Journal of Health Psychology最新文献

Peer support may improve wellbeing in people with multiple sclerosis (PwMS). This study examined associations between peer support, social support, loneliness and wellbeing in PwMS, along with sociodemographic and health predictors of peer support need and engagement in online and in-person contexts. A cross-sectional survey, co-designed with public and patient involvement, was deployed among 218 PwMS in Ireland, with regression analyses used to explore predictors of needs for, and engagement with, peer support. Increasing disability levels and fewer years with MS were associated with higher peer support need. Wellbeing was significantly yet weakly positively correlated with in-person peer support engagement (r_s = 0.1967, p = 0.005). However, only loneliness and social support were significant predictors of wellbeing, accounting for approximately 40% of the variance. Overall, PwMS need peer support, yet reported low engagement with peers. While no clear associations with wellbeing were established, findings suggest that peer support may improve psychosocial experiences in MS.

Knowledge pertaining to the interplay between body image, body compassion, and endometriosis-related symptoms is limited. The current study aimed to elucidate the relationships between body compassion, body image, and endometriosis-related symptoms, and explore whether endometriosis-related factors or body compassion are significant correlates of body image. Individuals with self-reported symptomatic endometriosis (n = 261), aged 18 years and over, provided endometriosis-related information and completed the Body Attitude Test and Body Compassion Scale. Regression analyses determined that the presence nonmenstrual abdominal pain, lower ability to defuse from negative body-related thoughts, lower body-related acceptance, and higher levels of common humanity were significant correlates of body image, as measured by the Body Attitude Test, in the current endometriosis sample. Preliminary support is noted for the potential inclusion of compassion-focused interventions for addressing body image concerns in endometriosis, with nonmenstrual abdominal pain, dyspareunia, nausea, and bloating viewed as important symptoms for consideration.

Nurses experience high levels of occupational stress and trauma exposure, placing them at risk for adverse mental-health outcomes. This study examined the relationships between posttraumatic stress symptoms (PTS), Sense of Coherence (SOC), anxiety, and depression among South African nurses. A cross-sectional survey design was employed with 264 nurses from 4 hospitals in the Western Cape province. Participants completed a demographic questionnaire and four self-report measures: the SOC Scale, PTSD Checklist for DSM-5, Beck Anxiety Inventory, and Centre for Epidemiological Studies Depression Scale-Revised. Structural equation modelling assessed whether SOC mediated the effects of PTS on anxiety and depression. Results indicated that SOC partially mediated the relationship between PTS and both anxiety and depression, suggesting that part of the impact of PTS on psychological distress operates through nurses' SOC levels. These findings highlight the importance of trauma-informed approaches and SOC-enhancing interventions to strengthen nurses' mental health in high-stress, low-resource, healthcare environments.

Premenstrual Dysphoric Disorder (PMDD) is a cyclical condition similar to premenstrual syndrome (PMS), with symptoms arising in the late luteal phase. Studies highlight barriers to care, including misdiagnosis, missed diagnosis, and limited practitioner knowledge. Most qualitative research has focussed on the USA, UK, and Australia. This study explored the healthcare experiences of 27 women from nine countries diagnosed with PMDD using a phenomenological approach. Semi-structured interviews were analysed thematically in ATLAS.ti, generating four themes: (1) medical gas-lighting and the importance of diagnosis, (2) diagnostic odyssey, (3) access to healthcare, and (4) self-advocacy. Findings reveal that negative healthcare experiences often delay diagnosis and care-seeking while fostering mistrust in healthcare systems. Experiences were similar across countries, regardless of healthcare structures. While diagnosis can be validating, its benefits may depend on available resources. Greater awareness of PMDD among healthcare providers is essential for improving patient care.

This study explored the lived experiences of body image among individuals with a diagnosis or suspected diagnosis of endometriosis and/or adenomyosis. Using an online qualitative survey (n = 287) and semi-structured interviews (n = 17), data were collected from 304 participants and analysed using reflexive thematic analysis. Findings revealed that these conditions significantly disrupted body image, with participants describing shame, disconnection, and a diminished sense of identity. Three overarching themes were identified: (1) Under Scrutiny: Concealment and the Emotional Toll of the Conditions, (2) A Disrupted Sense of Self, and (3) Avoidance: The Psychosocial Impact of Symptom Visibility. Body image concerns emerged as a central aspect of living with these gynaecological conditions, influencing self-esteem, mental health, and interpersonal relationships. The results underscore the need for more integrated and psychologically informed healthcare approaches that recognise body image as a key element of patient well-being.

