Psychology Health & Medicine最新文献

{"title":"From acute to chronic low back pain: the role of negative emotions.","authors":"Juan José Montaño, Elena Gervilla, Rafael Jiménez, Albert Sesé","doi":"10.1080/13548506.2025.2478657","DOIUrl":"10.1080/13548506.2025.2478657","url":null,"abstract":"<p><p>Low back pain (LBP) constitutes a persistent and burdensome condition, frequently intricately intertwined with negative emotional states. The focus of this study is to discern distinct patterns of negative emotions among individuals experiencing Acute Low Back Pain (ALBP) and Chronic Low Back Pain (CLBP), in comparison to a pain-free control group. The study endeavors to harness the potential of artificial intelligence (AI) models in evaluating the discriminatory capacity of these emotions within the groups, thus addressing the issue of pain chronicity. The participant cohort consisted of 54 chronic patients, 44 acute, and 51 pain-free individuals for comparison purposes. Using Artificial Neural Networks (ANN), the study unveiled discernible patterns of emotional association. Significant disparities in emotional experiences emerged between acute and chronic patients. Anxiety assumed an essential role following the onset of LBP, whereas in the chronic group, depression took precedence, accompanied by an escalation in both anger and anxiety-related comorbidity. It's crucial to emphasize the absence of discernible variations in pain intensity between chronic and acute patients. These findings hold considerable implications, as they contribute to the refinement of LBP diagnosis and proactively hinder its progression. By unraveling the intricate interplay between negative emotions and the temporal course of LBP, this study deepens our comprehension and lays the groundwork for interventions addressing both the physical and emotional dimensions. These insights provide valuable input for effective diagnostic and therapeutic strategies, thereby alleviating the burden of chronic LBP on individuals and healthcare systems.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2108-2121"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733204","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":"Multi-dimensional sleep status and trend of Chinese students aged 9-22: a large population-based study.","authors":"Junna Zhang, Xi Jia, Wen Wu, Jiajia Hu, Fanke Zhou, Yixiao Geng, Xiaolei Ban, Wencan Wu, Xiaomin Lou, Xian Wang","doi":"10.1080/13548506.2025.2539771","DOIUrl":"10.1080/13548506.2025.2539771","url":null,"abstract":"<p><p>Sleep is an important part of life and deserves a lot of attention, especially during the teenage years. It is of great significance to analyze the current situation of adolescent sleep and its development trend in order to understand the current students' sleep situation. The participants were 44 609 students aged 9-22 years from the Chinese National Survey on Students' Constitution and Health (CNSSCH). The latest survey data was used to analyze sleep status, while the data from the last three surveys were used to analyze sleep trends. A chi-square test was conducted to examine differences in napping, bedtime, sleep adequacy, social jet lag, sleep debt, and chronotypes among students. Student's t-test and analysis of variance (ANOVA) were applied to analyze the students' rise time and bedtime. Among primary school students, the proportion of those who go to bed late was the highest, with 41.3% staying up late on weekdays and 68.7% on weekends. High-school students had the shortest sleep duration on weekdays (6:47 ± 0:37), while college students had the highest proportion of late type (64.3%). Over the past decade, the proportion of students who have obtained sufficient sleep has been increasing both in the general population and among college students. The research findings indicate that although students' sleep conditions have improved, sleep issues such as insufficient sleep, late bedtime, and large social jet lag still require attention and further study.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1977-1995"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755136","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 bedtime procrastination and high risk for obstructive sleep apnea syndrome in the youth population.","authors":"Hongyuan Chu, Ning Zhang, Xinyu Zhao, Xiaohan Ma, Dexin Meng, Li Mu","doi":"10.1080/13548506.2025.2594762","DOIUrl":"10.1080/13548506.2025.2594762","url":null,"abstract":"<p><p>Studies have shown that, beyond demographic and obesity-related factors, certain abnormal sleep behaviors are associated with a high risk of obstructive sleep apnea syndrome (OSAS). This study aimed to investigate whether bedtime procrastination (BtP), an unhealthy sleep behavior, is correlated with an increased risk of OSAS. A total of 1,405 Chinese college students (20 ± 1 years old, 37.1% male) participated in this questionnaire-based cross-sectional study. BtP and OSAS risk and symptoms were evaluated using the Bedtime Procrastination Scale (BPS), the STOP-Bang Questionnaire (SBQ), and the