Compassion-focused therapy (CFT) was the focus of this pilot study to identify its effectiveness in improving psychological outcomes among medical students. Medical students were chosen as the target of the study, as they experience lower levels of psychological well-being than the general population.
Methods
This study employed a randomized controlled design to randomly assign medical students to an 8-week online CFT or to a wait-list control group (WL). Before, immediately after, and 2 months following the intervention, they completed self-report assessments. Standardized measures were used to assess outcomes, namely psychological well-being, resilience, and fear of happiness. Data were analysed with a repeated-measures mixed ANOVA.
Results
As compared with the WL, significant improvements have been observed in psychological well-being and resilience, and a notable reduction in fear of happiness after implementing CFT. Additionally, while no negative effects of daily exercise were observed, these effects were maintained at follow-up.
Conclusion
The results suggest that CFT can improve well-being and resilience in medical students and reduce their fear of happiness. While the authors highlighted the importance of incorporating this type of process-based therapy into educational programmes, they pointed out that CFT is crucial for maintaining the mental health of future physicians and fostering compassionate patient care.
{"title":"Evaluating the effectiveness of compassion-focused therapy on psychological outcomes in medical students: A pilot randomized controlled trial","authors":"Asgar Alimohamadi, Mahdi Ghasemzadeh, Fatemeh Baberi, Hadis Rostami, Fuschia Sirois, Hossein Matin, Negar Asgharipour, Elham Nikfar","doi":"10.1111/bjhp.70029","DOIUrl":"10.1111/bjhp.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Compassion-focused therapy (CFT) was the focus of this pilot study to identify its effectiveness in improving psychological outcomes among medical students. Medical students were chosen as the target of the study, as they experience lower levels of psychological well-being than the general population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a randomized controlled design to randomly assign medical students to an 8-week online CFT or to a wait-list control group (WL). Before, immediately after, and 2 months following the intervention, they completed self-report assessments. Standardized measures were used to assess outcomes, namely psychological well-being, resilience, and fear of happiness. Data were analysed with a repeated-measures mixed ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>As compared with the WL, significant improvements have been observed in psychological well-being and resilience, and a notable reduction in fear of happiness after implementing CFT. Additionally, while no negative effects of daily exercise were observed, these effects were maintained at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that CFT can improve well-being and resilience in medical students and reduce their fear of happiness. While the authors highlighted the importance of incorporating this type of process-based therapy into educational programmes, they pointed out that CFT is crucial for maintaining the mental health of future physicians and fostering compassionate patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303920","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}
Alfred S. Y. Lee, Roni M. Y. Chiu, Patrick S. H. Yung, Michael T. Y. Ong, Derwin K. C. Chan
Objective
The objective of this three-wave longitudinal study was to investigate the temporal precedence between the motivational drivers in self-determination theory (SDT) and the social cognitive factors in theory of planned behaviour (TPB).
Method
A total of 236 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery (Mage = 33.58 ± 10.03, range = 18 to 59; female = 46.2%) completed surveys assessing autonomous motivation from SDT, and attitude, subjective norms, perceived behavioural control (PBC), and intention from TPB, and rehabilitation adherence, at baseline (T1), and at 2 months (T2) and 4 months (T3) post-baseline.
Results
In a three-wave cross-lagged panel model, autonomous motivation prospectively related to subsequent attitude, subjective norms and PBC, whereas reverse paths were generally small; attitude showed a modest reciprocal link with autonomous motivation. Additionally, a mediation model revealed that T1 autonomous motivation had significant indirect effects on T3 rehabilitation adherence via T2 social cognitive factors and intention, whereas only T1 subjective norms had small indirect effects on T3 rehabilitation adherence through T2 autonomous motivation and intention.
Conclusions
These findings support the notion that autonomous motivation precedes social cognitive factors, as proposed in the integrated theoretical model of SDT and TPB. Future research, including experimental interventions, can use the integrated theoretical model to promote various health behaviours, such as rehabilitation protocols, healthy eating habits and hygiene practices.
