Health Psychology最新文献

{"title":"Systematic review of interventions to promote colorectal cancer screening: Benchmarking effect sizes and screening rates.","authors":"Paschal Sheeran, Caroline Frisch, Olivia Listrom, Yifei Pei, Andrea Bermudez, Alexander J Rothman, Jennifer S Smith","doi":"10.1037/hea0001444","DOIUrl":"10.1037/hea0001444","url":null,"abstract":"<p><strong>Objective: </strong>The effectiveness of behavioral interventions is typically evaluated relative to control conditions using null hypothesis significance testing (i.e., <i>p</i> < .05) or effect sizes. These criteria overlook comparisons with previous interventions and do little to promote a cumulative science of behavior change. We conducted a systematic review of the effectiveness of interventions to promote colorectal cancer screening (CCS) and generated benchmarks via the percentile distribution of <i>OR</i>s, screening rates for intervention and control arms, and differential screening rates (intervention minus control rate) in respective trials.</p><p><strong>Method: </strong>Literature searches identified 187 eligible tests (<i>N</i> = 371,018).</p><p><strong>Results: </strong>Random effects meta-analysis computed a sample-weighted <i>OR</i> = 1.69 (95% CI [1.55, 1.84]) and meta-regression showed that there was no improvement in the effectiveness of CCS interventions between 1996 and 2022. Benchmarking indicated that the median effect size was <i>OR</i> = 1.32, equivalent to a 35.7% screening rate in the intervention arm, and a 5.9% differential screening rate. Benchmarks were also generated for different types of screening (e.g., fecal immunochemical test, colonoscopy), sample characteristics (e.g., race, socioeconomic status), and methodological features (e.g., control conditions).</p><p><strong>Conclusions: </strong>Interventions to promote CCS have a small effect and effectiveness has not increased over time. The percentile values for effect sizes and screening rates reported here can be used to benchmark the effectiveness of future trials. Benchmarking offers a way to evaluate interventions that are grounded in accumulated evidence and can inform judgments about tradeoffs among effectiveness, reach, and cost. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"366-379"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830977","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":"Influence of psychological well-being on health: Systematic review and meta-analysis of hypertension, overweight/obesity, and mortality, including suicide.","authors":"Virginia Basterra-Gortari, Carmen Sayón-Orea, Miguel A Martinez-Gonzalez, Maira Bes-Rastrollo","doi":"10.1037/hea0001475","DOIUrl":"https://doi.org/10.1037/hea0001475","url":null,"abstract":"<p><strong>Objectives: </strong>Psychological well-being (PWB) has demonstrated health-protective effects, but its impact on specific causes of death and cardiovascular risk factors incidence has received limited attention. This systematic review and meta-analysis (PROSPERO Registration: CRD42023387665) examine any positive dimension of PWB's association with the incidence of hypertension, overweight/obesity, metabolic syndrome, deaths from suicide, and noncommunicable disease mortality in the general adult population.</p><p><strong>Method: </strong>PubMed and PsycINFO were searched up to June 3, 2023. Random-effects meta-analyses estimated different outcome effect sizes. Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were followed. Heterogeneity was assessed using the <i>I</i>² statistic, studies quality with the Newcastle-Ottawa scale, publication bias through funnel plots, and Egger's test. Subgroup (PWB dimensions, sex, quality assessment, sample size, follow-up period, and publication dates) and metaregression analyses were conducted.</p><p><strong>Results: </strong>The search identified 6,200 studies, with 159 articles eligible for review and 130 for meta-analysis. Higher PWB was associated with lower all-cause mortality (<i>OR</i> = 0.798, 95% confidence interval [CI] [0.773, 0.823], <i>I</i>² = 88.03%), and mortality from causes like suicide (<i>OR</i> = 0.505, 95% CI [0.337, 0.756], <i>I</i>² = 0.0%), cancer (OR = 0.924, 95% CI [0.858, 0.995], <i>I</i>² = 35.42%), cardiovascular disease (<i>OR</i> = 0.769, 95% CI [0.712, 0.832], <i>I</i>² = 55.64%), stroke (<i>OR</i> = 0.726, 95% CI [0.615, 0.858], <i>I</i>² = 56.96%), coronary heart disease (<i>OR</i> = 0.823, 95% CI [0.735, 0.922], <i>I</i>² = 45.03%), and hypertension incidence (<i>OR</i> = 0.921, 95% CI [0.860, 0.987], <i>I</i>² = 68.91%). No significant association was found for overweight/obesity incidence (<i>OR</i> = 0.922, 95% CI [0.801, 1.061], <i>I</i>² = 0.0%). Common sources of heterogeneity could not be identified.