Journal of Psychosomatic Research最新文献

{"title":"Journal of Psychosomatic Research 2025 year in review","authors":"Fiammetta Cosci","doi":"10.1016/j.jpsychores.2025.112506","DOIUrl":"10.1016/j.jpsychores.2025.112506","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112506"},"PeriodicalIF":3.3,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age, sex and mental distress as predictors of rate and deterioration of persistent physical symptoms over three and six years in a general population","authors":"Karl Fjellborg ,&nbsp;Clara Cervin ,&nbsp;Michael Witthöft ,&nbsp;Ferenc Köteles ,&nbsp;Steven Nordin","doi":"10.1016/j.jpsychores.2025.112505","DOIUrl":"10.1016/j.jpsychores.2025.112505","url":null,"abstract":"<div><h3>Background</h3><div>Better understanding for persistent physical symptoms (PPS) may improve prevention of symptoms from becoming persistent and deteriorating over time. This study tested the hypotheses of age and level of mental distress symptoms of anxiety, depression, sleep disturbance and burnout statistically predicting rate of PPS and deterioration of PPS over three and six years in a general adult population. We also addressed whether sex is associated with these two aspects of PPS.</div></div><div><h3>Method</h3><div>A population-based sample (<em>n</em> = 1837) aged 18–79 years from Västerbotten in Sweden was used. Longitudinal data were collected based on the 15-item Patient Health Questionnaire for PPS assessment as well as other validated questionnaire instruments at baseline and 3- and 6-year follow-up. Deterioration was assessed with the reliable change index paradigm. Chi-square tests and analyses of covariance were applied.</div></div><div><h3>Results</h3><div>Old age was found to statistically predict deterioration, but not long-term rate, of PPS over three and six years, and female sex to predict rate, but not deterioration. Symptom levels of all four types of mental distress predicted both PPS rate (η² = 0.097–0.202) and deterioration (η² = 0.007–0.023) over both three and six years. When controlling for the other three types of mental distress, sleep disturbance, and in particular burnout, explained most unique variance in predicting rate and deterioration.</div></div><div><h3>Conclusions</h3><div>The findings encourage healthcare professionals to assess PPS at an early stage, especially in persons at old age, in women and in patients with mental distress.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112505"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A longitudinal latent class analysis of health-related quality of life post pelvic fractures; the BIOS cohort study","authors":"Maartje L.V. Kusters ,&nbsp;Nina Kupper ,&nbsp;Lars Brouwers ,&nbsp;Mariska A.C. de Jongh","doi":"10.1016/j.jpsychores.2025.112504","DOIUrl":"10.1016/j.jpsychores.2025.112504","url":null,"abstract":"<div><h3>Background</h3><div>The objective of this study was to identify latent profiles in the HRQoL recovery of patients with pelvic fractures and examine demographic, psychological, and medical determinants.</div></div><div><h3>Methods</h3><div>184 patients (M_age = 58.3 ± 16.9, 59 % male) from the BIOS study were included. HRQoL was assessed six times across two years. At 1-week post-injury, additional pre-injury HRQoL (EQ-5D-3L), psychological (HADS, IES), and functional (MPS, MAHS) measures were assessed. A 3-step repeated measures latent class analysis (RMLCA) identified latent profiles in HRQoL and examined their correlates.</div></div><div><h3>Results</h3><div>Four similar recovery profiles for the EQ-5D domains of VAS, mobility, and usual activities were identified: low/poor, intermediate/partial, high/full, and prominent improvement/fast &amp; full recovery. For the EQ-5D domains of pain/discomfort, self-care, and anxiety/depression, three similar profiles were identified: poor recovery, partial recovery/intermediate problems, and full recovery/ no pain. Higher emotional distress, comorbidities, and complications were associated with the <em>low</em> VAS profile. Older age, pelvic ring fracture, pelvic surgery, higher ISS, lower emotional distress, and higher pre-injury HRQoL levels were associated with the <em>prominent improvement</em> VAS profile. Better physical functioning was associated with the <em>intermediate</em> and <em>high</em> VAS profiles.</div></div><div><h3>Conclusions</h3><div>Results unveiled person-level heterogeneity evidenced by the four latent recovery trajectories of HRQoL following pelvic fracture and their distinct associated covariates, among which psychological functioning, which significantly contributed to HRQoL recovery. Future research should focus on the development of adequate screening tools facilitating decision-making applications which in turn can optimize personalized treatment programs. The current findings offer valuable insights to aid in this developmental process<strong>.