Health Psychology最新文献

{"title":"Perceived social rank and physiology: A meta-analysis of experimental manipulations.","authors":"Adrian C Williams, Jenny M Cundiff, Riley M O'Neill, Katie E Garrison, Jennifer Morozink Boylan","doi":"10.1037/hea0001493","DOIUrl":"https://doi.org/10.1037/hea0001493","url":null,"abstract":"<p><strong>Objective: </strong>Socioeconomic disparities in cardiovascular health are well established, but the role that stress and related physiological changes play in such disparities is still unclear. There is tentative evidence for a correlation between lower socioeconomic position and poorer cardiovascular response to stress, but observational designs do not allow for conclusions regarding causality. The current study presents results from a systematic review and meta-analysis on experimental manipulations of social rank and changes in cardiovascular reactivity and cortisol.</p><p><strong>Method: </strong>A meta-analysis was conducted (<i>N</i> = 2,005), including 25 studies (20 cardiovascular and five cortisol) and 71 effects (66 cardiovascular and five cortisol).</p><p><strong>Results: </strong>Primary analyses showed a nonsignificant effect of social rank manipulations on physiological outcomes (<i>g</i> = -0.04, <i>p</i> = .54, <i>SE</i> = 0.07, 95% confidence interval [CI] [-0.18, 0.09]). However, moderator analyses revealed that for studies that manipulated social rank based on socioeconomic factors (e.g., personal income, parental income/education), lower rank was significantly associated with heightened cardiovascular reactivity (<i>g</i> = -0.24, <i>p</i> = .006, <i>SE</i> = 0.09, 95% CI [-0.41, -0.07]). No significant effect was found for studies that used performance-based social rank manipulations (i.e., cognitive tasks such as word tracing and number counting).</p><p><strong>Conclusion: </strong>Results support the potentially causal influence of lower socioeconomic position on poorer cardiovascular health through elevated cardiovascular stress reactivity. We discuss the relevance of these findings to the role of psychophysiology for socioeconomic disparities in cardiovascular health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804903","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":"Skin-deep resilience in the Black women's experiences living with lupus study.","authors":"Kara W Chung, Connor D Martz, Brendan Lutz, Natalie Slopen, Bridget J Goosby, Tamika Webb-Detiege, David H Chae","doi":"10.1037/hea0001469","DOIUrl":"https://doi.org/10.1037/hea0001469","url":null,"abstract":"<p><strong>Objective: </strong>The skin-deep resilience hypothesis suggests that Black Americans from disadvantaged backgrounds who attain academic or professional success despite social obstacles may paradoxically experience adverse physical health outcomes. This study examined skin-deep resilience among a sample of Black women with systemic lupus erythematosus (SLE), a disease sensitive to psychosocial stress.</p><p><strong>Method: </strong>Data were from 426 Black women with SLE from metropolitan Atlanta, Georgia, United States, recruited to the Black Women's Experiences Living with Lupus (BeWELL) Study. Multivariable linear regression models examined cross-sectional associations between adverse childhood experiences (ACEs) and SLE disease activity, and whether educational attainment and racial discrimination moderated this relationship.</p><p><strong>Results: </strong>There was a significant three-way interaction between educational attainment, ACEs, and racial discrimination, <i>F</i>(26, 399) = 2.92, <i>p</i> = .02. Racial discrimination was positively associated with disease activity; however, the relationship between discrimination and disease activity was the strongest among those who displayed high \"resilience,\" indicated by those attaining a graduate degree despite experiencing high childhood adversity (≥ 3 ACEs). There was no interaction between educational attainment and discrimination among those who experienced low childhood adversity (< 3 ACEs).