British Journal of Health Psychology最新文献_第4页

Lung cancer through patients’ lived experiences: A sociocultural perspective 肺癌患者的生活经历：社会文化视角。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-10-18 DOI: 10.1111/bjhp.70030

Lubna Ali, Liz Jones, Esther Ong Zhen Mei, Marfu’ah Binti Nik Ezamuddeen, Yogarabindranath Swarna Nantha, Stefano Occhipinti

Objective

Lung cancer stigma remains a significant yet underexplored challenge, particularly in non-Western contexts. Our study aimed to explore how sociocultural factors shape the experiences of Malaysian lung cancer patients, with particular attention to stigma.

Methods

We conducted a qualitative study using semi-structured interviews with 15 lung cancer patients at a local public hospital in Malaysia, which were analysed using coding reliability thematic analysis in conjunction with consensual qualitative research.

Results

Our analysis showed that participants' narratives centred on the challenges they faced and the coping strategies they employed, which we mapped to the socio-ecological model to illustrate the sociocultural influences spanning individual, familial, social and systemic levels. At the individual level, smokers felt guilt, while non-smokers experienced confusion and distress about their diagnosis. Participants reported physical and emotional challenges, finding solace in faith, acceptance and cultural resilience. Within families, feelings of guilt and fear of burdening others constrained disclosure, yet collectivist norms of obligation and care meant that family members still provided crucial emotional and financial support. At the societal level, stigma associating lung cancer with smoking led to blame and isolation for both smokers and non-smokers. Systemic issues such as diagnostic delays, poor health care communication and financial burdens compounded these challenges.

Conclusion

Our study highlights how sociocultural values, stigma and systemic barriers are deeply intertwined in shaping lung cancer experiences in Malaysia. Interventions should be designed with sensitivity to religious beliefs, filial obligations and norms of emotional restraint while addressing stigma alongside health care barriers.

目的：肺癌污名化仍然是一个重大但尚未充分探索的挑战，特别是在非西方国家。我们的研究旨在探讨社会文化因素如何塑造马来西亚肺癌患者的经历，特别关注耻辱。方法：我们对马来西亚当地一家公立医院的15名肺癌患者进行了半结构化访谈的定性研究，并使用编码可靠性专题分析与共识性定性研究相结合进行了分析。结果：我们的分析表明，参与者的叙述集中在他们面临的挑战和他们采用的应对策略上，我们将其映射到社会生态模型中，以说明跨越个人、家庭、社会和系统层面的社会文化影响。在个人层面上，吸烟者感到内疚，而非吸烟者则对自己的诊断感到困惑和痛苦。参与者报告了身体和情感上的挑战，在信仰、接受和文化适应中找到了安慰。在家庭内部，内疚感和担心给他人带来负担的恐惧限制了披露，然而集体主义的义务和关怀规范意味着家庭成员仍然提供至关重要的情感和经济支持。在社会层面，将肺癌与吸烟联系起来的污名导致吸烟者和非吸烟者都受到指责和孤立。诊断延误、卫生保健沟通不畅和财政负担等系统性问题加剧了这些挑战。结论：我们的研究强调了社会文化价值观、污名化和系统性障碍在塑造马来西亚肺癌经历方面是如何深深交织在一起的。在设计干预措施时，应考虑到宗教信仰、孝道义务和情绪克制的规范，同时解决耻辱感和保健障碍。

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引用次数: 0

Evaluating the effectiveness of compassion-focused therapy on psychological outcomes in medical students: A pilot randomized controlled trial 评价以同情为中心的治疗对医学生心理结果的有效性：一项试点随机对照试验。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-10-16 DOI: 10.1111/bjhp.70029

Asgar Alimohamadi, Mahdi Ghasemzadeh, Fatemeh Baberi, Hadis Rostami, Fuschia Sirois, Hossein Matin, Negar Asgharipour, Elham Nikfar

Purpose

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.

目的：以同情为中心的治疗（CFT）是本初步研究的重点，以确定其在改善医学生心理结果方面的有效性。医学院学生被选为研究对象，因为他们的心理健康水平低于一般人群。方法：本研究采用随机对照设计，将医学生随机分为8周在线CFT组和等候名单对照组（WL）。在干预前、干预后和干预后2个月，他们完成了自我报告评估。标准化的测量方法被用来评估结果，即心理健康、恢复力和对幸福的恐惧。数据分析采用重复测量混合方差分析。结果：与WL相比，实施CFT后，心理健康和弹性显著改善，对幸福的恐惧显著减少。此外，虽然没有观察到日常运动的负面影响，但这些影响在随访中保持不变。结论：CFT能提高医学生的幸福感和心理弹性，减少医学生对幸福的恐惧。虽然作者强调了将这种基于过程的治疗纳入教育计划的重要性，但他们指出，CFT对于维持未来医生的心理健康和培养富有同情心的病人护理至关重要。

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引用次数: 0

The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross-lagged panel longitudinal study among post-surgery ACL reconstructed patients 自主动机、社会认知信念与康复依从性之间的相互关系：ACL重建术后患者的交叉滞后面板纵向研究。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-10-15 DOI: 10.1111/bjhp.70028

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 (M_age = 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.

