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The effectiveness of psychological interventions for reducing poor body image in endometriosis, PCOS and other gynaecological conditions: a systematic review and meta-analysis. 心理干预对减少子宫内膜异位症、多囊卵巢综合症和其他妇科疾病患者不良身体形象的有效性:系统综述和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-09-07 DOI: 10.1080/17437199.2023.2245020
Melissa J Pehlivan, Kerry A Sherman, Viviana Wuthrich, Esther Gandhi, Dino Zagic, Emily Kopp, Valentina Perica

Gynaecological conditions (e.g., endometriosis, PCOS) result in bodily changes that negatively impact body image. Psychological interventions (e.g., CBT, psychoeducation) have shown promise in reviews with the general population for alleviating body image concerns. This systematic review and meta-analysis aims to provide asynthesis of the impact of psychological interventions for reducing body image concerns for individuals with gynaecological conditions. Electronic databases were searched for relevant psychological intervention studies with body image outcomes. Twenty-one eligible studies were included in the systematic review (ten were included in a random-effects meta-analysis). Studies included participants (N = 1483, M = 71.85, SD = 52.79) with a range of gynaecological conditions, ages (Mage = 35.08, SD = 12.17) and cultural backgrounds. Most included studies reported at least one positive effect with the meta-analysis indicating psychological interventions were moderately superior to control conditions for reducing body image concerns (SMD -.41, 95% CI [-0.20 -0.62]). However, there was a high risk of bias and moderate heterogeneity. Results suggest psychological interventions may hold promise for reducing body image concerns among individuals gynaecological conditions in the short term. Further, preliminary support was found for the use of theory-guided psychological interventions delivered in group settings in particular, with further research needed on optimal intervention length and particular psychotherapeutic approach.

妇科疾病(如子宫内膜异位症、多囊卵巢综合症)会导致身体变化,从而对身体形象产生负面影响。心理干预(如 CBT、心理教育)在对普通人群的回顾中显示出缓解身体形象问题的前景。本系统综述和荟萃分析旨在综合分析心理干预对减轻妇科疾病患者身体形象问题的影响。我们在电子数据库中搜索了与身体形象结果相关的心理干预研究。21项符合条件的研究被纳入系统综述(10项被纳入随机效应荟萃分析)。研究纳入了不同妇科疾病、年龄(Mage = 35.08,SD = 12.17)和文化背景的参与者(N = 1483,M = 71.85,SD = 52.79)。大多数纳入的研究都报告了至少一项积极效果,荟萃分析表明,在减少身体形象问题方面,心理干预的效果略优于对照组(SMD -.41,95% CI [-0.20 -0.62])。然而,该研究存在较高的偏倚风险和中等程度的异质性。研究结果表明,心理干预可能有望在短期内减轻妇科疾病患者对身体形象的担忧。此外,研究还初步支持使用理论指导下的心理干预,尤其是在团体环境中进行干预,但还需要进一步研究最佳干预时间和特定的心理治疗方法。
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引用次数: 0
App-based interventions to improve cancer outcomes rely on informational support from professionals: a systematic review. 基于应用程序的干预措施改善癌症治疗效果有赖于专业人士的信息支持:系统综述。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2024-05-16 DOI: 10.1080/17437199.2024.2349617
Karoline Villinger, Corina Berli, Urte Scholz

The importance of social support for cancer patients is well-established, and mobile applications hold promise for implementation. This systematic review examines app-based interventions with social support components for cancer patients, investigating the use of different support functions from different sources and the impact on cancer-related symptoms and psychological outcomes. A systematic search across five databases (EMBASE, Scopus, PsycINFO, PubMed, Web of Science) yielded 449 records, of which 17 studies (12 controlled designs) were included. Two independent reviewers extracted data and assessed study quality, revealing a high risk of bias across studies. Social support was implemented through different app functions, including contact/chat functions (n = 9), automatic alerts based on app input (n = 6) and discussion forums (n = 5). Social support predominantly focused on informational support (n = 17), mostly from healthcare professionals. Emotional support was less common (n = 7). Results indicated some promising intervention effects for pain, fatigue, nausea/vomiting, insomnia, constipation and overall symptom distress, but heterogeneous effects for health-related quality of life. Overall, results were mixed, but indicate that mobile apps incorporating social support may hold promise for cancer patients. However, future studies should focus on measuring and reporting social support as an intervention mechanism to systematically investigate its specific impact and improve effectiveness.HighlightsApps for cancer patients predominantly include informational social supportEmotional social support is substantially less frequently includedApps focus on formal support sources like healthcare professionalsFirst results are somewhat promising for improving cancer-related symptoms.

