British Journal of Health Psychology最新文献

{"title":"A randomized controlled trial of self-help cognitive behavioural therapy for depression in adults with pulmonary hypertension","authors":"Abbie S. L. Stark,&nbsp;Gregg H. Rawlings,&nbsp;James D. Gregory,&nbsp;Iain Armstrong,&nbsp;Melanie Simmonds-Buckley,&nbsp;Andrew R. Thompson","doi":"10.1111/bjhp.12800","DOIUrl":"10.1111/bjhp.12800","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Pulmonary hypertension (PH) is a progressive, life-reducing group of conditions associated with an elevated risk of depression. To meet this clinical need, we developed an unguided self-help intervention targeting depression in PH based on cognitive behavioural therapy (CBT) and tested its acceptability, feasibility, and effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial (RCT) design was utilized with a wait-list control group. Acceptability was assessed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults self-reporting difficulties with depression were recruited from global Pulmonary Hypertension Associations. Participants were randomly assigned to the intervention (<i>n</i> = 33) or the wait-list control group (<i>n</i> = 35). Depression was the primary outcome; secondary outcomes included anxiety, health-related quality of life, pain self-efficacy, fatigue, and cognitions and behaviours associated with mood difficulties. Change from baseline to post-intervention (4 weeks) and follow-up (1 month later) was measured.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found a significant reduction in depression and HRQoL in the intervention group compared with the control group, with medium effect sizes. No significant changes were observed in other outcomes (<i>p</i> &gt; .05). Overall, 72% of individuals in the treatment arm scored above the clinical level of depression, compared with 28% at post-intervention and 36% at follow-up. The intervention was judged to be acceptable and feasible, with the main benefits including tools to support, increased motivation, and understanding of depression. No adverse events were reported. Change in cognitions and behaviours did not mediate the relationship between the intervention group and change in depression (<i>p</i> &gt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results support the use of CBT for depression in PH and provide evidence for the delivery of self-help at scale via PHA-UK, the UK's leading charity for PH.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12800","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264469","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}

{"title":"Assessing moral injury in health care workers living in secular societies: Introducing the Health care-Moral Injury Scale (HMIS)","authors":"Kathryn Fradley,&nbsp;Fuschia Sirois,&nbsp;Richard Bentall,&nbsp;Jaydip Ray,&nbsp;Rhian Bishop,&nbsp;Jonathan Wadsley,&nbsp;Sarah Danson","doi":"10.1111/bjhp.12810","DOIUrl":"10.1111/bjhp.12810","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The adverse impact of moral injury on health care workers is well documented, for example during the COVID-19 pandemic. However, currently available measures are unsuitable for assessing moral injury in health care workers living in secular societies such as the United Kingdom. The current study introduces and validates the Health care-Moral Injury Scale (HMIS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The 10-item HMIS was designed during the COVID-19 pandemic to assess moral injury in health care workers. Between September and October 2020, 858 health care workers completed the scale and other measures. A factor structure was identified by exploratory and confirmatory factor analysis and correlations were used to test the convergent (burnout, hope, mistrust) and divergent (loneliness) validity of the HMIS. Regression analyses tested the criterion-related validity of the HMIS against measures of depression, anxiety and PTSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusions</h3>\u0000 \u0000 <p>The HMIS was found to be a unidimensional scale comprised of three conceptual components. There was evidence of good convergent validity, with a medium-sized correlation between the total moral injury score and burnout. However, correlations were weaker for loss of hope and loss of trust. Moral injury was not significantly associated with loneliness when controlling for mental health difficulties, indicating good divergent validity. Moral injury scores predicted worse severity of depression, anxiety and PTSD, supporting criterion-related validity. Findings suggest that the HMIS is a valid scale that can be used by researchers to assess moral injury specifically in a health care context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264568","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}