{"title":"The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross-lagged panel longitudinal study among post-surgery ACL reconstructed patients","authors":"Alfred S. Y. Lee, Roni M. Y. Chiu, Patrick S. H. Yung, Michael T. Y. Ong, Derwin K. C. Chan","doi":"10.1111/bjhp.70028","DOIUrl":"10.1111/bjhp.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this three-wave longitudinal study was to investigate the temporal precedence between the motivational drivers in self-determination theory (SDT) and the social cognitive factors in theory of planned behaviour (TPB).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 236 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery (<i>M</i><sub>age</sub> = 33.58 ± 10.03, range = 18 to 59; female = 46.2%) completed surveys assessing autonomous motivation from SDT, and attitude, subjective norms, perceived behavioural control (PBC), and intention from TPB, and rehabilitation adherence, at baseline (T1), and at 2 months (T2) and 4 months (T3) post-baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In a three-wave cross-lagged panel model, autonomous motivation prospectively related to subsequent attitude, subjective norms and PBC, whereas reverse paths were generally small; attitude showed a modest reciprocal link with autonomous motivation. Additionally, a mediation model revealed that T1 autonomous motivation had significant indirect effects on T3 rehabilitation adherence via T2 social cognitive factors and intention, whereas only T1 subjective norms had small indirect effects on T3 rehabilitation adherence through T2 autonomous motivation and intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings support the notion that autonomous motivation precedes social cognitive factors, as proposed in the integrated theoretical model of SDT and TPB. Future research, including experimental interventions, can use the integrated theoretical model to promote various health behaviours, such as rehabilitation protocols, healthy eating habits and hygiene practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Youth with Celiac Disease (CD) face social challenges, yet the benefits of specialized camps are under-researched. This study evaluated a week-long celiac camp's impact on social integration, illness identity, health management and health-related quality of life (HRQOL).
Design
A quasi-experimental waitlist design was used.
Methods
One hundred eleven youth with CD (ages 8–16, 65% female) were assigned to a one-week camp in Switzerland (intervention; n = 66; 41 children aged 8–12 years and 25 adolescents aged 13–16 years) or a waitlist comparison group (n = 45; 34 children and 11 adolescents). Pre- and post-camp surveys assessed psychosocial outcomes, including friendships, illness identity and peer support (adolescents only), dietary adherence, perceived competence, subjective well-being and age-adapted HRQOL. Linear mixed models were used to analyse intervention effects.
Results
Compared to the control group, camp participation significantly increased friendships with peers with CD and promoted a more adaptive illness identity among adolescents, especially for novice attendees. No effects were found for dietary adherence or perceived competence. Unexpectedly, campers reported a short-term worsening in the HRQOL domains of enjoyment (among children) and uncertainty (among adolescents) compared to the control, more strongly among novice campers.
Conclusions
Celiac camps effectively foster social integration and positive illness identity development. However, the short-term impact on HRQOL is complex and may reflect a challenging “re-entry” to daily life after a highly supportive experience. These findings highlight the benefits of celiac camps while stressing the need for longitudinal research to understand and optimize their long-term impact.
