Health Psychology最新文献

{"title":"Testing a social cognitive process model for predicting redonation behavior among blood donors: A longitudinal study.","authors":"Huahua Hu, Phoenix K H Mo, Joseph T F Lau, Qiuyue Hu, Lingling Pan, Wei Hu","doi":"10.1037/hea0001572","DOIUrl":"10.1037/hea0001572","url":null,"abstract":"<p><strong>Background and aims: </strong>It is important to understand how multidimensional factors, such as observational learning, knowledge, and self-reinforcement, operate in influencing repeated blood donation (RBD) behavior, so that effective interventions can be designed to improve RBD. Grounded in social-cognitive theory, health action process approach, and theory of planned behavior, the present study aimed to test a three-stage social-cognitive process model in predicting RBD behavior.</p><p><strong>Method: </strong>A total of 850 blood donors (390 females, 460 males; <i>M</i>_age = 25.29 ± 7.16) were recruited from blood donation sites in Zhejiang, China, and completed an online survey measuring the factors from social-cognitive theory at baseline, and their RBD behavior was followed up by checking the blood donation record from the database of the Blood Center in Zhejiang Province 6 months later. Structural equation modeling was used to test the three-stage social-cognitive process models.</p><p><strong>Results: </strong>Structural equation modeling analyses supported a three-stage social-cognitive process model in which, in the first stage, information sources (observational learning and positive and negative experiences) were associated with outcome expectation. In the second stage, outcome expectation and maintenance self-efficacy serially mediated the relationship between information sources and RBD intention/behavior. In the third stage, RBD intention fully mediated the influence of negative experiences, outcome expectation, and maintenance self-efficacy on RBD behavior.</p><p><strong>Conclusions: </strong>This study offers valuable insights for designing effective interventions to enhance RBD. Interventions aiming at promoting RBD behavior should reinforce positive outcome expectations and maintenance self-efficacy and mitigate negative experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"549-559"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108319","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":"Association of state happiness with mortality: Evidence from a prospective cohort study in Japan.","authors":"Akitomo Yasunaga, Ai Shibata, Yoshino Hosokawa, Mohammad Javad Koohsari, Rina Miyawaki, Kuniko Araki, Kaori Ishii, Koichiro Oka","doi":"10.1037/hea0001571","DOIUrl":"10.1037/hea0001571","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine whether the association between happiness and all-cause mortality persists after adjustment for health status and sociodemographic factors in Japanese adults. The study addressed the gap in understanding the relationship between happiness and mortality in Japanese populations.</p><p><strong>Method: </strong>A total of 3,187 adults from Minami-Izu, Japan, were included in a prospective study tracking all-cause mortality from October 2016 to October 2023. Happiness was assessed using a single-item, self-report measure of state emotional well-being. Sociodemographic factors (age, sex, marital status, education, and economic status) and health status (body mass index and physical function) were considered as covariates. Binary logistic regression models were used to examine the association between happiness and mortality, adjusted for these factors.</p><p><strong>Results: </strong>During the follow-up, 277 participants died. The risk of all-cause mortality was higher in those who reported being unhappy compared with those who reported being happy after adjustment for age and sex (OR: 2.69, 95% CI: 1.63-4.44) and also significantly higher in those who reported being unhappy compared with those who reported being happy after adjustment for age, sex, all socioeconomic factors and health status (OR: 1.85, 95% CI: 1.09-3.16). Sensitivity analyses excluding deaths within the first year showed consistent results.