</p><p><strong>Conclusion: </strong>Higher PWB was associated with lower noncommunicable disease mortality, likely including suicide, and lower hypertension incidence. The limited number of studies on some outcomes, along with potential publication bias and heterogeneity, constrain definitive conclusions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756049","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":"Relationship intervention moderates the association between substance use and biological aging among Black adults.","authors":"Danielle M Weber, Justin A Lavner, Sierra Carter, Mei-Ling Ong, Man-Kit Lei, Robert Philibert, Steven R H Beach","doi":"10.1037/hea0001495","DOIUrl":"https://doi.org/10.1037/hea0001495","url":null,"abstract":"<p><strong>Objective: </strong>Black Americans face disproportionate challenges related to substance use and the health impacts of substance use, including accelerated aging. Accordingly, interventions are needed to protect against the harmful effects of substance use on accelerated aging. The present study examined whether the Protecting Strong African American Families (ProSAAF) intervention, a relationship education program designed to promote strong relationships among Black families, moderated the association between substance use and accelerated aging among Black couples.</p><p><strong>Method: </strong>Black couples received either the ProSAAF intervention or a minimal-touch control intervention and provided deoxyribonucleic acid specimens for methylation-based biomarker measurements of alcohol use and cigarette smoking (Alcohol T scores and cg05575921, combined into a substance use composite) and accelerated aging (DNAm GrimAge) 6- and 9 years postintervention.</p><p><strong>Results: </strong>Participants receiving the ProSAAF intervention (relative to the control condition) experienced a significantly weaker association between substance use and accelerated aging. Among the participants who were in the same relationship as when they were initially randomized, the association between substance use and aging was significantly weaker in the ProSAAF condition than in the control condition for participants with lower relationship satisfaction preintervention; no differences emerged among those with higher satisfaction.</p><p><strong>Conclusions: </strong>ProSAAF mitigated some of the harmful effects of substance use on accelerated aging among Black couples, particularly among those with lower preintervention relationship satisfaction. These findings highlight the potential for relationship interventions to serve as sources of constructed resilience that promote healthier aging. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756052","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":"Discrimination and misconceptions about human immunodeficiency virus among gay and bisexual men.","authors":"Manuel F Ramirez, A Janet Tomiyama, Patrick A Wilson","doi":"10.1037/hea0001474","DOIUrl":"https://doi.org/10.1037/hea0001474","url":null,"abstract":"<p><strong>Objective: </strong>Despite improvements in structural and biomedical interventions to stop the spread of human immunodeficiency virus (HIV), gay and bisexual men continue to be disproportionately impacted by HIV. One potential barrier to the uptake of HIV health care services is misconception about HIV prevention. Given high levels of societal stigma related to HIV and homophobia, we grounded the current study in the Health Stigma and Discrimination Framework and proposed that experiences of everyday discrimination would be associated with the endorsement of stigmatizing misconceptions about HIV prevention among gay and bisexual men. We also examined whether comfort with health care providers would mediate such association and whether differences by race and ethnicity existed.</p><p><strong>Method: </strong>Gay and bisexual men in New York (<i>N</i> = 293) completed a survey between 2017 and 2018 assessing everyday experiences of discrimination, comfort with health care providers, misconceptions about HIV prevention, and demographics.</p><p><strong>Results: </strong>Controlling for relevant covariates, regression analyses showed that more experiences of discrimination were associated with greater misconceptions about HIV, <i>b</i> = 0.23, <i>t</i>(284) = 6.240, <i>p</i> = .002. Next, although discrimination was negatively associated with comfort with health care providers, the overall mediation was not significant. Finally, moderation analyses revealed that the relationship between discrimination and misconceptions only held for non-Latine men (<i>p</i> = .002). Latine men had overall greater levels of misconceptions about HIV prevention regardless of discrimination experiences.