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Explaining the self-regulatory role of affect in identity theory: The role of self-compassion
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-01 DOI: 10.1111/bjhp.12783
Shaelyn M. Strachan, Sasha M. Kullman, Marko Dobrovolskyi, Vianney Z. Vega, Alexandra Yarema, Caity Patson

Objectives

According to Stets and Burke's Identity Theory, people experience negative affect when their behaviour deviates from their identity standards, which drives the regulation of identity-relevant behaviour. Guilt and shame represent unique forms of negative affect. Self-compassion may influence guilt and shame responses about identity-behaviour inconsistencies. Relative to exercise identity, we examined the associations between (1) guilt and shame, behavioural intentions, and perceptions of identity-behaviour re-alignment after an identity-inconsistent situation and (2) whether self-compassion moderates the relationship between these forms of negative affect and both behavioural intentions and identity-behaviour re-alignment.

Design

Prospective, online, quantitative.

Methods

N = 274 exercisers (Mage = 32.5 years, SDage = 10.8 years, 50.2% women) who engaged in less exercise in the past week than their identity standard were recruited from Prolific.com. At baseline, self-compassion, state and trait guilt and shame, and exercise intentions were measured. One week later, participants reported the extent to which their past week's exercise aligned with their identity standard (i.e., identity-consistent perceptions).

Results

Neither state shame nor guilt related to exercise intentions nor identity-consistent perceptions. Self-compassion moderated the relationship between state guilt and identity-consistent perceptions (b = 2.524, SE = .975, t = 2.588, p = .010); state guilt was related to identity-behaviour consistency when self-compassion was high, but not when it was low. No other moderations were significant.

Conclusions

This study adds nuance to Identity Theory and its propositions about negative affect and self-regulation; self-compassion may create the conditions necessary for negative affect to drive identity-relevant behaviour as proposed by identity theory.

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引用次数: 0
Why do most people on dialysis not accept psychological care to increase perceptions of control in life?
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-27 DOI: 10.1111/bjhp.12782
Alicia M. de Vries, Adelita V. Ranchor, Ralf Westerhuis, Annemieke Visser, Casper F. M. Franssen, Gerjan J. Navis, Maya J. Schroevers

Objectives

People with chronic kidney failure (CKF) on dialysis who perceive little control in life are at risk for a reduced well-being. We developed and tested an intervention aiming to enhance their perceptions of control. To gain insight into patients' care needs and acceptance of the intervention, we examined the prevalence of patients perceiving low control, their characteristics, and their reasons for (not) accepting the intervention.

Design

We consecutively screened 430 people on dialysis on perceived control, with those reporting low control offered to participate in the intervention study.

Methods

We used data of a Randomized Controlled Trial examining the feasibility, acceptability and efficacy of the intervention. Perceived control was assessed with the Pearlin Mastery scale.

Results

About half (55%) of the sample perceived low control, particularly those with more comorbidities. Most persons eligible for receiving the intervention did not accept the intervention (89%), especially older persons. Main reasons were experiencing little burden of perceiving low control as well as no need for care to increase perceived control.

Conclusions

A significant number of people on dialysis perceived low control in life, yet very few accepted an intervention for regaining a sense of control. In-depth qualitative research is needed for a more comprehensive understanding of the personal experience and perceived impact of low control on health and well-being, activities and relationships as well as people's reasons and needs for enhancing a sense of control and attitude towards psychological interventions aiming to enhance perceived control.

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引用次数: 0
The association between depressive symptoms and lower urinary tract symptoms and impact among women: Investigating behavioural, cognitive and physiological pathways 女性抑郁症状和下尿路症状之间的关系及其影响:调查行为、认知和生理途径
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-21 DOI: 10.1111/bjhp.12768
Sonya S. Brady, Andrés Arguedas, Jared D. Huling, Gerhard Hellemann, David R. Jacobs Jr, Cora E. Lewis, Cynthia S. Fok, Pamela J. Schreiner, Stephen K. Van Den Eeden, Alayne D. Markland

Objective

Mechanistic studies are needed to understand why depressive symptoms are associated with poorer physical health. The objective of this study was to examine whether behavioural, cognitive and physiological factors mediated an association between depressive symptoms, measured in early adulthood, and lower urinary tract symptoms (LUTS) and their impact, a composite variable measured in mid-life adulthood, among women in the Coronary Artery Risk Development in Young Adults study, conducted in four regions of the United States.

