Health Psychology最新文献

{"title":"Enhancing Helicobacter pylori prevention through fear appeals in health public service announcements: Two randomized experiments.","authors":"Xiaodong Yang, Shuo Li, Jinhui Li","doi":"10.1037/hea0001452","DOIUrl":"10.1037/hea0001452","url":null,"abstract":"<p><strong>Objective: </strong>Given the high prevalence of <i>Helicobacter pylori</i> infection and the established effectiveness of <i>H. pylori</i> prevention in reducing gastric cancer risk, efforts generally focus on promoting <i>H. pylori</i> screening and risk-reducing dining customs. This study aimed to identify effective fear appeal public service announcements (PSAs) capable of promoting intentions for <i>H. pylori</i> prevention.</p><p><strong>Method: </strong>The participants in our experiments were recruited from an online survey platform in China. Experiment 1 employed a 2 (self-oriented threat: present vs. absent) × 2 (other-oriented threat: present vs. absent) × 2 (personal efficacy: present vs. absent) design to assess <i>H. pylori</i> screening intentions. A total of 312 participants were randomly assigned to eight conditions. Experiment 2 utilized a 2 (self-oriented threat: present vs. absent) × 2 (other-oriented threat: present vs. absent) × 2 (efficacy types: personal vs. collective) design to evaluate intentions to use separate serving chopsticks as the risk-reducing dining custom, with 293 participants randomly assigned to eight conditions.</p><p><strong>Results: </strong>In Experiment 1, positive effects were observed for self-oriented threat, other-oriented threat, and personal efficacy in fear appeal PSAs on <i>H. pylori</i> screening intention. The three-way interaction effect revealed that the effects of fear appeal PSAs on <i>H. pylori</i> screening intentions depended on the presence of other-oriented threat. In Experiment 2, fear appeal PSAs with a collective efficacy message elicited higher intentions to use separate serving chopsticks than PSAs with a self-efficacy message.</p><p><strong>Conclusions: </strong>Fear appeal PSAs aimed at promoting <i>H. pylori</i> prevention could highlight other-oriented threat and collective efficacy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 7","pages":"686-695"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477947","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":"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":"677-685"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","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}

{"title":"Time frame and perceived stress in the intention-planning-physical activity link.","authors":"Yue Xu, Olivia Choy","doi":"10.1037/hea0001461","DOIUrl":"10.1037/hea0001461","url":null,"abstract":"<p><strong>Objective: </strong>The study aims to investigate the influence of time frame and perceived stress on the relationship between intention, planning, and physical activity (PA) within the health action process approach framework.</p><p><strong>Method: </strong>Following a baseline assessment of 177 participants (64.4% female, <i>M</i>_age = 21.1 years), which measured perceived stress from the previous week and intentions to do PA, action planning, and coping planning for the following week, a 21-day daily survey was conducted, recording participants' moderate-to-vigorous physical activity (MVPA) levels each day and their daily intention to do PA, as well as daily action and coping planning for the next day. Multilevel modeling was used to analyze the daily dynamics in the intention-planning-MVPA link, and mediation was used to analyze how predictors influenced MVPA levels over 1 week after the baseline assessment. Moderated mediation models were tested to examine the moderating role of perceived stress.</p><p><strong>Results: </strong>The study found that action planning had a more immediate impact on daily MVPA while coping planning played a more significant role in mediating the relationship between intention and MVPA on a weekly basis. Perceived stress did not significantly moderate the intention-planning-behavior link in either time frame.</p><p><strong>Conclusion: </strong>These findings suggest that planning strategies may be tailored to specific time frames, with action planning having a larger impact on daily intentions while coping planning better supports weekly intentions. This research contributes to our understanding of health behavior and offers insights for interventions to promote PA. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 7","pages":"715-724"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477948","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":"Understanding the social undermining of dietary and physical activity behaviors: A systematic scoping review.","authors":"Kellie B Scotti, Hannah A Lavoie, Hannah Bryson, Megan A McVay","doi":"10.1037/hea0001456","DOIUrl":"10.1037/hea0001456","url":null,"abstract":"<p><strong>Objective: </strong>Social undermining of dietary and physical activity behavior may impact one's ability to lose or maintain weight. This review aims to identify how social undermining of dietary and physical activity behavior has been conceptualized and measured in the existing literature, and what is known about its effects on weight management.