Psychology Health & Medicine最新文献

{"title":"Fear of childbirth and its influence on women's delivery choices: a prospective-longitudinal study.","authors":"Xinchen Chen, Lu Jing, Huijing Liu, Sisi Huang, Liting Yan, Qiaoyu Jiang, Pingping Qiu","doi":"10.1080/13548506.2025.2465650","DOIUrl":"https://doi.org/10.1080/13548506.2025.2465650","url":null,"abstract":"<p><p>The fear of childbirth (FOC) is a widespread issue that affects the wellbeing of pregnant women. This study aimed to investigate the impact of FOC on the preferred and actual delivery mode of Chinese primiparous and multiparous women, by controlling for potential confounding factors using Lazarus's Theory of Stress, Emotion, and Coping. We conducted this perspective-longitudinal study included 1,288 pregnant women in late pregnancy in China. Data was collected through face-to-face questionnaires, cross-checking with electronic medical records, and the use of standardized measurement tools. The actual delivery mode was followed, and statistical analysis included univariate and multivariate regression analyses. Results showed that FOC had a positive association with preference for a cesarean section. However, neither FOC nor the preference for cesarean section resulted in higher cesarean section rates. Women who received childbirth education at hospitals had higher rates of vaginal delivery. This study highlights that FOC increases the likelihood of preferring a cesarean section, but it does not significantly impact the actual delivery mode. Further research is needed to explore the reasons behind the discrepancy between preferred and actual delivery modes and its implications.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392432","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 and depression: the mediating effect of perceived social strain in older adults with diabetes-a cross-sectional study.","authors":"Emma Cho, George Demiris","doi":"10.1080/13548506.2025.2465651","DOIUrl":"https://doi.org/10.1080/13548506.2025.2465651","url":null,"abstract":"<p><p>Loneliness is a known risk factor for social strain which refers to the capability of certain social relationships to act as a source of stress. Social strain has been shown to negatively affect mental health outcomes such as depression in older adults. Older adults with diabetes are at greater risk for loneliness. However, limited research has examined there is a lack the complex relationship among loneliness, social strain, and depression in this population. The purpose of this study was to examine the relationship between loneliness and depression in older adults with diabetes and to explore the mediating role of social strain in this association. This cross-sectional study was developed as a secondary data analysis using data from the National Social Life, Health, and Aging Project in the U.S.A. The sample consisted of 379 older adults aged 50 to 88 years. Loneliness, social strain, and depression were assessed using a multi-item survey questionnaire. Bivariate analysis and macro PROCESS in SPSS were used to analyze the data. Mediation analysis revealed a positive, direct effect of loneliness on depression (path c': β = 1.61, <i>p</i> < .001), and a positive, indirect effect of loneliness on depression through perceived social strain (β = 0.20, <i>p</i> < .001). These findings suggest that the relationship between loneliness and depression is partially mediated by social strain. Interventions that target both loneliness and the negative perceptions or interactions associated with social strain could help reduce depression in this population.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392437","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":"Prospective physicians' body image, and prejudices against obesity: a cross-sectional descriptive study.","authors":"Rana Can Özdemir, Meryem Türkan Işik, Mustafa Levent Özgönül","doi":"10.1080/13548506.2025.2460337","DOIUrl":"https://doi.org/10.1080/13548506.2025.2460337","url":null,"abstract":"<p><p>The aim of this study was to determine medical school students' body image perceptions and prejudices towards obese individuals, reveal the relationship between these two concepts, determine the influencing factors, and raise awareness of the issue. The sample of the study consisted of 665 medical school students. 'Student Information Form', 'GAMS-27 Obesity Prejudice Scale' and 'Body Appreciation Scale' were used to collect data. For data analysis arithmetic mean, standard deviation, frequency, percentage distribution, t test/one-way analysis of variance, correlation coefficient, Shapiro-Wilk test, Kolmogorov-Smirnov test, Spearman rho correlation coefficient, Kruskal Wallis H test, Mann-Whitney U test and Single One-way ANOVA F test were used. The overall Body Appreciation Scale and GAMS-27 Obesity Prejudice Scale mean scores were 27.57 ± 4.22 and 82.75 ± 10.68, respectively. There was no relationship between the Body Appreciation Scale and GAMS-27 Obesity Prejudice Scale mean scores (<i>p</i> > 0.05). The participants were prejudiced towards obese individuals. Factors such as gender, year of study, participation in sports, perceived body image, and desire to care for an obese patient did not affect the scores on the GAMS-27 Obesity Prejudice Scale and Body Appreciation Scale.