{"title":"The role of psychological flexibility in relation to health outcomes in people in remission from cancer","authors":"Miznah Al-Abbadey,&nbsp;Sonia Tomescu-Stachie,&nbsp;Daphne Kaklamanou,&nbsp;Nikki Jarrett,&nbsp;Andrew Merwood,&nbsp;Ian Tyndall,&nbsp;Lance McCracken","doi":"10.1111/bjhp.12807","DOIUrl":"10.1111/bjhp.12807","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated whether psychological flexibility, the key construct in the Acceptance and Commitment Therapy (ACT) model of psychological and behavioural change, significantly predicts wellbeing and functioning in people living with and beyond cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was an online, prospective, longitudinal, correlational study with two time points that were approximately three months apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All participants were required to be at least 18 years of age, be in cancer remission and resident in the United Kingdom. Recruitment for Time-point 1 (<i>n</i> = 331) took place from May to July 2023 and Time-point 2 (<i>n</i> = 266; 80% retention rate) took place between Sept and Nov 2023 using Prolific (an online recruitment platform). The mean age was 51.65 (SD = 13.99). The mean length of remission in months was 89.45 (SD = 80.59) and mean years since diagnosis was 8.91 (SD = 6.99). Data were analysed cross-sectionally and longitudinally. Covariates adjusted for included age, years since diagnosis, time in remission, ethnicity, cancer type and cancer stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cross-sectional hierarchical regression analyses showed Time-point 1 psychological flexibility significantly (at <i>p</i> &lt; .001) predicted anxiety, depression, stress, fatigue interference, fear of cancer recurrence, quality of life and pain interference. Psychological flexibility at Time-point 1 significantly predicted all psychosocial variables at Time-point 2, while adjusting for confounding variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings show that psychological flexibility predicts key psychosocial outcomes relevant for people in remission from cancer. This study provides evidence for the relevance of psychological processes targeted in ACT-based interventions in the context of people living with and beyond cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214125","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}

{"title":"Using positive imagination to reduce negativity in information processing and hesitant attitudes towards childhood COVID-19 vaccinations in parents: A randomized controlled trial","authors":"Jiehu Yuan,&nbsp;Meihong Dong,&nbsp;Wendy Wing Tak Lam,&nbsp;Qiuyan Liao","doi":"10.1111/bjhp.12808","DOIUrl":"10.1111/bjhp.12808","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>We aim to investigate the impact of negative information processing on parental vaccine hesitancy in Hong Kong and design an intervention to reduce negativity in pandemic and vaccine-related information processing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Six hundred and forty-seven parents were recruited for baseline assessment. One week later, participants were randomly assigned to either the positive imagination simulation (PIS) intervention group or the neutral recall simulation (NRS) control group. Participants completed outcome assessments immediately and 2 weeks after the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We first examined whether affective response to pandemic and vaccine-related news mediated the association between parents' distress and acceptance of childhood COVID-19 vaccination using baseline data. The PIS intervention leveraged positive psychology and personalized imagery techniques to enhance positive affect. To test intervention effectiveness, ANCOVAs were conducted to examine whether PIS versus NRS could reduce negative affective response to pandemic and vaccine-related news (immediate effect) and COVID-19 vaccine-hesitant attitudes (effect at the 2-week post-intervention point).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The baseline assessment showed that greater distress was linked to a more negative affective response to pandemic and vaccine-related news, which was associated with lower acceptance for childhood COVID-19 vaccination. The intervention positively impacted valence rating (<i>F</i>(1, 627) = 8.46, <i>p</i> = .004) and affective state rating (<i>F</i>(1, 627) = 4.88, <i>p</i> = .028) on pandemic and vaccine-related news. This improved positivity spilled over to significantly enhance parents' trust in COVID-19 vaccine-related information and alleviate their vaccine safety concerns 2 weeks post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study highlights the promising impact of positive affect priming in increasing positivity in information processing and, consequently, reducing vaccine-hesitant attitudes that are modifiable through positive information processing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206374","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}

{"title":"Ambivalence towards food, healthy eating and the role of self-compassion","authors":"Roeline G. Kuijer,&nbsp;Madeline K. Tunley","doi":"10.1111/bjhp.12806","DOIUrl":"10.1111/bjhp.12806","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Many people experience ambivalence about food (e.g., broccoli is healthy, but boring; chocolate is tasty, but fattening). However, research examining the link between ambivalence and eating behaviour is scarce and findings are mixed. Self-compassion may influence the extent to which ambivalence is experienced and regulated. In two studies, we investigated the relationship between ambivalence towards healthy and unhealthy food and eating behaviour, and examined the role of self-compassion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study (Study 1) and a short-term prospective study (Study 2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ambivalence (degree and strength of opposing evaluations) was assessed in relation to images of healthy and unhealthy foods. Study 1 (<i>N</i> = 206) assessed ambivalence, self-compassion and self-reported eating behaviour measures cross-sectionally. Study 2 (<i>N</i> = 155) measured ambivalence and self-compassion at baseline and self-reported eating behaviour measures 3 weeks later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Unhealthy foods elicited more ambivalence than healthy foods. As expected, greater self-compassion was related to healthier eating behaviours and healthy food ambivalence mediated this relationship. Individuals high in self-compassion exhibited less ambivalence to healthy food images, which in turn was related to overall healthier eating patterns. In contrast, ambivalence to unhealthy foods was unrelated to self-compassion and mostly unrelated to the eating behaviour measures. Findings were consistent across both studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individuals with higher levels of self-compassion exhibited less ambivalence towards healthy foods (but not unhealthy foods). Although healthy foods generated less ambivalence than unhealthy foods did, greater healthy food ambivalence was consistently related to unhealthier eating behaviour patterns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171863","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}

