British Journal of Health Psychology最新文献_第5页

Mindfulness improves psychological health and supports health behaviour cognitions: Evidence from a pragmatic RCT of a digital mindfulness-based intervention 正念能改善心理健康并支持健康行为认知：基于数字正念的干预措施的实用性 RCT 证据。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-08-21 DOI: 10.1111/bjhp.12745

Masha Remskar, Max J. Western, Ben Ainsworth

Background

Mindfulness-based interventions can improve psychological health; yet the mechanisms of change are underexplored. This pre-registered remote RCT evaluated a freely accessible digital mindfulness programme aiming to improve well-being, mental health and sleep quality. Health behaviour cognitions were explored as possible mediators.

Methods

Participants from 91 countries (N = 1247, M_age = 27.03 [9.04]) were randomized to 30 days of mindfulness practice or attention-matched control condition. Measures of well-being, depression, anxiety, stress, sleep quality, barriers self-efficacy, self-regulation and behavioural predictors (e.g., attitudes and behavioural intentions) were taken at baseline, 1-month (post-intervention) and 2-months (follow-up). Linear regression examined intervention effects between and within groups. Longitudinal mediation analyses explored indirect effects through health behaviour cognitions.

Results

Three hundred participants completed post-intervention measures. Those receiving mindfulness training reported significantly better well-being (M_difference = 2.34, 95%CIs .45–4.24, p = .016), lower depression (M_difference = −1.47, 95%CIs −2.38 to −.56, p = .002) and anxiety symptoms (M_difference = −.77, 95%CIs −1.51 to −.02, p = .045) than controls. Improvements in well-being and depression were maintained at follow-up. Intervention effects on primary outcomes were mediated by attitudes towards health maintenance and behavioural intentions. Mediating effects of attitudes remained when controlling for prior scores in models of depression and well-being.

Conclusions

Digital, self-administered mindfulness practice for 30 days meaningfully improved psychological health, at least partially due to improved attitudes towards health behaviours and stronger behavioural intentions. This trial found that digital mindfulness is a promising and scalable well-being tool for the general population, and highlighted its role in supporting health behaviours.

背景：以正念为基础的干预措施可以改善心理健康；然而，对其变化机制的探索还很不够。这项预先登记的远程 RCT 评估了一项可免费获取的数字正念计划，该计划旨在改善幸福感、心理健康和睡眠质量。研究方法：来自 91 个国家的参与者（N = 1,000 人）参加了这项研究：来自 91 个国家的参与者（N = 1247，Mage = 27.03 [9.04]）被随机分配到为期 30 天的正念练习或注意力匹配对照组。分别在基线、1 个月（干预后）和 2 个月（随访）对幸福感、抑郁、焦虑、压力、睡眠质量、障碍自我效能、自我调节和行为预测因素（如态度和行为意向）进行测量。线性回归分析了组间和组内的干预效果。纵向中介分析探讨了通过健康行为认知产生的间接影响：结果：300 名参与者完成了干预后的测量。与对照组相比，接受正念训练者的幸福感（Mdifference = 2.34, 95%CIs .45-4.24, p = .016）、抑郁（Mdifference = -1.47, 95%CIs -2.38 to -.56, p = .002）和焦虑症状（Mdifference = -.77, 95%CIs -1.51 to -.02, p = .045）均显著改善。幸福感和抑郁方面的改善在随访中得以保持。对健康维护的态度和行为意向对主要结果的干预效果具有中介作用。当控制抑郁和幸福感模型中的先前得分时，态度的中介效应依然存在：为期 30 天的数字式自我管理正念练习能有效改善心理健康，至少部分原因是人们对健康行为的态度有所改善，行为意向有所加强。这项试验发现，数字正念对普通人群来说是一种有前景且可扩展的幸福工具，并强调了它在支持健康行为方面的作用。