Design

Prospective cohort study.

Methods

Data were examined for 871 women. Depressive symptoms were measured and averaged across Years 5, 10 and 15. Year 20 health behaviour combined information about smoking, physical activity and diet. Year 25 cognitive function combined performance on different cognitive tests. Year 25 metabolic syndrome combined standard risk criteria for waist circumference, triglycerides, high-density lipoprotein, blood pressure and glucose. A cluster analysis of urinary incontinence, other LUTS and impact data—collected two years after Year 25—was used to group women into one of four categories: no or very mild symptoms with no impact (bladder health) versus mild, moderate or severe symptoms/impact.

Results

Structural equation modelling showed a statistically significant direct path between depressive symptoms and LUTS/impact. Tests of indirect paths showed that health behaviours, cognitive function and metabolic syndrome did not mediate the association between depressive symptoms and LUTS/impact.

Conclusions

Depressive symptoms in early adulthood appear to be associated with LUTS and their impact in mid-life adulthood over and above health behaviours, cognitive function and metabolic syndrome.

目的:需要进行机制研究来理解为什么抑郁症状与较差的身体健康有关。本研究的目的是研究行为、认知和生理因素是否介导了抑郁症状(在成年早期测量)与下尿路症状(LUTS)及其影响(在中年成年测量的复合变量)之间的关联,研究对象是在美国四个地区进行的青年冠状动脉风险发展研究中的女性。设计:前瞻性队列研究。方法:对871名妇女进行资料分析。对5、10和15年级的抑郁症状进行测量并取平均值。20年级学生的健康行为包括吸烟、体育活动和饮食方面的信息。25年级的认知功能综合表现在不同的认知测试中。25年代谢综合征合并腰围、甘油三酯、高密度脂蛋白、血压和血糖的标准风险标准。对25年后收集的尿失禁、其他LUTS和影响数据进行聚类分析,将妇女分为四类:无或非常轻微的症状,没有影响(膀胱健康)与轻度、中度或严重的症状/影响。结果:结构方程模型显示抑郁症状与LUTS/影响之间有统计学意义的直接关系。间接路径测试表明,健康行为、认知功能和代谢综合征并不能介导抑郁症状与LUTS/影响之间的关联。结论:成年早期的抑郁症状似乎与LUTS有关,其对中年成年的影响超过健康行为、认知功能和代谢综合征。
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引用次数: 0
Associations between lifestyle and well-being in early and late pregnancy in women with overweight or obesity: Secondary analyses of the PEARS RCT 超重或肥胖妇女妊娠早期和晚期生活方式与健康之间的关系:梨随机对照试验的二次分析
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-16 DOI: 10.1111/bjhp.12776
Kaat Philippe, Alexander P. Douglass, Fionnuala M. McAuliffe, Catherine M. Phillips

Objectives

The associations between individual lifestyle behaviours and well-being are still poorly understood, particularly in the antenatal period when women are exposed to physiological changes and increased psychological distress. A healthy lifestyle score (HLS) comprising protective lifestyle behaviours may be useful for studying links between overall lifestyle and psychosocial outcomes. This study aimed to examine bidirectional associations between a HLS and its components and psychological well-being in pregnant women with overweight/obesity.

Design

Secondary analyses of data from the PEARS trial.

Methods

Healthy lifestyle scores (scored 0–5) based on maternal diet (AHEI-P), physical activity (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 330 and 287 mothers with overweight/obesity in early (14–16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Psychological well-being was measured with the WHO-5 well-being index. Cross-lagged path models (crude/adjusted) tested the directionality of relationships between lifestyle (composite score/individual components) and well-being cross-sectionally and over time in pregnancy.

