Health Psychology最新文献

{"title":"Perils of partialing psychosocial risk and protective factors: Effects on construct validity.","authors":"Timothy W Smith, Giovanni Marquez, Bert N Uchino, Kevin D Jordan","doi":"10.1037/hea0001611","DOIUrl":"10.1037/hea0001611","url":null,"abstract":"<p><strong>Objective: </strong>Multiple psychosocial factors can influence any given health outcome. To establish independent effects, partialing correlated risk or protective factors (e.g., simultaneous inclusion in regressions) is a common strategy. However, partialing can alter construct validity for even well-established measures. The present studies used the interpersonal circumplex (IPC) and elements of the five-factor model as frameworks to evaluate this issue.</p><p><strong>Method: </strong>In Study 1, a representative sample of 1,356 U.S. adults completed measures of social anxiety, social support, and interpersonal problems. In Study 2, 300 middle-aged and older couples (total <i>n</i> = 600) completed measures of martial adjustment, depression, anger/hostility, and optimism, as well as IPC-based measures of the spouses' typical behavior during couple interactions and interpersonal style (i.e., trait social behavior), additional measures of marital support and conflict, and facets of the five-factor-model neuroticism domain. The (dis)similarity of associations of unadjusted and partialed variables with the external variables indicative of construct validity was evaluated in structural summary model analyses of IPC correlates and in comparisons of correlations with the additional measures.</p><p><strong>Results: </strong>The primary effect of partialing was a significant reduction in the magnitude of expected associations with external variables in the nomological network, suggesting weaker representation of intended constructs. In some cases, partialing also produced a shift in the constructs assessed by partialed scores.</p><p><strong>Conclusions: </strong>Partialing can alter the validity of psychosocial measures. Implications for designing, reporting, and interpreting analyses of psychosocial risk and protective factors are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1002-1013"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870418","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":"Joint association of loneliness and traditional risk factor control and the risk of cardiovascular-kidney-metabolic syndrome progression: A national prospective cohort study.","authors":"Yu-Hua Liu, De-Feng Zhao, Rong-Rui Huo, Lu Zhai","doi":"10.1037/hea0001613","DOIUrl":"10.1037/hea0001613","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the prospective associations of loneliness and social isolation with the risk of Cardiovascular-Kidney-Metabolic Syndrome Stages 0-3 progression to cardiovascular disease (CVD) and to compare the relative importance of loneliness and social isolation with traditional risk factors. In addition, the interactions of loneliness or isolation with the degree of risk factor control in relation to CVD risk were evaluated.</p><p><strong>Method: </strong>This national prospective cohort study included 3,500 participants from the China Health and Retirement Longitudinal Study. Loneliness and social isolation were self-reported. The degree of risk factor control was defined as the number of glycated hemoglobin (HbA1c), blood pressure, low-density lipoprotein cholesterol, smoking, and kidney condition controlled within the target range. Cox proportional hazards models and interaction analyses were used to estimate risk for CVD.</p><p><strong>Results: </strong>Of the 3,500 participants (<i>M</i>_age [<i>SD</i>] = 58.58 [8.72] years), 1,615 (45.1%) were men. Over a median follow-up of 7.1 years, 714 participants developed CVD. Loneliness, but not social isolation, was independently associated with increased CVD risk (adjusted hazard ratio = 1.25, 95% confidence interval [1.02, 1.52]. Loneliness ranked fourth among predictors, following low-density lipoprotein cholesterol, systolic blood pressure, and body mass index. Joint analysis showed that individuals who were lonely and had a low risk factor control had the highest CVD risk (hazard ratio = 1.91, 95% confidence interval [1.43, 2.54], with significant additive and multiplicative interactions.</p><p><strong>Conclusions: </strong>Loneliness, but not social isolation, is associated with a higher risk of cardiovascular-kidney-metabolic syndrome progression to CVD and shows an interaction with the degree of risk factor control. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1028-1039"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823754","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":"Temporal pathways between alexithymia, psychological distress, and pain: An autoregressive mediation analysis.","authors":"Rachel V Aaron, Scott G Ravyts, Jennifer S De La Rosa, Claudia M Campbell, Chung Jung Mun","doi":"10.1037/hea0001604","DOIUrl":"10.1037/hea0001604","url":null,"abstract":"<p><strong>Objective: </strong>Alexithymia-a cluster of emotional deficits, including difficulties identifying and describing one's feelings-is elevated in chronic pain and is cross-sectionally related to worse pain-related outcomes. However, the temporal relationships between alexithymia and pain-related outcomes are unclear. The current study aimed to test the direct and indirect effects of alexithymia on pain-related outcomes (i.e., pain severity and pain interference), via psychological distress (i.e., elevated symptoms of depression and anxiety), using longitudinal data.</p><p><strong>Method: </strong>This 2-year prospective cohort study (<i>N</i> = 1,453) included participants with mixed chronic pain conditions from around the United States, who completed self-report measures of alexithymia, psychological distress, pain severity, and pain interference. We conducted two three-wave autoregressive mediation models, allowing for cross-lagged relationships, to test the hypothesized mediation pathway from alexithymia (baseline) to psychological distress (12 months) to (a) pain severity and (b) pain interference (24 months).</p><p><strong>Results: </strong>Alexithymia had a significant indirect effect on pain interference through psychological distress. The opposite pattern was not observed as pain interference did not directly or indirectly predict alexithymia, increasing confidence in alexithymia as a risk factor for pain interference. Psychological distress did not mediate the relationship between alexithymia and pain severity.</p><p><strong>Conclusions: </strong>Although cross-sectional associations between alexithymia and chronic pain have been well established, their temporal relationship and underlying mechanisms have been unclear. The current findings demonstrate that alexithymia is indirectly related to worse pain interference via heightened psychological distress, pointing to alexithymia and psychological distress as targets of psychological intervention to improve physical function. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"979-989"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517063","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":"Stress and cardiovascular disease: Testing a vigilance pathway in two contemporary theories.","authors":"Riley M O'Neill, George M Slavich, Julian F Thayer, Craig C Weinkauf, Melissa Flores, Chul Ahn, Matthew Allison, Timothy W Smith, Joshua M Smyth, Daniel J Taylor, Bert N Uchino, John M Ruiz","doi":"10.1037/hea0001615","DOIUrl":"10.1037/hea0001615","url":null,"abstract":"<p><strong>Objective: </strong>Despite robust evidence linking psychological stress to cardiovascular disease (CVD), explanations for how risk is transmitted are limited by a lack of ecologically valid models. Recent conceptual advances including generalized unsafety theory of stress and social safety theory articulate persistent physiological activation driven by contextual exposure and compensatory situational vigilance as a pathway. This study provides an integrated first test of generalized unsafety theory of stress and social safety theory models on preclinical CVD.</p><p><strong>Method: </strong>A diverse community sample of 300 adults (<i>M</i>_age = 42.44 years; 50% women; 60% non-Hispanic (NH) Whites, 19% Hispanic/Latinos, 15% NH Blacks, 6% NH Others) completed a 2-year longitudinal study with surveys, ecological momentary assessment (EMA), and carotid artery scans measuring disease progression. Residential data were geo-coded to assess risk for crime exposure. Data collection occurred in 2012 and 2014.</p><p><strong>Results: </strong>As hypothesized, greater environmental unsafety (geo-coded crime rates; <i>B</i> = 0.02, <i>p</i> < .05) and greater daily social vigilance (EMA self-report; <i>B</i>s = 0.09, <i>p</i>s < .05) were associated with greater disease progression. Although higher daily social safety (EMA self-report; <i>B</i> = -0.04, <i>p</i> < .001) was associated with lower social vigilance, social vigilance did not mediate associations between either safety indicator and disease progression.