{"title":"How to make gluten-free friends: A quasi-experimental study on the psychosocial benefits of celiac camps","authors":"Maor Shani, Melina Böttcher","doi":"10.1111/bjhp.70027","DOIUrl":"10.1111/bjhp.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Youth with Celiac Disease (CD) face social challenges, yet the benefits of specialized camps are under-researched. This study evaluated a week-long celiac camp's impact on social integration, illness identity, health management and health-related quality of life (HRQOL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A quasi-experimental waitlist design was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred eleven youth with CD (ages 8–16, 65% female) were assigned to a one-week camp in Switzerland (intervention; <i>n</i> = 66; 41 children aged 8–12 years and 25 adolescents aged 13–16 years) or a waitlist comparison group (<i>n</i> = 45; 34 children and 11 adolescents). Pre- and post-camp surveys assessed psychosocial outcomes, including friendships, illness identity and peer support (adolescents only), dietary adherence, perceived competence, subjective well-being and age-adapted HRQOL. Linear mixed models were used to analyse intervention effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared to the control group, camp participation significantly increased friendships with peers with CD and promoted a more adaptive illness identity among adolescents, especially for novice attendees. No effects were found for dietary adherence or perceived competence. Unexpectedly, campers reported a short-term worsening in the HRQOL domains of enjoyment (among children) and uncertainty (among adolescents) compared to the control, more strongly among novice campers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Celiac camps effectively foster social integration and positive illness identity development. However, the short-term impact on HRQOL is complex and may reflect a challenging “re-entry” to daily life after a highly supportive experience. These findings highlight the benefits of celiac camps while stressing the need for longitudinal research to understand and optimize their long-term impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evidence-based support from healthcare professionals improves smoking cessation outcomes, yet intervention rates among UK general practitioners (GPs) remain suboptimal. This exploratory study explored whether framing messages around moral responsibility influences clinicians' intentions to offer smoking cessation support and explored their attitudes towards smoking.
Design
A between-subjects online experiment was conducted in May 2023 with 300 UK-based GPs and medical students.
Methods
Participants were randomised to one of three message conditions: professional obligation, shared responsibility, or neutral control. They rated their desire, duty, and intention to offer cessation support across clinical scenarios and completed attitude measures.
Results
Compared with control, professional obligation framing was associated with higher intention scores (β = .20, 95% CI [.01, .39]); shared responsibility showed no effect. Subgroup analyses suggested stronger effects among medical students. Contextual factors were influential: higher scores were observed for cardiovascular disease (β = .80) and bipolar disorder (β = .21), while time pressure and patient disinterest reduced intention (β = −.15 and −.14). Attitudes were mixed: 70% viewed smoking as a lifestyle choice, while 88% agreed addiction is a disease.
Conclusions
Professional obligation framing was associated with clinicians' intentions to offer cessation support, particularly among early-career clinicians. Attitudinal inconsistencies highlight a disconnect between clinicians' perceptions and public health guidance. Responsibility-based messaging may be promising for education and training. Given single-item outcomes and the exploratory design, findings should be interpreted cautiously and future work should examine measurement properties more rigorously.
{"title":"Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions","authors":"Angela Difeng Wu, Jamie Hartmann-Boyce, Rafael Perera, Rachna Begh, Nicola Lindson","doi":"10.1111/bjhp.70025","DOIUrl":"10.1111/bjhp.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Evidence-based support from healthcare professionals improves smoking cessation outcomes, yet intervention rates among UK general practitioners (GPs) remain suboptimal. This exploratory study explored whether framing messages around moral responsibility influences clinicians' intentions to offer smoking cessation support and explored their attitudes towards smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A between-subjects online experiment was conducted in May 2023 with 300 UK-based GPs and medical students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were randomised to one of three message conditions: professional obligation, shared responsibility, or neutral control. They rated their desire, duty, and intention to offer cessation support across clinical scenarios and completed attitude measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with control, professional obligation framing was associated with higher intention scores (<i>β</i> = .20, 95% CI [.01, .39]); shared responsibility showed no effect. Subgroup analyses suggested stronger effects among medical students. Contextual factors were influential: higher scores were observed for cardiovascular disease (<i>β</i> = .80) and bipolar disorder (<i>β</i> = .21), while time pressure and patient disinterest reduced intention (<i>β</i> = −.15 and −.14). Attitudes were mixed: 70% viewed smoking as a lifestyle choice, while 88% agreed addiction is a disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Professional obligation framing was associated with clinicians' intentions to offer cessation support, particularly among early-career clinicians. Attitudinal inconsistencies highlight a disconnect between clinicians' perceptions and public health guidance. Responsibility-based messaging may be promising for education and training. Given single-item outcomes and the exploratory design, findings should be interpreted cautiously and future work should examine measurement properties more rigorously.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriella Elisabeth Stamp, Stella Iacovides, Antonia Louise Wadley
Objectives
Preliminary epidemiological evidence suggests that within chronic pain cohorts, insecure attachment styles (comprising dismissing, preoccupied and fearful styles) are more prevalent. Our aim was to determine, in a general population, the association between adult attachment style and the presence and burden of chronic pain.