Results

The mean early pregnancy BMI was 29.2 kg/m2. The mean well-being score was 56.3% in early and 60.7% in late pregnancy. Significant autoregressive effects were observed for the HLS, all individual components, and well-being from early to late pregnancy. Well-being was positively correlated with the HLS, physical activity, and sleep variables within time points (in early and/or late pregnancy). Sleep and no smoking in early pregnancy predicted higher well-being in late pregnancy.

Conclusions

Overall healthy lifestyle, physical activity, and especially sleep duration and quality are associated with psychological well-being in pregnancy, and should be promoted antenatally.

目标:个人生活方式行为与幸福之间的联系仍然知之甚少,特别是在产前期间,妇女暴露于生理变化和增加的心理困扰。包含保护性生活方式行为的健康生活方式评分(HLS)可能有助于研究总体生活方式与社会心理结果之间的联系。本研究旨在探讨超重/肥胖孕妇HLS及其成分与心理健康之间的双向关系。设计:对梨试验数据进行二次分析。方法:对330例妊娠早期(14-16周)和287例妊娠晚期(28周)超重/肥胖的母亲分别建立基于母亲饮食(AHEI-P)、身体活动(MET-minutes)、饮酒、吸烟和睡眠习惯的健康生活方式评分(评分0-5分)。使用WHO-5幸福指数测量心理健康。交叉滞后路径模型(粗糙/调整)测试了生活方式(综合得分/个体成分)与怀孕期间幸福感之间的关系的指向性。结果:孕早期平均BMI为29.2 kg/m2。怀孕初期的平均幸福感为56.3%,怀孕后期的平均幸福感为60.7%。从妊娠早期到晚期,观察到HLS、所有个体成分和幸福感的显著自回归效应。在时间点内(妊娠早期和/或妊娠晚期),幸福感与HLS、身体活动和睡眠变量呈正相关。怀孕早期的睡眠和不吸烟预示着怀孕后期的幸福感更高。结论:整体健康的生活方式、身体活动,尤其是睡眠时间和质量与妊娠期心理健康相关,应在产前加以促进。
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引用次数: 0
Implementation of a national programme to train and support healthcare professionals in brief behavioural interventions: A qualitative study using the theoretical domains framework 实施国家方案,培训和支持医疗保健专业人员进行简短的行为干预:使用理论领域框架的定性研究。
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-15 DOI: 10.1111/bjhp.12777
Oonagh Meade, Lena Aehlig, Maria O'Brien, Agatha Lawless, Jenny McSharry, Anda Dragomir, Jo K. Hart, Chris Keyworth, Kim L. Lavoie, Molly Byrne

Objectives

Behaviour change interventions offered opportunistically by healthcare professionals can support patient health behaviour change. The Making Every Contact Count (MECC) programme in Ireland is a national programme to support healthcare professionals to use brief behavioural interventions. The aim of this study was to gain an in-depth understanding of the enablers of, and barriers to, embedding MECC across the healthcare system.

Design

A qualitative interview study.

Methods

We conducted individual semi-structured interviews to understand barriers and enablers to MECC implementation. Our sample was 36 participants (11 health promotion and improvement officers, 9 nurses, 15 allied health professionals and 1 training instructor) who have a direct role in either supporting or delivering brief interventions to patients. Data were analysed using a Framework Analysis approach guided by the Theoretical Domains Framework (TDF).

Results

Eight theoretical domains influenced MECC implementation: environmental context and resources, intentions/goals, beliefs about the consequences of MECC delivery, knowledge, healthcare professionals' beliefs about their capability to deliver MECC interventions, social and professional role and identity, and reinforcement and skills. Environmental context and resources was the most strongly endorsed domain with key influencing factors including consultation type/setting, making MECC a routine part of clinical practice, a multi-professional approach, access to/visibility of resources/services, management support/expectations, impacts of the COVID-19 pandemic, and the salience of the MECC programme and the strategic fit of MECC with other health service initiatives.

Conclusions

While individual factors influence national implementation of behaviour change interventions, creating enabling environments for healthcare staff is crucial for widespread adoption across healthcare systems.

