British Journal of Health Psychology最新文献_第2页

A systematic review and meta-synthesis of qualitative studies of alopecia: Managing identity and appearance changes 脱发的定性研究的系统回顾和综合：管理身份和外观变化。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2026-01-19 DOI: 10.1111/bjhp.70048

Zoe Hurrell, Vasilis S. Vasiliou, Fuschia M. Sirois, Andrew R. Thompson

Purpose

Alopecia is a medical dermatology condition resulting in multiple psychosocial negative consequences in identity and appearence. Despite numerous qualitative studies examining the experience of people with alopecia, a comprehensive synthesis is lacking. This can obscure progress in research and minimize the impact of psychosocial support people with alopecia can receive. This systematic meta-synthesis aimed to critically integrate the existing literature to enhance psychological understanding of how people with alopecia manage issues about identity and appearance changes, and provide some evidence-based recommendations for clinicians working in the area of psychodermatology.

Methods

A systematic search of six databases: APA PsycInfo (OVID), Medline (OVID), Embase (OVID), CINAHL (EBSCO) and Scopus identified 22 eligible studies on the lived experience of alopecia among adults, adolescents and parents. The Critical Appraisal Skills Programme Qualitative Checklist was used to appraise the quality of the studies. Extracted data underwent inductive thematic analysis.

Results

The synthesis, representing 990 people living with alopecia, identified five main themes, focusing on managing identity and appearance changes: (1) coming to terms with a changed identity; (2) the journey to acceptance; (3) complexities of concealing hair loss; (4) social influences in both facilitating and hindering adaptation; and (5) treatment experiences highlighting unmet needs. Findings reveal substantial variation in managing identity and appearance changes, with some individuals achieving acceptance swiftly while others struggle. Social reactions and personal interpretations significantly shape adjustment.

Conclusions

Alopecia profoundly impacts identity, coping, and social interactions, often accompanied by dissatisfaction with health care and treatment options. The reactions of other people and interpretations of these experiences appear to play a key role in adjustment. The review underscores the need for personalized, non-pharmacological interventions that address personal and social challenges. Greater co-production in health care training and intervention development is necessary to improve support for individuals with appearance-altering conditions.

目的：脱发是一种医学皮肤病，在身份和外观上导致多重社会心理负面后果。尽管有许多定性研究考察了脱发患者的经历，但缺乏全面的综合。这可能会掩盖研究的进展，并将脱发患者可以获得的社会心理支持的影响降到最低。本系统综合旨在批判性地整合现有文献，以加强对脱发患者如何处理身份和外观变化问题的心理学理解，并为心理皮肤科的临床医生提供一些基于证据的建议。方法：系统检索APA PsycInfo （OVID）、Medline （OVID）、Embase （OVID）、CINAHL （EBSCO）和Scopus 6个数据库，筛选22项符合条件的成人、青少年和家长脱发生活经历研究。关键评估技能计划定性检查表用于评估研究的质量。提取的数据进行归纳性专题分析。结果：该综合研究涵盖了990名脱发患者，确定了五个主要主题，重点关注管理身份和外观变化：(1)接受身份的改变；(2)接受之旅；(3)隐藏脱发的复杂性；(4)促进和阻碍适应的社会影响；(5)突出未满足需求的治疗经验。研究结果显示，人们在处理身份和外貌变化方面存在很大差异，有些人很快就被接受了，而另一些人则很难被接受。社会反应和个人解释在很大程度上塑造了适应。结论：脱发深刻地影响了身份认同、应对和社会交往，往往伴随着对医疗保健和治疗方案的不满。其他人的反应和对这些经历的解释似乎在调整中起着关键作用。这篇综述强调了个性化、非药物干预以应对个人和社会挑战的必要性。有必要在保健培训和干预措施发展方面加强合作，以改善对患有外貌改变疾病的个人的支持。

