Psychology Health & Medicine最新文献

{"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":"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":"1657-1673"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","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":"Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study.","authors":"Insil Jang, Yoonjung Kim, Hyeji Shin","doi":"10.1080/13548506.2025.2451780","DOIUrl":"10.1080/13548506.2025.2451780","url":null,"abstract":"<p><p>Since the onset of the Coronavirus-19 (COVID-19) pandemic in 2019, the virus has continued to experience periodic resurgences, and the evolution of new variants remains unpredictable. The greatest anxiety in Korean is now related to novel diseases, with a significant increase from 2.9% in 2018 to 32.8% in 2022. Excessive health concerns during the pandemic can lead to negative health behavior, highlighting their impact on well-being. This study aimed to identify how illness attitudes perceived by students during the pandemic influence their flourishing lives, and to examine the effects of health-promoting behaviors and social support on this relationship. A cross-sectional study was conducted using self-report questionnaires of 226 university students aged 18 to 35 years. We found that mental health issues among university students can hinder their flourishing growth in both the present and the future, while social support and health-promoting behavior act as sequential mediators between illness attitudes and flourishing. Healthcare professionals should offer flexible interventions that encourage health behaviors even in constrained environments and collaboration with social support within meaningful relationships is also required.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1607-1621"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016296","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":"E-health literacy and health-promoting behaviors among nursing students in China: the mediating role of self-efficacy.","authors":"Xi Chen, Huang Xiao","doi":"10.1080/13548506.2025.2481193","DOIUrl":"10.1080/13548506.2025.2481193","url":null,"abstract":"<p><p>Adoption of health-promoting behaviors is crucial for improving people's well-being. As future health promoters, nursing students are encouraged to lead healthy lifestyles. The aim of this study was to investigate the status of health-promoting behaviors among nursing students and determine their associations with e-health literacy. The mediating effect of self-efficacy on the relationship between e-health literacy and health-promoting behaviors was also explored. A cross-sectional design was adopted to enroll 494 nursing students from the Hunan College of Foreign Studies in China. An online survey based on the simplified Chinese version of the e-Health Literacy Scale (SC-eHEALS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Health Promoting Lifestyle Profile-II (HPLP-IICR) were used to collect data. Statistical analysis was conducted using SPSS 27.0 and PROCESS macro. It was observed that self-efficacy mediated the relationship between e-health literacy and health-promoting behaviors among nursing students, and the mediating effect accounted for 35.10%% of the total effect (<i>p</i> < 0.001). Collectively, these findings indicate that nursing students have a moderate level of health-promoting behaviors, and that e-health literacy can improve health-promoting behaviors by enhancing self-efficacy.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1757-1767"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665366","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":"Effect of mindfulness-based intervention in patients with diabetes: a meta-analytic review.","authors":"Carlos Said Páez-Márquez, Elkin Higuera-Dagovett, Jaime Tomás Rojas-Valencia","doi":"10.1080/13548506.2025.2487948","DOIUrl":"10.1080/13548506.2025.2487948","url":null,"abstract":"<p><strong>Background/objective: </strong>Traditional management strategies for diabetes primarily focus on behavioural risk factors and pharmacological therapies. Furthermore, mindfulness-based interventions (MBIs) aim to assist patients in recognising and accepting sensations, emotions and cognitions without automatic reactivity. This approach can potentially enhance glycaemic control and mental health in diabetic patients. This systematic review and meta-analysis aim to assess the effects of MBIs among individuals diagnosed with diabetes.