Psychology Health & Medicine最新文献

{"title":"Internet usage buffers the effect of loneliness on subjective health among informal caregivers of older adults.","authors":"Zhiya Hua","doi":"10.1080/13548506.2024.2417313","DOIUrl":"10.1080/13548506.2024.2417313","url":null,"abstract":"<p><p>Informal caregivers of older adults usually suffer from loneliness, which makes them vulnerable to reduced health outcomes. This study attempted to explore whether internet usage mitigates the effects of loneliness on subjective health among informal caregivers of older adults. A sample of 1089 informal caregivers (mean age = 58.0 ± 15.7 years, 60.3% females) providing unpaid cares for older adults in the United States were investigated. Their loneliness, subjective health, and utilization of caregiving-related online resources were measured. Descriptive statistics and correlation analyses were conducted to summarize the sample's characteristics and determine the relationships among the study variables, respectively. Finally, a multivariate regression analysis with an interaction term was performed to test the moderating effect of internet usage. Results indicated that loneliness was significantly negatively associated with subjective health. Furthermore, after controlling for demographic and caregiving-related factors, the moderating effect of internet usage on the link between loneliness and subjective health was significant, namely, the negative association between loneliness and subjective health was less pronounced at higher levels of internet usage. Hence, in addition to alleviating loneliness, providing caregiving-related online services and promoting positive utilization of resources on the internet may be potential intervention targets to improve informal caregivers' health.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"234-251"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481096","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":"Coping strategies associated with art adherence among older adults living with HIV, South Carolina.","authors":"Daniel A Amoatika, Prince N O Addo, Amandeep Kaur, Monique J Brown","doi":"10.1080/13548506.2024.2417314","DOIUrl":"10.1080/13548506.2024.2417314","url":null,"abstract":"<p><p>People living with HIV/AIDS (PLWH) are living longer due to improvements in HIV care including antiretroviral therapy (ART). Even though ART improves HIV prognosis and life expectancy, its adherence is hindered by many factors. As the population of older adults living with HIV (OALH) continues to increase, it is important to understand the psychosocial factors that are associated with living with HIV to improve ART adherence. The aim of this study was to determine the association between coping strategies and ART adherence. Data were obtained from 91 OALH at an immunology clinic in Columbia, South Carolina via purposive sampling. The participants were at least 50 years or older and living with HIV. Coping was assessed using the Brief COPE Inventory. Crude and adjusted linear regression models, controlling for age, race, gender, and were used to determine the association between coping strategies and ART adherence. Subgroup analyses were done to determine if the association between coping and ART adherence varied by gender. The analyses were conducted in SAS version 9.4. The mean difference in ART adherence was statistically significant for race (<i>p</i> = 0.0292). There was a statistically significant association between religion and ART adherence (β = -0.718, <i>p</i> = 0.024). Males who use venting as a coping mechanism had higher ART adherence (β = 1.227, <i>p</i> = 0.048), and males who use behavioral disengagement had lower ART adherence (β = -1.624, <i>p</i> = 0.003) after adjusting for age and race. OALH who use religion as a coping strategy were less likely to adhere to ART treatment. Venting and behavioral disengagement tend to be associated with ART adherence among men. Qualitative research is needed to delve deeper into the relationship between religious coping and ART adherence, especially among OALH.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"252-263"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of personal cancer history and genomic risk information on mothers' psychological adaptation to inherited breast/ovarian cancer syndrome.","authors":"Katharine S Chaillet, Marcelo M Sleiman, Mary Rose Yockel, Beth N Peshkin, Jessica J Chiang, Claudine Isaacs, Kenneth P Tercyak","doi":"10.1080/13548506.2024.2417311","DOIUrl":"10.1080/13548506.2024.2417311","url":null,"abstract":"<p><p>This study aimed to understand long-term coping responses of mothers (<i>N</i> = 287) receiving genetic counseling and testing (GCT) for hereditary breast/ovarian cancer (HBOC) syndrome. Psychological characteristics, including cancer-specific distress (Impact of Events Scale-Revised, α = .85) and coping (Brief COPE, α = .93) were assessed via structured personal communication, along with epidemiologic items assessing personal and family history of cancer. Genetic risk was determined by <i>BRCA1/2</i> carriage. A principal component analysis was conducted on the coping measure to reduce its summary score to