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引用次数: 0

What's different about digital? A qualitative interview study exploring experiences of adapting in-person behaviour change interventions for digital delivery 数字化有什么不同？一项定性访谈研究，探索将面对面的行为改变干预措施调整为数字交付的经验。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-07-29 DOI: 10.1111/bjhp.12741

Eva Cooney, Elaine Toomey, Kathleen Ryan, Oonagh Meade, Jenny McSharry

Objectives

Digital health behaviour change interventions may be adapted from in-person interventions, without appropriate consideration of how the digital context might differ. Drawing on the wider literature on behaviour change intervention development, this research aims to explore the digital adaptation process of health behaviour change interventions and the specific considerations for digital modes of delivery.

Design

A qualitative interview study.

Methods

Interviews with 15 intervention developers/facilitators were analysed using inductive thematic analysis.

Results

Findings highlight a continuum of digitalization, where variation in technology available and human support influences considerations for digital adaptation. ‘What vs how: “trying to do the impossible”’ describes the balance between retaining the intervention's active ingredients while modifying for digital delivery. Through ‘Trial and error’, participants described an iterative process based on experience of delivery. ‘Creating connection and engagement’ emphasizes the importance of social support and the challenges of replicating this.

Conclusions

Several considerations for digital adaptations are proposed including the involvement of end-users (facilitators and recipients) during adaptation, the need to understand the original intervention and new context for use, and the different motivational needs of digital intervention recipients.

目的：数字化的健康行为改变干预措施可能会根据人际干预措施进行调整，而没有适当考虑数字化环境可能存在的差异。本研究借鉴了有关行为改变干预发展的更广泛文献，旨在探索健康行为改变干预的数字化适应过程，以及数字化实施模式的具体考虑因素：设计：定性访谈研究：方法：采用归纳式主题分析法对 15 名干预措施开发者/推动者进行访谈分析：结果：研究结果强调了数字化的连续性，其中可用技术和人力支持的差异影响了数字化适应的考虑因素。什么与如何："试图完成不可能完成的任务 "描述了在保留干预措施的有效成分的同时为数字化交付进行修改之间的平衡。通过 "试错"，与会者描述了一个基于实施经验的迭代过程。建立联系和参与 "强调了社会支持的重要性以及复制这种支持所面临的挑战：结论：我们提出了数字化改编的几个注意事项，包括最终用户（促进者和接受者）在改编过程中的参与、了解原始干预和新使用环境的必要性以及数字化干预接受者的不同动机需求。

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引用次数: 0

Trajectories of depressive symptoms in Korean adults with diabetes: Individual differences and associations with life satisfaction and mortality 韩国成年糖尿病患者的抑郁症状轨迹：个体差异以及与生活满意度和死亡率的关联。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-07-24 DOI: 10.1111/bjhp.12742

Eun-Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe

Objective

We examined trajectories of depressive symptoms and their predictors in adults with diabetes. We assessed whether these trajectories were related to life satisfaction and mortality.

Design

Longitudinal, prospective observational study.

Methods

We analysed data from 1217 adults with diabetes (aged ≥45 years) in the Korean Longitudinal Study of Aging (2006–2018).

Results

Three trajectories of depressive symptomology were identified in growth mixture models: low/stable (i.e., low and stable levels of symptoms; 85.56%), high/decreasing (i.e., high levels of symptoms with a decreasing trajectory; 7.47%), and moderate/increasing (i.e., moderate levels of symptoms with an increasing trajectory; 6.98%). Participants with poor perceived health status at baseline were more likely to be in the moderate/increasing or high/decreasing classes than in the low/stable class. The moderate/increasing class had the lowest satisfaction with quality of life, followed by the high/decreasing and low/stable classes. The moderate/increasing and the high/decreasing classes had lower satisfaction with relationships with spouse and children than the low/stable class. The high/decreasing class had a higher mortality risk than the low/stable class.

Conclusions

Long-term monitoring of depressive symptoms in adults with diabetes is warranted given their potential adverse impact on life satisfaction and mortality.

