Health PsychologyPub Date : 2025-11-01Epub Date: 2025-06-12DOI: 10.1037/hea0001515
Odalis G Garcia, Jeremy M Hamm, Samantha J Weston, Matthew J Pierce, Jaron X Y Tan, Katherine A Duggan
{"title":"Discrimination, psychosocial resources, and sleep: A test of the reserve capacity model.","authors":"Odalis G Garcia, Jeremy M Hamm, Samantha J Weston, Matthew J Pierce, Jaron X Y Tan, Katherine A Duggan","doi":"10.1037/hea0001515","DOIUrl":"10.1037/hea0001515","url":null,"abstract":"<p><strong>Objective: </strong>Sleep and health are both related and tied to race and ethnicity. Discrimination is a potent stressor among people of color that may impair sleep, whereas psychosocial resources are potentially modifiable and may improve sleep. The Reserve Capacity Model posits that psychosocial resources promote health and can buffer the negative impacts of stress. This study is the first to apply the Reserve Capacity Model to discrimination and multiple self-reported sleep outcomes.</p><p><strong>Method: </strong>Participants (<i>N</i> = 261, 35.3% people of color) were from the North Dakota State University National COVID Study, an ongoing study of psychosocial factors, sleep, and well-being launched in April 2020. Cross-sectional analyses are from Wave 3 (Summer 2020), approximately 3 months into the pandemic and after racialized sociocultural events transpired in the United States. Nested multiple regressions were used to assess the independent, additive, and interactive effects of discrimination and psychosocial resources (a composite of perceived control, loneliness, optimism, meaning and purpose, and positive affect) on multiple self-reported sleep measures.</p><p><strong>Results: </strong>Both discrimination and psychosocial resources were independently associated with sleep. However, once considered jointly, psychosocial resources were stronger predictors of sleep health and insomnia symptoms, whereas discrimination was a stronger predictor of daytime sleepiness. There was no statistically significant interaction of psychosocial resources and discrimination.</p><p><strong>Conclusion: </strong>Our study applied the Reserve Capacity Model to sleep and found additive (but not interactive) effects for discrimination and psychosocial resources. Future research focusing on sleep and inequities therein should consider the role of psychosocial resources in promoting sleep health in diverse populations, even in stressful contexts. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1049-1062"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-06-09DOI: 10.1037/hea0001520
Tarandeep Singh Kang, Joseph T F Lau, Yanqiu Yu, Friederike Schlaghecken, Robin Goodwin
{"title":"Mental health and physical distancing in the context of \"living with COVID\" in the United Kingdom: Comparing the general population and people with disabilities.","authors":"Tarandeep Singh Kang, Joseph T F Lau, Yanqiu Yu, Friederike Schlaghecken, Robin Goodwin","doi":"10.1037/hea0001520","DOIUrl":"10.1037/hea0001520","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 pandemic revealed substantial differences in engagement with recommended protective behaviors and mental health between individuals with and without disabilities. We compare mental health and physical distancing among people with disabilities and the general population in the context of the U.K. policy of \"living with the virus.\"</p><p><strong>Method: </strong>Data were collected via online questionnaire from July 4 to July 7, 2022 (<i>N</i> = 1,445, of which 590 people with disabilities). We measured anxiety and depression symptoms, engagement with physical distancing, tendency to avoid social gatherings, with additional measures from the theories of conservation resources, health beliefs, and protection motivation.</p><p><strong>Results: </strong>People with disabilities perceived themselves to be lower in social support and self-efficacy than individuals without disabilities. People with disabilities also reported less coronavirus-specific distress and less belief in the efficacy of physical distancing as a preventative measure. People with disabilities were more likely to show symptoms of depression and more likely to avoid social gatherings than members of the U.K. general population without disabilities. People with disabilities were, however, likely to consider themselves more resilient than individuals without disabilities.</p><p><strong>Conclusions: </strong>People with disabilities report greater depression, even 2 years into the pandemic, and were more likely to avoid social interactions with others. This study suggests it is important not to give up vigilance against the virus, and to pay special attention to the mental health and welfare of vulnerable populations, including people with disabilities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1074-1083"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-04-24DOI: 10.1037/hea0001502
