Psychology & Health最新文献

Objective: Self-esteem may be adversely affected in adults with overweight or obesity, particularly women and those showing higher BMIs, although there is no consensus in the literature. The objective of the current study, based on reported cross-sectional associations, was to clarify the relationship between global self-esteem and overweight/obesity in adults.

Methods: Four databases were searched to identify eligible literature published prior to June 2024, and a systematic review was conducted of the 120 articles identified. Meta-analytic processing of 38 eligible articles at the study level and of the participant data obtained from 16 studies (n = 2,972) was conducted for quantitative synthesis. Potential moderators, such as gender, age, BMI, type of assessment, and treatment-seeking status, were tested.

Results: The summary correlation between BMI and self-esteem across studies was r = -0.11, 95% CI [-0.17, -0.05], z = -3.70, p < .001. None of the tested moderators affected this association, although the meta-analysis of the individual participant data provided by the authors revealed a small effect of gender and a non-linear evolution of self-esteem linked to BMI.

Conclusion: The present study found a negative relationship between global self-esteem and overweight/obesity in adults, which suggests a negative, although weak, effect of excess weight on self-perception.

Objective: As advances in breast cancer treatment have bolstered survival rates, post-treatment self-management has become crucial for survivors' well-being.

Methods: In the current qualitative research, conducted via content and form analysis of 12 in-depth interviews, the authors explored self-management strategies in the narratives of female breast cancer survivors who underwent mind-body therapy.

Results: Three coping models emerged: (1) an illness-focused story overshadowing the body, (2) a coexistence of illness and body stories, and (3) an embodied illness-story. These self-management models showcase a developmental sequence, reflecting the evolution of coping mechanisms.

Conclusion: The study underscores embodiment's significance in fostering agency and well-being, particularly in a societal and medical context where body attention tends to be marginalized.

Objective: Risk-stratification should improve the benefits-to-harms ratio for breast screening, whereby higher-risk women receive additional screening and low-risk women are screened less. This study investigated the effects of healthcare context by comparing how women in England and France experienced risk-based breast screening.

Methods and measures: Fifty-two women were purposively sampled from participants who underwent risk-based screening in the MyPeBS trial. Women received objectively-derived 5-year breast cancer risk estimates (low = < 1%, average = 1-1.66%, high = ≥ 1.67 to <6%, very-high-risk = ≥ 6%). This determined future trial-related screening schedules and prevention options. Semi-structured interviews were transcribed for thematic framework analysis.

Results: Two overarching themes were produced: the importance of supported risk communication and accessibility of risk management. Overall, risk-based breast screening was viewed positively. However, trial procedures, especially in risk estimate provision, differed across sites. Women at increased risk were more reassured when appointments were with specialist healthcare professionals (HCP). When absent, this resulted in reduced satisfaction with risk communication and greater uncertainty about its personal relevance. Low-risk women's views on extended mammogram schedules seemed linked to how health services are organised differently.

Conclusions: Context is an important consideration regarding acceptability of healthcare innovations such as risk-stratified screening: it should not be assumed that findings from one country apply universally.

Objective: Which kind of self-regulatory strategies contribute to life satisfaction in adolescence?

Materials and methods: In the present research, we tested two competing hypotheses arguing that either a strategy of vigilant monitoring of opportunities for working towards goal achievement or a calm perseverance strategy steadily working towards goals in a slower pace would promote life satisfaction in a large and diverse sample of adolescents. We also tested whether the employment of these strategies would hinge on perceptions of goal importance and goal attainability.

Results: Employing a longitudinal design, we found support that calm perseverance was the sole significant predictor of life satisfaction regardless of goal perceptions. Vigilant monitoring only contributed indirectly to life satisfaction through its positive effects on calm perseverance. Using a calm perseverance strategy was supported by perceiving one's goals as attainable.

Discussion and conclusion: These findings bear important implications for self-regulation theory that has highlighted goal progress as a prerequisite for well-being.

Objective: This study aimed to unravel micro-processes that link information seeking to subsequent affective well-being (i.e., positive and negative affect) at the within-person level, as well as the role of worry as a mediator in this relationship.

Methods and measures: Within the initial weeks following the Chinese government's relaxation of its epidemic control measures, 184 participants completed experience sampling methods on information seeking, COVID-related worry, and affective well-being three times a day for 14 days.

Results: According to dynamic structural equation models, information seeking was associated with high negative affect but not with low positive affect. COVID-related worry acted as a full mediator between information seeking at the previous time point (approximately 5 h ago) and the current negative affect, but not in positive affect.

Conclusion: These findings suggested that the impact of information seeking on affective well-being was different for the two dimensions of affect. Furthermore, the persistent impact of information seeking on negative affect was attributed to the indirect effect of worry, suggesting that worry should be a point of focus for intervention to mitigate the potentially negative effects of information seeking within the context of the public health crises.

Background: Two experiments (E1 and E2; N = 44 and N = 52, respectively) investigated the effect of positive (PI) and neutral information (NI) about a dental procedure, and if the delivery of the information by the treatment team (open administration) or unbeknownst to the treatment team (hidden administration), affected pain.