目的:医疗保健专业人员机会性地提供的行为改变干预措施可以支持患者健康行为改变。爱尔兰的“珍惜每一次接触”方案是一项支持保健专业人员使用简短行为干预措施的国家方案。本研究的目的是深入了解在整个医疗保健系统中嵌入MECC的推动因素和障碍。设计:定性访谈研究。方法:我们进行了单独的半结构化访谈,以了解MECC实施的障碍和推动因素。我们的样本是36名参与者(11名健康促进和改善官员,9名护士,15名专职卫生专业人员和1名培训讲师),他们直接支持或向患者提供简短的干预措施。使用由理论领域框架(TDF)指导的框架分析方法分析数据。结果:八个理论领域影响MECC实施:环境背景和资源、意图/目标、对MECC实施后果的信念、知识、医疗保健专业人员对其提供MECC干预措施能力的信念、社会和专业角色和认同、强化和技能。环境背景和资源是最受支持的领域,其关键影响因素包括咨询类型/设置、MECC是否成为临床实践的常规部分、多专业方法、资源/服务的获取/可见性、管理支持/期望、COVID-19大流行的影响、MECC计划的突出性以及MECC与其他卫生服务举措的战略契合度。结论:虽然个别因素影响国家实施行为改变干预措施,但为卫生保健人员创造有利环境对于在整个卫生保健系统中广泛采用至关重要。
{"title":"Implementation of a national programme to train and support healthcare professionals in brief behavioural interventions: A qualitative study using the theoretical domains framework","authors":"Oonagh Meade,&nbsp;Lena Aehlig,&nbsp;Maria O'Brien,&nbsp;Agatha Lawless,&nbsp;Jenny McSharry,&nbsp;Anda Dragomir,&nbsp;Jo K. Hart,&nbsp;Chris Keyworth,&nbsp;Kim L. Lavoie,&nbsp;Molly Byrne","doi":"10.1111/bjhp.12777","DOIUrl":"10.1111/bjhp.12777","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Behaviour change interventions offered opportunistically by healthcare professionals can support patient health behaviour change. The Making Every Contact Count (MECC) programme in Ireland is a national programme to support healthcare professionals to use brief behavioural interventions. The aim of this study was to gain an in-depth understanding of the enablers of, and barriers to, embedding MECC across the healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative interview study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted individual semi-structured interviews to understand barriers and enablers to MECC implementation. Our sample was 36 participants (11 health promotion and improvement officers, 9 nurses, 15 allied health professionals and 1 training instructor) who have a direct role in either supporting or delivering brief interventions to patients. Data were analysed using a Framework Analysis approach guided by the Theoretical Domains Framework (TDF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight theoretical domains influenced MECC implementation: environmental context and resources, intentions/goals, beliefs about the consequences of MECC delivery, knowledge, healthcare professionals' beliefs about their capability to deliver MECC interventions, social and professional role and identity, and reinforcement and skills. Environmental context and resources was the most strongly endorsed domain with key influencing factors including consultation type/setting, making MECC a routine part of clinical practice, a multi-professional approach, access to/visibility of resources/services, management support/expectations, impacts of the COVID-19 pandemic, and the salience of the MECC programme and the strategic fit of MECC with other health service initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While individual factors influence national implementation of behaviour change interventions, creating enabling environments for healthcare staff is crucial for widespread adoption across healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014043","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}
引用次数: 0
Pre-disability resilience and well-being following the onset of functional impairments 残疾前的复原力和功能损伤后的幸福感。
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-11 DOI: 10.1111/bjhp.12781
Mikaela Spooner, Timothy R. Elliott, Wen Luo, Kelly M. Lee, Meredith L. C. Williamson

Objectives

Tested the prospective relationship of a resilient personality prototype determined prior to disability onset to well-being among persons with and without debilitating functional impairments nine to 10 years later. A resilient profile was expected to predict well-being through its beneficial associations with positive affect, perceived control and social support.

Design

Longitudinal, prospective observation study.

Methods

Data obtained from participants with no functional impairments at the first assessment of the Midlife in the United States (MIDUS) project and who participated in the second survey (1147 men, 985 women at Time 1). Cluster analysis was used to create personality profiles at the first time point. Differences between resilient and non-resilient individuals were examined. A structural equation model (SEM) tested the prospective effects of resilience on positive affect, perceived control and social support to well-being.

