should examine longitudinal associations and control for additional diabetes-related factors to further clarify these findings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132777","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":"Intergenerational effects of parental childhood maltreatment on children's smartphone addictive behavior: the mediating role of children's perceived parental support and parental smartphone addictive behavior.","authors":"Zhifang Hu, Xiaojun Li, Yanhui Xiang","doi":"10.1080/13548506.2025.2545021","DOIUrl":"https://doi.org/10.1080/13548506.2025.2545021","url":null,"abstract":"<p><p>Childhood maltreatment has been a key issue in psychological research due to its severe and persistent negative effects on the abused. Smartphone addictive behavior, as a typical problematic behavior, is a significant threat to children's mental health. This study aimed to investigate the intergenerational effects of parental childhood maltreatment and children's smartphone addictive behavior, and the mediating roles of parental smartphone addictive behavior and children's perceived parental support in the relationship between the two. We recruited 334 children and their parents totaling 1002 as participants. Parents reported their own experiences of childhood maltreatment and smartphone addictive behavior, and children reported their perceived parental support and smartphone addictive behavior. Mediation modeling was conducted to test intergenerational effects and mediating mechanisms. The findings suggest that (1) mother's smartphone addictive behavior and children's perceived parental support mediate the role between mother's childhood maltreatment and children's smartphone addictive behavior. (2) father's childhood maltreatment could not influence children's smartphone addictive behavior through father's smartphone addictive behavior and children's perceived parental support. We found a significant intergenerational effect of childhood maltreatment experienced by mothers on children's smartphone addictive behavior. Mothers who have endured childhood maltreatment exhibit higher susceptibility to smartphone addictive behavior and are less prone to providing emotional support to their children. Consequently, this may contribute to an increased likelihood of smartphone addictive behavior among their children.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132840","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}
Ebtehal Jaber Asiri, Adam Dawria, Bayapa Reddy Nr, Kandasamy Muthugounder, Yousef I Zahrani, Bharat Kumar Mm, Ali Mohieldin, Khursheed Muzammil, Abdelrhman A G Altijani, Sunil Kumar Vaddamanu
{"title":"Comprehensive mental health implications of the recent pandemic in Southern Capital of Kingdom of Saudi Arabia: a community-based cross-sectional study.","authors":"Ebtehal Jaber Asiri, Adam Dawria, Bayapa Reddy Nr, Kandasamy Muthugounder, Yousef I Zahrani, Bharat Kumar Mm, Ali Mohieldin, Khursheed Muzammil, Abdelrhman A G Altijani, Sunil Kumar Vaddamanu","doi":"10.1080/13548506.2025.2549604","DOIUrl":"10.1080/13548506.2025.2549604","url":null,"abstract":"<p><p>Researchers examined how COVID-19 affected the mental health of people living in Abha, Saudi Arabia, from January to November 2022. The research investigated how many people experienced depression, anxiety and stress throughout the pandemic and analyzed how sociodemographic factors and COVID-19 experiences affected psychological well-being. Researchers conducted a descriptive cross-sectional community-based study applying snowball sampling in the south western region of Saudi Arabia. The study employed Depression, Anxiety, and Stress Scale (DASS-21) to measure psychological morbidity Standard severity levels served as the basis for the categorization of scores. The study included 530 participants aged 19 to 70, predominantly married females. Nearly half experienced quarantine (49.6%), and 51.5% reported concerns about potential infection. Depression prevalence was 64.8%, with higher odds among ages 19-25 (OR=2.01, p=0.049) and 36-45 (OR=2.20, p=0.045), healthcare workers (OR=1.89, p=0.007), and those who lost relatives (OR=1.89, p=0.007). Anxiety prevalence was 58.2%, with significantassociation with fear of exposure (OR=1.46, p=0.039). Stress prevalence was 45.0%, with higher odds among married participants (OR=2.16, p=0.009). Research showed that psychological distress affected many people during the COVID 19 pandemic. The results highlight the importance of developing specialized mental health strategies which incorporate public awareness efforts and counseling services to maintain community mental wellness throughout health emergencies.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978999","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 mindfulness-based compassionate living training on post-earthquake trauma, grief process, and self-compassion in earthquake-affected university students: a randomized controlled trial.","authors":"Süheyla Yarali, Mine Cengiz, Dilek Kiliç","doi":"10.1080/13548506.2025.2552963","DOIUrl":"https://doi.org/10.1080/13548506.2025.2552963","url":null,"abstract":"<p><p>Although many studies have been conducted on Although many studies have been conducted on the effectiveness of the mindfulness-based compassionate living program, no studies have been found on the effectiveness of the mindfulness-based compassionate living practice after the earthquake. the effectiveness of the mindfulness-based compassionate living program, no studies have been found on the effectiveness of the mindfulness-based compassionate living practice after the earthquake. The study's objective was to investigate the impacts of the online Mindfulness-Based Compassionate Living program on post-earthquake trauma, grief symptoms, and self-compassion in earthquake-affected university students. A randomized controlled trial. The research used a pre-test (T1)/post-test (T2) randomized controlled study design on 53 earthquake-affected university students. Data collection was performed using the Descriptive Information Form, Post-Earthquake Trauma Level Determination, Grief, and Self-Compassion scales. T1 measurements were performed for the intervention (<i>n</i> = 27) and control (<i>n</i> = 26) groups. T2 measurements were made for both groups following the 8-week online Mindfulness-Based Self-Compassion program in the intervention group. A statistically significant difference was identified over time between the Post-Earthquake Trauma Level determination mean scores of the intervention group at T1 and T2. No significant difference was revealed over time in the control group. A statistically significant difference was found between T1 and T2 in the Grief Scale total mean scores of the intervention group. A statistically significant difference was identified between T1 and T2 in the Self-Compassion Scale total mean scores of the intervention group. The research found that the online Mindfulness-Based Compassionate Living program effectively reduced trauma and grief symptoms and increased self-compassion. <b>Preregistration</b>: The research was registered on https://clinicaltrials.gov/ (ID:NCT06484959).