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引用次数: 0

Pain, respiratory symptoms, interpretation bias and death anxiety are associated with fear of disease progression in people with asthma 哮喘患者的疼痛、呼吸道症状、解释偏差和死亡焦虑与对疾病进展的恐惧有关。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2026-01-18 DOI: 10.1111/bjhp.70050

Louise Sharpe, Joanne Shaw, Jack B. Boyse, Bethany Richmond, Rachel E. Menzies, Jemma Todd

Aims

Asthma is a chronic condition characterized by episodes of breathlessness. Although common, asthma is known to be associated with higher rates of depression and anxiety, but there are few studies that have attempted to document the nature of concerns that people with asthma experience. In this study, we investigated fear of progression (FOP) in people with asthma, aiming to identify predictors of both concurrent and prospective FOP at a 3-month follow-up.

Methods

We measured FOP at baseline and 3 months later and assessed psychopathology, respiratory symptoms, pain outcomes, quality of life, interpretation bias and death anxiety at baseline.

Results

Thirty-six per cent of the sample (n = 183) scored in the clinical range for FOP. People in the clinical range for FOP used more health care services; experienced more respiratory symptoms, pain and psychopathology; and reported a poorer quality of life than those who scored in the normal range for FOP. Those with clinically significant FOP also were more likely to interpret ambiguous words as health-related and reported higher death anxiety. Regression analyses indicated that controlling for demographic variables and psychopathology, current pain, respiratory symptoms, interpretation biases and death anxiety all contributed to independent variance in FOP concurrently. In addition, pain, respiratory symptoms and death anxiety contributed to independent variance in FOP 3 months later. Although pain, symptoms and death anxiety predicted subsequent FOP, they did not predict change in FOP over the 3-month period.

Discussion

This study confirms the important nature of fears of disease progression in people with asthma and identifies potentially modifiable targets for intervention, namely pain, respiratory symptoms, interpretation bias and death anxiety.

目的：哮喘是一种以呼吸困难发作为特征的慢性疾病。虽然常见，但已知哮喘与较高的抑郁和焦虑率有关，但很少有研究试图记录哮喘患者所经历的担忧的性质。在这项研究中，我们调查了哮喘患者的进展恐惧（FOP），旨在在3个月的随访中确定并发和前瞻性FOP的预测因素。方法：我们在基线和3个月后测量FOP，并在基线时评估精神病理、呼吸症状、疼痛结局、生活质量、解释偏差和死亡焦虑。结果：36%的样本（n = 183）在FOP的临床范围内得分。处于FOP临床范围的人使用更多的医疗保健服务；经历了更多的呼吸系统症状、疼痛和精神病理；他们的生活质量比那些FOP得分在正常范围内的人差。那些临床上有明显FOP的人也更有可能将模棱两可的词语解释为与健康有关，并报告了更高的死亡焦虑。回归分析表明，控制人口统计学变量和精神病理学、当前疼痛、呼吸症状、解释偏差和死亡焦虑都同时导致了FOP的独立方差。此外，疼痛、呼吸症状和死亡焦虑是3个月后FOP的独立方差。尽管疼痛、症状和死亡焦虑预测了随后的FOP，但它们并不能预测3个月期间FOP的变化。讨论：本研究证实了哮喘患者对疾病进展的恐惧的重要性质，并确定了潜在的可改变的干预目标，即疼痛、呼吸系统症状、解释偏差和死亡焦虑。

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引用次数: 0

Bridging care in brain injury rehabilitation: A reflexive thematic analysis of staff perspectives on the role of peer support 脑损伤康复中的过渡性护理：对工作人员对同伴支持作用的看法的反思性专题分析。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2026-01-18 DOI: 10.1111/bjhp.70049

Stephen Dunne, Adele Simpson, Jaden Allan

Objectives

Peer support roles are well established in mental health services, yet their integration into neurorehabilitation remains limited. This study offers novel insight into how staff perceive the opportunities and challenges of introducing a peer support worker role into a community brain injury service.