Methods
A nationwide online survey in South Africa determined adult attachment style (using the Experience in Close Relationships—Relationship Structures Questionnaire), the presence of chronic pain and typically associated psychological factors. In participants reporting chronic pain, the association with attachment style and pain burden (pain sites, severity and interference, using the Brief Pain Inventory [BPI]) was further explored. Results of the 2371 participants were analysed using multivariable generalized linear models.
Results
In our young (median age 23 years; IQR 20–28), well-educated and primarily female (74%) cohort with a predominantly middle-to-high socioeconomic status, we found a higher than typically reported prevalence of chronic pain (27%). Compared to the secure attachment style, all insecure attachment styles were associated with increased chronic pain presence (secure: 23%; dismissing: 31%, odds ratio [95% CI] = 1.38 [1.02–1.85], p = .037; preoccupied: 42%, odds ratio [95% CI] = 2.26 [1.62–3.13], p < .001; fearful: 49%, odds ratio [95% CI] = 2.95 [2.03–4.29], p < .001). All three insecure attachment styles were associated with worse pain interference, and a Fearful attachment style was associated with increased pain severity and .78 times more pain sites (95% CIs: not spanning 0, ps < .05).
Conclusions
Adult attachment style was associated with chronic pain presence and pain burden. The presence of chronic pain was more than double in the fearfully insecure compared to securely attached individuals.
{"title":"A fearful adult attachment style is associated with double the presence of chronic pain compared to secure attachment: A national survey of a South African population","authors":"Gabriella Elisabeth Stamp, Stella Iacovides, Antonia Louise Wadley","doi":"10.1111/bjhp.70024","DOIUrl":"10.1111/bjhp.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Preliminary epidemiological evidence suggests that within chronic pain cohorts, insecure attachment styles (comprising dismissing, preoccupied and fearful styles) are more prevalent. Our aim was to determine, in a general population, the association between adult attachment style and the presence and burden of chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A nationwide online survey in South Africa determined adult attachment style (using the Experience in Close Relationships—Relationship Structures Questionnaire), the presence of chronic pain and typically associated psychological factors. In participants reporting chronic pain, the association with attachment style and pain burden (pain sites, severity and interference, using the Brief Pain Inventory [BPI]) was further explored. Results of the 2371 participants were analysed using multivariable generalized linear models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In our young (median age 23 years; IQR 20–28), well-educated and primarily female (74%) cohort with a predominantly middle-to-high socioeconomic status, we found a higher than typically reported prevalence of chronic pain (27%). Compared to the secure attachment style, all insecure attachment styles were associated with increased chronic pain presence (secure: 23%; dismissing: 31%, odds ratio [95% CI] = 1.38 [1.02–1.85], <i>p</i> = .037; preoccupied: 42%, odds ratio [95% CI] = 2.26 [1.62–3.13], <i>p</i> < .001; fearful: 49%, odds ratio [95% CI] = 2.95 [2.03–4.29], <i>p</i> < .001). All three insecure attachment styles were associated with worse pain interference, and a Fearful attachment style was associated with increased pain severity and .78 times more pain sites (95% CIs: not spanning 0, <i>p</i>s < .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adult attachment style was associated with chronic pain presence and pain burden. The presence of chronic pain was more than double in the fearfully insecure compared to securely attached individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sukhvinder Biring, Amy E. Burton, Lynn Dunwoody, Peter Kevern
Objectives
The prevalence of chronic pain varies between males and females, and they also have distinct pain experiences. Improved understanding of these unique experiences is needed to improve support.