</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979043","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}
Xianhang Zhu, Jiayuan Liu, WenZhuo Wei, Lijun Ma, He Du, Anran Jin, Jingyi He, Xiaoming Li
{"title":"A bibliometric analysis of publications on delusions: revealing the current state of the field and future trends.","authors":"Xianhang Zhu, Jiayuan Liu, WenZhuo Wei, Lijun Ma, He Du, Anran Jin, Jingyi He, Xiaoming Li","doi":"10.1080/13548506.2025.2552964","DOIUrl":"https://doi.org/10.1080/13548506.2025.2552964","url":null,"abstract":"<p><p>Delusions are present in various mental disorders and psychological distress; the mechanisms underlying delusion formation are shared among these conditions to some extent. To elucidate the dynamic evolution of the delusion research field from its inception to the present, this study aims to delineate the current state of delusion research and identify future research frontiers. A comprehensive analysis of publications in the field of delusions using the bibliometric tool CiteSpace. The author collaboration network displays a radial layout centered on Freeman Daniel, surrounded by multiple collaborative clusters. The institutional collaboration network is relatively sparse but retains some structural organization, with institutions such as the University of London, University College London, Harvard University and Yale University holding significant influence in the field. The United States and the United Kingdom are the leading countries in academic output within the field, with two representative co-authored publications being highly cited. Keywords with guiding significance for future research include the following: 'mental health', 'anxiety', 'health', 'psychometric property', 'case report', 'paranoia', 'auditory verbal hallucinations' and 'validity'. Delusion research has evolved from sparse early 20th-century studies to a mature, diverse field, shifting from psychoanalysis to empirical, mechanistic approaches. In recent years, the research field has become more mature and specialized. Despite vibrant contributions, fragmented research networks and regional clustering highlight opportunities for interdisciplinary and international collaboration. Future directions include the rise of novel adjunctive intervention technologies, refined studies and interventions targeting cognitive mechanisms, integration of social and psychological factors, exploration of neural mechanisms, personalized and modular interventions, transdiagnostic research, integration of phenomenology and computational models, and rise of computational psychiatry.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-24"},"PeriodicalIF":1.9,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978858","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}
Aspen E Streetman, Jared Durtschi, Gina M Besenyi, Emily L Mailey
{"title":"Helping clients overcome barriers to physical activity: a theory-based approach for mental healthcare providers.","authors":"Aspen E Streetman, Jared Durtschi, Gina M Besenyi, Emily L Mailey","doi":"10.1080/13548506.2025.2465653","DOIUrl":"10.1080/13548506.2025.2465653","url":null,"abstract":"<p><p>Physical activity is effective for managing mental health conditions, yet a deeper understanding of factors linked with physical activity behaviors among mental health clients is needed. This cross-sectional study aimed to test a theory of planned behavior process model in a large, representative sample of adults in therapy. Participants (<i>N</i> = 478, <i>M</i> = 31.7 years, 44.6% male) completed an online survey including validated measures assessing theory of planned behavior variables (e.g. attitudes, subjective norms, perceived behavioral control, and intentions) and physical activity. The model tested whether attitudes, norms, and perceived behavioral control predicted physical activity frequency indirectly through intentions while controlling for various demographic and mental health variables. Depression, anxiety, stress, loneliness, and body dissatisfaction were also evaluated as moderators. The fully adjusted model fit well (χ<sup>2</sup> [282] 725.27, <i>p</i> < .01 RMSEA = .06, CFI = .93). Only perceived behavioral control had a significant bootstrapped indirect effect on physical activity behavior via intentions (<i>b</i> = 13.57, 95% CI: 8.47-21.97). The association between perceived behavioral control and physical activity intention was significantly moderated by body dissatisfaction (<i>b</i>=.08, <i>p</i>=.035), with a stronger effect in participants with high body dissatisfaction. Depression moderated the relationship between attitudes and intentions (<i>b</i>=-.02, <i>p</i>=.011), and body dissatisfaction moderated the relationship between subjective norms and intentions (<i>b</i>=-.05, <i>p</i>=.003). Mental health care providers may use these findings to tailor discussions about physical activity with clients to address individual needs and preferences and help clients develop strategies to overcome physical activity barriers. Improving clients' perceptions of control may improve physical activity intentions and behavior.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1685-1700"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416342","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}