{"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}
Shirong Pan, Ting Ye, Jin Yang, Yunman Huang, Sha Huang, Dongwen Li, Xianqin Zhang, Zheng Yang
{"title":"The association between attitudes toward aging and treatment adherence in rural elderly hemodialysis patients in Chengdu, China: a cross-sectional study.","authors":"Shirong Pan, Ting Ye, Jin Yang, Yunman Huang, Sha Huang, Dongwen Li, Xianqin Zhang, Zheng Yang","doi":"10.1080/13548506.2025.2546589","DOIUrl":"https://doi.org/10.1080/13548506.2025.2546589","url":null,"abstract":"<p><p>This study examined the relationship between attitudes toward aging and treatment adherence in rural elderly patients undergoing maintenance hemodialysis (MHD). A total of 213 patients aged ≥60 years and on dialysis for ≥3 months were recruited from five tertiary hospitals in Chengdu, Sichuan Province, China, between February and June 2022. Sociodemographic data were collected using a general information questionnaire, attitudes toward aging were assessed with the Attitudes Toward Aging Scale, and treatment adherence-including diet, fluid, medication, and dialysis-was measured with the Treatment Adherence Scale. Pearson correlation, binary logistic regression, and stratified regression analyses were performed. Of the participants, 38% had a positive attitude toward aging and 62% had a negative attitude. Attitudes toward aging were positively correlated with treatment adherence (r = 0.41, P < 0.001). Logistic regression identified male gender (OR = 0.16, 95% CI: 0.07-0.38), taking 1-2 medications (OR = 0.02, 95% CI: 0.002-0.04), social activity participation (OR = 0.44, 95% CI: 0.19-0.99), fluid adherence (OR = 0.77, 95% CI: 0.65-0.91), and medication adherence (OR = 0.70, 95% CI: 0.54-0.91) as protective factors for positive attitudes toward aging. Stratified regression revealed that family visit frequency, medical insurance, satisfaction with healthcare, and attitudes toward aging significantly influenced treatment adherence (△R² = 0.28, P < 0.05). Findings suggest a bidirectional relationship between attitudes toward aging and treatment adherence, highlighting the need to foster positive aging perceptions, enhance health education, and strengthen social support to improve well-being in elderly MHD patients.</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":"144979035","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":"Reflections on the mirror: associations among body image rumination, sleep quality, and self-reported physical health.","authors":"Abigail R Hardy, Jean M Lamont","doi":"10.1080/13548506.2025.2546588","DOIUrl":"https://doi.org/10.1080/13548506.2025.2546588","url":null,"abstract":"<p><p>Poor body image, a common occurrence across the lifespan, has been linked to poor physical health. Rumination, or perseverative thinking about negative events that have already happened, has also been tied to poor health. Thus, body image rumination, or perseverative thinking about negative body image-related events specifically, may also be linked to poor health. However, this potential link remains unexamined. Moreover, as sleep may be disrupted by both poor body image and rumination, poor sleep quality may mediate this link. To test this, undergraduate and community (Prolific) participants (<i>N</i> = 611, age <i>M</i> = 28.01, <i>SD</i> = 13.64) completed online questionnaires. As expected, body image rumination predicted poorer self-rated general health (<i>b</i> = -0.22, <i>r</i><sup><i>2</i></sup> = 0.14) and physical functioning (<i>b</i> = -0.28, <i>r</i><sup><i>2</i></sup> = 0.10), and those relationships were mediated by poor sleep quality, general health indirect effect -0.04 (SE = 0.14), 99%CI [-0.082, -0.010], physical functioning indirect effect, -0.04 (SE = 0.14), 99%CI [-0.083, -0.010], even when controlling for BMI, gender, and sample. This study begins to fill the gap in literature regarding body image rumination and physical health and identifies sleep as a potential mechanism in this relationship.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978978","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":"Vascular burden, biomarkers and neuropsychiatric symptoms in dementia.","authors":"Kelly Lin, Ya-Fen Hsu, Yi-Chun Yeh, Mei-Feng Huang, Yen-Ju Lin, Yi-Ya Fang, Hisu-Fen Lin, Cheng-Sheng Chen","doi":"10.1080/13548506.2025.2539939","DOIUrl":"https://doi.org/10.1080/13548506.2025.2539939","url":null,"abstract":"<p><p>Neuropsychiatric symptoms (NPSs) are commonly seen in individuals with dementia and can often worsen outcomes. Therefore, there is a need for an increase in the understanding of the factors at interplay with NPSs, such as neurobiology. The objective of this study was to examine how vascular burdens and dementia biomarkers are linked to NPSs. Patients with dementia in outpatient