目的：本研究旨在探讨自我决定理论（SDT）的动机驱动因素与计划行为理论（TPB）的社会认知因素之间的时间优先性。方法：236例接受前交叉韧带（ACL）重建手术的患者（男性= 33.58±10.03，范围= 18 ~ 59；女性= 46.2%）完成了基线（T1）、基线后2个月（T2）和4个月（T3）的调查，评估SDT的自主动机、态度、主观规范、感知行为控制（PBC）、TPB的意图和康复依从性。结果：在三波交叉滞后面板模型中，自主动机与后续态度、主观规范和PBC具有前瞻性相关，而反向路径普遍较小；态度与自主动机表现出适度的相互关系。此外，一个中介模型显示T1自主动机通过T2社会认知因素和意向对T3康复依从性有显著的间接影响，而只有T1主观规范通过T2自主动机和意向对T3康复依从性有较小的间接影响。结论：这些发现支持了SDT和TPB整合理论模型中提出的自主动机先于社会认知因素的观点。未来的研究，包括实验干预，可以使用综合理论模型来促进各种健康行为，如康复方案、健康饮食习惯和卫生习惯。

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引用次数: 0

How to make gluten-free friends: A quasi-experimental study on the psychosocial benefits of celiac camps 如何结交无麸质朋友：一项关于乳糜泻营地心理社会效益的准实验研究。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-10-14 DOI: 10.1111/bjhp.70027

Maor Shani, Melina Böttcher

Objectives

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.

目的：患有乳糜泻（CD）的青年面临着社会挑战，然而专门营地的好处尚未得到充分研究。本研究评估了为期一周的乳糜泻训练营对社会融合、疾病识别、健康管理和健康相关生活质量（HRQOL）的影响。设计：采用准实验候补名单设计。方法：111名患有CD的青少年（8-16岁，65%为女性）被分配到瑞士为期一周的营地（干预；n = 66； 41名8-12岁的儿童和25名13-16岁的青少年）或等候名单对照组（n = 45； 34名儿童和11名青少年）。营地前后的调查评估了心理社会结果，包括友谊、疾病认同和同伴支持（仅限青少年）、饮食依从性、感知能力、主观幸福感和年龄适应的HRQOL。采用线性混合模型分析干预效果。结果：与对照组相比，夏令营的参与显著增加了青少年与同伴的友谊，并促进了青少年，特别是新手参与者更具适应性的疾病认同。没有发现饮食依从性或感知能力的影响。出乎意料的是，与对照组相比，营员报告的HRQOL领域的享受（儿童）和不确定性（青少年）的短期恶化，在新手营员中更为明显。结论：乳糜泻营地有效地促进了社会融合和积极疾病认同的发展。然而，对HRQOL的短期影响是复杂的，可能反映了在高度支持的经历后“重新进入”日常生活的挑战。这些发现强调了乳糜泻营地的好处，同时强调了纵向研究的必要性，以了解和优化其长期影响。

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引用次数: 0

Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions 调查态度和框架道德责任在医疗保健专业人员戒烟干预。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-10-02 DOI: 10.1111/bjhp.70025

Angela Difeng Wu, Jamie Hartmann-Boyce, Rafael Perera, Rachna Begh, Nicola Lindson

Objectives

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.

目的：来自医疗保健专业人员的循证支持改善了戒烟结果，但英国全科医生（gp）的干预率仍然不理想。本探索性研究探讨了围绕道德责任的信息框架是否会影响临床医生提供戒烟支持的意图，并探讨了他们对吸烟的态度。设计：在2023年5月对300名英国全科医生和医学生进行了一项受试者之间的在线实验。方法：参与者被随机分配到三个信息条件中的一个：专业义务、共同责任或中立控制。他们评估了自己在临床场景中提供戒烟支持的愿望、责任和意图，并完成了态度测量。结果：与对照组相比，职业义务框架与更高的意向得分相关(β =。20, 95% ci[。01点);分担责任没有效果。亚组分析显示，医学生的影响更大。背景因素有影响：心血管疾病（β = 0.80）和双相情感障碍（β = 0.80）得分较高。21)，而时间压力和患者不感兴趣降低了意向（β = - 0.15和- 0.14）。受访者的态度不一：70%的人认为吸烟是一种生活方式的选择，而88%的人认为吸烟成瘾是一种疾病。结论：职业义务框架与临床医生提供戒烟支持的意图有关，特别是在早期职业临床医生中。态度上的不一致突出了临床医生的看法与公共卫生指导之间的脱节。基于责任的消息传递可能对教育和培训很有希望。考虑到单项目结果和探索性设计，研究结果应谨慎解释，未来的工作应更严格地检查测量特性。

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引用次数: 0

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 一项针对南非人口的全国性调查显示，与安全型依恋相比，恐惧型成人依恋类型与双倍的慢性疼痛相关。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-09-23 DOI: 10.1111/bjhp.70024

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.