Design

Using qualitative interviews and focus groups with clinical and support staff, we explored understandings of the role, its perceived value and contextual barriers to implementation.

Methods

Participants included eight staff members (100% female; Mage = 49.88). Data were analysed using reflexive thematic analysis. Rigour was ensured through pre-registration, triangulated coding discussions and reflexive analytic practices.

Results

Three themes were constructed: the perfect candidate, context for success and connecting care. Findings highlighted the unique value of lived experience in fostering trust, hope and engagement, while also revealing neuro-specific challenges relating to cognition, behaviour and role boundaries. Staff emphasized the need for tailored recruitment, training and supervision frameworks distinct from existing mental health models.

Conclusions

The study is significant in being the first to systematically examine the adaptation of peer support to neurorehabilitation, offering evidence to guide service development and policy. Collectively, the findings underscore both the transformative potential and the structural requirements of embedding peer support within neurorehabilitation contexts.

目的：同伴支持的作用在精神卫生服务中得到了很好的确立，但它们在神经康复中的整合仍然有限。这项研究提供了新颖的见解，工作人员如何看待机会和挑战引入同伴支持工作者的角色进入社区脑损伤服务。设计：通过对临床和支持人员的定性访谈和焦点小组，我们探讨了对该角色的理解、其感知价值和实施的背景障碍。方法：研究对象为8名工作人员（100%为女性；年龄= 49.88）。数据分析采用反身性主题分析。通过预注册、三角化编码讨论和反身性分析实践，确保了严谨性。结果：构建了三个主题：完美候选人、成功情境和连接关怀。研究结果强调了生活经历在培养信任、希望和参与方面的独特价值，同时也揭示了与认知、行为和角色界限相关的神经特异性挑战。工作人员强调，有必要制定不同于现有心理健康模式的量身定制的招聘、培训和监督框架。结论：本研究首次系统考察同伴支持对神经康复的适应性，为指导服务发展和政策制定提供依据。总的来说，这些发现强调了在神经康复环境中嵌入同伴支持的变革潜力和结构要求。

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引用次数: 0

No evidence of reactivity in accelerometry-based measurement of physical activity and sleep 在基于加速度计的体力活动和睡眠测量中没有证据表明存在反应性。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-30 DOI: 10.1111/bjhp.70047

Jan A. Häusser, Janina U. Janurek, Sascha Etgen, Andreas Mojzisch

Objective

Accelerometry provides more objective estimates of physical activity and sleep parameters than self-report data. However, the use of accelerometry may suffer from reactivity to measurement, that is, changes in behaviour under study due to the awareness of being observed.

Design

In two field-experimental studies, we examined reactivity to measurement in physical activity and sleep parameters estimated with accelerometry. We used within-subjects designs and manipulated if participants were made aware of the measurement intention or if it was concealed.

Methods

During a 2-week study, participants received a red accelerometer for one of the weeks and were informed that their physical activity would be monitored in this week. In the other week, participants received a black accelerometer and were informed that it would monitor sleep. In fact, both the red and the black accelerometers monitored both physical activity and sleep.

Results

We consistently found no evidence for reactivity to measurement for any indicator of physical activity (moderate to vigorous physical activity, steps) or sleep (duration, efficiency).

Conclusion

Accelerometry can provide unbiased measures of indicators of physical activity and sleep and is therefore a valuable addition to the common use of self-report data.

目的：与自我报告数据相比，加速度测量法提供了对身体活动和睡眠参数更客观的估计。然而，加速度计的使用可能会受到测量的反应性的影响，即由于意识到被观察而改变所研究的行为。设计：在两项现场实验研究中，我们检查了身体活动测量的反应性和用加速度计估计的睡眠参数。我们采用受试者内部设计，并对参与者是否知道测量意图或是否隐藏测量意图进行操纵。方法：在为期两周的研究中，参与者在其中一周收到一个红色加速度计，并被告知他们的身体活动将在这一周进行监测。在另一周，参与者收到一个黑色加速度计，并被告知它将监测睡眠。事实上，红色和黑色的加速计都监测身体活动和睡眠。结果：我们一致发现没有证据表明对任何体力活动（中度至剧烈体力活动、步数）或睡眠（持续时间、效率）指标的测量有反应。结论：加速度计可以提供身体活动和睡眠指标的无偏测量，因此是对常用的自我报告数据的有价值的补充。