Berlin Questionnaire (BQ). Results showed that BPS scores were significantly positively correlated with OSAS symptom scores on both the SBQ and BQ (all <i>p</i> < 0.05). Students at high risk of OSAS had higher BPS scores than those at low risk. BtP, along with male gender and body mass index (BMI), was an independent predictor of OSAS risk (all <i>p</i> < 0.01). The combination of these three variables discriminated OSAS risk with a sensitivity of 62.86% and specificity of 69.68% (AUC = 0.711) for the SBQ, and a sensitivity of 67.03% and specificity of 82.41% (AUC = 0.778) for the BQ. Self-reported data from college students revealed that BtP was independently correlated with increased OSAS risk and symptom severity. Therefore, habitually going to bed later than intended should be considered a potential behavioral risk factor for OSAS among the young population. Combined with gender and BMI, a BPS cutoff score of 2.67 may serve as a supplementary indicator for OSAS screening.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2046-2061"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643096","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":"Beyond bone health: mental and sleep health consequences of vitamin D deficiency in emerging adulthood-findings from a large-scale university study.","authors":"Burcu Çevreli, Öznur Özge Özcan","doi":"10.1080/13548506.2025.2587257","DOIUrl":"10.1080/13548506.2025.2587257","url":null,"abstract":"<p><p>Vitamin D deficiency (VDD) has been increasingly recognized as a potential contributor to adverse mental health outcomes, sleep disturbances, and lifestyle impairments among young populations. This study aimed to examine the associations between serum 25-hydroxyvitamin D 25(OH)D concentrations and psychological well-being, sleep quality, dietary habits, and physical activity in young adults. A total of 1,074 university students in Istanbul, Türkiye (median age: 20.0 years; IQR: 18.0-22.0) were enrolled in late winter - early spring season (February - March 2025). Participants were stratified into three groups based on their most recent serum 25(OH)D levels as reported from laboratory results within the last month: deficient (<i>n</i> = 451), insufficient (<i>n</i> = 241), and sufficient (<i>n</i> = 382). Psychosocial and behavioral outcomes were assessed using the Depression, Anxiety, and Stress Scale (DASS-21), the Bergen Insomnia Scale (BIS), the Nutrition and Exercise Behavior Scale (NEBS), and the Vitamin D Health Belief Scale (VDHBS). Multivariate analyses and odds ratios (OR) were calculated. Participants with Vitamin D deficiency (VDD) reported significantly higher scores in depression, anxiety, stress (all <i>p</i> < 0.001), insomnia (<i>p</i> < 0.001), and VDHBS (<i>p</i> = 0.01) but no significant differences in NEBS scores (<i>p</i> > 0.05). Positive correlations were found between VDD and all psychological outcomes (<i>p</i> < 0.001). Regression analysis indicated that VDD significantly increased the likelihood of insomnia (OR = 1.10), depression (OR = 1.12) and stress (OR = 1.11) (<i>p</i> < 0.05), even among individuals reporting vitamin D supplementation. These findings likely reflect recent initiation and low-dose supplementation (mean 620 ± 210 IU/day in the deficient group; 590 ± 180 IU/day in the insufficient group), insufficient to achieve physiological correction at the time of assessment. VDD is significantly associated with elevated levels of insomnia, stress, anxiety, and depressive symptoms, independent of supplementation status. These findings underscore the importance of considering serum 25(OH)D concentrations status in mental and sleep health assessments. Further longitudinal and mechanistic research is warranted to elucidate the underlying VDD with neuropsychological outcomes.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"2030-2045"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497209","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":"Appearance-based nail stress, self-esteem, and health-related quality of life: a cross-sectional study in Korean adults.","authors":"JeongWon Lee, Ki Han Kwon","doi":"10.1080/13548506.2026.2710905","DOIUrl":"https://doi.org/10.1080/13548506.2026.2710905","url":null,"abstract":"<p><p>Appearance-related stress arising from visible nail discoloration and deformation has received increasing attention as a potential psychosocial concern with implications for psychological functioning and HRQoL. Although nails are publicly exposed and play a central role in social communication and hygiene perception, limited research has examined their psychosocial impact within a behavioral medicine framework. This study examined associations among nail-related appearance stress, self-esteem, and HRQoL among adults in South Korea. A cross-sectional online survey was administered to 510 adults aged 19-69 who reported at least one nail abnormality. Measures included physical stress, emotional stress, self-esteem, and five HRQoL domains: symptoms, function, emotion, psychological recovery, and life satisfaction. Structural