Sarah Eitze, Anne Reinhardt
{"title":"Keep period pain a secret? Expanding the theory of planned behavior with endometriosis knowledge and menstrual stigma to explain women's intentions to talk about menstrual discomfort.","authors":"Sarah Eitze, Anne Reinhardt","doi":"10.1037/hea0001502","DOIUrl":"10.1037/hea0001502","url":null,"abstract":"<p><strong>Objective: </strong>Endometriosis is a chronic gynecological condition often characterized by severe menstrual pain. It takes 7 years on average to diagnose endometriosis, with menstrual stigma being an estimated factor for this delay.</p><p><strong>Method: </strong>In this preregistered study, both the Theory of Planned Behavior and Stigma Theory are included in an online survey to understand conversation intentions about menstrual symptoms and the impact of menstrual stigma in daily life. With a partial least squares structural equation model including 776 participants, the research investigates the facilitators and barriers influencing participants' intentions to seek advice for severe menstrual discomfort across different social contexts, including conversations with friends, medical experts, and coworkers.</p><p><strong>Results: </strong>The results highlight that the perceived public stigma surrounding menstruation is associated with higher self-stigmatization, decreased attitudes, and decreased perceived behavioral control, which in turn significantly decreases conversation intentions.</p><p><strong>Conclusions: </strong>The study's results inform targeted interventions to promote open dialogue about menstrual health and reduce stigma. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1028-1038"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-04-21DOI: 10.1037/hea0001511
Heather Hollman, Sophie Tran, Margie H Davenport, Sam Liu, Wuyou Sui, Aleah Ross, Erla Hjartar, Ryan E Rhodes
{"title":"A systematic review of postpartum physical activity intervention mediators.","authors":"Heather Hollman, Sophie Tran, Margie H Davenport, Sam Liu, Wuyou Sui, Aleah Ross, Erla Hjartar, Ryan E Rhodes","doi":"10.1037/hea0001511","DOIUrl":"10.1037/hea0001511","url":null,"abstract":"<p><strong>Objective: </strong>Regular physical activity (PA) is associated with many health benefits; however, up to 94% of postpartum individuals do not meet PA guidelines. Understanding mediators of postpartum PA behavior change interventions is essential to increase PA participation following childbirth. The purpose of this review was to identify putative mediators of postpartum PA interventions.</p><p><strong>Method: </strong>Six databases were searched for primary or gray literature from inception until December 2023. Intervention studies of any language were included if they contained (a) individuals ≤ 12 months postpartum, (b) a PA intervention, (c) a no exercise or different exercise comparator, and (d) a change in PA and putative mediator outcome that could be classified with the theoretical domains framework (TDF). Results were categorized by mediation path, mediator TDF domain, and PA outcome.</p><p><strong>Results: </strong>Twenty-eight articles (3,328 participants) were eligible, and summary effects for Paths AB, A, B, and C were calculated from two, 19, two, and 18 unique studies, respectively. For the mediation Path AB, we found very small effects from the domains of beliefs about capabilities (<i>r</i> = .08), beliefs about consequences (<i>r</i> = .02), environmental context and resources (<i>r</i> = .01), and social influences (<i>r</i> = .08). We found a small total effect (Path C, <i>r</i> = .12) of postpartum PA interventions on PA.</p><p><strong>Conclusion: </strong>Future postpartum PA interventions should integrate components that increase outcomes under the domains of beliefs about capabilities, beliefs about consequences, environmental context and resources, and social influences. Further research that tests nonconscious mediators (e.g., PA habit, identity) is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1015-1027"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-06-16DOI: 10.1037/hea0001523
Rebecca C Thurston, Caroline Y Doyle, Cynthia D J Kusters, Yuefang Chang, Karestan Koenen, Pauline Maki, Judith E Carroll