</strong></div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112504"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality traits as predictors of self-care agency in women with gynecological cancers: Cross-sectional study","authors":"Huri Çolu ,&nbsp;Elif Uludağ","doi":"10.1016/j.jpsychores.2025.112503","DOIUrl":"10.1016/j.jpsychores.2025.112503","url":null,"abstract":"<div><h3>Background</h3><div>Gynecological cancers present a dual burden of physiological and psychosocial distress. Self-care agency defined as an individual's capacity to initiate and maintain health-related behaviors is critical for optimizing well-being in cancer patients. While psychological factors, particularly personality traits, are known to influence self-care in chronic illnesses, their role in gynecological oncology remains underexplored. This study aimed to determine whether personality traits predict self-care agency among women with gynecological cancers.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional design was employed with 200 women recruited via convenience sampling. Data were collected using a demographic form, the Cervantes Personality Scale, and the Exercise of Self-Care Agency Scale. Simple linear regression analyses examined the predictive value of personality subscales on self-care agency.</div></div><div><h3>Results</h3><div>Personality traits were found to be significant predictors of self-care agency. Extroversion, emotional stability, and consistency explained 37.5 %, 20.1 %, and 30.4 % of the variance in self-care agency, respectively (<em>p</em> &lt; 0.05). Women with higher levels of these traits demonstrated greater self-care capacity, while introversion, neuroticism, and inconsistency were linked to reduced self-care agency.</div></div><div><h3>Conclusions</h3><div>This study highlights the significant role of personality traits in influencing self-care agency in this population. Tailoring supportive care to address individual personality characteristics may improve self-management and overall treatment outcomes. Incorporating psychosocial assessments into routine care and developing targeted interventions could enhance quality of life. Future research should focus on intervention studies to validate these approaches and optimize personalized care strategies in gynecological oncology.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112503"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-pharmacological palliative interventions for cancer-related pain and fatigue: A network meta-analysis","authors":"Yan Adi Wibawa ,&nbsp;Tsai-Wei Huang ,&nbsp;Yan Wisnu Prajoko ,&nbsp;Made Satya Nugraha Gautama ,&nbsp;Sri Setyowati ,&nbsp;Enggar Purnaningsih ,&nbsp;Sri Indah Ekowati ,&nbsp;Endang Fatmawati ,&nbsp;Indriyani ,&nbsp;Nur Aini ,&nbsp;Fitria Endah Janitra","doi":"10.1016/j.jpsychores.2025.112501","DOIUrl":"10.1016/j.jpsychores.2025.112501","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112501"},"PeriodicalIF":3.3,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Functional neuroimaging in patients with catatonia: A systematic review”. [Journal of Psychosomatic Research. 179 (2024) 111640]","authors":"Laura Duque ,&nbsp;Mohammad Ghafouri ,&nbsp;Nicolas A. Nunez ,&nbsp;Juan Pablo Ospina ,&nbsp;Kemuel L. Philbrick ,&nbsp;John D. Port ,&nbsp;Rodolfo Savica ,&nbsp;Larry J. Prokop ,&nbsp;Teresa A. Rummans ,&nbsp;Balwinder Singh","doi":"10.1016/j.jpsychores.2025.112497","DOIUrl":"10.1016/j.jpsychores.2025.112497","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112497"},"PeriodicalIF":3.3,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-arm longitudinal study to assess changes in insula functional connectivity following a mobile-based lifestyle intervention in adults with metabolic abnormalities","authors":"Deokjong Lee ,&nbsp;Kyung Mee Park ,&nbsp;Jihye Kim ,&nbsp;Sin Young Ko ,&nbsp;Byeonghee Lee ,&nbsp;Chae Jung Park ,&nbsp;Kyoung Min Kim ,&nbsp;Jin Young Park","doi":"10.1016/j.jpsychores.2025.112498","DOIUrl":"10.1016/j.jpsychores.2025.112498","url":null,"abstract":"<div><h3>Backgrounds</h3><div>Mobile-based lifestyle intervention has been widely used to improve behavior for obesity and overweight. This study targeting adults with metabolic abnormalities aims to identify neural correlates related to weight loss due to mobile-based lifestyle intervention.