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引用次数: 0

Beyond the cross-section: Rethinking the intention–behaviour gap through a conceptual and methodological lens 超越横截面：通过概念和方法的视角重新思考意图-行为差距。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-30 DOI: 10.1111/bjhp.70046

Darko Jekauc, Manuel C. Voelkle, Falko F. Sniehotta, Claudio R. Nigg

Objectives

The intention–behaviour gap (IBG) remains a persistent challenge in health psychology. While intentions are widely recognized as proximal determinants of behaviour, they frequently fail to translate into action. This conceptual review aims to critically evaluate dominant models of the IBG and propose a dynamic, multidimensional reconceptualization of intention–behaviour processes.

Methods

This conceptual review critically evaluates dominant models of the IBG–the Explained Variance Approach and the Action Control Framework. Special emphasis is placed on methodological constraints associated with between-person research designs, which inadequately capture the temporal and contextual variability of behavioural enactment.

Results

Theoretical and empirical limitations are identified in existing IBG models, including their failure to address intra-individual fluctuations, situational contingencies and the time-indexed nature of behavioural regulation. In response, we propose a framework emphasizing intensive longitudinal designs, within-person assessment, ecological momentary methods and person-specific modelling techniques to better capture intention–behaviour dynamics.

Conclusions

To close the IBG, future research should integrate dynamic methodologies and real-time interventions that align with situational and motivational states. We advocate for context-sensitive strategies, such as just-in-time adaptive interventions and implementation intentions, to enhance behavioural enactment. This reconceptualization offers a pathway towards more precise theory and effective intervention in health behaviour change.

目的：意向-行为差距（IBG）是健康心理学中一个持续存在的挑战。虽然人们普遍认为意图是行为的最接近决定因素，但它们往往不能转化为行动。这一概念综述旨在批判性地评估IBG的主导模型，并提出一个动态的，多维的意向-行为过程的概念化。方法：这篇概念性综述批判性地评价了ibg的主流模型——解释方差法和行动控制框架。特别强调的是与人与人之间的研究设计相关的方法限制，它不能充分捕捉行为制定的时间和上下文可变性。结果：在现有的IBG模型中发现了理论和经验上的局限性，包括它们未能解决个体内部波动、情境偶然性和行为调节的时间指数化性质。作为回应，我们提出了一个框架，强调密集的纵向设计，人内评估，生态瞬间方法和个人特定的建模技术，以更好地捕捉意图-行为动力学。结论：为了关闭IBG，未来的研究应该整合动态方法和实时干预，与情境和动机状态相一致。我们提倡采用情境敏感策略，如即时适应性干预和实施意图，以加强行为制定。这种重新概念化为卫生行为改变提供了一条更精确的理论和有效干预的途径。

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引用次数: 0

Loneliness, the immune system, and cardiovascular health: A systematic literature review 孤独、免疫系统和心血管健康：系统的文献综述。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-26 DOI: 10.1111/bjhp.70044

Antonella Granieri, Maria Domenica Sauta, Giulia Cerutti, Alessandra De Luca, Claudia Ricco, Carola Grimaldi, Marco Gonella, Isabella Giulia Franzoi

Objective

Loneliness can have a variety of negative effects on health, such as chronic stress, altered parasympathetic function, pro-inflammatory immune responses, and psychological distress. The aim of this systematic literature review is to investigate the effects of loneliness on health and the direct relationship between loneliness and cardiovascular health, as well as the relationship between loneliness, the immune system, and the cardiovascular system.