研究目的我们研究了成人糖尿病患者的抑郁症状轨迹及其预测因素。我们评估了这些轨迹是否与生活满意度和死亡率有关：设计：纵向、前瞻性观察研究：我们分析了韩国老龄化纵向研究（2006-2018年）中1217名成年糖尿病患者（年龄≥45岁）的数据：在生长混合模型中发现了抑郁症状的三种轨迹：低/稳定（即症状水平低且稳定；85.56%）、高/下降（即症状水平高且轨迹下降；7.47%）和中/上升（即症状水平中且轨迹上升；6.98%）。基线时健康状况较差的参与者更有可能属于中度/加重或高度/减轻级别，而不是低度/稳定级别。对生活质量满意度最低的是 "中度/上升 "组，其次是 "高度/下降 "组和 "低度/稳定 "组。中度/递增和高度/递减班级对配偶和子女关系的满意度低于低度/稳定班级。高/递减组的死亡风险高于低/稳定组：鉴于抑郁症状对生活满意度和死亡率的潜在不利影响，有必要对成年糖尿病患者的抑郁症状进行长期监测。

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引用次数: 0

Development of a group-based behaviour change intervention for people with severe obesity informed by the social identity approach to health 根据健康的社会认同方法，为严重肥胖症患者制定以小组为基础的行为改变干预措施。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-07-04 DOI: 10.1111/bjhp.12737

Shokraneh Moghadam, Laura Hollands, Raff Calitri, Dawn Swancutt, Jenny Lloyd, Lily Hawkins, Rod Sheaff, Sarah Dean, Steve Perry, Ross Watkins, Jonathan Pinkney, Mark Tarrant, the PROGROUP Team

Introduction

Interventions to support behaviour change in people living with chronic health conditions increasingly use patient groups as the mode of delivery, but these are often designed without consideration of the group processes that can shape intervention outcomes. This article outlines a new approach to designing group-based behaviour change interventions that prioritizes recipients' shared social identity as group members in facilitating the adoption of established behaviour change techniques (BCTs). The approach is illustrated through an example drawn from research focused on people living with severe obesity.

Methods

A prioritization process was undertaken in collaboration with stakeholders, including behaviour change experts, clinicians, and a former patient to develop an evidence-based, group intervention informed by the social identity approach to health. Three phases of development are reported: (1) identification of the health problem; (2) delineation of intervention mechanisms and operationalization of BCTs for group delivery and (3) intervention manualization. The fourth phase, intervention testing and optimization, is reported elsewhere.

Results

A group-based behaviour change intervention was developed, consisting of 12 group sessions and 3 one-to-one consultations. The intervention aimed to support the development of shared social identity among recipients, alongside the delivery of evidence-based BCTs, to improve the likelihood of successful intervention and health outcomes among people living with severe obesity.

Conclusions

A manualized intervention, informed by the social identity approach to health, was systematically designed with input from stakeholders. The development approach employed can inform the design of behavioural interventions in other health contexts where group-based delivery is planned.

导言：支持慢性病患者行为改变的干预措施越来越多地采用患者小组作为实施模式，但在设计这些干预措施时往往没有考虑到可能影响干预结果的群体过程。本文概述了一种设计基于群体的行为改变干预措施的新方法，该方法优先考虑接受者作为群体成员的共同社会身份，以促进采用既定的行为改变技术（BCTs）。本文通过一个针对严重肥胖症患者的研究实例来说明这种方法：方法：与包括行为改变专家、临床医生和一名曾经的患者在内的利益相关者合作，开展了一个优先排序过程，以开发一种基于证据的、以健康社会认同方法为基础的群体干预措施。报告了制定过程的三个阶段：(1) 健康问题的确定；(2) 干预机制的界定和小组实施 BCT 的操作化；(3) 干预手册的编制。第四阶段是干预测试和优化，将在其他地方报告：制定了以小组为基础的行为改变干预措施，包括 12 节小组课程和 3 次一对一咨询。该干预措施旨在支持接受者之间形成共同的社会认同感，同时提供循证BCTs，以提高严重肥胖症患者成功干预的可能性并改善其健康状况：结论：根据健康的社会认同方法，在听取利益相关者的意见后，系统地设计了一种手册化干预措施。所采用的开发方法可为其他健康环境中计划以小组为基础实施的行为干预措施的设计提供参考。