社会支持对癌症患者的重要性已得到公认,而移动应用程序则有望在这方面发挥作用。本系统性综述研究了针对癌症患者的带有社会支持内容的应用程序干预措施,调查了不同来源的不同支持功能的使用情况以及对癌症相关症状和心理结果的影响。通过对五个数据库(EMBASE、Scopus、PsycINFO、PubMed、Web of Science)进行系统检索,共获得 449 条记录,其中纳入了 17 项研究(12 项对照设计)。两位独立审稿人提取了数据并对研究质量进行了评估,结果显示各研究存在较高的偏倚风险。社交支持通过不同的应用功能实现,包括联系/聊天功能(9 项)、基于应用输入的自动提醒(6 项)和论坛(5 项)。社会支持主要集中在信息支持(17 人),大部分来自医疗保健专业人员。情感支持较少(7 人)。结果表明,对疼痛、疲劳、恶心/呕吐、失眠、便秘和总体症状困扰的干预效果良好,但对健康相关生活质量的干预效果不一。总之,研究结果参差不齐,但表明包含社会支持的手机应用可能会给癌症患者带来希望。亮点针对癌症患者的应用程序主要包括信息性社会支持情感性社会支持较少包括在内应用程序主要集中在正式的支持来源,如医疗保健专业人员初步结果对改善癌症相关症状有一定的帮助。
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引用次数: 0
App-based interventions to improve cancer outcomes rely on informational support from professionals: a systematic review. 基于应用程序的干预措施改善癌症治疗效果有赖于专业人士的信息支持:系统综述。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2024-05-16 DOI: 10.1080/17437199.2024.2349617
Karoline Villinger, C. Berli, U. Scholz
The importance of social support for cancer patients is well-established, and mobile applications hold promise for implementation. This systematic review examines app-based interventions with social support components for cancer patients, investigating the use of different support functions from different sources and the impact on cancer-related symptoms and psychological outcomes. A systematic search across five databases (EMBASE, Scopus, PsycINFO, PubMed, Web of Science) yielded 449 records, of which 17 studies (12 controlled designs) were included. Two independent reviewers extracted data and assessed study quality, revealing a high risk of bias across studies. Social support was implemented through different app functions, including contact/chat functions (n = 9), automatic alerts based on app input (n = 6) and discussion forums (n = 5). Social support predominantly focused on informational support (n = 17), mostly from healthcare professionals. Emotional support was less common (n = 7). Results indicated some promising intervention effects for pain, fatigue, nausea/vomiting, insomnia, constipation and overall symptom distress, but heterogeneous effects for health-related quality of life. Overall, results were mixed, but indicate that mobile apps incorporating social support may hold promise for cancer patients. However, future studies should focus on measuring and reporting social support as an intervention mechanism to systematically investigate its specific impact and improve effectiveness.HighlightsApps for cancer patients predominantly include informational social supportEmotional social support is substantially less frequently includedApps focus on formal support sources like healthcare professionalsFirst results are somewhat promising for improving cancer-related symptoms.
社会支持对癌症患者的重要性已得到公认,而移动应用程序则有望在这方面发挥作用。本系统性综述研究了针对癌症患者的带有社会支持内容的应用程序干预措施,调查了不同来源的不同支持功能的使用情况以及对癌症相关症状和心理结果的影响。通过对五个数据库(EMBASE、Scopus、PsycINFO、PubMed、Web of Science)进行系统检索,共获得 449 条记录,其中纳入了 17 项研究(12 项对照设计)。两位独立审稿人提取了数据并对研究质量进行了评估,结果显示各研究存在较高的偏倚风险。社交支持通过不同的应用功能实现,包括联系/聊天功能(9 项)、基于应用输入的自动提醒(6 项)和论坛(5 项)。社会支持主要集中在信息支持(17 人),大部分来自医疗保健专业人员。情感支持较少(7 人)。结果表明,对疼痛、疲劳、恶心/呕吐、失眠、便秘和总体症状困扰的干预效果良好,但对健康相关生活质量的干预效果不一。总之,研究结果参差不齐,但表明包含社会支持的手机应用可能会给癌症患者带来希望。亮点针对癌症患者的应用程序主要包括信息性社会支持情感性社会支持较少包括在内应用程序主要集中在正式的支持来源,如医疗保健专业人员初步结果对改善癌症相关症状有一定的帮助。
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引用次数: 0
Tobacco use, trauma exposure and PTSD: a systematic review. 烟草使用、创伤暴露和创伤后应激障碍:系统综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-06 DOI: 10.1080/17437199.2024.2330896
Alina Shevorykin, Bridget M Hyland, Daniel Robles, Mengjia Ji, Darian Vantucci, Lindsey Bensch, Hannah Thorner, Matthew Marion, Amylynn Liskiewicz, Ellen Carl, Jamie S Ostroff, Christine E Sheffer