</p><p><strong>Conclusions: </strong>Happiness is independently associated with reduced mortality risk, even after adjustment for sociodemographic and health status factors. These findings highlight the importance of promoting positive well-being in Japanese populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"560-565"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013362","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":"Prospective links between childhood family income and subclinical atherosclerosis in a sample of young men.","authors":"Emily J Jones, Sydney Damon, Portia Miller, Tess Dupree, Mindy L Coccari, Akira Sekikawa, Daniel S Shaw, Anna L Marsland, Elizabeth Votruba-Drzal","doi":"10.1037/hea0001579","DOIUrl":"10.1037/hea0001579","url":null,"abstract":"<p><strong>Objective: </strong>Men who experience childhood economic disadvantage may be at elevated risk for subclinical cardiovascular disease in adulthood, showing signs of disease 10 years before women. Leveraging prospective data from men who experienced low levels of family income in infancy/toddlerhood, we examine the variance in adult carotid intima-media thickness (IMT), a putative marker of subclinical atherosclerosis, that is related to cumulative childhood family income.</p><p><strong>Method: </strong>Data are from 145 men (31.7 years; 47.6% White) who participated in the Pathways to Health study, which is a follow-up study to the Pitt Mother & Infant Project that began in 1991. Between ages 1.5-17 years, participants' parents reported on their annual income on 13 occasions, which were averaged together to calculate their cumulative childhood family income. At age approximately 32 years, men's carotid IMT was measured by a trained technician using ultrasonography. Linear regression was used to examine the association between cumulative childhood family income and adult IMT in an unadjusted model. Then, we controlled for parents' educational attainment, men's socioeconomic status (i.e., income, education, employment), traditional markers of cardiovascular risk (e.g., smoking, blood pressure, adiposity), and race to examine the unique variance in IMT associated with childhood family income.</p><p><strong>Results: </strong>Cumulative childhood income was negatively associated with adult IMT (β = -.27, <i>p</i> < .01). This association remained statistically reliable when adjusting for parents' educational attainment, adult socioeconomic status, and traditional markers of cardiovascular risk (β = -.24, <i>p</i> = .03).</p><p><strong>Conclusions: </strong>Pending replication, findings highlight the importance of considering men's economic upbringing when assessing their risk for subclinical atherosclerosis. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"590-601"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088148","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":"A randomized controlled trial testing a digital intervention to promote weight loss and weight loss maintenance.","authors":"Dominika Kwasnicka, Iga Palacz-Poborczyk, Peter Verboon, Aleksandra Luszczynska, Eleanor Quested, Suzanne Robinson, Lan Gao, Anna Januszewicz, Martin S Hagger, Sherry Pagoto, Paulina Idziak, Felix Naughton","doi":"10.1037/hea0001607","DOIUrl":"https://doi.org/10.1037/hea0001607","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the effectiveness and cost-effectiveness of the <i>Choosing Health</i> program, which tailors support to an individual's weight loss and weight loss maintenance determinants among adults with overweight and obesity.</p><p><strong>Method: </strong>We conducted a randomized controlled trial with a nested interrupted time series within-person design. Participants (<i>N</i> = 288) were randomized to the <i>Choosing Health</i> digital intervention (<i>n</i> = 145) or a control group (<i>n</i> = 143). Intervention participants completed 90 days of Ecological Momentary Assessments, which were used to identify behavioral determinants to tailor an intervention. Control participants received nontailored weight loss advice via generic emails and eBook. Body weight (the primary outcome), blood pressure, and % body fat (secondary outcomes) measured at 3, 6 and 12 months were restructured into change of baseline scores and analyzed using multilevel regression analysis, with the three time points nested within subjects.</p><p><strong>Results: </strong>Findings revealed no significant difference in mean weight loss between groups at 6 months, controlled for baseline (primary outcome; mean difference = 0.78 kg), <i>F</i>(1, 175) = 1.44, <i>p</i> = .232. Intervention participants had higher weight loss at 12 months than control participants (mean difference = 2.05 kg), <i>F</i>(1, 108) = 2.96, <i>p</i> = .088); however, the difference was not statistically significant.</p><p><strong>Conclusions: </strong>The results showed promising trends for the intervention group in weight loss maintenance measured at 12 months. The dropout rate was higher than expected, as the intervention was delivered during the COVID-19 pandemic making face-to-face assessments difficult. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700753","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":"Social stigma and health care utilization among gender diverse adults.","authors":"Madelyn H Rosenthal, Mary S Himmelstein","doi":"10.1037/hea0001606","DOIUrl":"https://doi.org/10.1037/hea0001606","url":null,"abstract":"<p><strong>Objective: </strong>The present study examines the relationships between different forms of stigma related to one's weight and gender identity on health care utilization within a gender diverse sample.</p><p><strong>Method: </strong>Gender diverse individuals across the weight spectrum were recruited from an online panel via Prolific. Participants completed questionnaires regarding health care experiences, health behaviors, health beliefs, and gender identity. Data were collected between September and November 2023.</p><p><strong>Results: </strong>The final sample was 343 transgender and nonbinary participants. Adding weight stigma (enacted, internalized), transgender stigma, and intersectional stigma to the models accounted for 49.8% of the variance in weight-based health care avoidance, Δ<i>R</i>² = .217, Δ<i>F</i>(4, 331) = 35.80, <i>p</i> < .001, and 13.1% of the variance in general avoidance of health care, Δ<i>R</i>² = .071, Δ<i>F</i>(4, 331) = 6.72, <i>p</i> < .001. Adding the stigma variables to the model predicting health care delay accounted for 13% of the variance, Δ<i>R</i>² = .08, Δ<i>F</i>(4, 331) = 7.60, <i>p</i> < .001. However, adding stigma did not uniquely contribute to the variance in hormonal gender affirming care interest, Δ<i>R</i>² = .014, Δ<i>F</i>(4, 331) = 1.68, <i>p</i> = .155, gender affirming care typical for those assigned male at birth, Δ<i>R</i>² = .050, Δ<i>F</i>(4, 76) = 1.18, <i>p</i> = .325, and gender affirming care typical for those assigned female at birth, Δ<i>R</i>² = .029, Δ<i>F</i>(4, 197) = 1.80, <i>p</i> = .131.</p><p><strong>Conclusions: </strong>Results partially supported our hypotheses, suggesting both enacted weight/transgender stigma and internalized weight stigma are significantly associated with utilization of health care services in a gender diverse sample. Future research is needed to understand the relationships between coping strategies and health care utilization. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625170","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":"Subjective social status and mortality risk in the United States: Asymmetry and subgroup variation.","authors":"Alexi Gugushvili, Grzegorz Michal Bulczak","doi":"10.1037/hea0001608","DOIUrl":"https://doi.org/10.1037/hea0001608","url":null,"abstract":"<p><strong>Objective: </strong>Subjective social status (SSS), people's comparative appraisal of their standing, including perceived respect, control, and future security, may influence survival beyond education, income, or occupation. We tested whether SSS predicts long-term all-cause mortality in the United States, whether this association is independent of objective socioeconomic status and baseline health, whether it is nonlinear/asymmetric, and whether it varies by gender and race/ethnicity.</p><p><strong>Method: </strong>Data come from the National Longitudinal Study of Adolescent to Adult Health (over 12,000 participants), followed from early adulthood into midlife for 160 months. SSS was measured with the MacArthur ladder. Survey-weighted Cox models estimated mortality hazards by SSS, adjusting for age, gender, race/ethnicity, self-rated health, health insurance, income, education, and occupation. We compared continuous and categorical SSS and ran stratified models.</p><p><strong>Results: </strong>SSS was a consistent predictor of mortality. Each one-step increase on the ladder was associated with an 11% lower hazard in fully adjusted models. In categorical analyses, those in the upper part of the ladder had 40% lower risk than those at the midpoint, indicating concentration of benefit at high SSS once covariates were included. Protective associations were clearest among men and non-White respondents.</p><p><strong>Conclusions: </strong>Beyond objective socioeconomic status, SSS provides nonredundant psychosocial information relevant to midlife survival. Findings support integrating SSS into research on the social determinants of mortality and into strategies that address both material resources and status-related stress and control. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610657","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":"Purpose in life and mortality among breast cancer survivors.","authors":"Juhua Luo, Stephanie A Hooker, Candyce H Kroenke, Michael Hendryx, Michelle J Naughton, Yu Du, Hilary A Tindle, Tarah J Ballinger, Su Yon Jung, Julie C Weitlauf, Roberto M Benzo, Lihong Qi, Dorothy S Lane, Karen L Margolis","doi":"10.1037/hea0001563","DOIUrl":"10.1037/hea0001563","url":null,"abstract":"<p><strong>Objective: </strong>Purpose in life (PIL), referring to an individual's sense of direction and meaning, may enhance well-being among cancer survivors. However, its relationship with survival remains unclear. This study investigates the association between PIL and mortality among breast cancer survivors and explores potential underlying pathways.