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引用次数: 0

Women's experiences and views of routine assessment for anxiety in pregnancy and after birth: A qualitative study 妇女对孕期和产后焦虑症常规评估的经验和看法：一项定性研究。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-07-02 DOI: 10.1111/bjhp.12740

Cassandra Yuill, Andrea Sinesi, Rose Meades, Louise R. Williams, Amy Delicate, Helen Cheyne, Margaret Maxwell, Judy Shakespeare, Fiona Alderdice, Rachael Leonard, Susan Ayers, The MAP Study Team

Background

Anxiety in pregnancy and postnatally is highly prevalent but under-recognized. To identify perinatal anxiety, assessment tools must be acceptable to women who are pregnant or postnatal.

Methods

A qualitative study of women's experiences of anxiety and mental health assessment during pregnancy and after birth and views on the acceptability of perinatal anxiety assessment. Semi-structured interviews were conducted with 41 pregnant or postnatal women. Results were analysed using Sekhon et al.'s acceptability framework, as well as inductive coding of new or emergent themes.

Results

Women's perceptions of routine assessment for perinatal anxiety were generally favourable. Most participants thought assessment was needed and that the benefits outweighed potential negative impacts, such as unnecessary referrals to specialist services. Six themes were identified of: (1) Raising awareness; (2) Improving support; (3) Surveillance and stigma; (4) Gatekeeping; (5) Personalized care and (6) Trust. Assessment was seen as a tool for raising awareness about mental health during the perinatal period and a mechanism for normalizing discussions about mental health more generally. However, views on questionnaire assessments themselves were mixed, with some participants feeling they could become an administrative ‘tick box’ exercise that depersonalizes care and does not provide a space to discuss mental health problems.

Conclusion

Routine assessment of perinatal anxiety was generally viewed as positive and acceptable; however, this was qualified by the extent to which it was informed and personalized as a process. Approaches to assessment should ideally be flexible, tailored across the perinatal period and embedded in continuity of care.

背景：孕期和产后焦虑症的发病率很高，但却未得到充分认识。要识别围产期焦虑症，评估工具必须为孕期或产后妇女所接受：对妇女在孕期和产后进行焦虑和心理健康评估的经历以及对围产期焦虑评估可接受性的看法进行定性研究。对 41 名孕妇或产后妇女进行了半结构式访谈。采用 Sekhon 等人的可接受性框架对结果进行了分析，并对新的或出现的主题进行了归纳编码：结果：妇女对围产期焦虑症常规评估的看法普遍良好。大多数参与者认为需要进行评估，而且评估的益处大于潜在的负面影响，如不必要地转诊至专科服务机构。会议确定了六个主题：(1) 提高认识；(2) 改善支持；(3) 监督和污名化；(4) 把关；(5) 个性化护理和 (6) 信任。评估被认为是提高围产期心理健康意识的工具，也是使心理健康讨论正常化的机制。然而，对问卷评估本身的看法却不尽相同，一些参与者认为问卷评估可能会成为一种行政性的 "打勾 "工作，从而使护理工作失去个性，也无法提供一个讨论心理健康问题的空间：围产期焦虑症的常规评估被普遍认为是积极的、可接受的；但是，评估过程的知情程度和个性化程度也会影响评估结果。理想情况下，评估方法应具有灵活性，适合整个围产期，并与连续性护理相结合。