Tobacco use remains one of the most significant preventable public health problems globally and is increasingly concentrated among vulnerable groups, including those with trauma exposure or diagnosed with PTSD. The goal of this systematic review was to update and extend previous reviews. Of the 7224 publications that met the initial criteria, 267 were included in the review. Summary topic areas include conceptual frameworks for the relation between trauma or PTSD and tobacco use; associations between trauma exposure or PTSD and tobacco use; number and type of trauma exposures and tobacco use; PTSD symptoms and tobacco use; Treatment-related studies; and the examination of causal relations. Evidence continues to indicate that individuals exposed to trauma or diagnosed with PTSD are more likely to use tobacco products, more nicotine dependent and less likely to abstain from tobacco even when provided evidence-based treatments than individuals without trauma. The most commonly cited causal association proposed was use of tobacco for self-regulation of negative affect associated with trauma. A small proportion of the studies addressed causality and mechanisms of action. Future work should incorporate methodological approaches and measures from which we can draw causal conclusions and mechanisms to support the development of viable therapeutic targets.

烟草使用仍然是全球最重要的可预防公共卫生问题之一,而且越来越多地集中在弱势群体中,包括有创伤暴露或被诊断患有创伤后应激障碍的人群。本系统综述的目的是更新和扩展之前的综述。在符合初始标准的 7224 篇出版物中,有 267 篇被纳入综述。综述主题领域包括创伤或创伤后应激障碍与烟草使用之间关系的概念框架;创伤暴露或创伤后应激障碍与烟草使用之间的关联;创伤暴露与烟草使用的数量和类型;创伤后应激障碍症状与烟草使用;治疗相关研究;以及因果关系研究。有证据继续表明,与未受过创伤的人相比,受过创伤或被诊断患有创伤后应激障碍的人更有可能使用烟草制品,对尼古丁的依赖性更强,即使接受了循证治疗,戒烟的可能性也更小。最常被提及的因果关系是使用烟草来自我调节与创伤相关的负面情绪。只有一小部分研究探讨了因果关系和作用机制。未来的工作应包括方法学方法和测量方法,我们可以从中得出因果结论和机制,以支持开发可行的治疗目标。
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引用次数: 0
Development of the social dimensions of health behaviour framework. 制定健康行为的社会层面框架。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2024-04-28 DOI: 10.1080/17437199.2024.2339329
Ryan E Rhodes, Mark R Beauchamp