equation modeling (SEM) using SPSS 26.0 and AMOS 25.0 tested the proposed mediation model. Appearance-related nail stress was significantly associated with lower self-esteem (β = -0.42, <i>p</i> < .001) and lower HRQoL (β = -0.38, <i>p</i> < .001). Self-esteem partially mediated the associations between physical stress and HRQoL (indirect effect = 0.21; 95% CI [0.12-0.32]; Z = 4.56; <i>p</i> < .001) and between emotional stress and HRQoL (indirect effect = 0.18; 95% CI [0.09-0.28]; Z = 4.23; <i>p</i> < .001). These mediation pathways accounted for a meaningful proportion of variance across HRQoL domains, indicating that psychological interpretations of nail abnormalities may be more strongly associated with perceived wellbeing than physical symptoms alone. The findings suggest that nail-related appearance stress may have relevance within psychosocial and behavioral health research, particularly in relation to emotional well-being, social participation, and stigma-related experiences. The findings highlight the importance of appearance-sensitive communication and psychosocial support for individuals experiencing nail-related appearance concerns. These findings suggest that perceived nail-related stress may be associated with psychological functioning and quality of life. However, causal interpretations are limited by the cross-sectional design, and further research is needed to clarify these relationships.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766645","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":"Too afraid to donate: death anxiety as negative predictor of organ donation.","authors":"Holger Busch, Anna-Lioba Siegemund","doi":"10.1080/13548506.2026.2710907","DOIUrl":"https://doi.org/10.1080/13548506.2026.2710907","url":null,"abstract":"<p><p>Three studies examined the relationship between death anxiety and organ donation behavior in Germany, a country with an opt-in organ donation system. Organ donation behavior was operationalized in terms of whether participants held an organ donation card (or had registered online, Study 3). Because death anxiety is associated with the avoidance of mortality-related issues, the hypothesis was that death anxiety would negatively predict organ donation behavior above and beyond sociodemographic variables (age and gender) and organ donation attitude (Study 1; N = 388), Big Five personality traits (Study 2; N = 382), and altruism (Study 3; N = 473), respectively. Indeed, in logistic regression analyses, death anxiety emerged as a significant negative predictor of organ donation behavior in all three studies (Study 1: OR = 0.674, p < .001; Study 2: OR = 0.823, p = .013; Study 3: OR = 0.718, p < .001). That is, the more death anxiety participants reported, the less likely they were to hold an organ donation card even when controlling for often-cited predictors of organ donation behavior. A potential mechanism for this effect is discussed.   .</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765074","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":"Correction.","authors":"","doi":"10.1080/13548506.2026.2715906","DOIUrl":"https://doi.org/10.1080/13548506.2026.2715906","url":null,"abstract":"","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"i-ii"},"PeriodicalIF":2.2,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701783","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 cognitive behavioural therapy-based psychoeducation provided to children with attention deficit/hyperactivity disorder on internalized stigma and hope: a randomized controlled study.","authors":"Rıdvan Yılmaz, Funda Kavak Budak","doi":"10.1080/13548506.2026.2714468","DOIUrl":"https://doi.org/10.1080/13548506.2026.2714468","url":null,"abstract":"<p><p>The aim of this study is to determine the effect of Cognitive Behavioural Therapy (CBT)-Based Psychoeducation given to children diagnosed with ADHD on internalized stigma and hope. This is a randomized controlled experimental study. The study was conducted with children diagnosed with attention-deficit/hyperactivity disorder who were followed up in a Paediatric Psychiatry outpatient clinic between May 2020 and January 2022. The study was completed with 145 children (75 in the control group, 70 in the experimental group). Data were collected using the descriptive characteristics form, the internalized stigma scale for children and adolescents, and the children's hope scale (CHS). The experimental group received an 8-session, nurse-administered CBT-Based Psychoeducation program delivered in a closed-group format twice a week for 4 weeks, focusing on ADHD awareness, impulsivity, attention, hyperactivity, stigma, and hopeful thinking. No intervention was made to the control group during the study period; however, to meet ethical standards, the same CBT-Based Psychoeducation program was administered to the control group after all post-test measurements were completed. In addition to descriptive statistics, chi-square, dependent samples t-test, and independent samples t-test were used in the analysis of data. As a result of the measurements made before and after the CBT-based psychoeducation applied to the experimental group, internalized stigma decreased in children with ADHD, while the level of hope increased statistically significantly (<i>p </i>< 0.05). This change in the experimental group also showed a significant change compared to the control group. It was concluded that the nurse-led CBT-Based Psychoeducation program reduced internalized stigma and increased hope in children with ADHD.