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引用次数: 0

Birth expectations, birth experiences and childbirth-related post-traumatic stress symptoms in mothers and birth companions: Dyadic investigation using response surface analysis 母亲和陪产人员的分娩期望、分娩经历以及与分娩相关的创伤后应激症状：使用响应面分析法进行的双向调查。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-06-26 DOI: 10.1111/bjhp.12738

Asuman Buyukcan-Tetik, Lara Seefeld, Luisa Bergunde, Turan Deniz Ergun, Pelin Dikmen-Yildiz, Antje Horsch, Susan Garthus-Niegel, Mirjam Oosterman, Joan Lalor, Tobias Weigl, Annick Bogaerts, Sarah Van Haeken, Soo Downe, Susan Ayers

Objectives

During the perinatal period, women and their birth companions form expectations about childbirth. We aimed to examine whether a mismatch between birth expectations and experiences predict childbirth-related post-traumatic stress symptoms (CB-PTSS) for mothers and birth companions. We also explored the influence of the mismatch between mothers' and birth companions' expectations/experiences on CB-PTSS.

Design

Dyadic longitudinal data from the Self-Hypnosis IntraPartum Trial.

Methods

Participants (n = 469 mothers; n = 358 birth companions) completed questionnaires at 27 and 36 weeks of gestation and 2 and 6 weeks post-partum. We used the measures of birth expectations (36 weeks gestation), birth experiences (2 weeks post-partum) and CB-PTSS (6 weeks post-partum).

Results

Correlations revealed that birth expectations were associated with experiences for both mothers and birth companions but were not consistently associated with CB-PTSS. Birth experiences related to CB-PTSS for both mothers and birth companions. The response surface analysis results showed no support for the effect of a mismatch between expectations and experiences on CB-PTSS in mothers or birth companions. Similarly, a mismatch between mothers' and birth companions' expectations or experiences was unrelated to CB-PTSS.

Conclusions

Following previous literature, birth expectations were associated with experiences, and experiences were associated with CB-PTSS. By testing the effect of the match between birth experiences and expectations using an advanced statistical method, we found that experiences play a more substantial role than the match between experiences and expectations in CB-PTSS. The impact of birth experiences on CB-PTSS highlights the importance of respectful and supportive maternity care.

目的：在围产期，产妇及其陪产人员会形成对分娩的期望。我们旨在研究分娩期望与分娩经历不匹配是否会对母亲和陪产人员的分娩相关创伤后应激症状（CB-PTSS）产生影响。我们还探讨了母亲和陪产人员的期望/经历不匹配对 CB-PTSS 的影响：设计：产前自我催眠试验（Self-Hypnosis IntraPartum Trial）的双向纵向数据：参与者（n = 469 名母亲；n = 358 名陪产者）分别在妊娠 27 周和 36 周以及产后 2 周和 6 周填写问卷。我们采用了分娩期望（妊娠 36 周）、分娩经历（产后 2 周）和 CB-PTSS（产后 6 周）作为测量指标：结果：相关性表明，分娩期望与母亲和陪产人员的分娩经历相关，但与 CB-PTSS 的相关性并不一致。母亲和陪产人员的分娩经历与 CB-PTSS 相关。响应面分析结果显示，母亲和陪产者的期望与经历不匹配对 CB-PTSS 的影响不成立。同样，母亲和陪产者的期望或经历不匹配也与 CB-PTSS 无关：根据以往的文献，生育期望与经历相关，而经历与 CB-PTSS 相关。通过使用先进的统计方法测试出生经历与期望之间匹配的影响，我们发现在 CB-PTSS 中，经历比经历与期望之间的匹配发挥着更重要的作用。分娩经历对 CB-PTSS 的影响凸显了尊重和支持性产科护理的重要性。

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引用次数: 0

‘I'm a failure again, I can't do it’: Attitudes towards, and experiences of, exercise participation in adults with class III obesity 我又失败了，我做不到"：三级肥胖症成人参与运动的态度和经历。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-06-24 DOI: 10.1111/bjhp.12739

Samuel T. Orange, Jessica Roebuck, Phil Marshall, Leigh A. Madden, Rebecca V. Vince, Beth T. Bell

Objectives

Living within a larger body brings unique challenges to exercise participation, which are poorly understood. This qualitative study explored the attitudes towards, and experiences of, exercise participation in adults with class III obesity.