</p><p><strong>Conclusions: </strong>Results align with a persistent activation conceptualization of stress and modestly support the specific theoretical assertions. These findings suggest future stress-CVD investigations should account for multilevel safety influences and continuous monitoring behavior to more accurately capture daily stress experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"963-974"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201314","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 ties that bind: How interpersonal connections shape Latinx immigrant health.","authors":"Amanda Venta","doi":"10.1037/hea0001621","DOIUrl":"10.1037/hea0001621","url":null,"abstract":"<p><p>Emerging scholarship has identified posttraumatic distress as a critical health disparity affecting recently immigrated Latinx youth and families. Indeed, trauma exposure is highly prevalent in families and children that flee violence and seek asylum in the United States and relates to a number of physical and mental health conditions. An interpersonal lens is useful for conceptualizing risk and resilience in this group, wherein interpersonal traumas, like family separation, appear critically associated with health disruption, and interpersonal sources of belonging, such as attachment, peer networks, and cultural values, explain variance in resilience and positive health outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"45 10","pages":"975-978"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931964","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":"Comparing childhood, chronic, and recent adversity on internalizing symptoms and hypothalamic-pituitary-adrenal axis functioning.","authors":"Kaitlin Shartle, Allison Frost, Divya Aikat, Sarah C Haight, John A Gallis, Wan-Chen Lin, Victoria Baranov, Elizabeth L Turner, Joanna Maselko","doi":"10.1037/hea0001647","DOIUrl":"https://doi.org/10.1037/hea0001647","url":null,"abstract":"<p><strong>Objective: </strong>Examine how childhood, chronic, and recent adversity associate with internalizing symptoms and hypothalamic-pituitary-adrenal axis activity among women in a low-resourced context.</p><p><strong>Method: </strong>Data come from the Bachpan Study (2014-2022), a longitudinal cohort of mothers in rural Pakistan. Childhood adversity was assessed using retrospective reports of adverse childhood experiences. Chronic adult adversity was defined as adversities experienced across two or more prior study waves (baseline, 1 year, 2 years, and 3 years), and recent adversity was assessed at the 6-year wave. Outcomes, measured at the 6-year wave, included depressive symptoms (Patient Health Questionnaire-9), anxiety symptoms (Generalized Anxiety Disorder-7), and hair cortisol. Generalized linear models examined associations for each adversity separately and simultaneously.</p><p><strong>Results: </strong>In our sample of 900 mothers, we find that childhood, chronic, and recent adversity were each associated with higher depressive and anxiety symptoms, particularly at the highest levels of exposure. Chronic adult adversity and recent adversity showed dose-response relationships with internalizing symptoms. When examined together, recent adversity was the most robust predictor of depressive and anxiety symptoms. Meanwhile, associations between adversity and cortisol were more modest but suggest evidence of blunted cortisol levels at the highest levels of childhood and recent adversity exposure.</p><p><strong>Conclusions: </strong>Findings highlight the importance of considering the differential effects of childhood, chronic, and recent adversity for health. Although early intervention remains critical, addressing ongoing stressors may yield meaningful health benefits. Even if adversities are not eliminated, reducing them can have a significant impact on health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118789","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":"Prenatal loss of control eating and cardiovascular health: Extending prior findings.","authors":"Riley J Jouppi, Shannon D Donofry, Christine C Call, Rachel P Kolko Conlon, Lydia B Brown, Marquis S Hawkins, Michele D Levine","doi":"10.1037/hea0001644","DOIUrl":"10.1037/hea0001644","url":null,"abstract":"<p><strong>Objective: </strong>Cross-sectional evidence suggests that loss of control eating (LOC; feeling unable to stop eating and/or control the type/amount of food eaten) relates to poorer cardiovascular health (CVH) behaviors during pregnancy. Longitudinal data and data on biomarkers are lacking and are needed to more comprehensively evaluate the impact of prenatal LOC on CVH across pregnancy. This study tested cross-sectional and longitudinal associations between prenatal LOC and CVH in pregnancy using all eight health behaviors and biomarkers comprising the standard and a pregnancy-adapted version of Life's Essential 8 (LE8), which accounts for the physiological adaptations/cardiovascular impacts of pregnancy.