Health Psychology最新文献

{"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}

{"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}

{"title":"A randomized controlled trial: Evaluating whether a cognitive behavioral internet-delivered intervention targeting emotion regulation improves health-related quality of life in cancer survivors.","authors":"Rebecca Wallace, Isabelle Smith, Daphne Day, Marliese Alexander, Karen L Weihs, Joshua F Wiley","doi":"10.1037/hea0001497","DOIUrl":"10.1037/hea0001497","url":null,"abstract":"<p><strong>Objective: </strong>Cancer survivors experience reduced overall health-related quality of life (HRQoL) compared to the general population. This research assesses and compares the efficacy of an emotion-focused (CanCopeMind [CM]) and lifestyle (CanCopeLifestyle [CL]) intervention to improve HRQoL among cancer survivors.</p><p><strong>Method: </strong>This 8-week, internet-delivered, randomized controlled trial compared CM (<i>n</i> = 110) and CL (<i>n</i> = 114) on self-reported HRQoL (range -0.022 = indicating a state akin to <i>dead</i> to 1.0 representing <i>perfect health</i>) at baseline, postintervention, and 3-month follow-up. CM, adapted from the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, targeted core emotion regulation skills (understanding emotions, mindfulness, flexible thinking, and changing behaviors). CL, the active control, targeted healthy lifestyle domains (diet, exercise, relaxation, and sleep).</p><p><strong>Results: </strong>HRQoL increased in both groups from baseline to postintervention (CM, <i>p</i> < .001, SMD_median = 0.54; CL, <i>p</i> < .001, SMD_median = 0.40), and these improvements were sustained at follow-up (CM, <i>p</i> < .001, SMD_median = 0.52; CL, <i>p</i> = .005, SMD_median = 0.33). The difference between each group was not significant at either postintervention (<i>p</i> = .095, SMD_median = 0.19) or follow-up (<i>p</i> = .081, SMDmedian = 0.23). Subgroup analyses revealed no moderation by cancer stage, treatment type, months since treatment, cancer type or sex.</p><p><strong>Conclusion: </strong>The findings indicate that an accessible, internet-delivered emotion-focused and lifestyle interventions hold promise for improving HRQoL among cancer survivors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"909-921"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013313","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":"Mechanisms of change in a randomized control pilot study of partner-involved financial incentive treatments for dual-smoking couples.","authors":"Michelle R vanDellen, Julian W C Wright, Brittnee M Hampton, Krista W Ranby, Steven R H Beach, Ye Shen, James M MacKillop","doi":"10.1037/hea0001505","DOIUrl":"10.1037/hea0001505","url":null,"abstract":"<p><strong>Objective: </strong>Dual-smoker couples exhibit highly interdependent smoking behaviors, less frequent quit attempts, higher risk of relapse, and lower cessation rates. Financial incentive treatments are a promising form of intervention that lead to abstinence and can be adapted to address the motivational and relationship obstacles that dual-smoker couples face.</p><p><strong>Method: </strong>We enrolled 95 dual-smoker couples (total <i>n</i> = 190) in a randomized controlled trial (National Clinical Trials 04832360) to investigate the potential mechanisms by which two versions of partner-involved financial incentive treatments (combined in analyses) might facilitate quitting relative to a no-incentive control. Dyadic structural equation modeling tested whether the dyadic interventions impacted the likelihood of individual and couple-level cessation and whether these effects were mediated by individual (i.e., motivation) and relationship (i.e., partner support) processes.</p><p><strong>Results: </strong>The results suggest that self-directed and partner-directed motivation changed in response to partner-involved financial incentive treatments. Change in self-directed motivation mediated the effect of the intervention on individual and joint abstinence at follow-up; partner-directed motivation also mediated the effect of the intervention on joint abstinence at follow-up.</p><p><strong>Conclusions: </strong>Our findings highlight the benefits of dyadic adaptations of treatments for dual-smoker couples and point to potential motivational mechanisms of behavior change. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"983-992"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060375","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":"Subjective social standing and lower urinary tract symptoms among Black and White women and men in four regions of the United States.","authors":"Sonya S Brady, Andrés Arguedas, Jared D Huling, Gerhard Hellemann, Cora E Lewis, Cynthia S Fok, Stephen K Van Den Eeden, Alayne D Markland","doi":"10.1037/hea0001488","DOIUrl":"10.1037/hea0001488","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether subjective social standing is associated with lower urinary tract symptoms (LUTS) among women and men in the Coronary Artery Risk Development in Young Adults study, and whether racial identity modifies this association.