</p><p><strong>Method: </strong>Studies were retrieved from three electronic databases and were included if they focused on examining the social undermining of dietary and physical activity behavior in adults. Two coders independently evaluated the eligibility criteria of each study and extracted data.</p><p><strong>Results: </strong>Thirty-three studies were identified. Populations included individuals enrolled in weight loss programs (<i>k</i> = 11) and non-treatment-seeking populations (<i>k</i> = 22). Many study participants were White, but 11 studies sampled non-White populations exclusively. Multiple measures have been used to assess the social undermining of dietary and physical activity behavior, many having limited evidence of reliability and validity. Although studies on prevalence are limited, undermining has been reported to occur in 28% of individuals, and family has been identified as a primary source of undermining. Studies aiming to link undermining with actual eating and physical activity behaviors and weight outcomes are limited, and these links have been supported in some studies. Few studies examined the undermining intentionality, defined undermining, or tested individual characteristics associated with undermining.</p><p><strong>Conclusion: </strong>Future research should seek to improve the measurement of undermining and use a variety of additional research methods to move the field toward better understanding and ability to address social undermining of weight behaviors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"665-676"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043215","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-support buffers the effect of internalized homonegativity on intrusive sexual thoughts/behaviors.","authors":"Shayna Skakoon-Sparling, Susan Chow, Paolo A Palma, Barry Adam, Nicole Elkington, Milada Dvorakova, Douglas W Hanes, Terri H Zhang, Daniel Grace, Jody Jollimore, Darrell H S Tan, Trevor A Hart","doi":"10.1037/hea0001468","DOIUrl":"10.1037/hea0001468","url":null,"abstract":"<p><strong>Objective: </strong>Among gay, bisexual, and other men who have sex with men, intrusive sexual thoughts/behaviors (i.e., distress about one's sexual urges or behaviors) are associated with depression and engagement in behavior that increases the risk for sexually transmitted infections (STIs). The present study examines the association between internalized homonegativity and intrusive sexual thoughts/behaviors, the intervening effect of depression symptoms, and the potential buffering effect of social support. Furthermore, we establish the subsequent link with physical health outcomes by examining the association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis.</p><p><strong>Method: </strong>Using participant data (<i>n</i> = 1,046) from three time points, we conducted a moderated mediation analysis and logistic regression.</p><p><strong>Results: </strong>Higher internalized homonegativity scores conditionally predicted greater intrusive sexual thoughts/behaviors 1 year later: participants with higher internalized homonegativity scores reported more severe intrusive sexual thoughts/behaviors if they also had lower social support, β = .08, <i>SE</i> = 0.02, <i>p</i> < .001, 95% confidence interval (CI) [0.04, 0.13]. More severe depression symptoms were also directly associated with greater intrusive sexual thoughts/behaviors (β = .02, <i>SE</i> = 0.01, <i>p</i> = .011, 95% CI [0.01, 0.03]). Finally, there was a significant association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis (<i>OR</i> = 1.68, <i>p</i> < .001, 95% CI [1.30, 2.16]).</p><p><strong>Conclusion: </strong>Given that social support mitigated the impact of internalized homonegativity on intrusive sexual thoughts/behaviors, ultimately indirectly reducing the occurrence of bacterial STIs in this population, these findings demonstrate the utility of psychosocial factors as potential intervention targets for improving the health of gay, bisexual, and other men who have sex with men. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"725-733"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442963","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":"Using specification curve analysis to explore prospective associations between dimensions of positive psychological well-being and cardiometabolic disease.","authors":"Rachel J Burns, Geneviève C Forget, Kimia Fardfini-Ruginets","doi":"10.1037/hea0001459","DOIUrl":"10.1037/hea0001459","url":null,"abstract":"<p><strong>Objective: </strong>Literature suggests that higher positive psychological well-being (PPWB) is associated with reduced risk of cardiometabolic disease. However, PPWB is multidimensional. Most models do not distinguish between dimensions of PPWB in relation to cardiometabolic disease. This study demonstrated how specification curve analysis can be used to explore if the association between PPWB and incident cardiometabolic disease is influenced by the dimension of PPWB, cardiometabolic disease, and covariates under investigation.</p><p><strong>Method: </strong>Data came from the Midlife in the United States study (<i>n</i> = 2,895). Nine dimensions of PPWB and covariates were measured at baseline (2004-2005) and five cardiometabolic diseases were self-reported at follow-up (2013-2014). One hundred eighty model specifications, each containing one dimension of PPWB, one cardiometabolic disease, and one set of covariates, were generated. Standardized odds ratios from corresponding logistic regression models, in which PPWB predicted incident cardiometabolic disease, were then plotted on a specification curve.