{"title":"In pain and lonely? A longitudinal study examining the associations between menstrual pain, physical functioning and loneliness","authors":"J. McCurry,&nbsp;D. Skvarc,&nbsp;S. Evans,&nbsp;A. Mikocka-Walus,&nbsp;M. L. Druitt,&nbsp;L. Payne,&nbsp;E. M. Marshall","doi":"10.1111/bjhp.12805","DOIUrl":"10.1111/bjhp.12805","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The current study aimed to determine the prospective associations between menstrual pain, physical health functioning and loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We collected three waves of data from a community cohort of women reporting at least mild menstrual pain over 3 years. Participants were women aged 18–50, living in Australia, who had experienced regular menses and menstrual pain in the past year. Two hundred and eighty-nine women (<i>n</i> = 100 with self-reported endometriosis, 34% of current sample) completed the online questionnaires at all three time points and had complete data assessing pain severity, physical functioning and loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Poorer physical functioning was associated with greater loneliness (<i>β</i> = −.371, <i>p</i> &lt; .001). Contrary to our expectations, menstrual pain severity was not associated directly with loneliness but was indirectly associated via physical functioning (<i>R</i>² = .195, <i>p</i> &lt; 001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The overall stability in physical functioning over time suggests that a person‘s degree of physical functioning could be an early indicator of loneliness experiences. Health professionals wanting to mitigate loneliness amongst people with menstrual pain might benefit from screening for and addressing physical functioning impairment. It might also be beneficial to screen for and treat menstrual pain to ensure that it does not lead to or exacerbate physical functioning impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future research should consider the underlying mechanisms that drive the associations between physical functioning and loneliness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135828","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}

{"title":"Hope and behavioural weight loss: Pathways lead to greater weight loss than agency or goals","authors":"Austin R. Medlin,&nbsp;Kelsey L. Sinclair,&nbsp;Misty A. W. Hawkins","doi":"10.1111/bjhp.12801","DOIUrl":"10.1111/bjhp.12801","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hope is a motivational state comprised of agency (internal drive), pathways (perceived external means), and goals (future targets) that may predict weight loss, but evidence is limited. This study examined hope and its subscales (agency, pathways, goals) as predictors of weight loss in a behavioural treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adults (<i>n</i> = 107) with body mass index (BMI) ≥ 27 participated in a 6-month weight loss program with 12-month follow-up. Hope and its subscales were assessed at baseline using the Adult Hope Scale-Revised (HSR-2). Percent weight lost (%WL) was calculated for post-treatment (<i>n</i> = 70) and follow-up (<i>n</i> = 61). Covariates included positive affect, gratitude, optimism, age, sex, education, BMI, and adverse childhood experiences. Linear regressions tested the relationship between HSR-2 total and subscales with %WL at post-treatment and follow-up, adjusting for covariates. Complete case and intention-to-treat analyses with multiply imputed data were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Complete case analyses showed HSR-2 total scores predicted greater %WL (<i>β</i> = .16, <i>p</i> = .001 post-treatment; <i>β</i> = .29, <i>p</i> = .003 follow-up). This effect was driven by pathways (<i>β</i> = .63, <i>p</i> = .001 post-treatment; <i>β</i> = 1.02, <i>p</i> &lt; .001 follow-up), with agency and goals unrelated to %WL (<i>p</i>s ≥ .353). Gratitude inversely related to %WL (<i>β</i> = −.82, <i>p</i> = .001 post-treatment; <i>β</i> = −.78, <i>p</i> = .020 follow-up). Among the intention-to-treat sample, HSR-2 total trended towards follow-up %WL (<i>β</i> = .14, <i>p</i> = .062); pathways predicted at both timepoints (<i>β</i> = .32, <i>p</i> = .047 post-treatment; <i>β</i> = .59, <i>p</i> = .001 follow-up).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Higher pathways thinking, a component of hope, predicted clinically significant weight loss and weight maintenance. Lower gratitude may predict weight loss (among completers), suggesting dissatisfaction with one's current state, combined with a belief in pathways to a better future, drove greater weight loss.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091569","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}

