Journal of Health Psychology最新文献

Individuals with advanced chronic kidney disease experience significant psychological distress due to disease progression and treatment. This study explored the predictive roles of resilience, social support, coping strategies, and illness threat perception on depression, anxiety, and emotional distress. A cross-sectional design was used with 106 Spanish participants aged 38-88 (M = 68.64, SD = 10.55). Measures included the Hospital Anxiety and Depression Scale, the Connor-Davidson Resilience Scale, the Medical Outcomes Study Social Support Survey, the Brief COPE, and the Brief Illness Perception Questionnaire. Analyses involved Pearson correlations, hierarchical regressions, and fuzzy-set Qualitative Comparative Analysis. Regressions identified social support, coping, and illness perception as key predictors. Qualitative Comparative Analysis showed that low resilience, low support, and high threat perception combinations were linked to greater distress, while the inverse predicted better outcomes. Findings highlight the importance of targeting resilience, support networks, and threat appraisal in interventions for advanced kidney disease.

Living alone with type 2 diabetes poses unique challenges that may compromise self-management. This mixed-method study examined glycemic outcomes, emotional well-being, and self-care difficulties among 72 adults with type 2 diabetes in a primary care setting in Indonesia. Quantitative measures included glycated hemoglobin (HbA1c), fasting blood glucose, and self-reported anxiety, loneliness, fatigue, and sleep quality, while structured surveys and open-ended questions assessed self-care challenges. Results showed high rates of loneliness (69.4%), anxiety (69.4%), fatigue (66.7%), and poor sleep quality (63.9%), each significantly associated with suboptimal glycemic control (p < 0.05). Practical barriers included difficulties with meal planning, low motivation for physical activity, inconsistent medication adherence, and irregular glucose monitoring. Qualitative responses emphasized emotional distress, lack of support, and feelings of isolation as major obstacles. Findings highlight the need for multidisciplinary, socially oriented interventions to address both psychosocial and practical barriers in this vulnerable population.

Burnout syndrome arises as a response to chronic occupational stress, resulting in dysfunctions that detrimentally affect the health of medical professionals. We conducted a cross-sectional study to assess the prevalence of burnout among physicians using Maslach Burnout Inventory. Among 319 participants, 32.3% experienced severe burnout. Furthermore, we detected a strong negative correlation between emotional exhaustion and age (r = -0.248; p < 0.001), years worked (r = -0.252; p < 0.001), and self-perceived quality of life (QoL; r = -0.574; p < 0.001); a strong negative correlation between depersonalization and age (r = -0.301; p < 0.001), years worked (r = -0.323; p < 0.001), and self-perceived QoL (r = -0.342; p < 0.001); and a strong positive correlation between personal accomplishment and self-perceived QoL (r = 0.450; p < 0.001). Early detection of burnout is crucial to implement preventive strategies that prioritize staff well-being and quality of patient care.

Psychological stress experienced by hospital inpatients has been shown to be associated with poorer post-hospital outcomes. The current study aimed to test for associations between hospital-related stress and post-hospital outcomes, and explore whether these associations varied by stressor type, demographic, and other patient factors. A nationally representative sample of 660 recent UK inpatients completed the Hospital Stress Questionnaire and four post-hospital outcome measures. Increased in-hospital stress was observed amongst patients that were younger, female, from an ethnic minority, had a longer hospital stay, or an unplanned admission. In-hospital stress was associated with all four post-hospital outcome measures. The associations were stronger for subjective than objective outcomes, and strongest with stressors related to health anxiety and negative effects of treatment. This study provides further evidence that in-hospital stress is associated with poorer post-hospital outcomes. Future interventions ought to focus on reducing in-hospital stress to improve patients' experiences of healthcare and recovery.

Emerging adults may look for sexual healthcare services less frequently than other age groups. This study constructed the Seeking Sexual Healthcare Services Scale to assess behaviors toward seeking sexual healthcare services among emerging adults. In Study 1 (n = 350), 24 items were developed, and an exploratory factor analysis revealed a 17-item 4-factor model. In Study 2 (n = 280), two experts in sex-related research reviewed the identified factors and provided feedback on the results from Study 1. Subsequently, 23 items were tested and an exploratory factor analysis revealed a 20-item 4-factor structure, where factors were identified as Sexual and Reproductive Healthcare Importance, Perceived Barriers, Perceived Trust and Support, and Stigma. These factors demonstrated adequate internal reliability and convergent and discriminant validity. This scale may be a reliable and valid tool to assess access to sexual healthcare services and may facilitate continued research efforts to improve access to sexual healthcare services.