{"title":"Lifetime trauma exposure and accelerated epigenetic aging among midlife women.","authors":"Rebecca C Thurston, Caroline Y Doyle, Cynthia D J Kusters, Yuefang Chang, Karestan Koenen, Pauline Maki, Judith E Carroll","doi":"10.1037/hea0001523","DOIUrl":"10.1037/hea0001523","url":null,"abstract":"<p><strong>Objective: </strong>Trauma exposure may be linked to accelerated biological aging. However, studies have largely considered childhood abuse, with limited consideration of lifetime trauma exposure, particularly for women. Furthermore, few studies have considered newer epigenetic clocks, which have enhanced links with health outcomes. Among midlife women, we investigated whether lifetime trauma exposure is associated with older epigenetic age with several generations of clocks. We explored associations between childhood maltreatment and epigenetic age and racial differences in associations between trauma and epigenetic age.</p><p><strong>Method: </strong>Two hundred sixteen women (<i>M</i><sub>age</sub> = 59 years, 83% non-Hispanic White, 13% Black, and 4% other race/ethnicities) underwent physical measures, questionnaires to assess lifetime trauma exposure, and a blood draw. A subset of 123 women completed childhood maltreatment measures. Extrinsic epigenetic age, GrimAge, principal component-based PhenoAge, and DunedinPACE were calculated. Clocks were residualized for age and Z-scored for analysis. Associations between trauma and epigenetic age were estimated in linear regression (covariates race, education, body mass index, and estimated cell counts). Interactions by race were tested.</p><p><strong>Results: </strong>Relative to women without trauma exposure, those with ≥ 2 lifetime traumas had older epigenetic age, GrimAge, 1: <i>B (SE)</i> = 0.15 (0.15), <i>p</i> = .31, 2+: <i>B (SE</i>) = 0.39 (0.13), <i>p</i> = .004; DunedinPACE, 1: <i>B (SE</i>) = 0.23 (0.12), <i>p</i> = .07, 2+: <i>B (SE)</i> = 0.33 (0.11), <i>p</i> = .003. Childhood sexual abuse was also associated with older epigenetic age, GrimAge: <i>B (SE)</i> = 0.56 (0.24), <i>p</i> = .021. Exploratory models suggested that trauma was related to epigenetic age primarily among Black women.</p><p><strong>Conclusion: </strong>Among midlife women, greater lifetime trauma and possibly childhood sexual abuse were associated with older epigenetic age, independent of chronologic age. Black women may be particularly affected. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"993-1002"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-07-10DOI: 10.1037/hea0001525
Eamonn Ferguson, Erin Dawe-Lane, Richard Mills, Krystal Oteng-Attakora, Emanuele Di Angelantonio, Angela M Wood, Barbara Masser, Abiola Okubanjo
{"title":"Narratives, emotions, and slogans: Community co-designed campaigns to recruit black blood donors from the general U.K. population.","authors":"Eamonn Ferguson, Erin Dawe-Lane, Richard Mills, Krystal Oteng-Attakora, Emanuele Di Angelantonio, Angela M Wood, Barbara Masser, Abiola Okubanjo","doi":"10.1037/hea0001525","DOIUrl":"10.1037/hea0001525","url":null,"abstract":"<p><strong>Background: </strong>Blood is an essential medicine, and to deliver effective health care, blood services need to attract donors who represent the diverse demographics of health care users. At present, there is a substantial shortfall of Black donors. We report how a novel community-based co-designed arts-based approach to encourage Black donors generalizes to the wider U.K.</p><p><strong>Population: </strong></p><p><strong>Method: </strong>The co-design process involved four stages: (a) needs identification (n = 42 Black people) to identify where, when and with whom Black people discussed blood donation; (b) workshops to co-design arts-based interventions (<i>n</i> = 12: Black people-professional actors/artists and lay people); (c) test and refinement of the narratives (<i>n</i> = 1); and (d) evaluation using an online experiment to provide a quantitative and qualitative evaluation of the co-designed narratives relative to a slogan-based campaign in terms of affect (mediator) and two outcomes (willingness to donate and encourage others to donate; <i>n</i> = 826: 345 Black people, 481 White people).</p><p><strong>Results: </strong>Four script narratives were produced: (a) comedy-challenging misconceptions; (b) reciprocity-donating for mutual benefit; (c) donor-recipient-linking donors and recipients; and (d) sliding doors-reversing a timeline to provide a positive outcome. All four narratives were evaluated positively. For White people, the slogan-based campaign enhanced both outcomes via positive affect. For Black people, the donor-recipient narrative enhanced both outcomes via positive affect.</p><p><strong>Conclusion: </strong>All communities positively rated the co-designed arts-based approaches and showed specific benefits for encouraging Black donors. Blood services should consider using co-designed arts-based approaches. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1003-1014"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-06-09DOI: 10.1037/hea0001526