</p><p><strong>Method: </strong>The MacArthur Scale of Subjective Social Status was administered in 2000-2001 and 2005-2006; scores were averaged. LUTS were assessed in 2012-2013. Separately for women and men, LUTS were regressed on perceived standing relative to others in one's community and relative to others in the United States. Analyses were adjusted for race, age, parity (for women), benign prostatic hyperplasia (for men), objective indices of social standing, alcohol consumption, smoking, body mass index, and diabetes. The analytic sample consisted of 1,214 women and 874 men, aged 42-59 years.</p><p><strong>Results: </strong>Both higher subjective social standing in one's community and relative to the United States were associated with a lower likelihood of experiencing more severe LUTS when the variables were entered individually into regression models with adjustment variables. When entered simultaneously, only higher perceived standing relative to others in the United States was associated with less severe LUTS among women, and only higher perceived standing relative to others in one's community was associated with less severe LUTS among men. Racial identity did not modify associations.</p><p><strong>Conclusions: </strong>Consistent with literature on other health outcomes, lower social standing relative to others in one's community or the United States was associated with LUTS. Research is needed to understand the mechanisms by which perceptions of lower social standing may influence the development, maintenance, or worsening of LUTS. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"963-973"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058233","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":"Socioeconomic status, prefrontal cortical volume, and cardiometabolic risk in early adolescence.","authors":"Jessica J Chiang, Phoebe H Lam, Anna Cichocki, Lisanne M Jenkins, Lei Wang, Robin Nusslock, Gregory E Miller","doi":"10.1037/hea0001508","DOIUrl":"10.1037/hea0001508","url":null,"abstract":"<p><strong>Objective: </strong>Youth from socioeconomically disadvantaged families are disproportionately at risk for developing cardiometabolic diseases. Underlying mechanisms, however, remain unclear. Therefore, we examined whether socioeconomic disadvantage was associated with structural variations in regions that underlie emotion processing and executive control, and whether those variations were in turn associated with cardiometabolic risk during adolescence. Primary areas of interest included the dorsolateral prefrontal (dlPFC) and orbitofrontal cortex (OFC), and secondary areas included the ventrolateral prefrontal cortex, amygdala, and hippocampus in sensitivity analyses.</p><p><strong>Method: </strong>Participants were 277 racially and ethnically diverse adolescents (<i>M</i>_age = 13.92, 63% female, 73% youth of color) assessed in eighth grade (Time 1) and again 2 years later (Time 2). Caregivers' educational attainment and household income were used to index family socioeconomic status. Cardiometabolic risk was based on a composite score of signs of metabolic syndrome (i.e., waist circumference, blood pressure, cholesterol, triglycerides, glucose), and structural brain imaging data characterized brain volumes.</p><p><strong>Results: </strong>Lower parent education was associated with smaller dlPFC volume, lateral OFC volume, and cardiometabolic risk at Time 1. Additionally, lower parent education and smaller dlPFC volume predicted greater cardiometabolic risk 2 years later at Time 2. Path analyses indicated that smaller dlPFC volume accounted for the association between parent education and cardiometabolic risk cross-sectionally and longitudinally 2 years later, but not for prospective changes in cardiometabolic risk.</p><p><strong>Conclusion: </strong>Findings suggest that structural variation in the dlPFC may be a pathway connecting parent education to later cardiometabolic health problems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"944-954"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049426","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":"Cortisol, dehydroepiandrosterone, and depressive symptoms as pathways from child abuse to obesity.","authors":"Elizabeth D Handley, Justin Russotti, Dante Cicchetti, Rachel Y Levin, Andrew Ross","doi":"10.1037/hea0001513","DOIUrl":"10.1037/hea0001513","url":null,"abstract":"<p><strong>Objective: </strong>Child abuse has been linked with obesity throughout the lifespan. The aim of the current study was to test two competing mechanisms underlying the association between child abuse exposure and obesity in childhood. Specifically, we examined whether depressive symptoms and the ratio of cortisol to dehydroepiandrosterone (DHEA), two hormones central to the stress response system, mediated the link between child abuse and obesity.</p><p><strong>Method: </strong>This study employed a sample of 1,229 children all experiencing poverty (63.5% Black, 49.1% biological females). Approximately 40% of the participants were exposed to childhood physical, sexual, and/or emotional abuse (<i>n</i> = 471, 38.3%), as evidenced by coded Child Protective Service records. Cortisol and DHEA were measured with saliva samples taken in the morning across multiple days.</p><p><strong>Results: </strong>Results of structural equation modeling indicated that children with abuse histories evidenced a lower cortisol/DHEA ratio, which was associated with a greater likelihood of childhood obesity. Importantly, this pathway held while controlling for a depressive symptom pathway, pointing to the unique influence of adrenocortical dysregulation in the child abuse-obesity link. Although child abuse was associated with greater depressive symptoms, depressive symptoms were not related to obesity.