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383997","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 disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model.","authors":"Ibrahim Kiymis, Damla Nur Yuce","doi":"10.1080/13548506.2025.2463030","DOIUrl":"10.1080/13548506.2025.2463030","url":null,"abstract":"<p><p>Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW's professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey's most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, <i>p</i> = 0.000), depression (β=+0.685, <i>p</i> = 0.000), and sleep disorders (β=+0.603, <i>p</i> = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=-0.278, <i>p</i> = 0.004) and depression (β=-0.322, <i>p</i> = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, <i>p</i> = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-27"},"PeriodicalIF":2.3,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374414","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 mediating and moderating effect of food addiction in the relationship between body image and loneliness.","authors":"Zöhre Kaya, Sevgi Aslangiri, Ferdi Yağan, Şermin Kaya","doi":"10.1080/13548506.2025.2463029","DOIUrl":"https://doi.org/10.1080/13548506.2025.2463029","url":null,"abstract":"<p><p>Loneliness, as one of the most profound and universal emotional challenges faced by modern individuals, has become a focal point of scientific research. Particularly, negative body image and abnormal eating behaviors stand out as critical factors that contribute to loneliness. The complex and multidimensional effects of these factors on loneliness gain significance due to their impact on individuals' mental health and social connections. The purpose of this study is to examine the mediating and moderating roles of food addiction in the relationship between body image and loneliness. The sample of the study consisted of 345 individuals aged between 18 and 40, 229 of whom (66.4%) were female. Data were collected using the short -form UCLA Loneliness Scale, the Body Image Scale, and the Modified Yale Food Addiction Scale. Hayes' Model 4 was used to test the mediating role, while Hayes' Model 1 was used to examine the moderating role. The findings of the study indicate that positive body image negatively predicts both loneliness and food addiction. Moreover, after controlling for gender, age, and income level, food addiction was found to act as a mediator in the relationship between body image and loneliness. Additionally, food addiction demonstrated a moderating effect on this relationship. In other words, negative body image can increase food addiction, which, in turn, amplifies feelings of loneliness. Conversely, reducing food addiction may alleviate feelings of loneliness by improving negative body image. These results contribute to a better understanding of the psychological effects of food addiction and the dynamic relationship between body image and loneliness.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374593","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":"Effectiveness of relaxation techniques for stress management and quality of life improvement in cardiovascular disease and hypertensive patients: a systematic review.","authors":"Andrea Calderone, Giulia Marafioti, Desirèe Latella, Francesco Corallo, Piercataldo D'Aleo, Angelo Quartarone, Rocco Salvatore Calabrò","doi":"10.1080/13548506.2025.2458255","DOIUrl":"https://doi.org/10.1080/13548506.2025.2458255","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cardiovascular diseases (CVD) and hypertension are leading causes of morbidity and mortality worldwide, significantly affecting quality of life (QoL). Stress, anxiety, and poor psychological well-being often exacerbate these conditions, creating a vicious cycle. Relaxation techniques, including progressive muscle relaxation (PMR) and diaphragmatic breathing, assist in contracting and relaxing muscle groups to aid individuals in identifying and reducing physical tension and foster relaxation due to increased parasympathetic nerve activity, resulting in emotional tranquility. This systematic review explores the efficacy of relaxation techniques in reducing stress and improving QoL in patients with CVD and hypertension.</p><p><strong>Materials and methods: </strong>The review adhered to PRISMA guidelines, searching five major databases (PubMed, EBSCOhost, Web of Science, PsychINFO, and Scopus) with a search time range from 2014 to 2024. This review has been registered on Open OSF (n) 6HYG9.</p><p><strong>Results: </strong>The results from several studies highlight the positive effects of relaxation techniques on both cardiovascular health and psychological well-being. Various methods, such as PMR, breathing exercises, and biofeedback, significantly reduced blood pressure (BP), anxiety, and stress levels in hypertensive and cardiovascular patients. Additionally, interventions like Benson's relaxation and jaw relaxation demonstrated improvements in patient QoL and cardiovascular health outcomes, underscoring the potential benefits of integrating relaxation techniques into treatment programs for heart-related conditions.</p><p><strong>Conclusions: </strong>By targeting both the physiological and psychological aspects of the patient's well-being, these methods contribute to improved BP regulation, reduced heart rate, and alleviation of anxiety and stress symptoms. When incorporated into cardiac rehabilitation programs, these techniques have shown positive effects on emotional well-being and overall QoL, making them a valuable tool for patients recovering from cardiovascular events or managing chronic CVD. More robust, high-quality studies are needed to refine the optimal methods, duration, and frequency of these interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-72"},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366830","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":"Bereavement versus health loss: the relationship of loss type with psychological growth.","authors":"Duygu Tiryaki Şen, Arda Bağcaz, Orhan Murat Koçak","doi":"10.1080/13548506.2025.2460335","DOIUrl":"https://doi.org/10.1080/13548506.2025.2460335","url":null,"abstract":"<p><p>Only a few studies have focused on different kinds of loss other than bereavement. This study aims to examine the relationship between loss type (bereavement or health loss) and psychological growth. The sample including 116 participants with either bereavement or health loss was evaluated with Posttraumatic Growth Inventory and Hamilton Depression Rating Scale. A linear regression analysis was performed in which the growth score was the dependent variable, and the depression severity, the presence of post-loss psychiatric treatment, loss type, age, sex, educational level, and time since loss were the independent variables. The lower depression severity, the type of loss being health, and the longer time since loss were found to be related to the increase in post-loss growth. The findings show that health loss may be a loss type that stimulates psychological growth, and its relationship with growth may even be stronger than that of bereavement.