</p><p><strong>Conclusions: </strong>Given the pervasiveness of discrimination, stigma-reduction interventions will be pivotal in redressing the HIV epidemic and should be implemented alongside other culturally sensitive HIV reduction strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756047","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":"Long-term discrimination effects on adolescent health behaviors and well-being in four countries.","authors":"Christine Emmer, Anna Neumer, Frank Kalter, Jutta Mata","doi":"10.1037/hea0001496","DOIUrl":"https://doi.org/10.1037/hea0001496","url":null,"abstract":"<p><strong>Objective: </strong>Adolescence is a pivotal foundation for lifelong health and a phase vulnerable to the adverse effects of discrimination. We assessed the impact of perceived discrimination on adolescent well-being over 2 years and the mediating effects of protective (physical activity, nutrition, and sleep) and risky (substance use) health behaviors.</p><p><strong>Method: </strong>Adolescents (<i>N</i> = 9,957; <i>M</i>_age = 14.90 years) from the Children of Immigrants Longitudinal Survey in Four European Countries multinational panel (a longitudinal survey in four European countries) were examined across three waves. Direct and indirect relationships were analyzed using path models, adjusting for health behaviors, well-being, and control variables (age, gender, socioeconomic status, migration, and religion) assessed in Wave 1.</p><p><strong>Results: </strong>Adolescents reported the most discrimination instances within the school environment. Perceived discrimination at Wave 1 was significantly associated with decreased well-being at Wave 3 (β = -.04, <i>p</i> < .001) and decreased protective (physical activity, β = -.02; nutrition, β = -.04; sleep, β = -.04) and increased risky (substance use, β = .03) health behaviors at Wave 2. Nutrition and sleep mediated the relationship between perceived discrimination and well-being; no mediation was found for physical activity and substance use.</p><p><strong>Conclusions: </strong>Even in observational data with 1-year assessment intervals, detrimental long-term effects of perceived discrimination on adolescent well-being are apparent, mediated through changes in nutrition and sleep behaviors. These results extend previous research-predominantly focusing on substance use-showing that perceived discrimination also predicted fewer protective health behaviors. Adolescence represents a strategic window for addressing discrimination and promoting healthy behaviors and well-being to mitigate long-term health disparities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756051","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":"Bidirectional two-sample mendelian randomization analysis identifies a causal relationship between major depressive disorder and allergic diseases.","authors":"Qi Zhang, Ya-Kui Mou, Jia-Jia Yun, Ting Yang, Xiao-Yu Song, Zhen Wang, De-Qin Geng, Xi-Cheng Song, Chao Ren","doi":"10.1037/hea0001487","DOIUrl":"https://doi.org/10.1037/hea0001487","url":null,"abstract":"<p><strong>Background: </strong>Several studies have indicated an association between major depressive disorder (MDD) and allergic diseases (ADs), but the exact causal relationship remains inconclusive. Thus, this study aimed to explore the causal relationship between MDD and ADs employing bidirectional two-sample Mendelian randomization (MR).</p><p><strong>Method: </strong>The summary statistics for MDD were sourced from the Psychiatric Genomics Consortium. Single nucleotide polymorphisms (SNPs) associated with allergic asthma (AAS), allergic rhinitis (AR), and atopic dermatitis, were extracted from the FinnGen Consortium. The inverse variance weighted was primarily used in this MR analysis, with other methods as supplements. Several sensitivity analyses were performed to evaluate heterogeneity and horizontal pleiotropy. A reverse MR analysis was also conducted.</p><p><strong>Results: </strong>The inverse variance weighted method demonstrated a nominally significant association between MDD and an increased risk of AR (<i>OR</i> = 1.191, 95% confidence interval [CI] [1.006, 1.411], <i>p</i> = .042); after removing the two outlier Single nucleotide polymorphisms, a causal relationship was found between genetic susceptibility to MDD and AAS (<i>OR</i> = 1.418, 95% CI [1.207, 1.666], <i>p</i> = .000022). These results passed the heterogeneity and horizontal pleiotropy tests. However, MDD did not cause atopic dermatitis according to our results (<i>OR</i> = 1.049, 95% CI [0.903, 1.219], <i>p</i> = .53). Furthermore, reverse MR analysis unsupported ADs cause MDD.