ABSTRACTDespite rapid theoretical expansion in conceptualising individual and environmental processes, the examination of social processes associated with health behaviours has a less cohesive theoretical landscape. The purpose of this mapping review and content analysis was to develop a taxonomy of social dimensions applicable to health behaviours. Michie et al. (2014) 'ABC of Theories of Behaviour Change' text, which includes 83 behaviour change theories, was used as the data-set, whereby an iterative concurrent content analysis was undertaken with respect to all relational/interpersonal psychological dimensions. The analysis resulted in a social dimensions of health behaviour (SDHB) framework of 10 dimensions, including seven sub-types of social appraisal dimensions and three-sub-types of social identification dimensions. The SDHB revealed that specific dimensions, such as descriptive norm, are prevalent in behavioural theories, while other dimensions have seen less attention. Further, while most social constructs in behavioural theories are represented by only one social dimension in the SDHB, other constructs have complex representation. This version 1.0 of the SDHB framework should assist in specifying the core social dimensions in health behaviour, provide a common lexicon to discuss relational constructs in psychological theories, amalgamate the disparate social constructs literature and identify opportunities for further research to advance theory development and interventions.

摘要尽管在个人和环境过程概念化方面的理论发展迅速,但对与健康行为相关的社会过程的研究却没有形成一个统一的理论体系。本图谱综述和内容分析的目的是对适用于健康行为的社会维度进行分类。Michie 等人(2014 年)的 "行为改变理论 ABC "文本包含 83 种行为改变理论,我们将其作为数据集,对所有关系/人际心理维度进行迭代并发内容分析。分析得出了一个包含 10 个维度的健康行为社会维度(SDHB)框架,其中包括 7 个社会评价维度子类型和 3 个社会认同维度子类型。健康行为社会维度框架揭示了行为理论中普遍存在的特定维度,如描述性规范,而其他维度则较少受到关注。此外,行为理论中的大多数社会建构在 SDHB 中只体现为一个社会维度,而其他建构则体现为复杂的维度。SDHB 框架的 1.0 版本应有助于明确健康行为中的核心社会维度,为讨论心理学理论中的关系建构提供通用词汇,整合不同的社会建构文献,并确定进一步研究的机会,以推进理论发展和干预措施。
{"title":"Development of the social dimensions of health behaviour framework.","authors":"Ryan E Rhodes, Mark R Beauchamp","doi":"10.1080/17437199.2024.2339329","DOIUrl":"https://doi.org/10.1080/17437199.2024.2339329","url":null,"abstract":"<p><p><b>ABSTRACT</b>Despite rapid theoretical expansion in conceptualising individual and environmental processes, the examination of <i>social processes</i> associated with health behaviours has a less cohesive theoretical landscape. The purpose of this mapping review and content analysis was to develop a taxonomy of social dimensions applicable to health behaviours. Michie et al<i>.</i> (2014) <i>'ABC of Theories of Behaviour Change'</i> text, which includes 83 behaviour change theories, was used as the data-set, whereby an iterative concurrent content analysis was undertaken with respect to all relational/interpersonal psychological dimensions. The analysis resulted in a <i>social dimensions of health behaviour (SDHB) framework</i> of 10 dimensions, including seven sub-types of social appraisal dimensions and three-sub-types of social identification dimensions. The SDHB revealed that specific dimensions, such as descriptive norm, are prevalent in behavioural theories, while other dimensions have seen less attention. Further, while most social constructs in behavioural theories are represented by only one social dimension in the SDHB, other constructs have complex representation. This version 1.0 of the SDHB framework should assist in specifying the core social dimensions in health behaviour, provide a common lexicon to discuss relational constructs in psychological theories, amalgamate the disparate social constructs literature and identify opportunities for further research to advance theory development and interventions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":9.8,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of the studies testing the integrated motivational-volitional model of suicidal behaviour 对测试自杀行为的动机-意志综合模式的研究进行系统回顾
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2024-04-16 DOI: 10.1080/17437199.2024.2336013
Kenvil Souza, Edward M. Sosu, Scott Thomson, Susan Rasmussen
Despite the influence of the integrated motivational-volitional (IMV)1 model on research and practice, the supporting literature has not been systematically synthesised. This systematic review aims...
尽管综合动机-意志(IMV)1 模式对研究和实践产生了影响,但支持该模式的文献尚未得到系统的综合。本系统综述旨在...
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引用次数: 0
Mindfulness-based psychosocial interventions and psychological wellbeing in cancer survivorship: a meta-analysis. 以正念为基础的心理干预和癌症幸存者的心理健康:一项荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1080/17437199.2024.2336014
Rachel Telles, Brendan M Whitney, Sarah Froelich, Susan K Lutgendorf