Results

A resilient personality profile was identified, as expected (n = 877). Individuals with a resilient personality prototype reported higher social support, positive affect, perceived control, life satisfaction and self-rated health at both measurement occasions than the non-resilient group. The SEM revealed that a resilient prototype operated through the three mediating variables to prospectively predict life satisfaction, and through social support and positive affect to predict self-rated health. These effects were independent of gender and disability severity.

Conclusions

A resilient personality profile prospectively operates through positive affect, perceived control and social support to predict well-being following the onset of debilitating impairments. The theoretical and clinical implications of these findings are discussed, and limitations are considered.

目的:测试在残疾发生前确定的弹性人格原型与患有或不患有衰弱性功能障碍的人在9至10年后的幸福感之间的前瞻性关系。预期弹性剖面通过其与积极影响、感知控制和社会支持的有益关联来预测幸福感。设计:纵向、前瞻性观察研究。方法:从参加第一次美国中年(MIDUS)项目评估和第二次调查的参与者(1147名男性,985名女性)中获得的数据。聚类分析用于创建第一个时间点的个性档案。研究了弹性个体和非弹性个体之间的差异。结构方程模型(SEM)检验了心理弹性对积极情感、感知控制和社会支持对幸福感的预期影响。结果:与预期一致(n = 877),确定了弹性人格特征。具有弹性人格原型的个体在社会支持、积极影响、感知控制、生活满意度和自评健康方面均高于非弹性人格原型组。SEM发现弹性原型通过三个中介变量对生活满意度进行前瞻性预测,通过社会支持和积极影响对自评健康进行前瞻性预测。这些影响与性别和残疾严重程度无关。结论:弹性人格可以通过积极影响、感知控制和社会支持来预测衰弱性损伤发生后的幸福感。讨论了这些发现的理论和临床意义,并考虑了局限性。
{"title":"Pre-disability resilience and well-being following the onset of functional impairments","authors":"Mikaela Spooner,&nbsp;Timothy R. Elliott,&nbsp;Wen Luo,&nbsp;Kelly M. Lee,&nbsp;Meredith L. C. Williamson","doi":"10.1111/bjhp.12781","DOIUrl":"10.1111/bjhp.12781","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Tested the prospective relationship of a resilient personality prototype determined prior to disability onset to well-being among persons with and without debilitating functional impairments nine to 10 years later. A resilient profile was expected to predict well-being through its beneficial associations with positive affect, perceived control and social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Longitudinal, prospective observation study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data obtained from participants with no functional impairments at the first assessment of the Midlife in the United States (MIDUS) project and who participated in the second survey (1147 men, 985 women at Time 1). Cluster analysis was used to create personality profiles at the first time point. Differences between resilient and non-resilient individuals were examined. A structural equation model (SEM) tested the prospective effects of resilience on positive affect, perceived control and social support to well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A resilient personality profile was identified, as expected (<i>n</i> = 877). Individuals with a resilient personality prototype reported higher social support, positive affect, perceived control, life satisfaction and self-rated health at both measurement occasions than the non-resilient group. The SEM revealed that a resilient prototype operated through the three mediating variables to prospectively predict life satisfaction, and through social support and positive affect to predict self-rated health. These effects were independent of gender and disability severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A resilient personality profile prospectively operates through positive affect, perceived control and social support to predict well-being following the onset of debilitating impairments. The theoretical and clinical implications of these findings are discussed, and limitations are considered.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967084","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}
引用次数: 0
Exploring weight management beliefs during the menopausal transition (ME-WEL project): A qualitative comparative study based on Health Belief Model 绝经期体重管理信念探索(ME-WEL项目):基于健康信念模型的质性比较研究。
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-09 DOI: 10.1111/bjhp.12779
Mafalda Leitão, Faustino R. Pérez-López, João Marôco, Filipa Pimenta

Objectives

While most women experience weight gain during the menopausal transition, a subset successfully maintains a healthy weight. This study explores the determinants influencing different weight experiences during the menopausal transition, using the Health Belief Model (HBM).

Design

Qualitative design.