</p><p><strong>Conclusion: </strong>These findings underscore that childhood adversity can \"get under the skin\" to affect health, even as early as childhood, and highlight that trauma-informed approaches to the clinical care of children with abuse histories represent a promising avenue for obesity prevention. Preventing child abuse occurrence and supporting children following abuse exposure may both be critical points of intervention for obesity prevention. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"974-982"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027610","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":"Weight stigma and bariatric surgery: Prospective improvements, psychological health, and weight.","authors":"Larissa A McGarrity, Hannah R Farnsworth, Lisa G Aspinwall, Anna R Ibele, Alexandra L Terrill","doi":"10.1037/hea0001517","DOIUrl":"10.1037/hea0001517","url":null,"abstract":"<p><strong>Objective: </strong>Weight stigma among patients with obesity is a major risk factor for psychological and physical health comorbidities. Little is known, however, about experienced weight stigma (EWS) among metabolic bariatric surgery (MBS) patients in terms of pre- to post-MBS changes and correlates in the setting of significant weight loss. The current study utilized psychometrically validated measures to examine change in weight stigma from pre- to post-MBS and prospective associations with mental health, eating behaviors, and body mass index.</p><p><strong>Method: </strong>Patients (<i>N</i> = 148) completed both pre-MBS psychological evaluation and follow-up assessment 1.5-3 years post-MBS, including measures of EWS, depressive symptoms, anxiety, binge eating, and disordered eating.</p><p><strong>Results: </strong>EWS improved significantly pre- to post-MBS (by both statistical and clinically meaningful standards), and this change was associated with improvements in mental health, dysregulated eating, and reduced BMI. In regression models controlling demographic covariates and each outcome at baseline, both changes in and post-MBS EWS predicted mental health, dysregulated eating, and body mass index.</p><p><strong>Conclusions: </strong>EWS improves significantly from pre- to post-MBS, and this is associated with improvements in mental health, decreases in dysregulated eating, and reduced weight. However, patients who continue to experience stigma are at elevated risk for ongoing psychological, eating, and weight challenges. Interventions must be designed to buffer the impacts of weight stigma to optimize the quality of life and long-term outcomes following MBS. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"936-943"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235981","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":"Skin-deep resilience in Black youth: Striving and sleep reactivity to daily stress.","authors":"Phoebe H Lam, Gregory E Miller, Jessica J Chiang, Rachel Y Chiu, Jayson Law, Vanessa Obi, Zidi Mu, Mona El-Sheikh, Daichi Shimbo, Edith Chen","doi":"10.1037/hea0001535","DOIUrl":"10.1037/hea0001535","url":null,"abstract":"<p><strong>Objective: </strong>Referred to as \"skin-deep resilience,\" previous studies have found that striving-characterized by high levels of self-control and perseverance-is linked with better psychological health, but worse physical health, particularly among youth of color who have low socioeconomic status. However, the underlying mechanisms are unclear. This study investigated the role of sleep reactivity (poorer sleep following daily stress) in skin-deep resilience by examining the associations among striving, sleep reactivity, psychological health, and a subclinical marker of cardiovascular disease.</p><p><strong>Method: </strong>Participants were 315 Black youth with low socioeconomic status, who completed self-reported measures of striving (self-control and grit) and psychological health (well-being and internalizing symptoms). Using an 8-day diary and actigraphy approach, sleep reactivity was operationalized as changes in sleep duration, efficiency, and awakenings on days youth reported more stress. Subclinical cardiovascular disease was assessed by measuring peripheral endothelium-dependent vasodilation, determined by measuring brachial artery flow-mediated dilation.</p><p><strong>Results: </strong>High strivers exhibited good psychological health (well-being: β = .46; internalizing symptoms: β = -.31) but had sleep systems that were more responsive to daily stress (i.e., striving was associated with shorter, β = .17, less efficient, β = .13, and less continuous, β = .11, sleep on days with more stress); in turn, sleep reactivity to daily stress was associated with poorer flow-mediated dilation (efficiency β = -.17, awakenings β = -.13).</p><p><strong>Conclusion: </strong>These findings highlight the sleep system's reactivity to daily stressors as a potential mechanism underlying skin-deep resilience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994477","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":"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":"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":"821-832"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","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}