services were included in the study. The Neuropsychiatric Inventory (NPI) was used to evaluate NPSs. Vascular burdens were represented by clinical vascular diseases, and the severity of white matter hyperintensities (WMH) was assessed using Fazekas score in brain magnetic resonance imaging (MRI). Additionally, ApoE genotypes and visual ratings of medial temporal lobe atrophy (MTA) in brain MRI imaging were used to represent dementia biomarkers. Altogether, forty-five patients with dementia were enrolled in this study, with the majority of dementia types being AD (80%), followed by Vad (8.9%), DLB (8.9%), and FTD (2.2%). The results revealed that depression symptoms were associated with vascular diseases (<i>p</i> = 0.03). Additionally, anxiety symptoms (<i>p</i> = 0.03) and the depression/apathy cluster (<i>p</i> = 0.03) were correlated with MRI Fazekas score. For dementia biomarkers, agitation was associated with ApoE ε4 (<i>p</i> = 0.02).Our findings revealed that individual NPSs such as depression and anxiety, as well as the NPSs cluster of depression/apathy, correlated with vascular burden. Additionally, agitation was associated with ApoE ε4.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805331","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}
Sarah Queiroz Corrêa Alves Peres, Maurício Almeida, Giovanna Soler Donofre, Wanderson Roberto da Silva
{"title":"Relationship between orthorexia nervosa, healthy orthorexia, and individual characteristics of physically active Brazilian adults.","authors":"Sarah Queiroz Corrêa Alves Peres, Maurício Almeida, Giovanna Soler Donofre, Wanderson Roberto da Silva","doi":"10.1080/13548506.2025.2543804","DOIUrl":"https://doi.org/10.1080/13548506.2025.2543804","url":null,"abstract":"<p><p>While adopting a healthy diet is widely encouraged and socially valued, it can become pathological when characterized by rigidity, preoccupation, and resulting psychosocial impairment. This dichotomy has led to the conceptual distinction between orthorexia nervosa (ON), a potentially harmful obsession with healthy eating, and healthy orthorexia (HO), a non-pathological interest in healthy eating. However, the relationships between individual characteristics and these orthorexia dimensions remain insufficiently explored, particularly among physically active individuals. This study examined the relationships between individual characteristics and ON and HO in a sample of physically active Brazilian adults. This cross-sectional study included 1,359 participants (72.6% women; mean age: 29.5 ± 8.8 years) who completed an online survey assessing sociodemographic data and the Teruel Orthorexia Scale (TOS). Confirmatory factor analysis and structural equation modeling (SEM) were used to refine the TOS measurement model and to investigate the relationships among the study variables. The original two-factor structure of the TOS was retained, but nine items were removed to improve model fit, resulting in a refined version used in the SEM analysis. Higher HO scores were related to being female, older age, more frequent exercise, use of dietary supplements, adherence to appearance-focused diets, no history of cosmetic surgery, and normal weight status. Higher ON scores were related to being female, being employed, having a history of eating disorders, engaging in regular physical activity, and following appearance-focused diets. Distinct individual characteristics were related to ON and HO, underscoring the importance of tailored prevention and intervention strategies to address potentially dysfunctional eating patterns among physically active adults.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800961","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}
Pu Yang, Yifei Pei, Yongqi Huang, Dandan Ma, Xuan Zhang, Fenglin Cao
{"title":"Associations between distant and proximal negative life events and sleep quality in pregnant women: independent, cumulative and interaction effects.","authors":"Pu Yang, Yifei Pei, Yongqi Huang, Dandan Ma, Xuan Zhang, Fenglin Cao","doi":"10.1080/13548506.2025.2541301","DOIUrl":"https://doi.org/10.1080/13548506.2025.2541301","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep quality is a common yet often overlooked complaints among pregnant women. The relationship between adverse childhood experiences (including dimensions of abuse, neglect, and family dysfunction), negative life events during pregnancy (categorized as distant and proximal negative life events respectively), and sleep quality remains ambiguous. This study explores the independent, cumulative, and interaction effects of these factors from a life course perspective, utilizing the cumulative risk model, stress-sensitization and stress-inoculation models.