Helena Widdrington, Charlotte Krahé, Katie Herron, Kimberley Smith, Mary Gemma Cherry
Introduction
Research has begun to focus on positive adjustment to, and aspects of, living with chronic pain, which aligns with a positive psychology approach. This systematic review aimed to synthesize available qualitative data to understand the characteristics and approaches that enable people to thrive whilst living with chronic pain.
Methods
Five electronic databases (MEDLINE, PsycINFO, CINAHL Plus, Scopus and ProQuest) were searched from their inception until January 2024 using a combination of terms for ‘chronic pain’, ‘thriving’ and ‘qualitative methods’. Inclusion criteria stipulated qualitative data pertaining to facilitators, barriers and inequalities in experiences of thriving in adults living with chronic pain (without a clear underlying cause). The methodological quality of studies was assessed using the Critical Appraisal Skills Programme Tool. Data were analysed using thematic synthesis, with GRADE-CERQual used to determine confidence in the evidence.
Results
In total, 4162 studies were screened; 17 were included in the qualitative synthesis. Thematic synthesis yielded four overarching themes: (i) attitudes towards pain and its impact on life; (ii) behavioural strategies and openness to trying new things; (iii) perceiving love, support and connection with others; and (iv) ascribing meaning to life alongside pain. GRADE-CERQual indicated moderate confidence in findings.
Discussion
Findings align with Seligman's five pillars of well-being (PERMA) model and indicate clinical implications for supporting patients to thrive alongside pain.
{"title":"Thriving when living with chronic pain: A qualitative evidence synthesis of individuals' experiences","authors":"Helena Widdrington, Charlotte Krahé, Katie Herron, Kimberley Smith, Mary Gemma Cherry","doi":"10.1111/bjhp.70000","DOIUrl":"10.1111/bjhp.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Research has begun to focus on positive adjustment to, and aspects of, living with chronic pain, which aligns with a positive psychology approach. This systematic review aimed to synthesize available qualitative data to understand the characteristics and approaches that enable people to thrive whilst living with chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five electronic databases (MEDLINE, PsycINFO, CINAHL Plus, Scopus and ProQuest) were searched from their inception until January 2024 using a combination of terms for ‘chronic pain’, ‘thriving’ and ‘qualitative methods’. Inclusion criteria stipulated qualitative data pertaining to facilitators, barriers and inequalities in experiences of thriving in adults living with chronic pain (without a clear underlying cause). The methodological quality of studies was assessed using the Critical Appraisal Skills Programme Tool. Data were analysed using thematic synthesis, with GRADE-CERQual used to determine confidence in the evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 4162 studies were screened; 17 were included in the qualitative synthesis. Thematic synthesis yielded four overarching themes: (i) attitudes towards pain and its impact on life; (ii) behavioural strategies and openness to trying new things; (iii) perceiving love, support and connection with others; and (iv) ascribing meaning to life alongside pain. GRADE-CERQual indicated moderate confidence in findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings align with Seligman's five pillars of well-being (PERMA) model and indicate clinical implications for supporting patients to thrive alongside pain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331972","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}
Abbie S. L. Stark, Gregg H. Rawlings, James D. Gregory, Iain Armstrong, Melanie Simmonds-Buckley, Andrew R. Thompson
Objectives
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.
Design
A randomized controlled trial (RCT) design was utilized with a wait-list control group. Acceptability was assessed using content analysis.
Methods
Adults self-reporting difficulties with depression were recruited from global Pulmonary Hypertension Associations. Participants were randomly assigned to the intervention (n = 33) or the wait-list control group (n = 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.
Results
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 (p > .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 (p > .05).
Conclusions
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.
{"title":"A randomized controlled trial of self-help cognitive behavioural therapy for depression in adults with pulmonary hypertension","authors":"Abbie S. L. Stark, Gregg H. Rawlings, James D. Gregory, Iain Armstrong, Melanie Simmonds-Buckley, 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> > .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> > .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}
Kathryn Fradley, Fuschia Sirois, Richard Bentall, Jaydip Ray, Rhian Bishop, Jonathan Wadsley, Sarah Danson
Purpose
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).
Method
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.
Results and Conclusions
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.
{"title":"Assessing moral injury in health care workers living in secular societies: Introducing the Health care-Moral Injury Scale (HMIS)","authors":"Kathryn Fradley, Fuschia Sirois, Richard Bentall, Jaydip Ray, Rhian Bishop, Jonathan Wadsley, 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}
Miznah Al-Abbadey, Sonia Tomescu-Stachie, Daphne Kaklamanou, Nikki Jarrett, Andrew Merwood, Ian Tyndall, Lance McCracken
Objective
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.