</p><p><strong>Conclusion: </strong>Findings indicate that among Black women living with SLE, resilience to childhood adversity conferred worse physical health resulting from greater exposure to racial discrimination. Although educational attainment is traditionally conceptualized as protective for health, it may come with unintended physiological tolls for high-achieving Black women with SLE from disadvantaged backgrounds. Interventions aimed at \"building resilience\" without addressing underlying structural and social inequities could exacerbate racial health inequities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804917","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":"Relaxation techniques in chronic nonspecific neck pain: A systematic review and meta-analysis.","authors":"Julián Ángel Basco-López, Eva Rodríguez-Gutiérrez, Ana Torres-Costoso, Sara Reina-Gutiérrez, Purificación López-Muñoz, Sergio Núñez de Arenas-Arroyo, Juan Avendaño-Coy, Rubén Fernández-Rodríguez","doi":"10.1037/hea0001486","DOIUrl":"https://doi.org/10.1037/hea0001486","url":null,"abstract":"<p><strong>Objective: </strong>Although previous evidence has shown positive results of conservative interventions on chronic pain, the specific effect of relaxation techniques on chronic nonspecific neck pain (CNNP) has not been studied. Thus, this study aimed to determine the effectiveness of relaxation techniques on neck pain intensity and pain-related disability in this population.</p><p><strong>Method: </strong>We systematically searched five databases from inception to November 2023 for randomized controlled trials comparing the effects of relaxation techniques versus physical therapy interventions and versus control on pain intensity and pain-related disability. A random-effect method was used for pooling the standardized mean difference and its related 95% confidence intervals (CIs) with the DerSimonian-Laird method. Meta-regression models were conducted to determine the influence of age, sex, and intervention characteristics on the effect estimates.</p><p><strong>Results: </strong>A total of 16 studies involving 1,384 adults (aged 30-56 years) with CNNP were included. The pooled standardized mean difference for relaxation techniques versus physical therapy intervention was not significantly different for pain intensity (-0.14; 95% CI = [-0.57, 0.30]) or pain-related disability (-0.02; 95% CI = [-0.37, 0.34]). Compared with the control condition, the relaxation technique significantly improved pain intensity (-0.48; 95% CI = [-0.79, -0.16]) and pain-related disability (-0.45; 95% CI = [-0.79, -0.11]).</p><p><strong>Conclusion: </strong>Relaxation techniques should be considered as an effective therapeutic strategy in the rehabilitation of CNNP since they may have a moderate effect on reducing pain and disability compared to the control condition. However, no differences were observed between relaxation techniques and physical therapy interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804915","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":"Sex-specific associations of depressive symptom trajectories with type 2 diabetes mellitus in middle-aged and older adults: Findings from a nationwide cohort in China.","authors":"Qian Yi, Wenhan Xiao, Leying Hou, Shuting Li, Weidi Sun, Shiyi Shan, Zeyu Luo, Jingyi Wang, Qian Yang, Peige Song","doi":"10.1037/hea0001500","DOIUrl":"https://doi.org/10.1037/hea0001500","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the sex-specific associations between depressive symptom trajectories and the risk of Type 2 diabetes mellitus (T2DM).</p><p><strong>Method: </strong>This longitudinal study was based on the China Health and Retirement Longitudinal Study. Chinese residents aged ≥45 years with sufficient information were included in 2011-2015 and followed up in 2018. The sex-specific associations between depressive symptom trajectories and T2DM were calculated by Multivariable Cox frailty models. The population attributable fractions were used to quantify the risk of T2DM associated with trajectories of depressive symptoms.</p><p><strong>Results: </strong>Of the 2,949 males and 3,407 females included, 99 and 122 developed T2DM, respectively. We identified four depressive symptom trajectories in both sexes: maintained-low, decreasing, increasing, and maintained-high. Compared to those in maintained-low trajectory, females in all other trajectories had higher risks of T2DM (hazard ratios [HRs] ranged from 2.01 to 3.93). In comparison, only maintained-high (HR = 2.86, 95% confidence interval [CI] [1.42, 5.77]) and decreasing depressive symptom trajectories were associated with increased risk of T2DM (1.82, [1.10, 3.00]) in males. The T2DM risks attributable to maintained-high, increasing, and decreasing trajectories were 16.35%-23.75% in females. In males, maintained-high and decreasing trajectories accounted for 9.14% and 11.98% of T2DM risks.</p><p><strong>Conclusion: </strong>The sex-specific analysis revealed the trajectories with initially high levels of depressive symptoms were associated with T2DM in both sexes. Additionally, females exhibited an extra risk of T2DM associated with the increasing depressive symptoms trajectory. The findings necessitate monitoring and addressing depressive symptoms in preventing T2DM in both males and females. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804916","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":"Beyond smoking: The role of stigma in asthma rates among youth.","authors":"Benjamin Parchem, Amy L Gower, Marla E Eisenberg, Samantha E Lawrence, André Gonzales Real, Malavika Suresh, Ka I Ip, G Nic Rider","doi":"10.1037/hea0001430","DOIUrl":"10.1037/hea0001430","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine asthma disparities at the intersection of four sociodemographic characteristics, inhaled substance use, and bias-based bullying as metrics of stigma. We hypothesized that high prevalence groups for asthma would be those with marginalized social positions and those reporting bullying experiences, independent of inhaled substance use.</p><p><strong>Method: </strong>The analytic sample (<i>N</i> = 90,367) included eighth, ninth, and 11th grade students who participated in the 2022 Minnesota Student Survey. Exhaustive Chi-square Automatic Interaction Detection tested all combinations of sociodemographic characteristics (gender identity, sexual orientation, racial/ethnic identity, and access to resources), inhaled substance use (none vs. any), and bias-based bullying about sexuality, gender identity/expression, racial identity, and weight/size to predict mutually exclusive groups of youth based on self-reported asthma diagnosis.</p><p><strong>Results: </strong>Approximately 15% of the sample reported asthma. Sexually, gender, and racially/ethnically diverse youth reported higher rates of asthma relative to their heterosexual, cisgender, and White counterparts. High prevalence groups for asthma (rates between 24% and 41%) were characterized by having multiple marginalized identities, experiencing bias-based bullying, and engaging in inhaled substance use. Three of the 10 intersectional groups with a high prevalence of asthma were not inhaled substance users.</p><p><strong>Conclusions: </strong>These findings suggest that stigma may help explain the asthma disparities among marginalized youth. Efforts to reduce asthma disparities in marginalized youth should move beyond pathologizing the individual through overfocusing on health behaviors and attend to root causes, like experiences of stigma. Future studies should examine systemic inflammation as the potential connection between stigma and asthma. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"401-407"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481341","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}

{"title":"The interdependence of depressive symptoms and sleep in dyads affected by cancer.","authors":"George N Diamantis, Youngmee Kim, Zoe Ofori-Atta, LaNita Devine, Michael H Antoni, Vincent Reyes, Jonas Johnson, Gauri Kiefer, Yu Jiang, Dan P Zandberg, Marci Nilsen, Samer Tohme, David A Geller, Jennifer L Steel","doi":"10.1037/hea0001449","DOIUrl":"10.1037/hea0001449","url":null,"abstract":"<p><strong>Objective: </strong>To examine the rates as well as the interdependence of depressive symptoms and sleep problems in patients with cancer and their intimate partner family caregivers.</p><p><strong>Method: </strong>Patients diagnosed with cancer (69.3 years old, 56.9% male) and their intimate family caregivers (63.8 years old, 30.7% male) were enrolled in the study (<i>n</i> = 188 dyads). Both patients and intimate partner family caregivers completed the Center for Epidemiological Studies-Depression and the Pittsburgh Sleep Quality Index. Descriptive statistics and Actor-Partner Interdependence Modeling were used to test the hypotheses.</p><p><strong>Results: </strong>The rates of depressive symptoms in the clinical range were 39% for patients and 33% in intimate partner family caregivers. A mean of 6.3 (<i>SD</i> = 1.9) and 6.5 (<i>SD</i> = 1.5) hours of sleep was reported by patients with cancer and intimate partner family caregivers. The mean sleep efficiency (76.6% and 81.3%) and sleep quality (8.25 and 7.2) were poor for both partners. After covarying for age, sex, body mass index, smoking status, pain, and cancer stage, patients' depressive symptoms were associated with their own shorter sleep duration. Patient depressive symptoms were associated with their own and their partners' f poorer sleep efficiency and poorer sleep quality. Caregivers' depressive symptoms were also associated with their own poorer sleep quality.</p><p><strong>Conclusions: </strong>The mood of both partners affect on sleep, and potentially health, was underscored by the findings. The development of dyadic interventions is warranted to improve both mood and sleep in both the patient and caregivers in the context of cancer. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"391-400"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717950","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}