Purpose: Among cancer survivors, mindfulness-based interventions appear promising in decreasing distress for cancer patients, but little attention has been paid to the ultimate mindfulness goal of increasing psychological wellbeing. This meta-analysis aims to summarise and synthesise available evidence concerning the effectiveness of MBIs on positive psychological outcomes reflecting key aspects of psychological wellbeing in heterogeneous cancer patients.

Methods: A literature search of mindfulness-based randomised clinical trials in cancer survivors was conducted across six electronic databases. Two reviewers independently screened studies and extracted data. Meta-analyses were conducted using R; standardised mean difference (SMD) was used to determine intervention effect. Moderators examined included therapeutic orientation, control group type, treatment modality, treatment target, heterogeneous vs. homogeneous cancer type, and facet of wellbeing.

Results: Thirty-one studies were included (N = 2651). Those who received mindfulness-based interventions reported significantly higher eudaimonic, hedonic, and social wellbeing than respondents in control groups (SMD = 0.599). Interventions were equally effective across therapeutic orientation, control group type, treatment modality and treatment target. There were trend level differences favouring homogeneous cancer diagnosis groups over heterogeneous diagnosis groups.

Conclusion: MBIs provide an effective treatment for increasing psychological wellbeing in cancer survivors. This finding has important implications for clinical practice.

目的:在癌症幸存者中,以正念为基础的干预措施在减少癌症患者的痛苦方面似乎很有前景,但很少有人关注正念的最终目标--提高心理健康水平。本荟萃分析旨在总结和归纳有关正念干预对积极心理结果的有效性的现有证据,这些积极心理结果反映了不同癌症患者心理健康的关键方面:在六个电子数据库中对癌症幸存者中基于正念的随机临床试验进行了文献检索。两名审稿人独立筛选研究并提取数据。使用R进行元分析;使用标准化平均差(SMD)确定干预效果。研究的调节因素包括治疗方向、对照组类型、治疗方式、治疗目标、异质癌症类型与同质癌症类型,以及幸福感的方方面面:结果:共纳入 31 项研究(N = 2651)。与对照组受访者相比,接受正念干预的受访者报告的幸福感、享乐感和社会幸福感明显更高(SMD = 0.599)。不同治疗方向、对照组类型、治疗方式和治疗目标的干预效果相同。同质癌症诊断组优于异质诊断组的趋势水平存在差异:MBIs是提高癌症幸存者心理健康的有效治疗方法。这一发现对临床实践具有重要意义。
{"title":"Mindfulness-based psychosocial interventions and psychological wellbeing in cancer survivorship: a meta-analysis.","authors":"Rachel Telles, Brendan M Whitney, Sarah Froelich, Susan K Lutgendorf","doi":"10.1080/17437199.2024.2336014","DOIUrl":"10.1080/17437199.2024.2336014","url":null,"abstract":"<p><strong>Purpose: </strong>Among cancer survivors, mindfulness-based interventions appear promising in decreasing distress for cancer patients, but little attention has been paid to the ultimate mindfulness goal of increasing psychological wellbeing. This meta-analysis aims to summarise and synthesise available evidence concerning the effectiveness of MBIs on positive psychological outcomes reflecting key aspects of psychological wellbeing in heterogeneous cancer patients.</p><p><strong>Methods: </strong>A literature search of mindfulness-based randomised clinical trials in cancer survivors was conducted across six electronic databases. Two reviewers independently screened studies and extracted data. Meta-analyses were conducted using R; standardised mean difference (SMD) was used to determine intervention effect. Moderators examined included therapeutic orientation, control group type, treatment modality, treatment target, heterogeneous vs. homogeneous cancer type, and facet of wellbeing.</p><p><strong>Results: </strong>Thirty-one studies were included (<i>N</i> = 2651). Those who received mindfulness-based interventions reported significantly higher eudaimonic, hedonic, and social wellbeing than respondents in control groups (SMD = 0.599). Interventions were equally effective across therapeutic orientation, control group type, treatment modality and treatment target. There were trend level differences favouring homogeneous cancer diagnosis groups over heterogeneous diagnosis groups.</p><p><strong>Conclusion: </strong>MBIs provide an effective treatment for increasing psychological wellbeing in cancer survivors. This finding has important implications for clinical practice.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SWIPE: a conceptual, multi-perspective model for understanding and informing interventions for weight stigma in preconception, pregnancy, and postpartum. SWIPE:一个概念性、多视角模型,用于理解和指导针对孕前、孕期和产后体重污名的干预措施。
IF 9.8 1区 心理学 Q1 Psychology Pub Date : 2024-04-01 DOI: 10.1080/17437199.2024.2333801
Haimanot Hailu, Helen Skouteris, Angela C Incollingo Rodriguez, Briony Hill