Design
This was an online, prospective, longitudinal, correlational study with two time points that were approximately three months apart.
Methods
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 (n = 331) took place from May to July 2023 and Time-point 2 (n = 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.
Results
Cross-sectional hierarchical regression analyses showed Time-point 1 psychological flexibility significantly (at p < .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.
Conclusions
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.
{"title":"The role of psychological flexibility in relation to health outcomes in people in remission from cancer","authors":"Miznah Al-Abbadey, Sonia Tomescu-Stachie, Daphne Kaklamanou, Nikki Jarrett, Andrew Merwood, Ian Tyndall, 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> < .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}
Jiehu Yuan, Meihong Dong, Wendy Wing Tak Lam, Qiuyan Liao
Objectives
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.
Design
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.
Methods
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).
Results
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 (F(1, 627) = 8.46, p = .004) and affective state rating (F(1, 627) = 4.88, p = .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.
Conclusions
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.
目的：研究负面信息处理对香港父母疫苗犹豫的影响，并设计一种干预措施来减少大流行和疫苗相关信息处理的负面影响。设计招募647名家长进行基线评估。一周后，参与者被随机分配到积极想象模拟（PIS）干预组和中性回忆模拟（NRS）对照组。参与者在干预后立即和2周完成了结果评估。方法：我们首先使用基线数据，研究了对大流行和疫苗相关新闻的情感反应是否介导了父母痛苦与儿童接受COVID-19疫苗接种之间的关联。PIS干预利用积极心理学和个性化意象技术来增强积极影响。为了检验干预效果，采用ANCOVAs来检验PIS与NRS是否可以减少对大流行和疫苗相关新闻的负面情感反应（即时效果）和COVID-19疫苗犹豫态度（干预后2周的效果）。基线评估显示，更大的痛苦与对大流行和疫苗相关新闻的更消极的情感反应有关，这与儿童COVID-19疫苗接种的接受程度较低有关。干预对大流行和疫苗相关新闻的效价评分（F(1,627) = 8.46, p = 0.004）和情感状态评分（F(1,627) = 4.88, p = 0.028）有正向影响。这种积极情绪的改善在干预后两周显著增强了家长对COVID-19疫苗相关信息的信任，并缓解了他们对疫苗安全的担忧。我们的研究强调了积极影响启动在增加信息处理的积极性方面的积极影响，从而减少了通过积极信息处理可以改变的疫苗犹豫态度。
{"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, Meihong Dong, Wendy Wing Tak Lam, 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}
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.
Design
A cross-sectional study (Study 1) and a short-term prospective study (Study 2).
Methods
Ambivalence (degree and strength of opposing evaluations) was assessed in relation to images of healthy and unhealthy foods. Study 1 (N = 206) assessed ambivalence, self-compassion and self-reported eating behaviour measures cross-sectionally. Study 2 (N = 155) measured ambivalence and self-compassion at baseline and self-reported eating behaviour measures 3 weeks later.
Results
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.
Conclusions
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.
{"title":"Ambivalence towards food, healthy eating and the role of self-compassion","authors":"Roeline G. Kuijer, 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}
J. McCurry, D. Skvarc, S. Evans, A. Mikocka-Walus, M. L. Druitt, L. Payne, E. M. Marshall
Background and Aims
The current study aimed to determine the prospective associations between menstrual pain, physical health functioning and loneliness.
Method
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 (n = 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.
Results
Poorer physical functioning was associated with greater loneliness (β = −.371, p < .001). Contrary to our expectations, menstrual pain severity was not associated directly with loneliness but was indirectly associated via physical functioning (R2 = .195, p < 001).
Discussion
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.
Conclusion
Future research should consider the underlying mechanisms that drive the associations between physical functioning and loneliness.