Methods

The review was conducted by searching Scopus, Web of Science, PubMed, PsycInfo, and PsycArticles between January 2010 and March 2025, the date of the search. We used a combination of the following keywords: (alone OR lonel* OR isolation OR exclusion OR companionship) AND (cardiovascular OR heart OR cardiac) AND (immun* OR inflamm*) AND (psych* OR mental). The quality assessment was conducted using the Critical Appraisal Checklist of the Joanna Briggs Institute.

Results

The literature search led to the identification of 23 articles. Loneliness appears to have both direct and indirect negative effects on cardiovascular health. It is associated with inflammation, which in turn affects the cardiovascular system. In addition, the associated negative feelings can have a negative impact on health as they can lead to increased inflammation and negative lifestyle habits such as alcohol consumption and nicotine use, which in turn increase inflammation.

Conclusions

From a clinical psychology perspective, it is important to consider loneliness and social isolation as indicators of fragility, which may be related to cultural differences, an unhealthy environment, the unavailability of services, and a lack of opportunities to develop professional and social roles.

目的：孤独会对健康产生多种负面影响，如慢性应激、副交感神经功能改变、促炎免疫反应和心理困扰。本研究旨在探讨孤独感对健康的影响，以及孤独感与心血管健康的直接关系，以及孤独感与免疫系统和心血管系统的关系。方法：检索Scopus、Web of Science、PubMed、PsycInfo和PsycArticles，检索时间为2010年1月至2025年3月。我们使用了以下关键词的组合：（单独或孤独*或隔离或排斥或陪伴）和（心血管或心脏或心脏）和（免疫*或炎症*）和（心理*或精神）。质量评估使用乔安娜布里格斯研究所的关键评估清单进行。结果：文献检索鉴定出23篇。孤独似乎对心血管健康有直接和间接的负面影响。它与炎症有关，而炎症反过来又影响心血管系统。此外，相关的负面情绪会对健康产生负面影响，因为它们会导致炎症增加和负面的生活习惯，如饮酒和吸烟，而这些习惯又会增加炎症。结论：从临床心理学的角度来看，将孤独和社会孤立视为脆弱性的指标是很重要的，这可能与文化差异、不健康的环境、服务的不可获得性以及缺乏发展专业和社会角色的机会有关。

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引用次数: 0

Capability, opportunity and motivation for shared decision-making about valproate as an antiseizure medication treatment for epilepsy in women with pregnancy potential: A qualitative study of patient perspectives 丙戊酸作为抗癫痫药物治疗潜在妊娠妇女癫痫的能力、机会和共同决策的动机：一项患者观点的定性研究。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-19 DOI: 10.1111/bjhp.70045

Sarah Louise Griffiths, Delyth James, Denitza Williams, Lynette James, Andrew Evans, William O. Pickrell, Christine McKnight, Sarah Brown, Rhiannon Phillips

Objectives

Valproate is a highly effective antiseizure medication but carries significant teratogenic and neurodevelopmental risks to offspring if used during pregnancy. A shared decision-making (SDM) approach is recommended to guide clinician/patient discussions on valproate suitability for women with pregnancy potential. This study applied the Capability, Opportunity, Motivation–Behaviour (COM-B) theoretical framework to explore barriers and facilitators to SDM in valproate prescribing from the perspectives of women with epilepsy who have pregnancy potential.

Design

Qualitative study using timeline-facilitated semi-structured interviews informed by the COM-B model.

Method

Twelve UK-based women 18–50 years (M_age = 33.3, SD = 7.59) prescribed valproate were recruited via pharmacies and epilepsy organizations' social media. Interviews were thematically analysed and interpreted using the COM-B model.

Results

Participants were highly motivated to engage in SDM behaviour but reported limited opportunities. Challenges to COM-B domains included insufficient information exchange, low confidence navigating complex epilepsy/reproductive health care discussions, and tensions navigating valproate risks and benefits within broader contexts of seizure control and reproductive health. Initial prescribing during acute seizure crises may have precluded meaningful collaborative discussion. Valproate prescribing/deprescribing incongruent to reproductive goals often resulted in deep regret and deleterious health outcomes for women (and children exposed to valproate in utero).