Methods: Using a mixed design, patients undergoing drilling in a molar were randomized to the NI or PI groups. Before, during, and after treatment, patients reported their pain and stress levels. In E1 the treatment team delivered the information. In E2, an assistant not engaged in the treatment delivered the information.

Results: In the PI group in E1, pain was reduced by 50 % compared to the NI group, and the effects of stress on pain were mitigated. These effects were abolished in E2. The dentist reported having displayed positive nonverbal behaviours (e.g. smiling and longer eye contact) in the PI group in E1, but not in E2.

Discussion: Positive information reduced pain only when administrated openly. There was no effect of positive information administrated hidden from the treatment team. As information was similar in both experiments, factors other than the information most likely reduced pain in the PI group in E1.

Conclusion: Delivering positive information by the treatment team may generate behavioural cues which generate placebo effects.

Background: Hospital readmissions are costly for patients, their families and healthcare systems. Identifying and addressing risk factors can reduce the number of people who experience readmission. Few studies have explored modifiable risk factors such as health beliefs from patients' perspective to explore the complexity of risk factors for readmission. This study aimed to identify modifiable readmission risk factors from the perspectives of patients who have experienced readmission and their families.

Methods: Adults (≥18 years) readmitted within 30 days of discharge to a general medical or surgical ward at a large urban hospital in New Zealand were invited to participate in a semi-structured interview to explore their readmission experience. Interviews were conducted during the readmission and were analysed using inductive thematic analysis.

Results: A total of 30 participants were interviewed. Six themes relating to readmission were identified: inadequate communication between health professionals and patients, misalignment between patient illness perceptions and treatment, unclear or missing information, poor health literacy, poor medication mismanagement, and health system factors.

Conclusions: These findings highlight the importance of considering patient experiences, such as their expectations, illness and treatment beliefs, to reduce readmissions. Ensuring communication is patient centred and quality professional-patient relationships could reduce readmissions.

Objective: Adherence to healthy lifestyle advice is effective in prevention of non-communicable diseases like coronary heart disease (CHD). Yet patient disengagement is the norm. We take a novel discursive approach to explore patients' negotiation of lifestyle advice and behaviour change.

Method: A discourse analysis was performed on 35 longitudinal interviews with 22 heterosexual British people in a long-term relationship, where one had a diagnosis of CHD. The analysis examined the relationships between patients' constructions of expert knowledge and the implications of these accounts for patients' dis/engagement with lifestyle advice.

Results: Expert knowledge was constructed in four ways: (1) Expert advice was valued, but adherence created new risks that undermined it; (2) expert knowledge was problematised as multiple, contradictory, and contested and therefore difficult to follow; (3) expert advice was problematised as too generalised to meet patients' specific needs; and (4) expert advice was understood as limited and only one form of valued knowledge.

Conclusion: Patients and partners simultaneously valued and problematised expert knowledge, drawing on elaborate lay epistemologies relating to their illness which produced complex patterns of (dis)engagement with expert lifestyle advice. Recognition of the multiple and fluid forms of knowledge mobilised by CHD patients could inform more effective interventions.

Objective: Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) is a congenital condition characterized by the underdevelopment or complete absence of the uterus and the upper part of the vagina. Diagnosis is commonly made during adolescence, a sensitive period for psychophysical development, following the absence of menstruation. Having MRKH syndrome can have a profound and multifaceted psychosocial impact that characterizes these women's subjective experiences, although it continues to be qualitatively understudied. This article explores the lived experience of women with MRKH spontaneously recounted on an online support forum. The aim was to gain insight into the features of the syndrome experience to understand deeply the emotional and social impact of the condition and the individual needs expressed online.

Methods: Using a naturalistic observation stance, data was collected from an online support forum for MRKH women and systematically analyzed using thematic analysis.

Results: Four main interconnected themes are identified: the impact of being diagnosed with MRKH, the difficult interaction with the medical environment, challenging social relationships, and the unmet needs of MRKH women.

Conclusion: A multidisciplinary and person-centered approach that provides effective and sensitive management of the condition and its psychosocial implications, is essential. Recommendations for future research and practical clinical implications for healthcare professionals are proposed.

Background: Previous studies indicated a link between good sleep, optimal movement, and a healthy diet, but the underlying mechanisms are poorly understood. This diary study aimed to investigate the effects of sleep behaviour on movement and dietary behaviours as well as the mediating role of affect.

Method: One hundred and twenty college students completed twice daily assessments of health behaviours and affect for 28 days. Multilevel structural equation modelling was used to examine the relationships between sleep, health behaviours, and the mediating role of affect.

Results: At the between-person level, sufficient sleep was associated with less overeating. At the within-person level, sleep duration predicted less sedentary behaviour, while sufficient sleep predicted higher water intake and more sedentary behaviour. Negative affect mediated the relationship between sleep quality/duration and exercise measures (events, duration), while positive affect mediated the relationships between sleep quality/duration and overeating, exercise measures, and sedentary behaviour. Positive affect mediated the relationships between sufficient sleep, exercise measures, and sedentary behaviour.

Conclusion: Sleep can indirectly influence other health behaviours by decreasing negative affect or increasing positive affect. These findings emphasise the significance of sleep in promoting a healthy lifestyle and the role of affect, especially positive affect, in this process.