</p><p><strong>Method: </strong>We analyzed 3,692 breast cancer survivors from the Women's Health Initiative, a cohort of postmenopausal women aged 50-79 recruited between 1993 and 1998. PIL was assessed in 2012 using a modified seven-item measure from Ryff and Keyes' Psychological Well-Being scale. Breast cancer cases and causes of death were confirmed through medical record review and death certificates. Cox proportional hazard models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs), with mediation analysis exploring underlying pathways.</p><p><strong>Results: </strong>Over 9.1 years of follow-up, 1,627 women (44.1%) died. Women in the highest PIL quartile had a 33% lower mortality risk than those in the lowest quartile (HR = 0.67, 95% CI = [0.58, 0.78], <i>p</i> for trend < .0001). Stronger associations were observed among women under 70 (HR = 0.34, 95% CI = [0.19, 0.63]) and those diagnosed within the past year (HR = 0.28, 95% CI = [0.13, 0.58]). Physical activity, low perceived stress, and social engagement mediated 14.2%, 18.3%, and 13.7% of the association, respectively, collectively explaining 51% of the association.</p><p><strong>Conclusion: </strong>Higher PIL is associated with improved survival in breast cancer survivors, with physical activity, stress reduction, and social engagement as key pathways. Goal-oriented interventions promoting PIL may improve survivorship outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"423-432"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139567","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 prosocial phenotype and co-operative health protective behaviors: Insights from COVID-19.","authors":"Richard Mills, Emanuele Di Angelantonio, Karen Wetherall, Seonaid Cleare, Barbara Masser, Heather McClelland, Ambrose J Melson, Claire Niedzwiedz, Daryl B O'Connor, Ronan O'Carroll, Kathryn A Robb, Elizabeth Scowcroft, Billy Watson, Angela Wood, Tiago Zortea, Rory O'Connor, Roshan Desai, Susan R Brailsford, Eamonn Ferguson","doi":"10.1037/hea0001561","DOIUrl":"10.1037/hea0001561","url":null,"abstract":"<p><strong>Objective: </strong>Identifying factors associated with co-operative health-protective behaviors (e.g., vaccination and social distancing) is critical during crises requiring collective action. This research examines two hypotheses in the context of the COVID-19 pandemic: (a) the situational-strength hypothesis, which predicts that the impact of prosocial preferences on repeated low-cost co-operative actions (e.g., adherence to government guidelines) is moderated by situational ambiguity (e.g., clarity of guidelines); and (b) the vaccination-altruism hypothesis, predicting prosocial individuals are more likely to undertake high-cost co-operative actions (e.g., initial COVID-19 vaccination) due to other-regarding motives.</p><p><strong>Method: </strong>Study 1 (<i>N</i> = 2, 861) assessed four prosocial behaviors (blood donation, organ donor registration, monetary donation, and volunteering) and three classic co-operative games (dictator, trust, and public goods) to validate a prosocial-phenotype (PP) measure. Study 2 (<i>N</i> = 3, 077) utilized an eight-wave U.K. panel survey (March 2020-July 2021) to test the situational strength and vaccination-altruism hypotheses.</p><p><strong>Results: </strong>Study 1 found that past prosocial behavior was significantly correlated with behavior in co-operative games, supporting construction of the PP measure. In Study 2, higher PP, in line with the situational-strength hypothesis, was associated with greater adherence to guidelines, but only when rules were ambiguous. Higher PP was also associated with greater stated willingness and uptake of vaccination. Although self-protection was the most common motive to vaccinate, high-PP individuals were more likely to cite protecting others and achieving herd immunity.</p><p><strong>Conclusion: </strong>Prosociality plays a dynamic role in influencing both low- and high-cost co-operative health protective behaviors, offering insights for public health strategies in future crises. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"445-459"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379953","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":"Loneliness, social isolation, and sleep problems: Findings from a 10-year longitudinal study of Chinese middle-aged and older adults.","authors":"Wenwen Yu, Wu Jin, Yingying Li, Wen Yao, Kang Ju, Ningning Zhou, Juzhe Xi","doi":"10.1037/hea0001556","DOIUrl":"10.1037/hea0001556","url":null,"abstract":"<p><strong>Objectives: </strong>Social isolation, loneliness, and sleep problems have emerged as significant concerns in aging populations, yet longitudinal studies exploring their interconnections are limited. This study examined these relationships and performed subgroup analyses based on age and gender.</p><p><strong>Method: </strong>Data were derived from the China Health and Retirement Longitudinal Study (2011, 2013, 2015, 2018, and 2020 waves; age ≥ 45 years, <i>n</i> = 7,622). The random intercept cross-lagged panel models (RI-CLPMs) were utilized to jointly examine the reciprocal effects between loneliness and sleep problems, as well as between social isolation and sleep problems in the total sample and within age and gender subgroups.</p><p><strong>Results: </strong>Our findings revealed a bidirectional association between loneliness and sleep problems: sleep problems predicted later loneliness, β = .032, 95% confidence interval (CI) [0.019, 0.046], to .041, 95% CI [0.024, 0.057], and vice versa (β = .030, 95% CI [0.017, 0.042], to .037, 95% CI [0.021, 0.053]). Age and sex moderated the relationship between social isolation and sleep problems. Subgroup analyses showed a bidirectional pattern in older adults, with social isolation predicting later sleep problems (β = .031, 95% CI [0.009, 0.053], to .037, 95% CI [0.010, 0.064]), and the reverse association also observed (β = .024, 95% CI [0.001, 0.046], to .027, 95% CI [0.002, 0.052]). Among females, a unidirectional effect emerged, where social isolation predicted subsequent sleep problems (β = .021, 95% CI [0.002, 0.040], to .026, 95% CI [0.003-0.050]).</p><p><strong>Discussion: </strong>Social isolation and loneliness exhibit distinct longitudinal relationships with sleep problems. Attention to loneliness and sleep problems should begin in middle age. Social isolation presents a greater threat to older adults and females, warranting further investigation in these populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"433-444"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193906","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":"Clinical and psychological predictors of quality-of-life in patients with atrial fibrillation over 12 months.","authors":"Elaina C Taylor, Lewis Carpenter, Mark O'Neill, Lyndsay D Hughes, David Sheffield, Rona Moss-Morris","doi":"10.1037/hea0001536","DOIUrl":"10.1037/hea0001536","url":null,"abstract":"<p><strong>Objective: </strong>No previous research has examined both clinical and psychological predictors of quality of life (QoL) in atrial fibrillation (AF) patients over time. Theoretically informed by the common-sense model, this study aimed to examine how beliefs about illness and treatment, cognitive and behavior responses (CBR) to symptoms, and AF-related interventional procedures predicted QoL over 12 months.</p><p><strong>Method: </strong>AF patients (<i>N</i> = 188) recruited from outpatient clinics, and because of undergo catheter ablation or cardioversion, completed questionnaires assessing social and clinical demographics, illness representations, treatment beliefs, CBR to AF, and QoL at baseline, 3, 6, and 12 months. Mixed effects linear regression models examined QoL predictors over 12 months.</p><p><strong>Results: </strong>Restoration of sinus rhythm, greater beliefs about personal control, and lower scores on timeline beliefs (beliefs that AF is an acute condition) were statistically significantly associated with greater QoL over 12 months. Patients with a profile of procedural treatment success and improved positive illness representations (timeline, illness triggers, personal control) had significantly greater QoL compared with those who had only successful treatment, or positive illness representations, alone.</p><p><strong>Conclusion: </strong>Successful procedural treatment and helpful illness representations are both important predictors of QoL in AF. Alongside clinical procedural treatments, future interventions aimed at improving QoL should therefore incorporate techniques to address self-efficacy around AF self-management and reduce beliefs that AF is long-term/incurable and that symptoms can be triggered by wide-ranging sources (particularly relating to health behaviors and comorbidities). (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"460-471"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490839","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}