Tim Bogg, Elizabeth Milad, Olivia Godfrey
{"title":"A disposition-belief-motivation framework for COVID-19 boosters: Prospective tests in a U.S. sample.","authors":"Tim Bogg, Elizabeth Milad, Olivia Godfrey","doi":"10.1037/hea0001526","DOIUrl":"10.1037/hea0001526","url":null,"abstract":"<p><strong>Objective: </strong>The present study tested a novel integration of prospective associations of sociodemographic factors, dispositional tendencies, primary vaccine intention, illness beliefs and experiences, preventive beliefs and behaviors, contextual vaccine-related influences, primary vaccination propensity, and subjective numeracy with subsequent COVID-19 booster vaccination.</p><p><strong>Method: </strong>The preregistered study used a stratified online U.S. sample (<i>N</i> = 500). Four assessments were aligned with \"15 days to slow the spread\" in March 2020 (baseline), the vaccine authorization and major case/mortality surge during December 2020 and January 2021 (Time 2), the third major/case mortality surge during September-November 2021 (Time 3), and the immediate postpandemic period during May-July 2023 (Time 4).</p><p><strong>Results: </strong>Path modeling showed greater education at baseline, and perceived risk of infection, flu vaccine history, and primary vaccination at Time 3 were prospective predictors of booster vaccination propensity at Time 4. The effect of greater educational attainment was maintained, in part, by stronger flu vaccine history. The use of reliable COVID-19 vaccine information sources at Time 3 indirectly predicted booster vaccination propensity via primary vaccination propensity. Finally, greater trait openness and less conservative political beliefs showed serially indirect prospective associations with booster vaccination via stronger intermediating vaccine intention and then via stronger primary vaccination propensity.</p><p><strong>Conclusions: </strong>The integrative psychosocial model identified direct and indirect pathways from antecedent characteristics to booster vaccination, providing further direction for the framing of health provider, public health, and media communications for promoting booster vaccination and mitigating related misinformation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1039-1048"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-11-01Epub Date: 2025-06-02DOI: 10.1037/hea0001529
Kristen A Torres, Doris Valenzuela-Araujo, Michael A Harris, Nathan F Dieckmann, Joanna Galindo, Louise Elaine Vaz, David V Wagner
{"title":"Predicting the preventable: Social drivers of health on pediatric readmissions and emergency department visits.","authors":"Kristen A Torres, Doris Valenzuela-Araujo, Michael A Harris, Nathan F Dieckmann, Joanna Galindo, Louise Elaine Vaz, David V Wagner","doi":"10.1037/hea0001529","DOIUrl":"10.1037/hea0001529","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the extent to which pediatric emergency department visits and admissions are preventable and whether caregiver-reported social factors predict future preventable visits.</p><p><strong>Method: </strong>Caregivers of hospitalized children (<i>N</i> = 249) completed a predischarge survey regarding health care utilization and social drivers of health (e.g., adverse childhood experiences and experiences of racial discrimination). Chart reviews were conducted 365 days postdischarge to capture the presence and frequency of acute medical events (AMEs; i.e., readmissions and emergency department visits). Three methods of determining the preventability of AMEs were used to examine the relationship between preventable AMEs and medical status, demographic characteristics, and social drivers of health.</p><p><strong>Results: </strong>Of the youth who experienced an AME, over half (67%) experienced one or more events classified as \"preventable\" by at least one method. Statistically significant predictors associated with preventable events included age under 1 (<i>OR</i> = 4.17), complex/chronic medical status (<i>OR</i> = 3.03), other children in the home with health concerns (<i>OR</i> = 1.85), and the presence of a neurocognitive disorder (<i>OR</i> = 2.97). Higher caregiver education (incidence rate ratio [IRR] = 0.31) was related to fewer preventable events overall. Child mental health condition (IRR = 18.62), having a deceased caregiver (IRR = 4.35), and child experiences of racial or ethnic discrimination (IRR = 6.01) were related to more preventable readmissions.</p><p><strong>Conclusion: </strong>A substantial number of AMEs may be preventable. Caregiver reports of social factors should be included in risk assessments to inform tailored interventions and discharge plans based on unique family characteristics. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1063-1073"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Serial multiple mediation model of fear of cancer recurrence in patients with colorectal cancer.","authors":"Yun-Jen Chou, Yun-Hsiang Lee, Been-Ren Lin, Jeng-Kai Jiang, Hui-Ying Yang, Hsiang-Ying Lin, Shiow-Ching Shun","doi":"10.1037/hea0001483","DOIUrl":"10.1037/hea0001483","url":null,"abstract":"<p><strong>Objective: </strong>The present study investigated the interrelationships among fatigue, depressive symptoms, resilience, and fear of cancer recurrence in patients with colorectal cancer.</p><p><strong>Method: </strong>Patients were recruited from the colorectal cancer surgical outpatient departments of two medical centers in northern Taiwan. A total of 416 patients with colorectal cancer at Stages 0-III were recruited. The Fatigue Symptom Inventory, Resilience Scale, Center for Epidemiological Studies Depression Scale, and Fear of Cancer Recurrence Inventory-Short Form were adopted. The generated serial multiple mediation model was examined using the Hayes PROCESS macro V4.3 in SPSS.</p><p><strong>Results: </strong>The patients had mild overall scores in fatigue, depressive symptoms, and fear of cancer recurrence but moderate scores in resilience. Notably, 46.6% of the patients had clinical-level scores in fear of cancer recurrence. Fear of cancer recurrence was negatively correlated with resilience and positively correlated with fatigue and depressive symptoms. Furthermore, resilience and depressive symptoms fully mediated the relationship between fatigue and fear of cancer recurrence.</p><p><strong>Conclusions: </strong>The findings of this study underscore the pivotal roles of resilience and depressive symptoms in the relationship between fatigue and fear of cancer recurrence. Therefore, health care providers are encouraged to prioritize early assessment and the management of depressive symptoms in patients with colorectal cancer and incorporate resilience-focused interventions into their care plans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"955-962"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2025-10-01Epub Date: 2025-04-10DOI: 10.1037/hea0001498
Sanne H M Kremers, Joline W J Beulens, Marije Strikwerda, Sharon Remmelzwaal, Linda J Schoonmade, Allard J van der Beek, Petra J M Elders, Femke Rutters
{"title":"The association of burnout and vital exhaustion with (measures of) the metabolic syndrome: A systematic review and meta-analysis.","authors":"Sanne H M Kremers, Joline W J Beulens, Marije Strikwerda, Sharon Remmelzwaal, Linda J Schoonmade, Allard J van der Beek, Petra J M Elders, Femke Rutters","doi":"10.1037/hea0001498","DOIUrl":"10.1037/hea0001498","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aims to investigate the association of burnout and vital exhaustion (VE) symptoms with (measures of) the metabolic syndrome (MetS).</p><p><strong>Method: </strong>PubMed, Embase, and PsycINFO were systematically searched until April 26, 2024. Studies investigating adult populations, burnout, or VE as exposures and (measures of) MetS as outcomes were included. Data extraction and quality assessment were performed independently by two observers. If at least three independent effect measures (in at least two studies) were available per association, meta-analyses were performed using random-effects models.</p><p><strong>Results: </strong>We included 101 studies (71% cross-sectional, 11% case-control, 13% prospective, 5% alternative) comprising 22 strong, 55 moderate, and 24 weak quality studies. Meta-analyses showed relevant but statistically nonsignificant associations of burnout and VE symptoms with higher incident (odds ratio [<i>OR</i>] = 1.53 [0.82, 2.87], <i>I</i>² = 0%) and prevalent MetS (<i>OR</i> = 1.28 [0.99, 1.64], <i>I</i>² = 85%), incident obesity (<i>OR</i> = 1.88 [0.81, 4.36], <i>I</i>² = 0%), waist-to-hip ratio (standardized mean difference = 0.62 [-0.65, 1.90], I2 = 95%), prevalent high waist circumference (<i>OR</i> = 1.14 [0.80, 1.62], <i>I</i>² = 28%), high triglycerides (<i>OR</i> = 1.49 [0.82, 2.71], <i>I</i>² = 40%), and a significantly higher prevalent hypertension (OR = 1.63 [1.44, 1.84], I2 = 51%). We found no clinically relevant associations with remaining MetS measures.</p><p><strong>Conclusions: </strong>Burnout and VE symptoms might be associated with a higher odds of prevalent and incident MetS, however, not statistically significant. These results should be interpreted with caution due to the cross-sectional design of most studies, use of unadjusted baseline data, and substantial heterogeneity in some analyses. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"922-935"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}