Through the lens of Self-Determination Theory, this study explores the psychological factors influencing young women's menstrual product choices, set against the evolving sociocultural, gendered, and political backdrop in China. Through in-depth interviews with 33 participants, the research uncovers that women's preferences are driven by their desire for bodily autonomy, competence, relational connectedness, and the affirmation of personal values. These findings suggest a significant shift from passive endurance to an active, empowered approach in managing menstrual health. Additionally, the findings reveal how cultural norms around hygiene, celebrity endorsements, and a sense of patriotism shape consumer behavior, further complicating women's decision-making processes. By incorporating personal values into Self-Determination Theory, this study deepens our understanding of how ethical reflections and esthetic sensibilities guide health-related decisions. It also highlights the imperative for media discourses and health campaigns to offer more scientific content and portray more authentic representations of women's menstrual experiences.

We examined the measurement of mindful screen time and whether it moderated links between screen-related psychological needs (satisfaction and frustration) and well-being. University students (N = 770, M_age = 19.96) completed a questionnaire online. A unidimensional structure of mindful screen time had an adequate fit (CFI = 0.97, RMSEA = 0.08) and composite reliability (0.79). Correlations between mindful screen time and well-being (rs = |0.08-0.26|) showed evidence of validity based on relations to other variables. Path analysis indicated two of the eight moderated associations were statistically significant but counter to hypotheses: higher mindful screen time increased the negative influence of need frustration on negative affect and diminished the positive influence of need satisfaction on flourishing. Screen-related psychological need satisfaction and frustration were key factors influencing well-being. Effect sizes were small-to-moderate (R² = 0.21-0.48). Overall, we found that that mindful screen time is not a robust moderator. More research is needed to better understand the role of mindful screen time on well-being.

Studying class stigma in the context of diabetes and socioeconomic inequalities may shed light on the societal factors influencing diabetes. Data from 1947 participants aged 49-88 who participated in the second phase of The Maastricht Study were used. SEP (education, income, occupation) and a six-item classism scale were measured through self-reported questionnaires. Prediabetes and T2D were defined through an oral glucose tolerance test. We conducted multinomial logistic regression analyses to investigate the associations between SEP, classism, and diabetes. About 20.9% (N = 406) of the study sample had T2D (Mean_age = 69.8 ± 6.8; 31.3% women). People with low SEP had T2D (e.g. income OR = 2.13, 95% CI: 1.54-2.82) and reported perceived classism (e.g. education OR = 2.07, 95% CI: 1.33-3.21) more often than people with high SEP. Classism was not statistically significantly associated with T2D. Social health inequalities are apparent in T2D; however, our results suggest that class stigma might not be a major factor in the underlying processes. Further research should investigate chronic stress and the intersection of stigmas.

This study explores the psychological and emotional impacts of infertility treatments on couples. Utilizing Interpretative Phenomenological Analysis, this qualitative research delves into the shared experiences of five couples undergoing fertility treatments, uncovering the deep-seated personal and relational dynamics of their journeys. Three key themes were identified: From Hope to Exhaustion: Navigating the Emotional Rollercoaster of Treatment, Redefining Togetherness: Making Sense of Infertility as a Couple, and Networks of Care: Negotiating Support Within and Beyond the Couple. Study explores how couples undergoing in vitro fertilization construct shared meaning around their experiences and how the process shapes their relational and psychological dynamics. This study adopts a couple-based interpretative phenomenological approach to reveal how partners co-construct meaning, manage shared distress, and experience relational growth during infertility treatment. It offers new insights into the dyadic processes that foster resilience amid infertility.

The aim of current study was to assess the association between adverse childhood experiences (ACEs) and successful aging among Chinese. A total of 7517 participants from the China Health and Retirement Longitudinal Study 2011 were included in cross-sectional analyses. Any of 12 ACEs, measured by indicators on a questionnaire. Overall prevalence of successful aging was 11.77%, and there was an increase in number of ACEs was associated with a decreasing trend in the prevalence of successful aging, and those experiencing four or more ACEs had the lowest level of successful aging. Compared to participants without ACEs exposure, those experiencing three and four or more ACEs were associated with lower odds of achieving successful aging, with corresponding odds ratio (95% confidence interval) of 0.77 (0.60-0.98) and 0.63 (0.49-0.82), respectively. In conclusion, exposure to ACEs showed a lower likelihood of successful aging among the middle-aged and elderly people in China.