Weight stigma is salient across the preconception, pregnancy, and postpartum (PPP) periods because of prevailing prescriptive norms and expectations about weight and weight gain during the reproductive period. Weight stigma is associated with negative physical and psychological health outcomes for mother and child. A clearly defined, multi-level conceptual model for interventions, research, and policy is critical to mitigating the adverse effects of weight stigma in PPP populations. Conceptual models of weight stigma towards PPP women have advanced our understanding of this issue and guided evidence accumulation but there remains a gap in informing the translation of evidence into action. Guided by evidence-based paradigms for conceptual model development, this paper has two primary objectives. First, we review and summarise theories, frameworks, and models from the PPP population and general literature to inform our understanding of the development and perpetuation of weight stigma for PPP women. Second, we propose a novel comprehensive intervention-guiding conceptual model that draws from and synthesises across multiple disciplines - the SWIPE (Stigma of Weight In the PPP Experience) model. This conceptual model will help to plan coordinated, multi-layered, and effective strategies to reduce and ultimately eliminate weight stigma for PPP women.

在孕前、孕期和产后(PPP)期间,由于对生育期体重和体重增加的普遍规定性规范和期望,体重鄙视现象十分突出。体重烙印与母婴的负面身心健康结果有关。一个定义明确、多层次的干预、研究和政策概念模型对于减轻体重鄙视在 PPP 群体中的不利影响至关重要。针对 PPP 妇女的体重鄙视概念模型促进了我们对这一问题的理解,并指导了证据的积累,但在将证据转化为行动方面仍存在差距。在以证据为基础的概念模型开发范式的指导下,本文有两个主要目标。首先,我们回顾并总结了 PPP 群体和一般文献中的理论、框架和模型,以帮助我们理解 PPP 女性体重成见的发展和延续。其次,我们提出了一个新颖的综合干预指导概念模型--SWIPE(PPP 经验中的体重污名化)模型,该模型借鉴并综合了多个学科的知识。这一概念模型将有助于规划协调、多层次和有效的策略,以减少并最终消除 PPP 妇女的体重污名化。
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引用次数: 0
A systematic review of interventions targeting physical activity and/or healthy eating behaviours in adolescents: practice and training. 针对青少年体育活动和/或健康饮食行为的干预措施的系统回顾:实践与培训。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-02-10 DOI: 10.1080/17437199.2023.2173631
Hannah Allcott-Watson, Angel Chater, Nick Troop, Neil Howlett

Despite the many health benefits of physical activity (PA) and healthy eating (HE) most adolescents do not meet current guidelines which poses future health risks. This review aimed to (1) identify whether adolescent PA and HE interventions show promise at promoting behaviour change and maintenance, (2) identify which behaviour change techniques (BCTs) are associated with promising interventions, and (3) explore the optimal approaches to training deliverers of adolescent PA/HE interventions. Nine databases were searched for randomised controlled, or quasi-experimental, trials targeting 10-19 year olds, with a primary aim to increase PA/HE, measured at baseline and at least six months post-intervention, in addition to papers reporting training of deliverers of adolescent PA/HE interventions. Included were seven PA studies, three HE studies and four studies targeting both, with two training papers. For PA studies, two were promising post-intervention with two promising BCTs, and five were promising for maintenance with two promising BCTs. For HE studies, three were promising at post-intervention and four at maintenance, both with four promising BCTs. There is preliminary evidence that interventions support adolescents to improve their PA and HE behaviours over a period of at least six months.