</p><p><strong>Conclusion: </strong>This MR study suggested a nominally significant causal relationship between MDD and increased risk of AR, and a specific condition-based causal relationship between MDD and AAS. In the future, these results need to be validated further. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732605","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":"Relationship closeness in the context of chronic pain: Daily benefits and challenges for partners.","authors":"Lynn M Martire, Harry T Reis, John M Felt, Yan Huang","doi":"10.1037/hea0001481","DOIUrl":"https://doi.org/10.1037/hea0001481","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the divergent effects of daily relationship closeness on partners of individuals with chronic back pain (ICBPs). It examines whether greater daily closeness (emotional, behavioral, and cognitive) is associated with both increased partner distress due to ICBP's pain and more positive marital interactions.</p><p><strong>Method: </strong>Data were drawn from a 30-day daily diary study involving 147 older couples, where one partner suffers from chronic back pain. Participants completed daily surveys on pain experiences, distress, and relationship closeness using tablet computers. Multivariate multilevel models tested the moderating effects of closeness on the association between ICBP's pain-related experiences (severity, interference, and catastrophizing) and partner pain-related distress, while also assessing its impact on marital interaction quality.</p><p><strong>Results: </strong>As predicted, emotional closeness moderated the link between ICBP's pain severity and partner distress, with stronger distress reported on days of high emotional closeness. Emotional closeness was also associated with more positive marital interactions that day. Contrary to expectation, there was a stronger effect of ICBP's pain catastrophizing on partner distress on days of low behavioral closeness (i.e., less often working together on projects and engaging in outside interests together). Cognitive closeness showed a similar pattern, but the interaction was not statistically significant after inclusion of covariates.</p><p><strong>Conclusion: </strong>These findings illustrate a complex interplay between closeness and personal well-being in couples managing chronic illness and suggest the need for interventions that target both the benefits and potential costs of closeness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732950","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 illness representations-physical well-being interplay over time in breast cancer patients.","authors":"Evangelos C Karademas, Ilan Roziner, Ketti Mazzocco, Ruth Pat-Horenczyk, Berta Sousa, Albino J Oliveira-Maia, Georgios Stamatakos, Haridimos Kondylakis, Eleni Kolokotroni, Sílvia Almeida, Raquel Lemos, Johanna Mattson, Panagiotis Simos, Paula Poikonen-Saksela","doi":"10.1037/hea0001499","DOIUrl":"https://doi.org/10.1037/hea0001499","url":null,"abstract":"<p><strong>Objective: </strong>Many studies have shown the prospective relation of illness representations to breast cancer patients' well-being. Still, very few have examined their bidirectional relationship over time. Here, the long-term mutual effects between physical well-being and illness representations were examined at the within-person level.</p><p><strong>Method: </strong>Female patients with breast cancer were enrolled in the study 2-5 weeks after the surgery or biopsy (baseline <i>N</i> = 706; <i>M</i>_age = 54.93). Several illness representations (i.e., illness consequences, timeline, personal control, and emotional representations) and physical well-being (i.e., general physical functioning and specific breast and arm symptoms) were assessed at 6, 12, and 18 months after patients' inclusion in the study (years of data collection: 2019-2021). Two random-intercept cross-lagged panel models were used to examine whether intrapersonal changes in the two variables predicted each other across time.</p><p><strong>Results: </strong>The findings showed strong general relations between illness representations and physical well-being at the between-person level. However, only changes in timeline and emotional representations predicted intrapersonal subsequent changes in physical functioning and arm and breast symptoms, respectively. No other cross-lagged effects were found.</p><p><strong>Conclusions: </strong>While illness representations are significantly associated with physical well-being at the between-person level, their impact significantly varies at the within-person level. The findings reflect the complex relationships between these factors in patients with breast cancer and point to the need for new theoretical approaches to better depict their long-term intrapersonal interplay. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733085","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":"Psychological predictors of physical activity and sedentary time from childhood to adolescence.","authors":"Bror M Ranum, Lars Wichstrøm, Silje Steinsbekk","doi":"10.1037/hea0001494","DOIUrl":"https://doi.org/10.1037/hea0001494","url":null,"abstract":"<p><strong>Objective: </strong>Physical activity (PA) declines, while sedentariness increases, in the transition from childhood to adolescence. Factors to prevent such changes need to be identified. External structures for PA decrease with age, and individual characteristics play a more significant role. Prior research has indicated that well-regulated individuals with high perceived athletic competence (PAC) have more PA and less sedentariness. However, whether improvement in these characteristics predicts increased PA and reduced sedentariness in the longer term is unknown and, thus, the aim of the present inquiry. We also test potential age and sex differences.</p><p><strong>Method: </strong>A sample from two Norwegian birth cohorts (analytical sample: <i>n</i> = 858, 51.8% girls) was biennially assessed from age 6 to 18. Accelerometry was used to measure PA and sedentary time. Executive functions (teacher report), effortful control/conscientiousness (parent and self-report), and PAC (self-report) constituted the predictors. A random intercept cross-lagged panel model was applied, which adjusts for unobserved time-invariant confounding effects.</p><p><strong>Results: </strong>Increased conscientiousness predicted increased levels of PA from age 6 to 18 but was unrelated to later changes in sedentary time. Individuals who gained PAC also increased their PA and spent less time on sedentary activities. Changes in executive functions were unrelated to future changes in PA and sedentary time. No age or sex differences were found.</p><p><strong>Conclusion: </strong>Increased conscientiousness and PAC predicted increased PA from childhood to late adolescence. PAC predicted reduced sedentary time. Enhancing conscientiousness and PAC may benefit interventions to promote PA in youth. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694515","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":"Trajectories of depressive symptoms and influencing factors among breast cancer patients: A longitudinal study.","authors":"Shiyi Chen, Minghong Tang, Zhihui Gu, Li Liu, Hui Wu, Mengyao Li","doi":"10.1037/hea0001480","DOIUrl":"https://doi.org/10.1037/hea0001480","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer patients suffer from depressive symptoms during treatments and may show different trajectories of depressive symptoms. The health ecology model provides an integrated perspective for explaining the factors influencing depressive symptoms. This study aimed to (a) analyze the trajectories of depressive symptoms that may occur in breast cancer patients and (b) explore their influencing factors by the health ecology model.</p><p><strong>Method: </strong>A total of 236 participants (<i>Mdn</i>_age = 55 years) finally completed three valid surveys. The patients answered a personal information sheet, the Self-rating Depression Scale, the Family Environment Scale, the Satisfaction With Life Scale, and the Fear of Progression Questionnaire-Short Form. Data were collected after surgery, 3 months after surgery, and 6 months after surgery. Latent Growth Mixture Modeling was used to identify distinct trajectories of depressive symptoms in patients. Influencing factors of trajectory memberships were identified using multinomial logistic regression.</p><p><strong>Results: </strong>Three distinct trajectory groups (\"slowly rising\"; <i>n</i> = 210, 89%, \"persistently low\"; <i>n</i> = 13, 5.5%, and \"fluctuating\"; <i>n</i> = 13, 5.5%) were revealed for depressive symptoms. Life satisfaction, family environment, and fear of progression were associated with an increasing trend of depressive symptoms, and family environment was associated with a fluctuating trend.</p><p><strong>Conclusion: </strong>Our findings demonstrated the diversity of depressive symptoms changes, along with the impact of factors in psychological behaviors layer and interpersonal networks layer. It helps to identify breast cancer patients at higher risk of increasing or fluctuating depressive symptoms, thereby allowing for relevant psychological interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671782","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}