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674453","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":"Exploring sex, residence type, and psychosomatic factors in the association between insomnia symptoms and stress-related outcomes among university students in Ghana.","authors":"Emmanuel Nyaaba, Jemima Nomunume Baada","doi":"10.1080/13548506.2026.2714467","DOIUrl":"https://doi.org/10.1080/13548506.2026.2714467","url":null,"abstract":"<p><p>Insomnia has been associated with adverse stress-related outcomes among university students. However, evidence from Sub-Saharan Africa remains limited, and the factors underlying these associations are poorly understood. This study examined the associations between insomnia symptoms and stress-related outcomes among undergraduate students in Ghana and explored potential effect modification and mediating factors. We analyzed data from a cross-sectional survey of 1,047 students aged ≥ 18 years in Ghana. Insomnia symptoms were assessed using the Insomnia Severity Index, while perceived stress and academic stress were measured using validated scales. Parallel mediation and multivariable OLS regression models evaluated the associations. After full adjustment, insomnia symptoms were positively associated with higher perceived stress (B = 0.05, 95% CI: 0.03-0.08) and academic stress (B = 0.21, 95% CI: 0.18-0.24) scores. These associations varied by sex and place of residence, with significant associations observed for perceived stress among female students and students residing in urban areas. In the mediation models, self-rated health and physical inactivity statistically accounted for approximately 20% and 26% of the association between insomnia symptoms and perceived stress, and approximately 4% and 26% of the association with academic stress, respectively. Addressing stress-related issues among university students in Ghana may benefit from attention to insomnia symptoms, health status, and lifestyle behaviors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-24"},"PeriodicalIF":2.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological factors and functional capacity as determinants of health-related quality of life in bronchiectasis.","authors":"Beatriz Andresa da Silva Galli, Daniele Oliveira Dos Santos, Jéssica Perossi, Ana Lara Castro Rodrigues, Sulamita Pereira Rosa, Larissa Perossi, Hugo Celso Dutra de Souza, Ada Clarice Gastaldi","doi":"10.1080/13548506.2026.2709047","DOIUrl":"https://doi.org/10.1080/13548506.2026.2709047","url":null,"abstract":"<p><p>Integrating clinical severity with health-related quality of life, psychosocial, and functional measures is essential to fully capture the impact of the disease and to inform patient-centred treatment strategies in patients with bronchiectasis. Accordingly, this study aimed to investigate the determinants of health-related quality of life in non-cystic fibrosis bronchiectasis, examining how psychological factors, disease severity, and functional exercise capacity interact in patients' self-reported quality of life. This prospective observational study included patients with non-cystic bronchiectasis (NCFB) aged 18-60 years. Disease severity was classified using Bronchiectasis Severity Index (BSI). Assessments included the Hospital Anxiety and Depression Scale (HADS), Medical Outcomes, Short-Form Health Survey (SF-36), Leicester Cough Questionnaire (LCQ), Quality of Life in Bronchiectasis (QOL-B), and Six-Minute Walk Test (6MWT). Pearson correlations and multiple linear regression were used to examine associations between psychological variables and outcomes. Thirty-one patients participated (54.8% female; mean age 52.45 ± 15.3 years), and 83.9% had mild - moderate disease. HRQoL was related to anxiety, depression, and functional exercise capacity, and anxiety was also associated with cough severity. Anxiety was negatively associated with the SF-36 Mental health domain (β = -1.80; <i>p</i> = 0.03) and the QOL-B Emotional functioning domain (β = -2.79; <i>p</i> = 0.01), while depression was associated with SF-36 Mental health (β = -2.26; <i>p</i> = 0.01). No association was found between prognostic severity of the disease and HRQoL. Psychological factors and exercise capacity were the main determinants of HRQoL in patients with mild to moderate NCFB, highlighting the importance of simple functional markers, such as the six-minute walk test (6MWT) and mental health assessment, in clinical evaluation and treatment planning.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671307","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}