</p><p><strong>Methods: </strong>A systematic literature search and meta-analysis were conducted following international quality standards utilised by the Cochrane Collaboration. Randomised controlled trials were included. The population of interest was defined as any patient diagnosed with diabetes; MBIs were defined as the intervention. Pubmed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials and Lilacs were accessed. A grey literature search was performed using OpenGrey and ClinicalTrials tools. Outcomes included changes in glycosylated haemoglobin percentage (%HbA1c), depression, and stress scores. The risk of bias was assessed using the RoB 2 tool, and publication bias was evaluated through Egger's test. The results were presented with forest plots. The mean difference (MD) for the %HbA1c and the standardised MD for the measurement scale scores were used as effect measures.</p><p><strong>Results: </strong>The initial search retrieved 442 scientific articles, 11 randomised clinical trials were finally selected for the systematic review, which included 987 participants (487 in the intervention groups), and seven articles were included in the meta-analysis. The meta-analysis showed that MBIs had effects at follow-up (between 12 and 20 weeks) in reducing %HbA1c levels (MD = -0.5, CI 95% [-0.67, -0.34]) and depression SMD = -0.84, CI 95% [-1.11, -0.56]).</p><p><strong>Conclusions: </strong>It is proposed that mindfulness significantly enhances mental health and glycaemic control in patients with diabetes. Further research is warranted to confirm these effects and gain a deeper understanding of the contribution of MBIs in comprehensive diabetes treatment.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1790-1813"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995487","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":"Determinants of well-being in pregnancy in Turkish women: the role of body image and self-compassion.","authors":"Edanur Karayel, Fatma Uslu-Sahan","doi":"10.1080/13548506.2025.2552962","DOIUrl":"https://doi.org/10.1080/13548506.2025.2552962","url":null,"abstract":"<p><p>This study aimed to examine the relationship between well-being, body image, and self-compassion during pregnancy and identify self-compassion's mediating role in this relationship. This descriptive correlational study was conducted with 162 pregnant women in a university hospital in Türkiye. Data were collected using the Participant Information Form, the Well-Being in Pregnancy Questionnaire, the Body Image in Pregnancy Scale, and the Compassion Scale-Short Form. Well-being was significantly correlated with body image (<i>r</i> = ‒0.47, <i>p</i> = 0.001) and self-compassion (<i>r</i> = 0.45, <i>p</i> = 0.001). In the final regression model, self-compassion (β = 0.308, 95% CI [0.170, 0.446], <i>p</i> = 0.001), body image (β = ‒0.294, 95% CI [-0.427, -0.161], <i>p</i> = 0.001), planned pregnancy (β = 0.174, 95% CI [0.045, 0.303], <i>p</i> = 0.008), and employment status (β = 0.153, 95% CI [0.026, 0.280], <i>p</i> = 0.018) were significant predictors of well-being. Mediation analysis revealed that self-compassion partially mediated the relationship between body image and well-being (indirect effect: B = ‒0.055, SE = 0.016, 95% CI [-0.088, -0.027], <i>p</i> = 0.001). The final model explained 38% of the variance in well-being. The findings highlight the negative relationship between well-being and body image during pregnancy, emphasizing the need for self-compassion-focused interventions in care to improve the well-being of pregnant women.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979017","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":"A literature review on the interplay of childhood trauma, PCOS, and attachment theory: implications for relationship functioning.","authors":"Majida Jawria","doi":"10.1080/13548506.2025.2543901","DOIUrl":"https://doi.org/10.1080/13548506.2025.2543901","url":null,"abstract":"<p><p>Polycystic Ovary Syndrome (PCOS) is a multidimensional endocrine disorder marked by reproductive, metabolic, and psychological symptoms. Emerging research links childhood trauma to the development and exacerbation of PCOS, mediated by hormonal dysregulation, inflammation, and attachment-related psychological factors. This review expands the existing literature by incorporating inflammatory, epigenetic, and stress-related biological pathways; identity and attachment-based mechanisms; and sociocultural influences. It also evaluates integrated treatment approaches that combine endocrinological and psychological care. A comprehensive biopsychosocial model is proposed to inform future trauma-informed and culturally responsive interventions. Limitations and future research directions are discussed.