Conclusion

Comprehensive SDM when valproate is considered clinically appropriate could support informed, patient-centred decision-making. Equipping clinicians to navigate multifaceted risk/benefit discussions and empowering patients with clear, tailored information can help ensure treatment decisions align with reproductive goals. This study highlights the need to embed SDM in valproate prescribing consultations and throughout treatment duration.

目的：丙戊酸是一种非常有效的抗癫痫药物，但如果在怀孕期间使用，对后代有显著的致畸和神经发育风险。建议采用共同决策（SDM）方法指导临床医生/患者讨论丙戊酸是否适合有妊娠潜力的妇女。本研究运用能力、机会、动机-行为（COM-B）理论框架，从有妊娠潜力的癫痫女性的角度探讨丙戊酸处方中SDM的障碍和促进因素。设计：采用COM-B模型，采用时间线辅助半结构化访谈进行定性研究。方法：通过药店和癫痫组织的社交媒体招募12名服用丙戊酸盐的18-50岁英国女性（年龄为33.3,SD = 7.59）。使用COM-B模型对访谈进行主题分析和解释。结果：参与者参与SDM行为的积极性很高，但报告的机会有限。COM-B领域面临的挑战包括信息交流不足，在复杂的癫痫/生殖保健讨论中缺乏信心，以及在癫痫控制和生殖健康的更广泛背景下对丙戊酸盐风险和益处的紧张感。急性发作危机期间的初始处方可能妨碍了有意义的协作讨论。与生殖目标不一致的丙戊酸处方/处方往往导致妇女（和在子宫内接触丙戊酸的儿童）深感遗憾和有害的健康后果。结论：当丙戊酸被认为临床适宜时，综合SDM可以支持知情的、以患者为中心的决策。使临床医生能够进行多方面的风险/利益讨论，并向患者提供明确、量身定制的信息，有助于确保治疗决策符合生殖目标。这项研究强调了在丙戊酸处方咨询和整个治疗期间嵌入SDM的必要性。

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引用次数: 0

Understanding healthy eating and physical activity community-centred behaviour change interventions for underserved populations: A mixed methods rapid review 了解服务不足人群的健康饮食和身体活动以社区为中心的行为改变干预措施：混合方法快速回顾

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-16 DOI: 10.1111/bjhp.70043

Jessica Marshall, Anne-Marie Minihane, Stephanie T. Jong, Sarah Hanson, Shamima Akter, Nikki Garner, Wendy Hardeman

Purpose

Community behaviour change interventions are a promising strategy for addressing unhealthy eating and physical activity behaviours in underserved populations. This review explores these interventions' characteristics by focusing on behaviour change techniques, evaluates their behaviour change effectiveness and examines participant experiences.

Methods

A mixed-methods rapid review was conducted. Five databases and the grey literature were searched and supplemented by hand searching. Results were screened, assessed for methodological quality and data extracted using the Behaviour Change Techniques Ontology. A convergent segregated approach was used to synthesize the results.

Results

Twenty-one studies were included. Commonly used behaviour change techniques were social support, guidance on how to perform the behaviour and monitoring. Intervention effects on healthy eating and physical activity behaviour change were small, but outcomes that measured influences on behaviour change (e.g., social support) improved. Participants reported largely positive experiences, mostly attributed to the intervention's tailoring to the target population's contexts and the engagement and expertise of those who delivered the intervention.

Conclusions

Evidence of direct behaviour change remains limited; there is stronger evidence for improvements in factors that influence behaviour change. Qualitative evidence highlights the value of tailoring interventions to participants' lives and using relatable, knowledgeable sources for delivery. This could enhance engagement and contribute to improved outcomes over time. Further research is needed on how contextual tailoring is implemented and how the characteristics of those delivering interventions influence effectiveness and experience. Findings support the potential of community-centred approaches, but long-term evaluations in underserved contexts are needed.