Design

Individual semi-structured qualitative interviews.

Methods

We recruited 30 adults with class III obesity (body mass index: 45.8 ± 8.6 kg/m²) from a specialist multidisciplinary weight management service. Participants took part in semi-structured interviews while participating in a 6-month home-based aerobic and resistance exercise intervention. Open-ended questions were used flexibly to explore their views and experiences of exercise, encompassing barriers, motives and perceived benefits. Transcripts were analysed using reflexive thematic analysis.

Results

Three themes were developed: (1) a web of barriers; (2) tailored exercise facilitates positive experiences; and (3) a desire to live a normal life. People with class III obesity perceived that they were unable to do exercise; a view that was attributed to perceived judgement, low physical function, pain during everyday activities and failed weight loss attempts. These complex physical and psychosocial barriers to exercise were described as contributing to exercise avoidance. High value was placed on tailored exercise that accommodates the unique needs of moving in a larger body. A desire to carry out everyday tasks underpinned motivations for exercise.

Conclusions

Our findings suggest that multi-component obesity interventions should move away from generic exercise prescriptions designed to maximize energy expenditure, and instead move towards addressing the unique physical and psychosocial needs of people who have class III obesity with tailored person-centred and weight-neutral exercise prescriptions.

目的：肥胖给运动参与带来了独特的挑战，而人们对这些挑战的了解却很少。这项定性研究探讨了患有 III 级肥胖症的成年人参与运动的态度和经历：设计：个人半结构化定性访谈：我们从专业的多学科体重管理服务机构招募了 30 名 III 级肥胖症成人（体重指数：45.8 ± 8.6 kg/m2）。参与者在参加为期 6 个月的家庭有氧运动和阻力运动干预的同时，参加了半结构化访谈。访谈中灵活使用了开放式问题，以探讨他们对运动的看法和体验，包括障碍、动机和感知到的益处。采用反思性主题分析法对记录誊本进行了分析：得出了三个主题：(1) 障碍网；(2) 量身定制的运动促进积极体验；(3) 希望过上正常生活。三级肥胖症患者认为他们无法进行锻炼；这一观点可归因于他们的判断力、身体机能低下、日常活动中的疼痛以及减肥尝试失败。这些复杂的身体和社会心理障碍被认为是导致患者逃避运动的原因。他们非常重视量身定制的运动，这种运动可以满足较大身体的独特运动需求。完成日常任务的愿望是运动动机的基础：我们的研究结果表明，多成分肥胖症干预措施应摒弃旨在最大限度地增加能量消耗的通用运动处方，转而采用以人为本、体重中性的定制运动处方，满足 III 级肥胖症患者独特的身体和社会心理需求。

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引用次数: 0

The vaccination divide: Exploring moral reasoning associated with intergroup antipathy between vaccinated and unvaccinated people 疫苗接种的鸿沟：探索接种疫苗者与未接种疫苗者之间群体间反感的道德推理。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-06-16 DOI: 10.1111/bjhp.12736

Kate Hatchman, Matthew J. Hornsey, Fiona Kate Barlow

Objectives

There is growing evidence of intergroup hostility between vaccinated and unvaccinated individuals, a process of polarization that threatens to derail population health efforts. This study explores the moral underpinnings of intergroup antipathy between vaccinated and unvaccinated individuals.

Design

A cross-sectional design was employed to investigate the associations between the view of vaccination as a social contract or individual choice, perceived vulnerability to disease, perceptions of outgroup morality, feelings of warmth, and experiences of schadenfreude.

Methods

Data were extracted from an online, quantitative survey of 233 vaccinated and 237 unvaccinated participants collected between June and July 2022.