Methods

Semi-structured individual interviews with 62 Portuguese post-menopausal women were performed. Among them, 31 women maintained a normal weight from pre-menopause to post-menopause, with a variation not exceeding 5% of pre-menopausal weight, while another 31 women transitioned from normal weight in pre-menopause to overweight or obesity in post-menopause, with an increase above 7% of pre-menopausal weight. Deductive-dominant content analysis and multiple correspondence analysis were performed.

Results

Prominent differences exist between the Unhealthy Weight Gain Group (UWG-G) and the Healthy Weight Maintenance Group (HWM-G). The UWG-G lacks perceived susceptibility in pre-menopause and perceives obesity as stigmatizing. They prioritize immediate changes as benefits, while the HWM-G focuses on self-concept. Both groups face barriers like food cravings and weight loss challenges in middle-aged. For cues to action, the UWG-G emphasizes social support and self-care resources, while the HWM-G emphasizes age progression and healthy behaviour adherence. The HWM-G presents higher self-efficacy.

Conclusion

This study confirms the suitability of the HBM in understanding weight management beliefs among post-menopausal women, highlighting differences between women who maintain a healthy weight and those who experience weight gain during this life phase. This facilitates identifying key determinants (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy) crucial for future interventions in weight management.

目的:虽然大多数妇女在更年期过渡期间体重增加,但有一部分妇女成功地保持了健康的体重。本研究使用健康信念模型(HBM)探讨影响绝经过渡期不同体重体验的决定因素。设计:定性设计。方法:对62名葡萄牙绝经后妇女进行半结构化的个人访谈。其中31名妇女从绝经前到绝经后体重保持正常,变化幅度不超过绝经前体重的5%,另有31名妇女从绝经前体重正常过渡到绝经后体重超重或肥胖,增加幅度超过绝经前体重的7%。进行演绎显性内容分析和多重对应分析。结果:不健康体重增加组(UWG-G)与健康体重维持组(HWM-G)之间存在显著差异。UWG-G缺乏绝经前的易感性,认为肥胖是一种耻辱。他们优先考虑即时的变化作为利益,而HWM-G则侧重于自我概念。这两个群体都面临着一些障碍,比如对食物的渴望和中年时的减肥挑战。在行动线索方面,UWG-G强调社会支持和自我保健资源,而HWM-G强调年龄发展和健康行为坚持。HWM-G组具有较高的自我效能感。结论:本研究证实了HBM在理解绝经后妇女体重管理信念方面的适用性,强调了在这一生命阶段保持健康体重的妇女和体重增加的妇女之间的差异。这有助于确定关键决定因素(感知易感性、感知严重性、感知益处、感知障碍、行动线索和自我效能),对未来体重管理干预至关重要。
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引用次数: 0
Characteristics of refractory disease and persistent symptoms in inflammatory arthritis: Qualitative framework analysis of interviews with patients and health care professionals 炎症性关节炎难治性疾病和持续性症状的特征:对患者和卫生保健专业人员访谈的定性框架分析。
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-08 DOI: 10.1111/bjhp.12780
Hema Chaplin, Carol Simpson, Kate Wilkins, Jessica Meehan, Nora Ng, James Galloway, Ian C. Scott, Debajit Sen, Rachel Tattersall, Rona Moss-Morris, Heidi Lempp, Sam Norton

Objectives

This study aims to explore patients' and clinicians' understanding and experiences of refractory disease (RD) and persistent physical and emotional symptoms (PPES) in patients with inflammatory arthritis (IA), namely rheumatoid arthritis or polyarticular juvenile idiopathic arthritis from their perspectives through interviews and/or focus groups.

Design

A qualitative study was conducted, following a pragmatic epistemology approach with framework analysis employed.

Methods

Semi-structured interviews or focus groups with IA patients (n = 25) and multi-disciplinary rheumatology HCPs (n = 32) were conducted at one time point to obtain participants respective understanding and experiences of managing RD/PPES, and its impact on the patient-professional relationship.