</div></div><div><h3>Methods</h3><div>We conducted 8 weeks of mobile-based lifestyle intervention for 37 adults with metabolic abnormalities, including overweight. Participants underwent physical measurements, blood tests, psychometric questionnaires, and resting-state functional magnetic resonance imaging (fMRI) scans before and after the mobile-based intervention. For the resting-state fMRI, brain regions that showed changes in functional connectivity (FC) before and after mobile-based intervention were explored. Seed-based FC analysis was performed focusing on the subregions of the insular cortex.</div></div><div><h3>Results</h3><div>Participants significantly reduced body mass index (BMI) after mobile-based intervention. The degree of BMI reduction was significantly correlated with compliance with the intervention. In resting fMRI, FC of the posterior insula with the bilateral inferior parietal lobule and the left ventrolateral prefrontal cortex were enhanced after mobile-based intervention. The increase in FC between the posterior insula and the inferior posterior lobule showed a significant correlation with the decrease in binge eating scale scores.</div></div><div><h3>Conclusion</h3><div>The mobile-based lifestyle intervention significantly reduced weight and alleviated binge eating in adults with metabolic abnormalities. FC enhancement between the posterior insula and the frontoparietal regions was also observed after mobile-based lifestyle intervention. The relationship between these FC changes and strengthening weight control through mobile-based lifestyle intervention should be investigated through future research.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112498"},"PeriodicalIF":3.3,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biopsychosocial risk factors for the transition from acute to chronic back pain: A prospective cohort study","authors":"Petra Engelmann,&nbsp;Mareike Busmann,&nbsp;Bernd Löwe,&nbsp;Paul Hüsing","doi":"10.1016/j.jpsychores.2025.112500","DOIUrl":"10.1016/j.jpsychores.2025.112500","url":null,"abstract":"<div><h3>Background</h3><div>Biopsychosocial mechanisms are assumed to underlie the chronification of back pain; however, potentially relevant factors have mainly been examined in isolation rather than within comprehensive aetiological models. This study investigated risk factors of chronic back pain based on a current biopsychosocial model for persistent somatic symptoms.</div></div><div><h3>Methods</h3><div>Within the prospective cohort study IDRIS (“From the identification of biopsychosocial risk factors to an increase in pain-related self-efficacy – The online-based conveyance of an explanatory model for chronic back pain”), German adults with (sub)acute back pain (&lt; 12 weeks) completed online questionnaires on biopsychosocial variables at baseline, 1-month and 3-month follow-up. Possible predisposing and maintaining predictors of chronic back pain at 3 months were tested in linear regression models.</div></div><div><h3>Findings</h3><div>Between December 2022 and July 2024, 280 individuals from the general population with (sub)acute back pain (mean age 37.52 (SD 12.41) years; 65 % female) completed all assessments. Predictors of chronic back pain at 3 months were dysfunctional symptom expectations at 1-month follow-up (<em>ß</em> = 0.25, <em>p</em> &lt; 0.001) and high baseline pain severity grades (highest grade: <em>ß</em> = 0.18, <em>p</em> &lt; 0.01). Other postulated variables did not predict pain chronification.</div></div><div><h3>Interpretation</h3><div>This study supports the role of negative pain-related beliefs in the transition from acute to chronic back pain and suggests addressing dysfunctional symptom expectations in secondary prevention interventions to mitigate the risk of pain chronification. Future research should assess postulated predisposing factors for chronic back pain in clinical populations over longer timeframes to evaluate their long-term predictive value.</div></div><div><h3>Funding</h3><div>Stiftung Psychosomatik der Wirbelsäulenerkrankungen.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"202 ","pages":"Article 112500"},"PeriodicalIF":3.3,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biopsychosocial factors associated with distress in people with suspected postural orthostatic tachycardia syndrome (POTS): A longitudinal regression and correlation study","authors":"Iris Knoop ,&nbsp;Annie S.K. Jones ,&nbsp;Sam Norton ,&nbsp;Nicholas Gall ,&nbsp;Rona Moss-Morris","doi":"10.1016/j.jpsychores.2025.112499","DOIUrl":"10.1016/j.jpsychores.2025.112499","url":null,"abstract":"<div><h3>Purpose</h3><div>Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating condition of the autonomic nervous system with no clear referral, diagnosis, and treatment pathways. Patients experience high levels of symptoms and moderate levels of distress. The purpose of this study was to explore biopsychosocial factors associated with distress in those under investigation for POTS, to identify potential targets for intervention.