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366829","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":"Post-traumatic growth, depression and anxiety among hemodialysis patients: a latent profile analysis.","authors":"Qianqian Song, Tongshuang Yuan, Zhonggao Xu, Ying Xu, Meiyan Wu, Jie Hou, Junsong Fei, Songli Mei","doi":"10.1080/13548506.2025.2458251","DOIUrl":"https://doi.org/10.1080/13548506.2025.2458251","url":null,"abstract":"<p><p>Hemodialysis is the primary life-sustaining treatment for patients with end-stage kidney disease, which can result in a range of negative reactions (e.g. depression and anxiety) and positive change (e.g. post-traumatic growth, PTG). To further understand the post-traumatic response patterns of patients who are going through hemodialysis, dividing them into homogeneous subgroups helps to uncover hidden information. This cross-sectional study evaluated 274 patients (172 males and 102 females) undergoing hemodialysis at a tertiary hospital between October and November 2022. Latent profile analysis (LPA) was used to identify subgroups of patients based on their PTG, depression, and anxiety. The results identified three profiles: post-traumatic depression (<i>n</i> = 90, 32.9%), general moderate growth (<i>n</i> = 116, 42.3%) and high appreciation-power (<i>n</i> = 68, 24.8%). The classification quality was good (Entropy = 0.86). Univariate and multiple logistic regression analysis were conducted to test potential influencing factors. Furthermore, Back propagation (BP) neural network model was employed to examine the ranking of influencing factors across different profiles. Perceived health control (100.0%), social network (83.4%), meaning in life (70.2%), self-disclosure (64.4%), self-rated health (45.0%), and exercise (31.4%) were identified as differential predictors of profile members (all <i>p</i> < 0.05), listed in order base on their degrees of influence. The findings revealed the heterogeneity of post-traumatic response patterns in hemodialysis patients, categorizing their post-traumatic responses into three distinct patterns. In the future, in the treatment and care of hemodialysis patients, it will be more meaningful to provide targeted interventions for the different characteristics of patients' PTG, depression and anxiety.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081477","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 associations between positive body image, well-being and psychological flexibility in breast cancer survivors.","authors":"Giulia Rosa Policardo, Amanda Nerini, Cristian Di Gesto, Camilla Matera","doi":"10.1080/13548506.2024.2417441","DOIUrl":"10.1080/13548506.2024.2417441","url":null,"abstract":"<p><p>In Italy, breast cancer survivors are increasing. Body image is a complex posttreatment concern for breast cancer survivors, particularly younger women. This population reports higher levels of body-image concerns associated with higher psychological distress and lower quality of life. Body image concerns and factors that can impact the body image of older breast cancer survivors remain an important but under-explored research area. The purpose of this study is to examine the association of negative and positive body image with both well-being and psychological inflexibility in a sample of breast cancer survivors. 114 women who have completed breast cancer treatment (±5 years) completed a questionnaire to measure the research variables. Hierarchical regressions and indirect effects were performed. Functionality appreciation and body compassion accounted for a significant percentage of the variance of well-being (34%) and psychological inflexibility (50%) of the participants. The indirect effect of body dissatisfaction on well-being and psychological inflexibility through body compassion was significant. The results emphasise the relevance of the positive aspect of body image on well-being and psychological inflexibility. Functionality appreciation and body compassion contribute to understanding the health-status description of these women and could be considered in future health-promotion interventions aimed at reducing psychological distress associated with body image concerns in older breast cancer survivors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"309-324"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481057","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 association between caregiver burden, social capital, and family functioning among caregivers of older adults with PSD - A cross-sectional study.","authors":"Hong Ni, Yang Liu, Jinqiu Yang, Huiying Qin, Yuru Hu, Huili Deng, Qu Shen","doi":"10.1080/13548506.2024.2411064","DOIUrl":"10.1080/13548506.2024.2411064","url":null,"abstract":"<p><p>This study aimed to explore the relationships between social capital, family functioning, and caregiver burden in caregivers of older adults with post-stroke dementia (PSD). A cross-sectional correlational study was conducted between November 2017 and April 2018 among 105 caregivers of older adults with PSD using a demographic questionnaire, the Social Capital Scale, Family APGAR Index (APGAR), and Caregiver Burden Inventory (CBI).An independent samples t-test was also utilized to compare caregiver burden based on demographic characteristics. Statistical analysis comprised Pearson correlation analysis and multiple regression analysis using SPSS version 22.0 to identify influencing factors. Significant negative correlations were found between caregiver burden and variables such as social capital (<i>p</i> < .001) and family functioning (<i>p</i> < .01). The results of the multivariate analysis revealed that social capital, physical condition, and duration of caregiving were the main influencing factors (β = 58.162, ΔR2 = 0.289, <i>p</i> < .001). These findings suggest that nurses should continue to prioritize the well-being of patients' families, and collaborative efforts should be made to establish care facilities that cater to both medical and social needs.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"221-233"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481056","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}