</p><p><strong>Results: </strong>The median standardized odds ratio across models was 0.94. PPWB was inversely associated with incident cardiometabolic disease in 18% of models. Significant associations depended upon the dimension of PPWB, the outcome, and covariates.</p><p><strong>Conclusion: </strong>Researcher decisions about the dimension of PPWB, cardiometabolic disease outcome, and covariates under investigation appear to be consequential. Specification curve analysis can be used to develop an evidence base that starts to distinguish between dimensions of PPWB in relation to cardiometabolic disease. Thinking carefully about if and how specific dimensions of PPWB are associated with particular health outcomes is an avenue for theory refinement. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 7","pages":"696-707"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477949","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":"Brief video interventions increase screening intentions in people who avoid colorectal cancer information.","authors":"Heather Orom, Natasha C Allard, Jennifer L Hay, Amy McQueen, Erika A Waters, Marc T Kiviniemi","doi":"10.1037/hea0001521","DOIUrl":"10.1037/hea0001521","url":null,"abstract":"<p><strong>Objective: </strong>Health information avoidance is a critical barrier to reaching people with health messaging and, ultimately, decreases population-level uptake of life-saving prevention behaviors such as colorectal cancer (CRC) screening. We conducted a preregistered double-blinded experiment testing the efficacy of brief narrative video interventions designed to promote CRC screening by mitigating either of two known causes of health information avoidance: low self-efficacy and low perceived control over health outcomes.</p><p><strong>Method: </strong>Participants (<i>N</i> = 776, 45-75 years, not adherent to CRC screening, no history of CRC) recruited from Prolific, an online participant pool, were randomly assigned to view an intervention video (perceived control promoting colonoscopy, self-efficacy promoting colonoscopy, self-efficacy promoting fecal immunochemical test) or control video (food safety attentional control video, CRC informational video). Afterward, participants completed assessments of CRC information seeking, screening attitudes, and screening intentions.</p><p><strong>Results: </strong>Compared to an attentional control video, all three intervention videos improved all four outcomes; they were effective for people high in CRC information avoidance and those who were not. Effects for self-efficacy videos were mediated through increased self-efficacy. Effects for perceived control videos were not mediated through increased health locus of control. Interactions between video condition and avoidance were not significant. Intervention videos were not more effective than the informational CRC video.</p><p><strong>Conclusions: </strong>Only 58% of the U.S. adult population is CRC screening adherent, and the rate is lower for people who avoid CRC information. By increasing CRC information seeking, positive CRC screening attitudes, and CRC screening intentions, these publicly available videos could have widespread public health impact. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310839","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":"Emotion regulation as a protective factor in the association between stress and inflammation in older adults.","authors":"Rebecca G Reed","doi":"10.1037/hea0001530","DOIUrl":"10.1037/hea0001530","url":null,"abstract":"<p><p>ER diversity and global ER ability significantly moderated the prospective association between stress and interleukin-6Objective: Identifying psychosocial factors that promote health in the context of stress and aging is needed. Emotion regulation (ER) may be one such protective factor. The current study tested three forms of ER-use of individual ER strategies, diversity of ER strategies, and global ER ability-as moderators of the prospective association between perceived stress and inflammation in older adults.</p><p><strong>Method: </strong>Adults (<i>N</i> = 162) aged 60+ completed baseline measures of perceived stress, ER strategies (situation selection, situation modification, reappraisal, and emotional acceptance) tested individually, and combined into an ER diversity metric, and a measure of global ER ability. Inflammatory markers (C-reactive protein, interleukin-6, and tumor necrosis factor-α) were assessed at baseline and follow-up (average 6.8 months later). Residualized change models tested ER measures as moderators of the association between stress and inflammation, adjusting for baseline inflammation and demographic and health covariates. Analyses were corrected for testing multiple inflammatory outcomes per form of ER.</p><p><strong>Results: </strong>No one ER strategy moderated the prospective association between stress and inflammation (<i>p</i>s > .48). ER diversity and global ER ability significantly moderated the prospective association between stress and interleukin-6 (<i>B</i> = -.13, <i>p</i>_adjusted = .047) and C-reactive protein (<i>B</i> = .14, <i>p</i>_adjusted = .019), respectively. Higher ER diversity and lower deficit in global ER ability were protective and attenuated stress-inflammation associations.