{"title":"Incremental versus saturation hypotheses for behavioral nudge in reducing sugar consumption.","authors":"Anna Undarwati, Felix Yong Peng Why","doi":"10.1037/hea0001450","DOIUrl":"10.1037/hea0001450","url":null,"abstract":"<p><strong>Objective: </strong>This field experiment examined the efficacy of a behavioral nudge intervention towards lowering sugar intake in Indonesia. Specifically, two competing hypotheses were tested as to whether behavioral nudge played an additive role (i.e., the Incremental Hypothesis) or contributed to a ceiling effect (i.e., the Saturation Hypothesis) alongside social context and competition in a multimodal intervention program.</p><p><strong>Method: </strong>This field experiment used a three-factorial mixed design involving 403 Indonesian participants based on power statistical analysis: 2 (sugar content nudge: lower sugar tea vs. regular sugar tea default) × 2 (social context: individual vs. group) × 2 (competition: absent vs. present).</p><p><strong>Results: </strong>Nudging was the most powerful intervention in reducing sugar intake, but its effectiveness might be attenuated by social loafing even within Indonesia's collectivist culture. Competition did not work synergistically with nudging but was effective under the nonnudge condition.</p><p><strong>Conclusion: </strong>Our results are consistent with those of previous research showing that behavioral nudging has a stronger impact on behavioral change than nonnudge strategies. Contrary to some previous research, people in collectivist Indonesia did engage in social loafing: achievement motivation is not necessarily enhanced in a team of people in a collectivist culture. The Nudge × Competition interaction supports the saturation hypothesis in favor of behavioral nudging: using more than one intervention, when a potent strategy such as nudging is present, might result in diminishing returns that could reduce the overall benefit-cost profile of such multimodal intervention programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"357-365"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787821","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":"Effect evaluation of a participatory developed school-based healthy sleep intervention for adolescents.","authors":"Ann Vandendriessche, Benedicte Deforche, Karlien Dhondt, Maïté Verloigne, Jelle Van Cauwenberg","doi":"10.1037/hea0001443","DOIUrl":"10.1037/hea0001443","url":null,"abstract":"<p><strong>Objective: </strong>Sleep deprivation and reduced sleep quality are common in adolescents and negatively impact their physical and mental wellbeing. This study evaluates the effect of a participatory-developed school-based healthy sleep intervention for adolescents.</p><p><strong>Method: </strong>A 16-week long intervention, cocreated with adolescents, was conducted with two schools with four schools serving as measurement-only controls. Intervention elements included a kickoff event, posters, Instagram posts, an application, and class activities. Data on sleep parameters, sleep hygiene, and psychosocial factors were collected before, immediately after, and 6 months after implementation (<i>N</i> = 1,176; 15.2 ± 0.7 years; 37.9% girls). Sleep duration was objectively measured with activity trackers in a subsample (<i>n</i> = 133). Generalized linear mixed models were applied to analyze the intervention effect in RStudio.</p><p><strong>Results: </strong>Participants in the intervention group demonstrated significant increases in sleep knowledge and larger decreases in supportive peer and parental factors compared to the control group. At 6 months, the intervention group displayed increased self-reported weekend sleep duration and objectively measured week sleep duration. There was a significantly smaller increase in the use of screens in bed and barriers toward screen use in bed in the intervention group compared to the control group. Finally, a significant decrease in peer modeling and mental support of parents was observed in the intervention group (versus significant increase and no significant change in the control group, respectively).</p><p><strong>Conclusion: </strong>Researchers developing healthy sleep interventions should consider combining a participatory approach with a theory-based protocol including the use of active parental components. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"380-390"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054424","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":"Effects of expressive helping writing during stem cell transplant: Randomized controlled trial.","authors":"Christine Rini, George Luta, Deniz Ozisik, Scott D Rowley, Annette L Stanton, Heiddis Valdimarsdottir, Jane Austin, Betina Yanez, Kristi D Graves","doi":"10.1037/hea0001445","DOIUrl":"10.1037/hea0001445","url":null,"abstract":"<p><strong>Objective: </strong>Most cancer patients undergoing hematopoietic stem cell transplant report elevated symptoms and reduced health-related quality of life during peritransplant. These concerns can become persistent. A prior randomized controlled trial showed that expressive helping-a low-burden, brief intervention combining expressive writing with a novel peer support writing exercise-reduced psychological distress and physical symptoms in long-term transplant survivors with moderate/high persistent symptoms. The Writing for Insight, Strength, and Ease trial evaluated the use of expressive helping during peritransplant, when symptoms peak and early intervention could prevent the development of persistent symptoms.</p><p><strong>Method: </strong>Three hundred sixty-six adult blood cancer patients (44.3% female, 74.6% White, 13.4% Black, 11.5% Hispanic/Latinx) scheduled for allogeneic (33.9%) or autologous (66.1%) transplant were randomized to complete either expressive helping or a neutral writing task in four writing sessions beginning pretransplant and ending 4 weeks posthospital discharge. Symptom severity (primary outcome), distress (depressive symptoms, generalized and cancer-specific anxiety), health-related quality of life, and fatigue were measured in multiple assessments from prerandomization to 12 months postintervention. Primary endpoints at 3 and 12 months postintervention estimated short- and long-term intervention effects. Moderation analyses explored subgroup differences in intervention efficacy.</p><p><strong>Results: </strong>Mixed models with repeated measures analyses revealed no statistically or clinically significant intervention effects on primary or secondary outcomes. Moderation analyses did not identify subgroups of participants who benefitted from the intervention.</p><p><strong>Conclusion: </strong>Findings do not support use of expressive helping during peritransplant. We recommend that survivors with persistent symptoms complete expressive helping at least 9 months posttransplant, consistent with evidence from a prior trial. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"345-356"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830964","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}

{"title":"Influence of occupational stress on breast cancer incidence in the Women's Health Initiative.","authors":"Sarah H Ingram, Anneclaire J De Roos, Robert B Wallace, Christine G Parks, Dorothy S Lane, Lisa W Martin, Anthony S Zannas, Charles P Mouton, Yvonne L Michael","doi":"10.1037/hea0001437","DOIUrl":"10.1037/hea0001437","url":null,"abstract":"<p><strong>Objective: </strong>Psychological stress has long been posited as a potential risk factor for breast cancer. We aimed to examine the relationship between occupational stress and the incidence of invasive breast cancer among postmenopausal women from the Women's Health Initiative Observational Study.</p><p><strong>Method: </strong>Occupational stress was characterized through linkage of Standard Occupational Classification codes for participants' jobs to the Occupational Information Network. Following the Karasek job strain model, we cross-categorized demand and control and created four categories of occupational strain. Cox proportional hazards regression models were used to calculate hazard ratios and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Women with a history of high-strain work (high demand and low control) compared to low-strain work (low demand and high control) were 9% more likely to develop invasive breast cancer during follow-up (hazard ratios = 1.09; 95% CI [1.00, 1.19]) when controlling for age, race/ethnicity, geographical region, education, marital status, and familial history of breast cancer. This weak association between high-strain work and risk of breast cancer was rather consistent across analyses, but CIs included the null value in most models.</p><p><strong>Conclusions: </strong>Our results highlight the potential importance of the occupational domain as a source of stress for women and suggest a possible, but yet tenuous, role in chronic disease etiology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"335-344"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830967","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}