Results

Results revealed that vaccinated people had stronger negative attitudes towards unvaccinated people than vice versa. In line with hypotheses, the extent to which vaccinated people saw vaccination as a social contract was significantly associated with perceiving unvaccinated people as immoral. For unvaccinated people, seeing vaccination as an individual choice (the opposite of a social contract) was significantly associated with perceiving vaccinated people as immoral. Among both groups, viewing the other as immoral was associated with feeling significantly less warmth towards the opposing vaccination group, and more schadenfreude in the face of an outgroup member's suffering. Participants' perceived vulnerability to disease played a relatively small role in explaining polarization between vaccinated and unvaccinated people.

Conclusions

This research builds on previous studies by identifying moral mechanisms associated with intergroup antipathy in the vaccine debate.

目的：越来越多的证据表明，已接种疫苗者和未接种疫苗者之间存在群体间敌意，这种两极分化的过程有可能破坏人口健康工作。本研究探讨了接种疫苗者与未接种疫苗者之间群体间敌意的道德基础：设计：采用横断面设计，调查接种疫苗是社会契约还是个人选择的观点、感知到的疾病易感性、对外群体道德的感知、温暖感和幸灾乐祸体验之间的关联：数据取自 2022 年 6 月至 7 月期间对 233 名已接种疫苗和 237 名未接种疫苗的参与者进行的在线定量调查：结果显示，已接种疫苗者对未接种者的负面态度比未接种者更强烈。与假设相符的是，接种疫苗者将接种疫苗视为一种社会契约的程度与认为未接种疫苗者不道德的程度显著相关。对于未接种疫苗者来说，将接种疫苗视为个人选择（与社会契约相反）与认为接种疫苗者不道德显著相关。在这两个群体中，认为他人不道德与对接种疫苗的反对群体的温暖感明显降低以及面对外群体成员的痛苦时更多的幸灾乐祸有关。在解释接种疫苗者和未接种疫苗者之间的两极分化时，参与者对疾病的易感性所起的作用相对较小：本研究在以往研究的基础上，确定了与疫苗辩论中群体间反感情绪相关的道德机制。

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引用次数: 0

Change in vaping, smoking and dual-use identities predicts quit success and cigarette usage: A prospective study of people quitting smoking with electronic cigarette support 电子烟、吸烟和双重用途身份的变化可预测戒烟成功率和香烟使用量：在电子烟支持下戒烟者的前瞻性研究。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-06-14 DOI: 10.1111/bjhp.12735

D. Frings, I. P. Albery, C. Kimber, F. Naughton, V. Sideropoulos, L. Dawkins

Objective

Electronic cigarettes (ECs) are an efficacious support for some but not all people wishing to stop using tobacco. While advice and practical support have been identified as increasing quit success, little research has explored the role of changes in smoking and EC-related social identities.

Methods

A prospective study following 573 people attempting to quit smoking with EC support. Self-report measures of identification with being a smoker, non-smoker, vaper and dual user (people using ECs and tobacco products) were taken prior to the quit attempt and at a 12-week follow-up.

Results

Baseline identifications with being a smoker, non-smoker or dual user were not associated with smoking outcomes. Baseline vaper identity baseline was linked to more frequent tobacco abstinence at follow-up and lower levels of cigarette smoking. Levels of social identification at follow-up were consistently linked with outcomes, with vaper identity and non-smoking identities being protective and dual user identity being related to lower abstinence rates but decreased tobacco usage. Changes in identity over time were the most consistent predictor of outcomes.

Conclusions

Findings have implications for smoking cessation practice, informing how and when identity-based interventions may be effective and our understanding of how identity transitions occur.