{"title":"Diabetes technology use in young adults living with type 1 diabetes in Ireland: A qualitative interview study","authors":"Ann-Marie Creaven,&nbsp;Fay M. O'Donoghue,&nbsp;Eimear C. Morrissey,&nbsp;Aisling T. O'Donnell,&nbsp;Tomás P. Griffin","doi":"10.1111/bjhp.12803","DOIUrl":"10.1111/bjhp.12803","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The challenges of living with and managing type 1 diabetes during youth and emerging adulthood are well documented. The management burden may be alleviated in part using diabetes technologies including continuous glucose monitoring and hybrid closed-loop insulin pumps. However, young people's experiences of diabetes technology during this life stage are not well understood. This study aims to address that gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study will recruit 30–40 young people living with T1D, aged 16–21 years, from paediatric, transition and adult T1D clinics. Semi-structured qualitative interviews will be conducted. The data will be analysed using framework analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TBC (registered report format).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949902","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}

{"title":"An interpretative phenomenological analysis of lived experiences and psychological processes in internalized weight stigma","authors":"Veronika Nagy,&nbsp;Lydia Poole,&nbsp;Esme Banting,&nbsp;Rose-Marie Satherley","doi":"10.1111/bjhp.12804","DOIUrl":"10.1111/bjhp.12804","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Internalized weight stigma (IWS) refers to the internalization of societal weight-based prejudices. While research on external weight stigma is well-established, the psychological mechanisms underlying IWS remain underexplored. This study aims to provide a deeper understanding of IWS by examining the lived experiences of individuals with obesity and identifying key psychological processes contributing to IWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative design was employed, using both in-depth interviews and photo-elicitation to explore the lived experiences of nine participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were invited to take pictures of situations which made them feel stigmatized about their body size during a 2-week-long photography task. Subsequently, participants reflected on the implications of their photographs during a 60-minute research interview. IPA was used to guide the analysis of the interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four key psychological processes contributing to IWS were identified: (1) Self-application of negative stereotypes, where participants internalized societal stigma, sometimes resisting it but still experiencing self-critical thoughts; (2) Imposition of an undesired identity, where societal labels restricted self-expression, leading participants to adopt socially acceptable personas; (3) Heightened anxiety and social vigilance, where participants experienced anxiety, hyper-awareness, and discomfort in public settings; and (4) Distress and coping, where emotional distress and coping strategies like social withdrawal appeared to reinforce IWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings extended existing literature by providing a data-driven conceptualization of IWS. The findings underscore the importance of developing psychological interventions that address both IWS and external societal weight stigma, focusing on strategies that challenge self-critical narratives and promote more adaptive self-concepts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949909","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}

{"title":"Minimal couple intervention to improve psychobiological stress resilience","authors":"Corina Aguilar-Raab,&nbsp;Martin Stoffel,&nbsp;Melanie Fischer,&nbsp;Monika Eckstein,&nbsp;Guy Bodenmann,&nbsp;Markus Heinrichs,&nbsp;Ulrike Ehlert,&nbsp;Beate Ditzen","doi":"10.1111/bjhp.12799","DOIUrl":"10.1111/bjhp.12799","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed at evaluating the effects of a minimal couple intervention focusing on positive aspects within the relationship (instructed partnership appreciation task; PAT) in daily life. We hypothesized a stress-buffering effect of this intervention on perceived stress, salivary cortisol and alpha-amylase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p><i>N</i> = 40 couples were randomly assigned to either PAT or a no PAT (nPAT) condition. Self-reports and saliva samples were assessed six times per day on five consecutive days. To account for couple interdependencies, multilevel modelling (MLM) approaches were used to test the effects of (a) group assignment (PAT vs. nPAT) and (b) practicing the PAT in everyday life (PAT group only).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall perceived stress was lower for women in the PAT group as compared with women in the nPAT group (<i>b</i> = −.380, <i>p</i> = .0098). <i>Within the PAT group</i>, daily positive interaction (PAT) significantly reduced cortisol (<i>b</i> = −.127, <i>p</i> = .02) and alpha amylase (<i>b</i> = −.122, <i>p</i> = .037). Sex-specific analyses of within-participants effects in daily life indicate that these results were driven by the men in the sample: Practicing the PAT led to a decrease in perceived stress (<i>b</i> = −.271, <i>p</i> = 001) and sCort (<i>b</i> = −.226, <i>p</i> = .006) in men, but not in women (all <i>p</i> &gt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that a minimal couple intervention can improve individual health-related outcomes in a sex-specific manner, and that effects depend on actually practicing the positive exchange in daily life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The analysis of the present study is based on a sub-sample (placebo group) of a larger neuropharmacological intervention and longitudinal trial ‘Oxytocin, Couple Interaction and Wound Healing’ (clinicaltrials.gov, identifier NCT01594775).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938974","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}