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978865","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":"Efficacy of individual and group problem-solving therapy in treating psychiatric patients who attempted suicide: a randomized controlled trial.","authors":"M Neslihan Turgut, Mehmet Eskin","doi":"10.1080/13548506.2025.2546590","DOIUrl":"https://doi.org/10.1080/13548506.2025.2546590","url":null,"abstract":"<p><p>This study tested the comparative efficacy of individual and group problem-solving therapy (PST) in psychiatric outpatients who have attempted suicide in a randomized controlled trial. The sample consisted of 39 Turkish adults admitted to psychiatric units due to a suicide attempt who were randomly assigned to an individual (indPST) and a group (grPST) and a waiting-list control condition (13 participants in each group). Participants responded first to sociodemographic questions; then they filled in a Suicide Probability Scale, a Beck Depression Inventory, a Hamilton Depression Rating Scale, a Revised Social Problem Solving Inventory-Short Form, and a Cognitive Flexibility Inventory before and after the intervention or waiting period. Participants enrolled in the two PST conditions filled in the measures three months after the end of the intervention for follow-up. We employed a repeated measures analysis of variance procedure to analyze the data and calculated the effect sizes using the Statistical Package for Social Sciences 20.0 (SPSS). The findings showed that the efficacy of the indPST and grPST was comparable. While the suicide probability and depression scale scores of participants in the two PST conditions decreased, their cognitive flexibility and social problem-solving scores increased significantly after the intervention. The changes correspond to large effect sizes. However, the scale scores of participants within the waiting list control condition were unchanged. The improvements gained within the PST conditions were maintained at three three-month follow-ups. We conclude that the individual and group PST may equally be efficacious for treating suicidal psychiatric patients.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979020","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":"Prevalence of internet addiction and its relation with depression, anxiety and stress in medical students of Pakistan.","authors":"Afaq Ahmad, Ali Hassan Rizvi, Muhammad Uzair, Humaira Bashir, Maria Amin","doi":"10.1080/13548506.2025.2545020","DOIUrl":"https://doi.org/10.1080/13548506.2025.2545020","url":null,"abstract":"<p><p>Internet addiction (IA) is broadly defined as a non-chemical, behavioral addiction, which involves human-machine interaction, bringing in negative impacts in the person's mental and physical health equally and affecting his/her general wellbeing. The main aim of the study is to determine the prevalence of IA and its relation with depression, anxiety and stress in medical students. This is a cross-sectional study conducted using a self-administered questionnaire, from medical students all across Pakistan. The study sample was collected for a period of 3 months. The Young's Internet Addiction Test (YIAT20), consisting of 20 questions, and the Depression Anxiety Stress Scales (DASS21), consisting of 21 questions, were used. In total, 254 students filled the survey. The overall prevalence of Internet addiction was 67.7%. Our analysis showed that 43.3% of the respondents have mild, 22.4% have moderate and 2.0% have severe internet addiction. The odds ratio for internet addiction and depression is 1.98 (95% confidence level), the odds ratio for internet addiction and anxiety is 2.56 (95% confidence level) and the odds ratio for internet addiction and stress is 4.71 (95% confidence level). We conclude that the prevalence of internet addiction among undergraduate college students is strikingly high and co-relates to depression, anxiety, and stress. Internet addiction ought to be considered, among college students, reportable to the primary care doctors for better assessment of student and prevention of further mental health problems such as depression, anxiety, and stress.