</p><p><strong>Method: </strong>Participants enrolled in a perinatal lifestyle intervention trial completed assessments in early (<i>N</i> = 265) and late (<i>n</i> = 166) pregnancy, <i>M (SD)</i> = 13.7 (2.7) and 36.6 (1.3) weeks' gestation, respectively. Measures of CVH metrics were used to calculate standard and pregnancy-adapted LE8 scores (range = 0-100; higher = better). LOC was self-reported in early pregnancy and dichotomized (0 = absent, 1 = present). Regression models tested if early pregnancy LOC was related to LE8 scores, controlling for relevant covariates, including randomization status and LOC propensity scores.</p><p><strong>Results: </strong>Early pregnancy LOC was not statistically significantly associated with standard LE8 scores in early pregnancy (<i>b</i> = -0.98, <i>p</i> = .47) or late pregnancy after adjusting for multiple comparisons (<i>b</i> = 2.63, corrected <i>p</i> = .37), nor with pregnancy-adapted LE8 scores in early (<i>b</i> = -1.06, <i>p</i> = .44) or late (<i>b</i> = 2.24, <i>p</i> = .06) pregnancy.</p><p><strong>Conclusions: </strong>The present study did not observe cross-sectional nor longitudinal associations between prenatal LOC and CVH across pregnancy when using the standard or pregnancy-adapted CVH frameworks. Nevertheless, one third of the current sample self-reported prenatal LOC, warranting future research to understand whether and how LOC contributes to cardiovascular risk among pregnant individuals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013275","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":"County-level food-related implicit associations, socioeconomic factors, food environment, and health outcomes.","authors":"Matt Siroty, Richard J Biedrzycki, Julia M P Bittner, Yangyang Deng, Jennifer L Howell, Zhen Chen, Bobby K Cheon","doi":"10.1037/hea0001643","DOIUrl":"10.1037/hea0001643","url":null,"abstract":"<p><strong>Background: </strong>Obesity and diabetes are partly driven by obesogenic environments, which promote poor diet. Among individuals, health-favoring implicit associations (i.e., automatically activated beliefs) toward food are associated with healthier eating behaviors. Aggregated implicit associations may reflect features within local environments. However, it remains unclear whether such associations reflect systemically obesogenic environments.</p><p><strong>Objective: </strong>We examined county aggregates of American adults' implicit and explicit associations toward healthy (vs. unhealthy) food and their role in the relationship between food and socioeconomic environments and health outcomes across the United States.</p><p><strong>Method: </strong>We aggregated individual implicit associations toward palatability (<i>n</i> = 10,838; 76% female) and acceptability (<i>n</i> = 11,944; 82% female) of healthy (vs. unhealthy) food from Project Implicit Health within counties in the United States (palatable food: 1,316 counties; acceptable food: 1,339 counties). Additionally, we captured county-level environmental factors (fast-food restaurant density, median household income) and health outcomes (obesity, diabetes).</p><p><strong>Results: </strong>Stronger health-disfavoring implicit palatability associations were linked with lower median income (β = .05, 95% confidence interval [.01, .10]), higher fast-food restaurant density (β = -.09, [-.16, -.02]), higher obesity prevalence (β = -.07, [-.13, -.02]), and higher diabetes prevalence (β = -.05, [-.10, -.01]). These implicit associations mediated the relationship between environmental factors (median income and fast-food restaurant density) and health outcomes (obesity and diabetes prevalence). No relationships were observed with acceptability beliefs.