背景和目的本研究旨在确定经期疼痛、身体健康功能和孤独感之间的潜在联系。方法：我们从一个社区队列中收集了三波数据，这些妇女报告在3年内至少有轻微的月经疼痛。参与者是居住在澳大利亚的年龄在18-50岁之间的女性，她们在过去一年中经历过月经规律和月经疼痛。289名女性（n = 100名自我报告子宫内膜异位症的女性，占当前样本的34%）在所有三个时间点完成了在线问卷调查，并获得了评估疼痛严重程度、身体功能和孤独感的完整数据。结果较差的身体功能与较高的孤独感相关（β =−）。371, p < .001)。与我们的预期相反，月经疼痛的严重程度与孤独感没有直接关系，而是通过身体功能间接相关（R2 =）。1995, p < 001)。随着时间的推移，身体功能的总体稳定性表明，一个人的身体功能程度可能是孤独经历的早期指标。想要减轻经期疼痛患者孤独感的健康专业人员可能会从筛查和解决身体功能障碍中受益。筛查和治疗经期疼痛也可能是有益的，以确保它不会导致或加剧身体功能障碍。结论未来的研究应该考虑驱动身体功能和孤独之间联系的潜在机制。
{"title":"In pain and lonely? A longitudinal study examining the associations between menstrual pain, physical functioning and loneliness","authors":"J. McCurry, D. Skvarc, S. Evans, A. Mikocka-Walus, M. L. Druitt, L. Payne, 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> < .001). Contrary to our expectations, menstrual pain severity was not associated directly with loneliness but was indirectly associated via physical functioning (<i>R</i><sup>2</sup> = .195, <i>p</i> < 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}
Austin R. Medlin, Kelsey L. Sinclair, Misty A. W. Hawkins
Background
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.
Method
Adults (n = 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 (n = 70) and follow-up (n = 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.
Results
Complete case analyses showed HSR-2 total scores predicted greater %WL (β = .16, p = .001 post-treatment; β = .29, p = .003 follow-up). This effect was driven by pathways (β = .63, p = .001 post-treatment; β = 1.02, p < .001 follow-up), with agency and goals unrelated to %WL (ps ≥ .353). Gratitude inversely related to %WL (β = −.82, p = .001 post-treatment; β = −.78, p = .020 follow-up). Among the intention-to-treat sample, HSR-2 total trended towards follow-up %WL (β = .14, p = .062); pathways predicted at both timepoints (β = .32, p = .047 post-treatment; β = .59, p = .001 follow-up).
Conclusion
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.
希望是一种由代理（内在驱动力）、途径（感知到的外部手段）和目标（未来目标）组成的动机状态，可以预测减肥，但证据有限。本研究考察了希望及其子量表（代理、途径、目标）作为行为治疗中体重减轻的预测因子。方法体重指数(BMI)≥27的成人（n = 107）参加为期6个月的减肥计划，随访12个月。使用成人希望量表-修订版（HSR-2）在基线时评估希望及其分量表。计算治疗后（n = 70）和随访（n = 61）的体重减轻百分比（%WL）。协变量包括积极影响、感恩、乐观、年龄、性别、教育程度、身体质量指数和不良的童年经历。线性回归检验了治疗后和随访时HSR-2总量表和子量表与%WL之间的关系，并调整了协变量。使用多重输入数据进行完整的病例和意向治疗分析。结果完整病例分析显示，HSR-2总分可预测更高的%WL (β =。16、p =。001后处理;β =。29, p =。003后续)。这种效应是由通路(β =。63, p =。001后处理;β = 1.02, p <；001随访)，机构和目标与%WL无关（ps≥.353）。感恩与%WL负相关（β =−）。82, p =。001后处理;β =−。78, p =。020后续)。意向治疗样本中，HSR-2总倾向于随访%WL (β =。14, p = .062)；在两个时间点预测的通路(β =。32、p =。047后处理;β =。59, p =。001后续)。结论高通路思维是希望的一个组成部分，可预测临床显著的体重减轻和体重维持。较低的感激之情可能预示着体重下降（在完成者中），这表明对当前状态的不满，加上对通往更美好未来的道路的信念，推动了更大的体重下降。
{"title":"Hope and behavioural weight loss: Pathways lead to greater weight loss than agency or goals","authors":"Austin R. Medlin, Kelsey L. Sinclair, 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> < .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}
Ann-Marie Creaven, Fay M. O'Donoghue, Eimear C. Morrissey, Aisling T. O'Donnell, Tomás P. Griffin
Background
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.
Methods
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.
{"title":"Diabetes technology use in young adults living with type 1 diabetes in Ireland: A qualitative interview study","authors":"Ann-Marie Creaven, Fay M. O'Donoghue, Eimear C. Morrissey, Aisling T. O'Donnell, 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}
Veronika Nagy, Lydia Poole, Esme Banting, Rose-Marie Satherley
Objective
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.
Design
A qualitative design was employed, using both in-depth interviews and photo-elicitation to explore the lived experiences of nine participants.
Methods
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.
Results
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.
Conclusions
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.
{"title":"An interpretative phenomenological analysis of lived experiences and psychological processes in internalized weight stigma","authors":"Veronika Nagy, Lydia Poole, Esme Banting, 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}
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