Results

Three key themes were identified from both patients and professionals' experiences of RD/PPES: (1) relevant treatment experiences, (2) symptoms (with or without inflammation) and (3) impact: physical, psychological and social. These themes included 28 specific categories that would be considered as components characterizing RD/PPES, most common to both patients and HCPs with six being patient-specific and only one HCP-specific. The specific biopsychosocial symptoms and impacts of RD/PPES pertain to pain, fatigue, stiffness, joint involvement and physical, psychological and social functioning and quality of life, covering disease-related distress, mobility and independence. Wider influential factors such as comorbidities, non-adherence, health/medication beliefs and behaviours and social support were also identified.

Conclusion

Common persistent symptoms that have both mental and physical impact characterize RD/PPES in IA and therefore a more integrated holistic approach to treatment is needed from multi-disciplinary HCPs, including health psychologists.

目的:本研究旨在通过访谈和/或焦点小组,从患者和临床医生的角度探讨炎症性关节炎(IA)患者(即类风湿关节炎或多关节幼年特发性关节炎)的难治性疾病(RD)和持续性身体和情绪症状(PPES)的理解和经验。设计:进行了一项定性研究,采用了框架分析的语用认识论方法。方法:在同一时间点对IA患者(n = 25)和多学科风湿病HCPs (n = 32)进行半结构化访谈或焦点小组,以获得参与者各自对RD/PPES管理的理解和经验,及其对患者-专业关系的影响。结果:从RD/PPES患者和专业人员的经历中确定了三个关键主题:(1)相关的治疗经历,(2)症状(有无炎症)和(3)影响:身体,心理和社会。这些主题包括28个特定类别,将被视为表征RD/PPES的组成部分,在患者和hcp中最常见,其中6个是患者特异性的,只有1个是hcp特异性的。RD/PPES的特定生物心理社会症状和影响涉及疼痛、疲劳、僵硬、关节受累以及身体、心理和社会功能和生活质量,包括与疾病相关的痛苦、活动能力和独立性。还确定了更广泛的影响因素,如合并症、不遵医嘱、健康/药物信念和行为以及社会支持。结论:具有精神和身体影响的常见持续性症状是IA RD/PPES的特征,因此需要包括健康心理学家在内的多学科HCPs采用更综合的整体治疗方法。
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引用次数: 0
A qualitative exploration of the prospective acceptability of the MiDerm app; a complex digital intervention for adults living with skin conditions 对期中考试应用程序的可接受性进行定性探讨;一种针对患有皮肤病的成年人的复杂数字干预。
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-05 DOI: 10.1111/bjhp.12778
Rachael M. Hewitt, Carys Dale, Catherine Purcell, Rachael Pattinson, Chris Bundy

Objectives

Skin conditions carry a substantial psychological burden but support for patients is limited. Digital technology could support patient self-management; we found preliminary evidence for the effectiveness and acceptability of digital psychological interventions for adults living with skin conditions. We have, therefore, developed a complex digital intervention called MiDerm with patients. This qualitative study explored the prospective acceptability of the complex intervention delivered via a smartphone application (app), and possible barriers and facilitators to use.

Design

Qualitative research involving a hybrid inductive-deductive approach. Data collection and analysis were theoretically informed by The Common-Sense Model of Self-Regulation, Theoretical Framework of Acceptability and the Capability, Opportunity, Motivation - Behaviour Model.

Methods

Eight synchronous online group interviews with 43 English-speaking adults (≥ 18 years) with skin conditions. Data were analysed using Reflexive Thematic Analysis.

Results

Three superordinate themes were generated: (1) Patients' attitudes and concerns about the MiDerm app; (2) Need for personal competence, autonomy and relatedness for effective self-management; and (3) Physical, psychological and social barriers to app use.

Conclusion

Adults with skin conditions, mainly those with vitiligo and psoriasis living in the UK, expressed the need for support to self-manage the psychological aspects of their condition(s). The idea of a new intervention comprised of informational, emotional, behavioural and peer support, delivered via a smartphone app was welcomed and may be especially beneficial for specific patients. Identified barriers must be addressed to maximize engagement and giving users choice, flexibility and control is imperative to this. We have since developed the MiDerm app using these findings.