</p><p><strong>Conclusions: </strong>Implicit food-related hedonic associations may be one pathway for how socioeconomic and food environments are linked with health. This approach could inform interventions to reduce geographic health disparities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992435","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":"Supporting herpes zoster vaccination through augmented communication: A randomized controlled trial.","authors":"Marcel Wilhelm, Justine Schmidt, Helen Blank, Phillip Aß, Felix Dellori, Hana Rohn, Sven Benson, Johanna Reinold","doi":"10.1037/hea0001641","DOIUrl":"10.1037/hea0001641","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study examined whether an augmented physician communication style combining positively framed side effect information with high warmth and competence improves expectations and vaccination intentions in adults with an indication for herpes zoster vaccination. <b><i>Method:</i></b> In a preregistered randomized experiment (DRKS00034883), 174 participants from indicated risk groups were recruited from outpatient clinics at a university hospital (September 2024-July 2025). Participants were randomly assigned to view either a standard communication video or an augmented communication video that included supportive, warm, and expectation-enhancing elements. After viewing their assigned video, participants reported expected side effect intensity, expected coping with side effects, vaccination intention, and perceived physician warmth. <b><i>Results:</i></b> The augmented communication group did not differ from the standard communication group in expected intensity of side effects. However, participants in the augmented group reported better coping expectations and higher intentions to receive the herpes zoster vaccine. An exploratory mediation analysis was consistent with perceived physician warmth as one pathway: Augmented communication increased warmth perceptions, which predicted higher vaccination intention. <b><i>Conclusions:</i></b> A brief, video-based augmented communication can improve coping-related expectations and strengthen self-reported vaccination intention in adults eligible for herpes zoster vaccination, recruited from outpatient clinics. Because no vaccine was administered, these findings speak to expectations and intentions rather than to actual uptake or experienced side effects. Broader generalizability is limited by the anonymous single-site data collection. The results nonetheless suggest that scalable communication strategies are a promising avenue for supporting vaccination readiness, a possibility that warrants testing in real vaccination settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931929","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":"Intersecting burdens: Gendered racism, bodily pain, and mental health in Black women.","authors":"Tiffany R Williams, Christy L Erving, Jasmine Jenkins, Jeffery E Bass","doi":"10.1037/hea0001640","DOIUrl":"10.1037/hea0001640","url":null,"abstract":"<p><strong>Objectives: </strong>Black women experience disproportionate burdens of pain and pain interference. Emerging evidence identifies gendered racial microaggressions (GRMs) as a social determinant of health linked to psychological distress. However, to our knowledge, no research has quantitatively examined how GRMs relate to Black women's physical pain experiences while accounting for mental health.</p><p><strong>Method: </strong>Multivariable ordinal logistic regression was used to investigate 415 Black women's experiences of GRMs, bodily pain, and pain interference. The present study explored whether these relationships persisted after controlling for symptoms of depression, anxiety, stress, and trauma.</p><p><strong>Results: </strong>Consistent with hypotheses, greater exposure to GRMs was associated with more intense bodily pain and greater pain interference. Among GRM dimensions, the Angry Black Woman Stereotype demonstrated the strongest relationship to both pain intensity and pain interference, suggesting that internalized gendered racial stereotypes may exacerbate pain experiences through mechanisms such as self-silencing or distrust in health care settings. Notably, these relationships remained significant after accounting for mental health, indicating that GRMs independently relate to pain outcomes. Poor mental health also partially attenuated the relationship between GRMs and pain interference, suggesting possible bidirectional pathways between psychological distress and pain.</p><p><strong>Conclusions: </strong>Gendered racism is a critical yet underrecognized factor in Black women's pain experiences. Addressing this intersectional stressor requires trauma-informed, culturally responsive, and systemically aware approaches to assessment and treatment. Clinicians must integrate mental health screening into pain management for Black women, whereas researchers and policymakers should prioritize interventions and reforms that mitigate intersectional structural inequities contributing to pain disparities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931851","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}