active coping (α = .91) with nine approach-oriented strategies responsive to stress. A multivariable regression model examined the main and interacting effects of clinical and psychological characteristics on maternal coping. Personal cancer history (F = 4.99, df = 1, <i>p</i> = .026), <i>BRCA</i> test result (F = 22.20, df = 1, <i>p</i> < .001), and cancer-specific distress (F = 17.80, df = 1, <i>p</i> < .001) were associated with greater engagement in active coping strategies. When controlling for cancer-specific distress, the interaction between personal cancer history and genetic test results was significant, such that women previously unaffected by cancer who received positive <i>BRCA</i> results reported the greatest levels of active coping (F = 7.92, <i>p</i> < .001). These findings indicate that previous cancer history, genetic risk, and psychological distress independently and jointly impact how women adapt to the threat of cancer over time.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"297-308"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facets of mindfulness are associated with inflammation biomarkers in a sample of sexual minority men with HIV.","authors":"Jacklyn Foley, Abigail W Batchelder, Lauren Bernier, Tiffany Glynn, Judith Moskowitz, Adam Carrico","doi":"10.1080/13548506.2024.2407445","DOIUrl":"10.1080/13548506.2024.2407445","url":null,"abstract":"<p><p>Sexual minority men (SMM) are disproportionately impacted by HIV and thus, HIV related-health complications. HIV has been linked to earlier onset of multi-morbid chronic diseases and declines in physical and cognitive functioning attributable to chronic HIV immune activation and resulting inflammation. Inflammation has been targeted with mindfulness-based interventions (MBIs); however, hypothesized negative associations between mindfulness and inflammation need to be confirmed in SMM with HIV. This is a secondary data analysis of baseline data from a randomized clinical trial (RCT) of SMM living with HIV with biologically confirmed recent methamphetamine use (ARTEMIS). Mindfulness was assessed with the Five Factor Mindfulness Questionnaire (FFMQ). Inflammation was assessed via cytokines interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α). Separate adjusted (for age, viral load, CD4 count, and methamphetamine use) regression models evaluated associations between four facets of mindfulness (description, awareness, non-judgement, and non-reactivity) with IL-6 and TNF-α. The average age of the participants was 43.86 (<i>SD</i> = 8.95). Both description (<i>b</i> = .54, <i>se</i> = .24) and awareness (<i>b</i> = .50, <i>se</i>=.23) were positively associated with IL-6. All other associations between mindfulness and inflammation were non-significant in adjusted models. There was also some evidence to suggest that engagement in care moderated associations between description and non-reactivity with IL-6 (Δ<i>R</i>² = .03, <i>F</i> = 3.64), such that description and non-reactivity were each positively associated with inflammation among those who attended <100% of primary care appointments (<i>b</i> = 1.04, <i>se</i>=.34 and <i>b</i> = 1.23, <i>se</i>=.39, respectively), but was not associated with inflammation among those who attended 100% of appointments (<i>b</i> =.16, <i>se</i>=.32 and <i>b</i>=-.17, <i>se</i>=.40, respectively). There was also a significant interaction between 12-step program attendance and awareness with IL-6 (ΔR2= .03, F = 4.26), such that awareness was positively associated with inflammation among those who attended 12-step programming (b = 1.25, se = .41), but not associated with inflammation among those who did not (b = .22, se = .28). Further research is needed to understand how and under what circumstances mindfulness is associated with pro- versus anti-inflammatory processes.<b>Trial Registration</b>: NCT01926184.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"368-383"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of mental disorders on low adherence to antiretroviral therapy in people living with HIV in Spain.","authors":"Irene Portilla-Tamarit, María Rubio-Aparicio, Nicolás Ruiz-Robledillo, Rosario Ferrer-Cascales, Natalia Albaladejo-Blázquez, Joaquín Portilla","doi":"10.1080/13548506.2024.2407438","DOIUrl":"10.1080/13548506.2024.2407438","url":null,"abstract":"<p><p>The relationship between mental disorders other than depression or anxiety, and low adherence to both antiretroviral treatment (ART) and linkage to HIV care are unclear. The aim of our study was to compare the prevalence of mental disorders in people living with HIV (PLHIV) in Spain who present low versus high adherence to ART. We performed a cross-sectional study comparing two groups of PLHIV: 20 PLHIV with low adherence and 80 PLHIV with high adherence to ART. PLHIV who met at least one of the following criteria were included in the low-adherence group: virological failure (HIV-VL > 50 copies/mL in two consecutive blood samples); low attendance to scheduled clinical visits (≥2 missed visits in last year); irregular administration of ART (≥10 forgotten doses in the last month); and interruption of ART for more than 1 week. Inclusion