Design
This meta-synthesis aimed to develop a comprehensive understanding of women's lived experiences with chronic pain.
Methods
Six electronic databases were searched in May and June 2022: PubMed Central, the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), the Health Research Premium Collection, ScienceDirect, Web of Science and PsycINFO. Studies were included if they were full-text journal articles, reported in English, presented qualitative findings obtained using qualitative research methods and focused on the experience of females over eighteen years old, living with chronic pain (not associated with cancer or conditions that are terminal). The search was updated in November 2024.
Results
Analysis of the seventy studies retrieved identified four themes: Pain and Multiple Responsibilities; Countless Losses (and Their Psychological Effects); Lack of Understanding: Delegitimizing and Disempowering Encounters; and Solace and Self-Empowerment. Confidence in all four themes was evaluated as high.
Conclusions
These findings indicate that there are common themes that run through the lives of women living with chronic pain across a range of different age groups, locations and conditions. These domains present actionable opportunities to enhance pain management and well-being for women living with chronic pain.
目的慢性疼痛的患病率在男性和女性之间存在差异，并且他们也有不同的疼痛经历。需要更好地了解这些独特的经历，以改善支持。设计本综合研究旨在全面了解女性慢性疼痛的生活经历。方法于2022年5 - 6月检索PubMed Central、护理与相关健康文献累积索引（CINAHL Plus）、Health Research Premium Collection、ScienceDirect、Web of Science和PsycINFO 6个电子数据库。如果研究是全文期刊文章，以英文报告，采用定性研究方法获得定性研究结果，并关注18岁以上患有慢性疼痛（与癌症或晚期疾病无关）的女性的经历，则纳入研究。该搜索于2024年11月更新。结果：对检索到的70项研究进行分析，确定了四个主题：疼痛和多重责任；无数的损失（及其心理影响）；缺乏理解：使遭遇失去合法性和权力；安慰和自我赋权。对所有四个主题的信心评价为高。这些发现表明，在不同年龄组、不同地点和不同条件下，患有慢性疼痛的女性的生活中存在着共同的主题。这些领域提供了可行的机会来加强慢性疼痛妇女的疼痛管理和福祉。
{"title":"Women's experiences of living with chronic pain: A qualitative meta-synthesis","authors":"Sukhvinder Biring, Amy E. Burton, Lynn Dunwoody, Peter Kevern","doi":"10.1111/bjhp.70023","DOIUrl":"10.1111/bjhp.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The prevalence of chronic pain varies between males and females, and they also have distinct pain experiences. Improved understanding of these unique experiences is needed to improve support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This meta-synthesis aimed to develop a comprehensive understanding of women's lived experiences with chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six electronic databases were searched in May and June 2022: PubMed Central, the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), the Health Research Premium Collection, ScienceDirect, Web of Science and PsycINFO. Studies were included if they were full-text journal articles, reported in English, presented qualitative findings obtained using qualitative research methods and focused on the experience of females over eighteen years old, living with chronic pain (not associated with cancer or conditions that are terminal). The search was updated in November 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of the seventy studies retrieved identified four themes: Pain and Multiple Responsibilities; Countless Losses (and Their Psychological Effects); Lack of Understanding: Delegitimizing and Disempowering Encounters; and Solace and Self-Empowerment. Confidence in all four themes was evaluated as high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate that there are common themes that run through the lives of women living with chronic pain across a range of different age groups, locations and conditions. These domains present actionable opportunities to enhance pain management and well-being for women living with chronic pain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pepper Thanaporn Theeraoat, Ruth A. Hackett, Joseph Chilcot, Andrew Steptoe
Objectives
Research has linked diet to negative psychological states, but its influence on positive psychological well-being remains understudied. This study assessed the association between dietary intake of fruits and vegetables (F&V), polyunsaturated fats (PUFAs), and fish on three domains of positive well-being: eudemonic, happiness, and life satisfaction in middle-aged and older adults.