</p><p><strong>Methods: </strong>We recruited 736 pregnant women from a prenatal clinic in Shandong province. Data on childhood adversity, negative life events during pregnancy, and sleep quality were collected through self-reported questionnaires. The study employed the eXtreme Gradient Boosting, linear regression model and hierarchical regression analysis to examine the relationship between the distant and proximal negative life events on sleep quality.</p><p><strong>Results: </strong>Emotional abuse (gain = 0.184) and changed sleep, diet, or clothing habits (gain = 0.103) were the most strongly associated distant and proximal negative life events related to poor sleep quality respectively. Cumulative scores of distant (<i>β</i> = 0.421, 95%<i>CI</i>, 0.172-0.670) and proximal (<i>β</i> = 0.383, 95%<i>CI</i>, 0.299-0.467) negative life events demonstrated a significant positive correlation with poor sleep quality. The interaction effects of distant (abuse dimension) and proximal negative life events on sleep quality aligned with the stress-sensitization model.</p><p><strong>Conclusion: </strong>Distant and proximal negative life events play an important role in sleep quality among pregnant women. Healthcare professionals should consider these factors when providing recommendations and interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796129","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":"Can the mind perception of perceived artificial intelligence-generated content alleviate involution anxiety? A longitudinal study with social support as a mediator.","authors":"Zehang Xie","doi":"10.1080/13548506.2025.2543906","DOIUrl":"https://doi.org/10.1080/13548506.2025.2543906","url":null,"abstract":"<p><p>Involution anxiety, characterized by heightened stress and competition in educational and professional settings, is a significant psychological trait in contemporary society. However, under the backdrop of Artificial Intelligence-Generated Content (AIGC), this issue has not been extensively discussed. Building on mind perception theory and social support theory, this research collected 1126 valid surveys and conducted a longitudinal study over two waves within two interaction scenarios - virtual companionship and knowledge acquisition. This study investigates whether the mind perception of perceived AIGC can alleviate involution anxiety, with social support as a mediating variable. Results from cross-lagged panel analysis revealed that in the virtual companionship scenario, mind perception significantly reduced involution anxiety over time (<i>β</i> from -0.205 to -0.221, <i>p</i> < 0.001) and positively predicted perceived social support (<i>β</i> from 0.297 to 0.323, <i>p</i> < 0.001), which also negatively predicted involution anxiety (<i>β</i> from -0.346 to -0.390, <i>p</i> < 0.001). In contrast, in the knowledge acquisition scenario, mind perception unexpectedly increased involution anxiety (<i>β</i> from 0.190 to 0.218, <i>p</i> < 0.05), and its association with social support was non-significant. However, social support still showed a negative association with involution anxiety (<i>β</i> from -0.243 to -0.276, <i>p</i> < 0.001). These findings suggest that AIGC's impact on involution anxiety is complex and scenario-dependent, emphasizing the importance of context in the integration of AI technologies into human social dynamics.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790762","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":"Network analysis of depression and anxiety symptoms among rural empty nesters in China.","authors":"Bailing Hou","doi":"10.1080/13548506.2025.2543903","DOIUrl":"https://doi.org/10.1080/13548506.2025.2543903","url":null,"abstract":"<p><p>The number of empty nesters in rural areas is expected to grow. Common psychological problems such as depression and anxiety require focused attention. This study explores the depression and anxiety symptoms network among rural empty nesters to understand the central and bridge symptoms. The data of 1,709 rural empty nesters were obtained from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Depression and anxiety symptoms were assessed using the Centre for Epidemiology Depression Scale (CES-D-10) and Generalized Anxiety 7-item Scale (GAD-7). The R4.4.3 was used for network estimation, centrality estimation, bridge symptoms, accuracy, stability and difference tests. The study found that among 1,709 rural empty nesters, 880 (51.5%) had depression symptoms, 241 (14.1%) had anxiety symptoms and 225 (13.2%) had both depression and anxiety symptoms. Network analyses revealed that G4 'Trouble relaxing', D3 'Feeling depressed', G7 'Fear of horrible events' and D9 'Inability to get going' were the central symptoms in the depression and anxiety network. G7 'Fear of horrible events', G1 'Nervousness or anxiety', D10 'Sleep quality' and D1 'Feeling bothered' are bridge symptoms in the network. The central and bridge symptoms play an important role in the depression and anxiety network of rural empty nesters. Developing interventions based on central and bridge symptoms can help prevent or improve their psychological situation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790763","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}