Amputation has become a defining injury of the genocide in Gaza, leaving thousands of civilians with permanent disabilities and shattered lives. This study explores the physical, social, and psychological impacts of conflict-related limb loss in Gaza. Thirty male amputees in Rafah's displaced camps were interviewed between January and March 2025. Thematic analysis revealed six key themes: Initial shock and pain; medical neglect; hunger and malnutrition; displacement and mobility barriers; loss of economic and social roles; and psychological trauma. Participants described how limited access to medical care, prosthetics, and proper nutrition, worsened by repeated displacement, exacerbated physical complications, and disrupted personal identity. Despite adversity, accounts of peer support and community solidarity highlighted resilience. The study calls for integrated rehabilitation programs that address not only physical recovery but also psychosocial support, economic reintegration, and the restoration of dignity and belonging among amputees in Gaza.

Fibromyalgia is a prevalent condition with significant impacts for patients. This qualitative study aims to explore how patients experience receiving a fibromyalgia diagnostic label. We performed semi-structured interviews with 13 fibromyalgia patients (11 women, 2 men), from six European countries, recruited online through patient organizations. Most of the participants were female and over 40 years old. Interviews were coded and analysed by two independent researchers. Three themes were identified related to receiving the fibromyalgia label: (1) Changes to myself, including validation and relief, a perceived threat to identity, and concern for having this condition for life. (2) Changes in relation to others, including losing friends, behaving as part of a group while maintaining individuality of experiences, and developed self-agency. (3) Changes in social roles, including altered work status and shifting priorities. We conclude that providing a fibromyalgia label can have multilayered effects on recipients' personal identity, relationships and social positions.

The reliability generalization meta-analysis of the Modified Dental Anxiety Scale (MDAS) synthesized a total of 128 α coefficients from 118 studies encompassing 95,588 participants. This synthesis was performed using three-level random-effects models with CR2 inference and Bonett transformation. The pooled internal consistency α = 0.882 (95% CI (0.873, 0.889)) and 95% PI (0.759, 0.942). The language moderator showed a strong effect that persisted after continent adjustment. Furthermore, while mean age and sample size were found to be reliably associated with α, other moderators were found to be invalid. PET/PEESE and Egger tests indicated minimal small-study effects, and reliability induction was prevalent (76.1%). Overall, MDAS scores show high reliability; however, they are also sensitive to contextual effects. It is important for studies in this field to report sample-specific alpha values along with CIs using omega/ordinal alpha. Practical benefits of using MDAS are presented for dental health professionals and researchers.

People with chronic obstructive pulmonary disease (COPD) face increased risk of social isolation and loneliness. However, social dimensions are frequently overlooked in respiratory care. We aimed to explore the role of social connection in living with COPD, including influences on health and function. We conducted a reflexive thematic analysis of semi-structured interviews with 19 people with COPD (median age 78 years [range 58-88]; 14 with severe airflow obstruction). Three themes were identified: social connection supports COPD self-management, the "triple threat" of COPD to social connection, and the inseparable nature of social health. Participants described how worsening symptoms, particularly breathlessness, contribute to disconnection through physical restrictions, psychological reactions, and societal unawareness, with negative impacts on self-management and wider physical and psychological health. We conclude that social connections become increasingly valuable, yet increasingly difficult to maintain, as COPD progresses. Supporting individuals to maintain connections within a biopsychosocial approach may unlock wider health benefits.

While social support is widely recognised as a protective factor against loneliness and other health concerns, research findings remain inconsistent. Discrepant findings can result from heterogeneous conceptualisation and measurement of social support, which is often viewed as a broad, undifferentiated resource. This narrative review synthesises definitions and measures of social support, constructing a robust new taxonomy. Searches of three major research databases found numerous papers describing taxonomies and questionnaires assessing social support. A synthesis of the most highly cited papers included 10 distinct taxonomies and questionnaires. The new taxonomy comprises five core dimensions: (1) Emotional support (sympathetic listening, affection, and esteem support), (2) Social contact and companionship, (3) Belonging support (4) Information and guidance support, and (5) Tangible support. Detailed descriptions of specific behaviours corresponding to each support dimension are provided. These can help guide the design and assessment of social support interventions across clinical, organisational, and educational settings.