</p><p><strong>Conclusions: </strong>Older adults experiencing higher stress who employ a diversity of ER strategies and have higher global ER ability had lower levels of interleukin-6 and C-reactive protein, respectively, but not of other markers. Initial results suggest ER approaches other than individual strategies may promote healthy immune aging in the context of stress. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287151","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":"Using cancer survivor narratives to increase parents' human papillomavirus vaccination intentions.","authors":"Mary A Gerend, Christina T Myers, Amy McQueen, Farnaz Solatikia, Eric Adjei Boakye, Janet E Shepherd","doi":"10.1037/hea0001527","DOIUrl":"10.1037/hea0001527","url":null,"abstract":"<p><strong>Objective: </strong>To compare the preliminary efficacy and acceptability of three narrative communication messages about human papillomavirus (HPV) vaccination to a fact-based informational control message among parents with an unvaccinated child.</p><p><strong>Method: </strong>A national sample of 948 U.S. parents/guardians with an unvaccinated child aged 9-17 years participated in an online experiment in June or July of 2023. Forty-nine percent of children were female, 23% were a racial or ethnic minority, and 55% received free school lunch. Parents were randomly assigned to watch one of four brief videos: a nonnarrative informational control, a role model only narrative, a precancer survivor narrative, or a cancer survivor narrative. The primary outcome variable was HPV vaccination intentions. The secondary outcomes were message acceptance and rejection. Covariates and a potential mediator were also assessed. Intervention effects were assessed using analysis of variance, hierarchical linear regression, and mediation analyses.</p><p><strong>Results: </strong>Parents were satisfied with all four messages, as indicated by high levels of message acceptance and low levels of message rejection. Higher intentions to vaccinate were observed for parents exposed to the HPV cancer survivor narrative message (vs. the control message) and the effect remained statistically significant after controlling for covariates including child age, free lunch status (a proxy for family income), parent gender, provider recommendation, and previous refusal of HPV vaccine. Exploratory mediation analyses indicated that the cancer survivor narrative effect was mediated by increases in emotional engagement with the message.</p><p><strong>Conclusion: </strong>Cancer survivor narratives are a highly acceptable and potentially promising intervention strategy for increasing HPV vaccine uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287154","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":"Functioning and disability consequences of comorbid posttraumatic stress disorder and diabetes in Vietnam era men and women veterans.","authors":"Kelsey N Serier, Hannah M Burns, Kathryn M Magruder, Avron Spiro, Anica Pless Kaiser, Rachel Kimerling, Susan M Frayne, Amy M Kilbourne, Eileen M Stock, Christopher W Forsberg, Nicholas L Smith, Brian N Smith","doi":"10.1037/hea0001516","DOIUrl":"https://doi.org/10.1037/hea0001516","url":null,"abstract":"<p><strong>Objective: </strong>Diabetes mellitus (DM) negatively impacts functioning and disability, particularly when comorbid with mental health diagnoses. Posttraumatic stress disorder (PTSD) increases the risk of developing DM and may have a particularly deleterious impact on DM-related outcomes. This study aimed to determine the extent to which PTSD and DM comorbidity was associated with poorer functioning and greater disability relative to neither or single diagnoses in older adult veteran men and women.</p><p><strong>Method: </strong>Data came from two large cross-sectional studies of Vietnam era veteran men (<i>N</i> = 5,367) and women (<i>N</i> = 4,102). Participants completed self-report measures of diagnosed physical health conditions, functioning, and disability. PTSD and other mental health conditions were assessed via a telephone-administered diagnostic interview, and military characteristics were gathered from service records.</p><p><strong>Results: </strong>In sex-specific weighted linear regression analyses adjusted for relevant covariates, veterans with PTSD only, DM only, and PTSD + DM reported significantly worse mental and physical health functioning and greater disability compared with veterans with neither condition. PTSD + DM comorbidity was associated with worse outcomes than DM only and worse physical health functioning than PTSD only. The pattern of results was similar for men and women.</p><p><strong>Conclusions: </strong>Older adult veterans with both PTSD and DM may experience worse health functioning and greater disability relative to veterans with neither or single diagnoses only. Although effects were small to medium, potential clinical implications include assessment of PTSD among veterans with DM and intervention efforts that address the effects of both conditions on health and well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287152","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}