目的:皮肤病携带大量的心理负担,但对患者的支持是有限的。数字技术可以支持患者的自我管理;我们发现了初步证据,证明了数字心理干预对患有皮肤病的成年人的有效性和可接受性。因此,我们开发了一种复杂的数字干预方法,叫做MiDerm。本定性研究探讨了通过智能手机应用程序(app)提供的复杂干预的预期可接受性,以及可能的障碍和促进因素。设计:定性研究涉及混合的归纳-演绎方法。数据收集和分析的理论依据是自我调节常识模型、可接受性理论框架和能力、机会、动机-行为模型。方法:对43名有皮肤状况的英语成年人(≥18岁)进行8次同步在线小组访谈。数据分析采用反身性主题分析。结果:生成了三个上级主题:(1)患者对mid app的态度和关注点;(2)为有效的自我管理需要个人能力、自主性和关联性;(3)使用app的生理、心理和社会障碍。结论:患有皮肤病的成年人,主要是生活在英国的白癜风和牛皮癣患者,表达了对自我管理其病情心理方面的支持的需求。通过智能手机应用程序提供由信息、情感、行为和同伴支持组成的新干预措施的想法受到欢迎,可能对特定患者特别有益。必须解决已确定的障碍,以最大限度地提高用户粘性,并为用户提供选择、灵活性和控制权。我们利用这些发现开发了期中考试应用程序。
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引用次数: 0
Trait responsiveness to verbal suggestions predicts nocebo responding: A meta-analysis 对言语暗示的特质反应预测反安慰剂反应:一项元分析
IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-20 DOI: 10.1111/bjhp.12774
Madeline V. Stein, Monika Heller, Sarah Chapman, G. James Rubin, Devin B. Terhune

Background

Nocebo responding involves the experience of adverse health outcomes in response to contextual cues. These deleterious responses impact numerous features of mental and physical health but are characterized by pronounced heterogeneity. Suggestion is widely recognized as a contributing factor to nocebo responding but the moderating role of trait responsiveness to verbal suggestions (suggestibility) in nocebo responding remains poorly understood.

Objective

We conducted a pre-registered meta-analysis (PROSPERO registration number CRD42023425605) to quantitatively synthesize available research on the relationship between suggestibility and nocebo responding.

Methods

Four electronic databases were searched for original studies involving both the assessment of suggestibility and symptom reports in response to an inactive stimulus.

Results

Of 7729 search results, 10 articles presenting 13 correlations between suggestibility and nocebo responding were analysed. A random-effects meta-analysis revealed a significant, albeit weak, positive correlation, r = .21 [95% CI: .04, .37], between suggestibility and nocebo responses, such that more highly suggestible individuals displayed larger responses. Sensitivity and meta-regression analyses demonstrated that studies of higher methodological quality, including those that maintained experimenter blinding, exhibited stronger effect sizes.

Conclusion

These results corroborate proposals that trait responsiveness to verbal suggestions confers greater response to nocebos and warrants renewed attention to the role of suggestibility in symptom induction and perception.

研究背景:反安慰剂反应涉及到情境线索对不良健康结果的反应。这些有害的反应影响心理和身体健康的许多特征,但具有明显的异质性。建议被广泛认为是反安慰剂反应的一个促进因素,但对言语建议的特质反应性(易受暗示)在反安慰剂反应中的调节作用仍然知之甚少。目的我们进行了一项预注册荟萃分析(PROSPERO注册号CRD42023425605),以定量综合现有的关于易受暗示与反安慰剂反应之间关系的研究。方法检索4个电子数据库中有关非活动刺激的易受暗示性评估和症状报告的原始研究。结果在7729个搜索结果中,分析了10篇文章,其中包含13个暗示与反安慰剂反应之间的相关性。随机效应荟萃分析显示,尽管弱,但显著正相关,r =。21 [95% CI: .04, .37],在易受暗示和反安慰剂反应之间,高易受暗示的个体表现出更大的反应。敏感性和元回归分析表明,方法学质量较高的研究,包括那些保持实验者盲法的研究,显示出更强的效应值。结论这些结果证实了对言语暗示的特质反应性对反安慰剂的反应更大,并值得重新关注暗示在症状诱导和感知中的作用。
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引用次数: 0
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British Journal of Health Psychology
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