criteria for high adherence were: PLHIV who had been on stable ART for more than 1 year with an HIV-VL below 50 copies/mL and without missed visits over the previous 12 months. The Millon Clinical Multiaxial Inventory was administered to participants. PLHIV with low adherence showed higher scores for all mental disorders compared with those with high adherence. And, in the multivariate binary logistic regression analysis, drug dependence and post-traumatic stress disorder were independently associated with low adherence (Nagelkerke R2 = 0.0686). In conclusion, PLHIV with poorly controlled HIV infection presented important psychological vulnerabilities. Mental health should be checked at the beginning of ART and during follow-up, especially in PLHIV with low adherence or low linkage to the health care system.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"341-356"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332491","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":"Postoperative complications and symptoms of anxiety and depression in patients with gastric and esophageal cancer: a retrospective cohort study.","authors":"Valentyn Fournier, Sullivan Fontesse, Véronique Christophe, Nassima Ramdane, Amélie Anota, Alice Gauchet, Sophie Lelorain, Anne-Sophie Baudry, Christelle Duprez, Stephanie Devaux, Damien Bergeat, Xavier Benoit D'Journo, Olivier Glehen, Guillaume Piessen, Delphine Grynberg","doi":"10.1080/13548506.2024.2417113","DOIUrl":"10.1080/13548506.2024.2417113","url":null,"abstract":"<p><strong>Context: </strong>Gastric and oesophageal cancers are common. They are also expected to increase in incidence in the next few years and are characterized by poor prognosis. Surprisingly, whereas the incidence of severe anxiety and depression is high in patients with gastric and oesophageal cancers, the influence of symptoms of depression and anxiety on postoperative complications has barely been explored.</p><p><strong>Methods: </strong>In a retrospective study based on a prospectively collected database, 629 cancer patients were enrolled. Symptoms of depression and anxiety (Hospital Anxiety and Depression Scale scores) and sociodemographic and medical information were collected immediately after diagnosis and before any treatment. The surgical approach (i.e. gastrectomy or oesophagectomy) and postoperative complications according to the Clavien-Dindo classification were collected after surgery.</p><p><strong>Results: </strong>After controlling for known medical predictors (i.e. surgical strategy, alcohol and tobacco consumption, American Society of Anaesthesiologists classification physical status score) of postoperative complications, no effect of symptoms of depression or anxiety was detected.</p><p><strong>Discussion: </strong>The observed results are surprising given the literature. However, several potential arguments can be put forwards regarding methods and measures, controlling variables, and conceptual distinctions. Despite the absence of significant results, this topic should be more deeply investigated by applying methodological and conceptual adjustments.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"282-296"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513089","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":"How did the depression and anxiety levels of older New Zealanders change during the COVID-19 pandemic?","authors":"Tamara McLean, Matt Williams, Chris Stephens","doi":"10.1080/13548506.2024.2407437","DOIUrl":"https://doi.org/10.1080/13548506.2024.2407437","url":null,"abstract":"<p><p>There has been widespread concern about the mental health impact of the global COVID-19 outbreak. Fears have been raised that depression and anxiety among older people may have increased in the pandemic, and that adverse health behaviours, such as increased alcohol use and decreased physical activity, may have contributed to the mental health decline. This study aimed to examine changes in depression, anxiety, alcohol use and physical activity scores of people aged 55 and older in New Zealand over the initial months of the pandemic. The sample included 3,171 people who responded to wave 7 (August-November 2018) and wave 8 (June-September 2020) of the Health, Work and Retirement Study. Analyses were carried out using paired <i>t</i> tests and multilevel mediation modelling. There was no evidence of significant changes in depression or anxiety. Alcohol use and physical activity were shown to decrease significantly, albeit to a small degree, and there was evidence of an indirect effect of time on depression via physical activity. These findings suggest a general resilience among older people 3 to 6 months into the pandemic. However, increased attention should be paid to promoting physical exercise among older people, as a means of decreasing depression risk.