目的：初步的流行病学证据表明，在慢性疼痛人群中，不安全的依恋类型（包括忽视型、专注型和恐惧型）更为普遍。我们的目的是在一般人群中确定成人依恋类型与慢性疼痛的存在和负担之间的关系。方法：在南非进行了一项全国性的在线调查，确定了成人依恋类型（使用亲密关系体验-关系结构问卷）、慢性疼痛的存在以及典型的相关心理因素。在报告慢性疼痛的参与者中，我们进一步探讨了依恋类型和疼痛负担（疼痛部位、严重程度和干扰，使用简短疼痛量表[BPI]）之间的关系。采用多变量广义线性模型对2371名参与者的结果进行分析。结果：在我们的年轻（中位年龄23岁；IQR 20-28岁），受过良好教育，主要是女性（74%），主要是中高社会经济地位的队列中，我们发现慢性疼痛的患病率高于通常报道的患病率（27%）。与安全依恋类型相比，所有不安全依恋类型均与慢性疼痛存在增加相关(安全依恋类型：23%；拒绝依恋类型：31%，比值比[95% CI] = 1.38 [1.02-1.85], p = 0.037；专注依恋类型：42%，比值比[95% CI] = 2.26 [1.62-3.13]， p结论：成人依恋类型与慢性疼痛存在和疼痛负担相关。与安全型依恋个体相比，恐惧型不安全个体中慢性疼痛的存在是安全型依恋个体的两倍多。

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引用次数: 0

Women's experiences of living with chronic pain: A qualitative meta-synthesis 女性慢性疼痛的生活经验：定性综合

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-09-22 DOI: 10.1111/bjhp.70023

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。

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引用次数: 0

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) 老年人饮食中水果、蔬菜、多不饱和脂肪和鱼类的摄入与积极的心理健康：英国老龄化纵向研究（ELSA）的横断面分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-09-15 DOI: 10.1111/bjhp.70022

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。

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引用次数: 0

Perceptions of patients and health care professionals on postoperative pain management: Key factors influencing persistent opioid use 患者和卫生保健专业人员对术后疼痛管理的看法：影响阿片类药物持续使用的关键因素

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-09-11 DOI: 10.1111/bjhp.70021

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).

Design

Experience-based co-design (EBCD) qualitative study.

Methods

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.

目的：本研究应用理论领域框架（TDF），从患者和卫生保健专业人员的角度探讨优化术后疼痛管理和支持安全使用阿片类药物的障碍和促进因素。设计：基于经验的协同设计（EBCD）定性研究。方法：在EBCD方法的初始阶段，进行了20名参与者的焦点小组，其中包括8名患者和12名参与术后护理的卫生保健专业人员。使用框架分析对数据进行系统分析，并将其映射到TDF。确定了针对每个TDF域的干预功能和行为改变技术（bct）。结果：分析揭示了患者面临的重大障碍，包括缺乏连续性的护理，术前准备不足，阿片类药物逐渐减少的指导不足。卫生保健专业人员报告了与知识、技能和环境资源不足有关的障碍，特别是劳动力限制和跨护理环境的无效沟通。值得注意的促成因素包括药剂师主导的药物审查和采用数字技术来加强教育和支持逐步减少。结论：本研究确定了影响术后疼痛管理和阿片类药物使用的关键障碍和促进因素。有针对性的干预措施是优化这些结果的必要条件。主要建议包括实施药剂师主导的药物审查，整合数字减径支持工具和加强术前教育工作。此外，加强沟通渠道，通过专门培训和资源分配解决劳动力挑战至关重要。未来的研究应该在不同的临床背景下评估这些量身定制的干预措施的有效性，以改善患者的预后并改进处方实践。

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引用次数: 0

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 利用机器辅助主题分析加快自由文本数据的主题分析：COVID-19大流行期间影响健康行为和福祉因素的范例调查

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-09-11 DOI: 10.1111/bjhp.70017

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.

目的研究使用机器学习来加快对COVID-19大流行期间影响健康行为和福祉因素的定性数据的专题分析。设计使用机器辅助主题分析（MATA）对从前瞻性队列中收集的自由文本数据进行定性调查。方法在2019冠状病毒病大流行开始后的3、6、12和24个月，使用Qualtrics收集在线招募的英国参与者的健康行为和幸福感影响的自由文本调查数据（来自762名参与者的2177份回复）。采用结构主题建模（STM）的MATA被用于（在R中）识别响应中的潜在主题。两名研究人员独立标记主题，并合作将其组织成主题，另外两名研究人员进行“感觉检查”。生成图表和排名，显示话题流行度随时间的变化。整理研究人员完成分析的总时间。结果15个stm生成的主题被标记并整合为六个主题：对(1)健康行为的影响和影响，(2)身体健康，(3)情绪和(4)这些因素如何相互作用，部分由(5)控制的外部影响和(6)对健康和个人成长的反思来调节。随着时间的推移，主题流行率发生了有意义的变化，与大流行背景的变化保持一致。主题生成（不包括撰写）总共需要20小时的研究时间。结论：MATA有望成为大型定性数据集专题分析的资源节约方法，同时保持研究人员的控制和洞察力。调查结果显示，大流行期间的健康行为、身体健康和福祉，以及控制和反思过程的影响之间存在相互联系。

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引用次数: 0