尽管体育锻炼(PA)和健康饮食(HE)对健康有诸多益处,但大多数青少年并不符合当前的指导方针,这给未来的健康带来了风险。本综述旨在:(1)确定青少年体育锻炼和健康饮食干预是否有望促进行为改变和维持;(2)确定哪些行为改变技术(BCT)与有前景的干预相关;以及(3)探索培训青少年体育锻炼/健康饮食干预实施者的最佳方法。研究人员在九个数据库中检索了随机对照或准实验性试验,试验对象为 10-19 岁的青少年,主要目的是增加青少年的体育锻炼/健康教育,测量时间为基线和干预后至少六个月,此外还检索了报告青少年体育锻炼/健康教育干预措施实施者培训情况的论文。其中包括 7 项 PA 研究、3 项 HE 研究和 4 项针对两者的研究,以及 2 篇培训论文。在体育锻炼研究中,有两篇在干预后进行的研究很有前景,其中两篇采用了BCTs;有五篇在维持阶段进行的研究很有前景,其中两篇采用了BCTs。在健康教育研究中,有三项在干预后效果显著,四项在维持阶段效果显著,均采用了四种有前景的BCT。有初步证据表明,干预措施可帮助青少年在至少六个月的时间内改善其体育锻炼和体育锻炼行为。
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引用次数: 0
A biobehavioural and social-structural model of inflammation and executive function in pediatric chronic health conditions. 儿科慢性疾病中炎症和执行功能的生物行为和社会结构模型。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2022-12-29 DOI: 10.1080/17437199.2022.2162430
Kathryn P King, Tori Humiston, Marissa A Gowey, Donna L Murdaugh, Gareth R Dutton, Amy Hughes Lansing

Evidence indicates that pediatric chronic health conditions (CHCs) often impair executive functioning (EF) and impaired EF undermines pediatric CHC management. This bidirectional relationship likely occurs due to biobehavioural and social-structural factors that serve to maintain this feedback loop. Specifically, biobehavioural research suggests that inflammation may sustain a feedback loop that links together increased CHC severity, challenges with EF, and lower engagement in health promoting behaviours. Experiencing social and environmental inequity also maintains pressure on this feedback loop as experiencing inequities is associated with greater inflammation, increased CHC severity, as well as challenges with EF and engagement in health promoting behaviours. Amidst this growing body of research, a model of biobehavioural and social-structural factors that centres inflammation and EF is warranted to better identify individual and structural targets to ameliorate the effects of CHCs on children, families, and society at large. This paper proposes this model, reviews relevant literature, and delineates actionable research and clinical implications.

摘要有证据表明,儿科慢性疾病(CHC)经常会损害执行功能(EF),而执行功能受损又会影响儿科慢性疾病的管理。这种双向关系很可能是由于生物行为和社会结构因素造成的,这些因素起到了维持这种反馈循环的作用。具体来说,生物行为学研究表明,炎症可能会维持一个反馈回路,将 CHC 严重程度的增加、EF 的挑战和健康促进行为的参与度降低联系在一起。社会和环境的不公平也会对这一反馈回路造成压力,因为不公平与炎症加剧、CHC 严重程度增加、EF 面临挑战以及参与促进健康的行为有关。在这些日益增多的研究中,有必要建立一个以炎症和EF为中心的生物行为和社会结构因素模型,以更好地确定个人和结构目标,从而减轻CHC对儿童、家庭和整个社会的影响。本文提出了这一模型,回顾了相关文献,并阐述了可操作的研究和临床意义。
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引用次数: 0
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