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":"30 2","pages":"209-220"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061539","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 top 100 cited papers on mental health and virtual reality: a bibliometric analysis.","authors":"Yimin Guan, Yaqing Wang, Dongmei Zhuang, Wenzhuo Wei, Lijun Ma, He Du, Chuan Fan, Xiaoming Li","doi":"10.1080/13548506.2025.2460336","DOIUrl":"https://doi.org/10.1080/13548506.2025.2460336","url":null,"abstract":"<p><p>Virtual reality technology has been widely applied in the field of mental health research. However, to date, no study has employed bibliometric methods to systematically analyze the application of virtual reality in mental health. By searching the Web of Science Core Collection, we have summarized the top 100 cited papers in this field and conducted the first bibliometric study on mental health and virtual reality using CiteSpace. The results indicate that this area has received considerable attention. The United States stands out as the most influential country. The University of London and Emory University are the leading contributing institutions. Rothbaum BO is the most productive author, and Cyberpsychology, Behavior, And Social Networking, is the journal with the most publications in this area. The primary focus of research in this domain is on virtual reality therapy for mental disorders, especially virtual reality exposure therapy for anxiety disorders. These findings may help researchers understand the current state and future trends in the field of mental health and virtual reality.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069520","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 stress and personal growth among women with normal and at-risk pregnancy: the role of rumination and social support.","authors":"Anna Zelkin, Orit Taubman-Ben-Ari","doi":"10.1080/13548506.2025.2458253","DOIUrl":"https://doi.org/10.1080/13548506.2025.2458253","url":null,"abstract":"<p><p>Pregnancy is a significant period in women's lives, especially for first-time mothers, that may arouse stress, but concurrently can trigger an experience of personal growth. This study examines the association between perceived stress during pregnancy and personal growth among first-time mothers, exploring the role of intrusive and reflective rumination, and partner and family support in this association, comparing women with normal and at-risk pregnancies. 708 pregnant women in their third trimester responded to self-report questionnaires assessing stress, personal growth, event-related rumination, perceived social support, and sociodemographic characteristics. No differences were found in personal growth between the two study groups. The stress-personal growth relationship was found to be either linear or curvilinear depending on conditions. Perceived support from family moderated the stress-growth association, which was significant only when support was higher, but not when it was lower. The two types of rumination mediated the stress-growth association, so that higher perceived stress was associated with higher rumination, both intrusive and reflective, and this, in turn, was associated with higher growth. The findings shed light on the nature of the relationship between perceived stress and personal growth among first-time mothers, showing that this relationship depends on certain conditions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069515","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":"Psychosocial assessment and its association with mortality in kidney transplant candidates.","authors":"Hye Jin Chong, Min Kyeong Jang","doi":"10.1080/13548506.2025.2457538","DOIUrl":"https://doi.org/10.1080/13548506.2025.2457538","url":null,"abstract":"<p><p>This study aimed to assess the association between the Global Psychosocial Assessment of Candidates Transplant score and survival in deceased donor kidney transplant candidates. A longitudinal cohort design was employed. The 142 candidates recruited were registered on the waiting list for deceased donor kidney transplants at a transplant center. Initially, candidates who enrolled in this study in 2016 were divided into high- and low-risk psychosocial cohorts, based on their Psychosocial Assessment of Candidates Transplant score, with a cut-off of 3 points. In 2022, the mortality rate was compared according to whether the initial Psychosocial Assessment of Candidates Transplant score was < 3 or ≥ 3 points. This study included data from 139 deceased donor kidney transplant candidates. An initial Psychosocial Assessment of Candidates Transplant score of < 3 was associated with higher mortality five years after being on the waiting list (hazard ratio = 2.39, <i>p</i> = .031). A high-risk status for psychosocial problems according to the Psychosocial Assessment of Candidates Transplant score predicted a significantly lower five-year survival for candidates on the waiting list for a deceased donor kidney transplant. Therefore, the psychosocial status of candidates on the waitlist for kidney transplantation should be regularly screened and systematically managed to improve their psychosocial status and make them more suitable candidates for transplant surgery. A psychosocial intervention should be developed to improve these patients' psychosocial status and promote positive health outcomes after kidney transplantation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069512","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}