Design
A cross-sectional analytical sample of 3013 participants from Wave 9 (2018/19) of the English Longitudinal Study of Ageing (ELSA).
Methods
Multivariate linear regression assessed the association between diet and positive psychological well-being, adjusted for covariates including total energy intake, age, gender, ethnicity, wealth, education, living alone, social isolation, limiting long-standing illness, and depressive symptoms.
Results
In minimally adjusted models, F&V and fish intake were positively associated with all three domains of well-being, while PUFAs intake was positively associated with eudemonic well-being and happiness, but not life satisfaction. The positive associations between F&V intake and eudemonic well-being, and between fish intake and happiness, remained significant in all models (β = .043, 95% CI [.037, .212], p = .005; β = .033, 95% CI [.011, .243], p = .032, respectively), whereas others became non-significant after adjusting for certain covariates.
Conclusions
Diet may be associated with positive psychological well-being in middle-aged and older adults. Increasing dietary intake of F&V, PUFAs, and fish could support well-being and may be encouraged through public or private initiatives aimed at making healthy diets accessible and affordable. Longitudinal studies are needed to clarify the influence of diet on well-being over time.
研究已将饮食与消极心理状态联系起来，但其对积极心理健康的影响仍未得到充分研究。本研究评估了中老年人饮食中水果和蔬菜（F&；V）、多不饱和脂肪（PUFAs）和鱼类的摄入对三个积极健康领域的影响：幸福、快乐和生活满意度。设计一个来自英国老龄化纵向研究（ELSA）第9波（2018/19）的3013名参与者的横断面分析样本。方法多元线性回归评估饮食与积极心理健康之间的关系，调整协变量包括总能量摄入、年龄、性别、种族、财富、教育、独居、社会隔离、限制长期疾病和抑郁症状。结果在最小调整模型中，F&；V和鱼类摄入量与所有三个幸福领域正相关，而PUFAs摄入量与幸福和幸福正相关，但与生活满意度无关。在所有模型中，食品和酒精摄入量与幸福之间以及鱼类摄入量与幸福之间的正相关关系仍然显著（β =）。043, 95% ci[。]037年,。[12], p = .005；β =。033, 95% ci[。011年,。[43], p =。032)，而其他的在调整了某些协变量后变得不显著。结论饮食可能与中老年人的积极心理健康有关。增加饮食中食品、多聚脂肪酸和鱼类的摄入量可以促进健康，并可通过旨在使健康饮食易于获得和负担得起的公共或私人举措加以鼓励。需要进行纵向研究来阐明饮食对长期健康的影响。
{"title":"Dietary intake of fruits and vegetables, polyunsaturated fats, and fish and positive psychological well-being in older adults: A cross-sectional analysis of the English Longitudinal Study of Ageing (ELSA)","authors":"Pepper Thanaporn Theeraoat, Ruth A. Hackett, Joseph Chilcot, Andrew Steptoe","doi":"10.1111/bjhp.70022","DOIUrl":"10.1111/bjhp.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Research has linked diet to negative psychological states, but its influence on positive psychological well-being remains understudied. This study assessed the association between dietary intake of fruits and vegetables (F&V), polyunsaturated fats (PUFAs), and fish on three domains of positive well-being: eudemonic, happiness, and life satisfaction in middle-aged and older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional analytical sample of 3013 participants from Wave 9 (2018/19) of the English Longitudinal Study of Ageing (ELSA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Multivariate linear regression assessed the association between diet and positive psychological well-being, adjusted for covariates including total energy intake, age, gender, ethnicity, wealth, education, living alone, social isolation, limiting long-standing illness, and depressive symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In minimally adjusted models, F&V and fish intake were positively associated with all three domains of well-being, while PUFAs intake was positively associated with eudemonic well-being and happiness, but not life satisfaction. The positive associations between F&V intake and eudemonic well-being, and between fish intake and happiness, remained significant in all models (<i>β</i> = .043, 95% CI [.037, .212], <i>p</i> = .005; <i>β</i> = .033, 95% CI [.011, .243], <i>p</i> = .032, respectively), whereas others became non-significant after adjusting for certain covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Diet may be associated with positive psychological well-being in middle-aged and older adults. Increasing dietary intake of F&V, PUFAs, and fish could support well-being and may be encouraged through public or private initiatives aimed at making healthy diets accessible and affordable. Longitudinal studies are needed to clarify the influence of diet on well-being over time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neetu Bansal, Rhiannon E. Hawkes, Li-Chia Chen, Darren M. Ashcroft, Christopher J. Armitage
Objective
This study applied the Theoretical Domains Framework (TDF) to explore the barriers and enablers to optimizing post-operative pain management and supporting safe opioid use from the perspectives of both patients and health care professionals, applying the Theoretical Domains Framework (TDF).
