Health Psychology最新文献

{"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>_age = 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}

{"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}

{"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}

{"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}

{"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}