目的：社区行为改变干预措施是解决服务不足人群中不健康饮食和身体活动行为的一项有希望的战略。本综述通过关注行为改变技术来探讨这些干预措施的特点，评估其行为改变的有效性并检查参与者的经验。方法：采用混合方法进行快速综述。对5个数据库和灰色文献进行检索，并通过手工检索进行补充。对结果进行筛选，评估方法学质量，并使用行为改变技术本体提取数据。采用收敛分离方法对结果进行综合。结果：纳入21项研究。常用的行为改变技术是社会支持、如何执行行为的指导和监测。干预对健康饮食和身体活动行为改变的影响很小，但衡量对行为改变影响的结果（如社会支持）有所改善。参与者大多报告了积极的经历，这主要归功于干预措施根据目标人群的情况量身定制，以及提供干预措施的人员的参与和专业知识。结论：直接行为改变的证据仍然有限；有更有力的证据表明，影响行为改变的因素有所改善。定性证据强调了根据参与者的生活量身定制干预措施和使用相关的、知识渊博的资源进行实施的价值。随着时间的推移，这可以提高参与度，并有助于改善结果。需要进一步研究如何实施因地制宜，以及提供干预措施的人的特点如何影响有效性和经验。研究结果支持以社区为中心的方法的潜力，但需要在服务不足的情况下进行长期评估。

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引用次数: 0

Stigma associated with early-onset type 2 diabetes: A secondary qualitative analysis 病耻感与早发型2型糖尿病相关：二次定性分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-15 DOI: 10.1111/bjhp.70042

Jennifer Hagan, Melanie J. Davies, Jane Speight, Michelle Hadjiconstantinou

Objectives

Diabetes-related stigma has been previously investigated in people with type 1 diabetes and older people with type 2 diabetes. However, stigma in early-onset type 2 diabetes (EOT2D) remains understudied, despite increasing prevalence and the unique characteristics of this population. Hence, this study aimed to explore perceptions and experiences of stigma in people living with EOT2D, from the perspectives of people living with EOT2D and HCPs who have work in EOT2D care.

Design

Secondary qualitative analysis of semi-structured interviews.

Methods

Semi-structured interviews were conducted with 25 young adults with EOT2D and 25 HCPs. Data were analysed using inductive reflexive thematic analysis and subsequently presented using a framework for understanding diabetes-related stigma.

Results

Findings highlight causes, experiences, and consequences of stigma in EOT2D, in addition to potential mitigating strategies. The media, healthcare professionals and others perpetuate stigma, underpinned by misconceptions that type 2 diabetes is self-inflicted, and attitudes of blame. PEOT2D experience judgement and harmful stereotypes, including ‘fat’, ‘unhealthy’, ‘lazy’, and type 2 diabetes being an ‘old-person's disease’. Psychological consequences of stigma were reported, including self-blame, embarrassment, and shame, leading to behavioural consequences of non-disclosure and reluctance to seek help. Education, raising awareness, and non-judgemental communication were highlighted as strategies to minimize stigma and its consequences.

Conclusions

Stigma is highly pervasive in the lives of young adults living with EOT2D and can cause harmful consequences. Given the increased risk of physiological and psychological complications in this population, efforts to reduce stigma in EOT2D should be prioritized.