In the initial phase of the EBCD approach, focus groups were conducted comprising 20 participants, including 8 patients and 12 health care professionals involved in post-operative care. The data were systematically analysed using framework analysis and mapped to the TDF. Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified.
Results
Analysis revealed significant barriers faced by patients, including a lack of continuity in care, inadequate preoperative preparation, and insufficient guidance on opioid tapering. Health care professionals reported barriers associated with deficiencies in knowledge, skills, and environmental resources, particularly workforce constraints and ineffective communication across care settings. Notable enablers included pharmacist-led medication reviews and the adoption of digital technologies to enhance education and support tapering.
Conclusions
This study identifies critical barriers and facilitators that influence postoperative pain management and opioid use. Targeted interventions are imperative to optimize these outcomes. Key recommendations include implementing pharmacist-led medication reviews, integrating digital tapering support tools and enhancing preoperative educational efforts. Furthermore, strengthening communication pathways and addressing workforce challenges through dedicated training and resource allocation are essential. Future research should assess the efficacy of these tailored interventions across diverse clinical contexts to improve patient outcomes and refine prescribing practices.
{"title":"Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use","authors":"Neetu Bansal, Rhiannon E. Hawkes, Li-Chia Chen, Darren M. Ashcroft, Christopher J. Armitage","doi":"10.1111/bjhp.70021","DOIUrl":"10.1111/bjhp.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study applied the Theoretical Domains Framework (TDF) to explore the barriers and enablers to optimizing post-operative pain management and supporting safe opioid use from the perspectives of both patients and health care professionals, applying the Theoretical Domains Framework (TDF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Experience-based co-design (EBCD) qualitative study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the initial phase of the EBCD approach, focus groups were conducted comprising 20 participants, including 8 patients and 12 health care professionals involved in post-operative care. The data were systematically analysed using framework analysis and mapped to the TDF. Intervention functions and behaviour change techniques (BCTs) targeting each TDF domain were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis revealed significant barriers faced by patients, including a lack of continuity in care, inadequate preoperative preparation, and insufficient guidance on opioid tapering. Health care professionals reported barriers associated with deficiencies in knowledge, skills, and environmental resources, particularly workforce constraints and ineffective communication across care settings. Notable enablers included pharmacist-led medication reviews and the adoption of digital technologies to enhance education and support tapering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study identifies critical barriers and facilitators that influence postoperative pain management and opioid use. Targeted interventions are imperative to optimize these outcomes. Key recommendations include implementing pharmacist-led medication reviews, integrating digital tapering support tools and enhancing preoperative educational efforts. Furthermore, strengthening communication pathways and addressing workforce challenges through dedicated training and resource allocation are essential. Future research should assess the efficacy of these tailored interventions across diverse clinical contexts to improve patient outcomes and refine prescribing practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emma Ward, Felix Naughton, Pippa Belderson, Trisevgeni Papakonstantinou, Ben Ainsworth, Sarah Hanson, Caitlin Notley, Paulina Bondaronek
Objectives
Investigate the use of machine learning to expedite thematic analysis of qualitative data concerning factors that influenced health behaviours and wellbeing during the COVID-19 pandemic.