</div></div><div><h3>Methods</h3><div>A longitudinal, quantitative survey. Participants (<em>n</em> = 149) completed demographic, psychosocial, and symptom questionnaires prior to a diagnostic POTS clinic visit and 6 months follow-up (<em>n</em> = 98). Correlation and regression analyses were used to identify factors associated with distress at baseline (within one month before diagnostic hospital visit) and at 6 months follow up.</div></div><div><h3>Results</h3><div>At baseline, distress levels were moderate and greater symptom focusing, all-or-nothing and avoidance behaviours, threatening views of the illness, emotional reactivity, cardiac anxiety, POTS symptoms, number of specialists seen, lower social support, and younger age were significantly associated with higher levels of baseline distress. The baseline regression model including all demographic, clinical, and psychosocial factors explained 61.2 % of the variance in distress, with the psychosocial variables collectively explaining 55.6 % of this variance (F = 11.06, <em>p</em> &lt; .001). There was no significant difference between distress levels at baseline and follow-up. Psychosocial variables explained 4.7 % of the variance (F = 0.76, <em>p</em> = .665) in changes in distress scores over 6 months. Baseline distress scores accounted for the vast majority of variance in distress at follow-up.</div></div><div><h3>Conclusions</h3><div>This study identified key novel psychosocial factors that were significantly associated with distress which could be potential targets for intervention. Additional factors such as younger age and a higher number of specialists seen were also associated with higher levels of distress, which merits attention when assessing patients' psychological wellbeing this patient group. Distress levels did not significantly change following the specialist consultation and investigation.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112499"},"PeriodicalIF":3.3,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative sleep quality and anxiety as predictors of postoperative pain and recovery in Gynecologic oncology surgery: A prospective observational study","authors":"Celal Akdemir ,&nbsp;Suna Aşkın Turan ,&nbsp;Mücahit Furkan Balcı ,&nbsp;Süleyman Özen ,&nbsp;Nefise Şeker ,&nbsp;Denizhan Bayramoğlu ,&nbsp;Zeynep Bayramoğlu ,&nbsp;Muzaffer Sancı","doi":"10.1016/j.jpsychores.2025.112496","DOIUrl":"10.1016/j.jpsychores.2025.112496","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluated associations between preoperative sleep quality, anxiety, and short-term postoperative outcomes in patients undergoing gynecologic oncology surgery.</div></div><div><h3>Methods</h3><div>This prospective observational study included 72 women undergoing open gynecologic cancer surgery. Preoperative sleep quality and anxiety were assessed 24–48 h before surgery using the Pittsburgh Sleep Quality Index (PSQI) and the Beck Anxiety Inventory (BAI). Postoperative pain was measured using the Numerical Rating Scale (NRS) at 0, 4, 8, 12, and 24 h. Complications, rescue analgesia use, and length of stay were recorded.</div></div><div><h3>Results</h3><div>Poor sleep quality (%31.9) and clinically significant anxiety (%19.4) were both associated with higher mean postoperative pain scores (PSQI ≥5: 6.3 ± 1.2 vs 5.1 ± 1.3, <em>p</em> = 0.002; BAI ≥16: 6.5 ± 1.1 vs 5.2 ± 1.4, <em>p</em> = 0.001). In adjusted analyses, higher PSQI (β = 0.112, 95 % CI 0.039–0.185, <em>p</em> = 0.003) and higher BAI scores (β = 0.044, 95 % CI 0.023–0.065, <em>p</em> &lt; 0.001) remained significantly associated with increased mean pain. Poor sleep quality was also linked to longer hospitalization (4 vs 3 days, <em>p</em> &lt; 0.001) and higher complication rates (%52.2 vs %12.2, p &lt; 0.001). Elevated anxiety was similarly associated with higher complication rates (%57.1 vs %17.2, <em>p</em> = 0.004) and more frequent rescue analgesia use (%64.3 vs %29.3, <em>p</em> = 0.014).</div></div><div><h3>Conclusion</h3><div>Preoperative sleep disturbances and anxiety are significantly associated with worse postoperative pain, higher complication rates, and prolonged recovery; routine screening and targeted interventions may therefore improve surgical outcomes.</div></div><div><h3>Trial registration</h3><div>The study was retrospectively registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (Identifier: <span><span>NCT07036549</span><svg><path></path></svg></span>) on June 24, 2025.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112496"},"PeriodicalIF":3.3,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}