Cameron Trim, Sharan Srinivasa Gopalan, Ryan Rhodes
{"title":"Physical activity among people with an inflammatory bowel disease: a systematic review of antecedents.","authors":"Cameron Trim, Sharan Srinivasa Gopalan, Ryan Rhodes","doi":"10.1080/13548506.2025.2539937","DOIUrl":"https://doi.org/10.1080/13548506.2025.2539937","url":null,"abstract":"<p><p>People with an inflammatory bowel disease experience challenges that can severely limit their quality of life. Physical activity intervention may be an efficacious method to improve outcomes of inflammatory bowel disease, however many people with an inflammatory bowel disease do not meet physical activity guidelines. The current review aims to synthesize available literature on the factors influencing physical activity in inflammatory bowel disease and identify differences between two main subgroups: Crohn's disease and ulcerative colitis. Six databases were searched for all studies published until 31 August 2023, which collected data regarding physical activity antecedents within a population of persons with an inflammatory bowel disease. The identified antecedents were contextualized within the COM-B model for behaviour change to provide implications for physical activity interventions. The search resulted in 1816 titles and abstracts, of which 30 full-text papers were screened and 14 papers met inclusion criteria for this review. A modified thematic analysis integrating quantitative and qualitative data among 3,985 participants identified disease activity, fatigue, depression, pain and urgency as the most influential antecedents to physical activity. These antecedents were identified as factors affecting physical capability, reflective motivation and physical opportunity within the COM-B model. Persons with Crohn's disease were found to be more susceptible to barriers and engage in less total physical activity than those with ulcerative colitis, however such a small number of studies weakens this finding. Future research should emphasize the collection of longitudinal and experimental data among antecedents of physical activity in a homogenous sample, such that definitive quantitative syntheses can be conducted.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-30"},"PeriodicalIF":1.9,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790764","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}
Yu Liu, Xueping Wang, Meilan Chen, Weigong Li, Weijian Li, Lingfeng Gao, Lin Lin
{"title":"Countdown to death: death anxiety fuels suicide risk through future time perspective and regulatory emotional self-efficacy.","authors":"Yu Liu, Xueping Wang, Meilan Chen, Weigong Li, Weijian Li, Lingfeng Gao, Lin Lin","doi":"10.1080/13548506.2025.2536870","DOIUrl":"https://doi.org/10.1080/13548506.2025.2536870","url":null,"abstract":"<p><p>Death anxiety has been linked to suicide risk, but existing findings remain inconsistent and the underlying mechanisms are not well understood. Given that death anxiety typically peaks among college students, this study explores future time perspective and emotional regulation self-efficacy as potential psychological mediators of this relationship. This study recruited 1,234 college students to conduct a questionnaire survey and used Hayes' PROCESS macro (Model 6) to examine the chain mediating effects of future time perspective and regulatory emotional self-efficacy on the relationship between death anxiety and suicide risk. The results showed that death anxiety was significantly positively correlated with suicide risk (<i>r</i> = .09, <i>p</i> = .001), but the direct effect was not significant. The total indirect effect of death anxiety on suicide risk through future time perspective and regulatory emotional self-efficacy was significant (β = .07, 95% <i>CI</i>: 0.100 to 0.196). The independent mediating effect of future time perspective was 0.11, accounting for 52.74% of the total indirect effect. The independent mediating effect of regulatory emotional self-efficacy was 0.03, accounting for 12.44% of the total indirect effect. The chain mediating effect was 0.01, accounting for 6.97% of the total indirect effect. These findings suggest that when college students experience death anxiety, enhancing their future time perspective and self-efficacy in emotion regulation may help reduce their suicide risk.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785969","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}