目的：先前在1型糖尿病患者和老年2型糖尿病患者中研究了糖尿病相关的耻辱感。然而，尽管早发型2型糖尿病（EOT2D）的患病率不断上升，且该人群具有独特的特征，但对其病耻感的研究仍不足。因此，本研究旨在从EOT2D患者和从事EOT2D护理工作的医护人员的角度，探讨EOT2D患者对耻辱的看法和经历。设计：半结构化访谈的二次定性分析。方法：采用半结构化访谈法对25例青年EOT2D患者和25例HCPs患者进行访谈。数据采用归纳反身性专题分析进行分析，随后采用理解糖尿病相关病耻感的框架进行介绍。结果：研究结果强调了EOT2D中病耻感的原因、经历和后果，以及潜在的缓解策略。媒体、卫生保健专业人员和其他人使污名永久化，错误地认为2型糖尿病是自己造成的，并持指责态度。PEOT2D经历判断和有害的刻板印象，包括“肥胖”、“不健康”、“懒惰”，以及2型糖尿病是“老年人的疾病”。据报道，耻辱的心理后果，包括自责、尴尬和羞耻，导致不披露和不愿寻求帮助的行为后果。强调教育、提高认识和非评判性沟通是减少污名及其后果的策略。结论：耻辱感在患有EOT2D的年轻人的生活中非常普遍，并可能导致有害后果。鉴于这一人群生理和心理并发症的风险增加，应优先努力减少EOT2D的耻辱感。

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引用次数: 0

Impact of loneliness on health in healthy populations: A meta-analysis 孤独感对健康人群健康的影响：一项荟萃分析。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-12-07 DOI: 10.1111/bjhp.70040

Yixuan Zheng, Pamela Qualter, Cecilia Rollano, Xinyang Hu, Arianna Martin, Maria Nukui, Wahida Walibhai, Marlies Maes

Objectives

Previous meta-analyses have shown that loneliness is associated with poor health (r = −.35) and sleep challenges (r = .29). However, that work is confounded by the inclusion of unhealthy populations, with chronic conditions, such as HIV, Alzheimer's disease, diabetes, and severe mental illness. This pre-registered meta-analysis (PROSPERO CRD42019119135) examined whether loneliness is linked to poorer health in healthy populations.

Design

Meta-analysis.

Methods

PsycINFO, ERIC, PubMed, and Web of Science were searched for articles before January 2024 to examine the association between loneliness and health outcomes (categorized as general health, physical health [functional disability], sleep function, sensory acuity, and health service use) for healthy samples.

Results

A total of 167 articles (303,643 participants; 334 effect sizes; 158 independent samples) from 36 countries were included in the meta-analysis. Loneliness is associated with worse health for healthy populations (r = −.22), with the largest effect (r = −.23) for general health. Loneliness was not related to health service use for healthy populations. Heterogeneity was substantial, with only 7.2% of the total variance attributable to sampling error, indicating that over 92% of the variability in effect sizes reflected true differences across studies.

Conclusions

Higher loneliness was associated with poorer health for healthy people. There are limited studies using (1) objective measurements of health outcomes in relation to loneliness, and (2) studies exploring the association among young people, highlighting a need for more work in those areas.

先前的荟萃分析表明，孤独感与健康状况不佳（r = - 0.35）和睡眠困难（r = 0.29）有关。然而，由于纳入了患有慢性疾病（如艾滋病毒、阿尔茨海默病、糖尿病和严重精神疾病）的不健康人群，这项工作受到了干扰。这项预先注册的荟萃分析（PROSPERO CRD42019119135）研究了健康人群中孤独感是否与较差的健康状况有关。设计:荟萃分析。方法：检索PsycINFO、ERIC、PubMed和Web of Science在2024年1月之前的文章，以检验健康样本中孤独感与健康结果（分类为一般健康、身体健康[功能残疾]、睡眠功能、感觉灵敏度和卫生服务使用）之间的关系。结果：meta分析共纳入了来自36个国家的167篇文章（303,643名参与者，334个效应大小，158个独立样本）。对于健康人群来说，孤独感与较差的健康状况有关（r = - 0.22），对整体健康的影响最大（r = - 0.23）。孤独感与健康人群的卫生服务使用无关。异质性很大，只有7.2%的总方差可归因于抽样误差，这表明超过92%的效应大小变异性反映了研究之间的真实差异。结论：健康人群的孤独感越高，健康状况越差。有限的研究使用(1)与孤独相关的健康结果的客观测量，以及(2)探索年轻人之间关联的研究，强调需要在这些领域开展更多工作。

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引用次数: 0