Design
Qualitative investigation using Machine-Assisted Topic Analysis (MATA) of free-text data collected from a prospective cohort.
Methods
Free-text survey data (2177 responses from 762 participants) of influences on health behaviours and wellbeing were collected among UK participants recruited online, using Qualtrics at 3, 6, 12 and 24 months after the COVID-19 pandemic started. MATA, which employs structural topic modelling (STM), was used (in R) to discern latent topics within the responses. Two researchers independently labelled topics and collaboratively organized them into themes, with ‘sense checking’ from two additional researchers. Plots and rankings were generated, showing change in topic prevalence by time. Total researcher time to complete analysis was collated.
Results
Fifteen STM-generated topics were labelled and integrated into six themes: the influences of and impacts on (1) health behaviours, (2) physical health (3) mood and (4) how these interacted, partly moderated by (5) external influences of control and (6) reflections on wellbeing and personal growth. Topic prevalence varied meaningfully over time, aligning with changes in the pandemic context. Themes were generated (excluding write-up) with 20 h combined researcher time.
Conclusions
MATA shows promise as a resource-saving method for thematic analysis of large qualitative datasets whilst maintaining researcher control and insight. Findings show the interconnection between health behaviours, physical health and wellbeing over the pandemic, and the influence of control and reflective processes.
{"title":"Using machine-assisted topic analysis to expedite thematic analysis of free-text data: Exemplar investigation of factors influencing health behaviours and wellbeing during the COVID-19 pandemic","authors":"Emma Ward, Felix Naughton, Pippa Belderson, Trisevgeni Papakonstantinou, Ben Ainsworth, Sarah Hanson, Caitlin Notley, Paulina Bondaronek","doi":"10.1111/bjhp.70017","DOIUrl":"10.1111/bjhp.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Investigate the use of machine learning to expedite thematic analysis of qualitative data concerning factors that influenced health behaviours and wellbeing during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative investigation using Machine-Assisted Topic Analysis (MATA) of free-text data collected from a prospective cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Free-text survey data (2177 responses from 762 participants) of influences on health behaviours and wellbeing were collected among UK participants recruited online, using Qualtrics at 3, 6, 12 and 24 months after the COVID-19 pandemic started. MATA, which employs structural topic modelling (STM), was used (in R) to discern latent topics within the responses. Two researchers independently labelled topics and collaboratively organized them into themes, with ‘sense checking’ from two additional researchers. Plots and rankings were generated, showing change in topic prevalence by time. Total researcher time to complete analysis was collated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen STM-generated topics were labelled and integrated into six themes: the influences of and impacts on (1) health behaviours, (2) physical health (3) mood and (4) how these interacted, partly moderated by (5) external influences of control and (6) reflections on wellbeing and personal growth. Topic prevalence varied meaningfully over time, aligning with changes in the pandemic context. Themes were generated (excluding write-up) with 20 h combined researcher time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>MATA shows promise as a resource-saving method for thematic analysis of large qualitative datasets whilst maintaining researcher control and insight. Findings show the interconnection between health behaviours, physical health and wellbeing over the pandemic, and the influence of control and reflective processes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.
Method
People with facial palsy (n = 78) and people without facial palsy (n = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.
Results
The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.
Discussion
Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.
{"title":"Social anxiety in people with facial palsy: The role of fear of negative evaluation and appearance-fixing behaviour","authors":"Jessica A. E. Dring, Emily Reeves, Matthew Hotton","doi":"10.1111/bjhp.70018","DOIUrl":"10.1111/bjhp.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>People with facial palsy (<i>n</i> = 78) and people without facial palsy (<i>n</i> = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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