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979002","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 and anxiety among medicine college students: a moderated mediation model of intolerance of uncertainty and neuroticism.","authors":"Zhenglin Ji, Yujie Zhang, Xiaoxiao Xu, Xiaofan Yan, Bicheng Gao, Qi Sun, Linkai Wu, Hailong Mu, Mengxue Zhao","doi":"10.1080/13548506.2025.2539932","DOIUrl":"https://doi.org/10.1080/13548506.2025.2539932","url":null,"abstract":"<p><p>Anxiety is commonly present in medical students. Mindfulness can effectively treat anxiety, but the mechanisms are poorly understood. This study aimed to investigate the association between mindfulness and anxiety, and the mediation roles of intolerance of uncertainty (IU) and neuroticism. This cross-sectional study enrolled medical students from the Army Medical University in April 2023. The Mindfulness Attention Awareness Scale, Intolerance of Uncertainty Scale, the 7-Item Generalized Anxiety Disorder Scale, and the Eysenck Personality Scale-Neurotic Dimension were used. The moderated mediation model was examined using SPSS PROCESS models 1, 4, 7, 14, and 58. A total of 314 participants (212 males and a mean age of 19.67 ± 1.61 years old) were included. Neuroticism was significantly negatively correlated with anxiety (<i>r</i> = -0.453, <i>p</i> < 0.01). IU played a mediating role in the relationship between mindfulness and anxiety, with a total standardized mediation effect value of -0.1348 (95% CI: -0.2071, -0.0760, P). When neuroticism was low, IU had a positive effect on anxiety (neuroticism = M-1SD) (<i>B</i> = 0.2887, <i>t</i> = 5.2043, <i>p</i> < 0.001). When neuroticism was moderate (<i>B</i> = 0.1244, <i>t</i> = 0.0479, <i>p</i> < 0.01), IU had a positive effect on anxiety. When neuroticism was high, the moderation effect was not significant (<i>B</i> = -0.0399, <i>t</i> = -0.6247, <i>p</i> > 0.050). Among medical college students, mindfulness influences anxiety through the mediating effect of IU. Neuroticism moderates this mediating pathway in the second stage.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979045","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 music therapy on cognitive functions and adaptation Level in Alzheimer's patients: a randomized controlled trial pilot study.","authors":"Büşra Kayaaslan, Neslihan Lök","doi":"10.1080/13548506.2025.2543902","DOIUrl":"https://doi.org/10.1080/13548506.2025.2543902","url":null,"abstract":"<p><p>This study aimed to examine the effects of music therapy on cognitive functions and adaptation levels in older adults residing in a nursing home. The research was designed as a randomized controlled pilot study with a parallel group, pretest-posttest design (ClinicalTrials.gov NCT02432763). Conducted between October and November 2019 in a nursing home in Turkey, the study included 30 older adults (intervention = 15, control = 15). Data were collected using the Demographic Information Form, the Standardized Mini-Mental State Examination (SMMSE), and the Assessment Scale of Adaptation Difficulty for the Elderly (ASADE). The intervention group received music therapy twice a week for five weeks, while no intervention was applied to the control group. Data analysis involved independent and paired samples t-tests, Mann-Whitney U, Wilcoxon, chi-square, Fisher's exact test, and mixed ANOVA. Cronbach's alpha coefficients were 0.78 for the SMMSE and 0.81 for the ASADE. Results showed that music therapy led to a significant improvement in cognitive functions (<i>p</i> < 0.001; Cohen's d = 0.863, large effect) and a marked reduction in total adaptation difficulty scores (<i>p</i> < 0.001; Cohen's d = 0.778-0.845, large effect) in the intervention group. Significant improvements were also observed in ASADE subscales, including role and self-actualization (<i>p</i> < 0.001), mutual attachment (<i>p</i> < 0.01), self-perception (<i>p</i> < 0.01), and physiological condition (<i>p</i> < 0.05), whereas no significant changes were observed in the control group (<i>p</i> > 0.05). Between-group comparisons revealed significant post-intervention differences favoring the intervention group in both SMMSE and ASADE mean scores (<i>p</i> < 0.05). Mixed ANOVA analyses confirmed significant time-by-group interactions with large partial eta-squared values (≥0.14), highlighting the robustness of the intervention effects. Music therapy emerges as an effective non-pharmacological intervention for enhancing cognitive functions and adaptation levels in older adults residing in nursing homes. Given its ease of implementation and multifaceted benefits, the integration of music therapy into routine elder adults care is recommended.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979025","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}