目的：电子香烟（ECs）对于一些希望戒烟的人来说是一种有效的支持，但并非所有的人都希望戒烟。虽然建议和实际支持被认为能提高戒烟成功率，但很少有研究探讨吸烟和与电子烟相关的社会身份的变化所起的作用：方法：一项前瞻性研究，跟踪调查了573名试图在EC支持下戒烟的人。在尝试戒烟前和12周的随访中，对吸烟者、非吸烟者、吸食者和双重使用者（使用电子烟和烟草制品的人）的身份认同进行了自我报告测量：结果：吸烟者、非吸烟者或双重使用者的基线身份与吸烟结果无关。吸烟者身份基线与随访时更频繁的戒烟和较低的吸烟水平有关。随访时的社会认同水平始终与吸烟结果相关，吸烟者认同和非吸烟者认同具有保护作用，双重使用者认同与较低的戒烟率和较少的烟草使用有关。随着时间的推移，身份的变化是预测结果的最一致因素：结论：研究结果对戒烟实践具有启示意义，为基于身份的干预措施如何以及何时有效提供了信息，也让我们了解了身份转变是如何发生的。

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引用次数: 0

Mutual communication intervention for colorectal cancer patient–spousal caregiver dyads: A randomized controlled trial 针对结直肠癌患者-配偶照顾者二人组的相互沟通干预：随机对照试验。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-06-07 DOI: 10.1111/bjhp.12734

Junrui Zhou, Zhiming Wang, Xuan Chen, Chunyan Lin, Jie Zhao, Alice Yuen Loke, Qiuping Li

Objective

Gender could impact the psychosocial outcomes and coping strategies of cancer patients and their spousal caregivers (SCs). This study aims to develop a gender-concerned program for colorectal cancer (CRC) couple-based mutual communication intervention (MCI) and to assess its effectiveness on the intra-couple relationship and the individual functions of the partners.

Design

A randomized clinical trial with two study groups was utilized.

Methods

A total of 144 CRC patients and their SCs were randomly assigned to either MCI or usual care (UC) groups, and all of them were required to complete the measurements at baseline and post-intervention. The primary outcome was for mutual communication, and the secondary outcomes included dyadic coping, relationship satisfaction, anxiety, depression, benefit finding and quality of life. The data were analysed by multi-level modelling.

Results

The MCI program was feasible and acceptable for Chinese CRC couples and was effective for the improvement of the intra-couple relationship and the individual functions of each partner. CRC patients showed more improvement in mutual communication and dyadic coping than their SCs in the MCI group. Also, this intervention effectiveness was found to be independent of gender.

Conclusions

The MCI program is beneficial for Chinese CRC couple's adaptation outcomes. This suggests that clinical medical staff should consider the gender tendency during the implementation of interventions. More researches are needed to extend the application of the MCI program to different participants (e.g. patients with the diagnosis of other types of cancer and their SCs).

目的性别会影响癌症患者及其配偶照顾者（SCs）的社会心理结果和应对策略。本研究旨在为结肠直肠癌（CRC）患者制定一项基于夫妻相互沟通干预（MCI）的性别关注计划，并评估其对夫妻内部关系和伴侣个人功能的影响：设计：采用随机临床试验，分为两个研究组：共有 144 名 CRC 患者及其 SC 被随机分配到 MCI 组或常规护理组（UC），所有患者均需完成基线和干预后的测量。主要结果为相互沟通，次要结果包括：患者的应对能力、关系满意度、焦虑、抑郁、受益发现和生活质量。数据采用多层次模型进行分析：结果：MCI项目对于中国的CRC夫妇来说是可行和可接受的，并能有效改善夫妇内部关系和双方的个人功能。与 SC 相比，MCI 组的 CRC 患者在相互沟通和双向应对方面表现出更大的改善。此外，干预效果与性别无关：结论：MCI项目有利于中国CRC夫妇的适应结果。结论：MCI项目有利于中国CRC夫妇的适应结果，这表明临床医务人员在实施干预时应考虑性别倾向。还需要开展更多的研究，将MCI项目的应用范围扩大到不同的参与者（如确诊为其他类型癌症的患者及其SC）。

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引用次数: 0