Journal of Health Psychology最新文献

Women are more likely than men to experience migraine and to endorse worse symptoms. Migraine is associated with anxiety, depressive and posttraumatic stress disorders. Women who experience migraine are also more likely to report a history of discriminatory experiences. This study investigated migraine characteristics, mental health outcomes and gender-based discrimination among women using a case-control study with a migraine and non-migraine sample. Two hundred ninety-two women completed an online survey with measures of migraine characteristics (as applicable), mental health symptoms, and gender-based discrimination. Women living with migraine experienced worse mental health symptoms and more gender-based discrimination than the non-migraine group. Migraine frequency and lifetime day-to-day discrimination significantly predicted anxiety, depression, and trauma symptoms, while anticipated discrimination significantly predicted trauma symptoms; lifetime day-to-day discrimination significantly predicted migraine-related reduction in productivity; and gender-based discrimination significantly predicted migraine-related social absences. These findings may be used to improve management of migraine among women.

Second-generation antipsychotics are highly effective in controlling symptoms if taken as prescribed. However, poor medication adherence results in patients continuing to experience psychotic episodes and metabolic disturbances that can cause them to develop abnormal lipid levels, weight gain, and diabetes. Understanding the underlying modulators that impact follow-up appointments and metabolic monitoring is critical. Semi-structured interviews were conducted with patients and their treating psychiatrists across four sites in South India. Narrative data were thematically analyzed, informed by an inductive approach. Patient-reported barriers included medication side effects, lack of awareness about metabolic monitoring, and financial constraints. Psychiatrists reported both patient and resource barriers that impact their provision of care. This study has shed light on key barriers impacting the provision of care and subsequently health outcomes for patients living with severe mental illness to inform strategies that target barriers for both patients and psychiatrists.

Autistic people face both similar challenges to non-autistic people as they navigate menopause and additional unique challenges. Semi-structured interviews with 15 autistic and 14 non-autistic adults (assigned female at birth), explored experiences of menopause. Thematic analysis was carried out for the autistic and non-autistic groups separately. Analysis yielded four overarching themes: information about menopause, experiences of menopause, medical support for menopause and backdrop to the menopause. Each of these contained subthemes which indicated both shared and unique experiences between the groups. Both groups reported a lack of information about menopause, endured negative psychological changes during menopause and experienced menopause alongside other important life events. Autistic people faced unique challenges during menopause, including medical professionals not accommodating autistic differences, uncertainty-induced anxiety and the lifelong impact of living without an autism diagnosis. This study highlights the need for tailored care for this group during the menopause transition.

This study evaluates the psychometric properties of the Vietnamese version of the Copenhagen Burnout Inventory (CBI-V) and examines factors associated with burnout among community pharmacists in Thua Thien Hue, Vietnam. A cross-sectional, interview-based study was conducted in Hue City from January to June 2023, involving 362 pharmacists. The following measurement properties of CBI-V were tested: distributional characteristics, structural validity (principal component and confirmatory factor analyses), internal consistency reliability (Cronbach's alpha and McDonald's omega), known-groups validity (Mann-Whitney U or Kruskal-Wallis H test). The CBI-V demonstrated good internal consistency, with Cronbach's α and McDonald's Omega coefficients ranging from 0.867 to 0.904. The 19-item, three-factor model showed a good fit, supported by Kaiser-Meyer-Olkin measures. CPs working in hospital retail settings, experiencing higher job satisfaction, and having a better grasp of accurate drug information sources were associated with higher burnout scores (p<0.05). This psychometric assessment study in community pharmacists concludes that the CBI-V is a reliable tool for assessing burnout, providing insights for public health interventions in healthcare digital transformation.

Conflicting health messages negatively impact trust. Breast cancer screening (BCS) is one area of healthcare where conflicting messages are common. We examined whether women's healthcare system trust was impacted after exposure to information about harms and benefits of BCS. We enrolled 497 women into this study. Participants were administered a decision aid (DA) containing information about the harms and benefits of BCS and reported their healthcare system trust pre- and post-DA exposure. We observed a significant decrease in healthcare system trust from pre- to post-DA. This decrease in trust was associated with participants' perception that the message conflicted with their previously held beliefs and not the reactions it elicited. When people receive information about BCS that conflicts with past health messages, they may lose trust in the healthcare system. This underscores the importance of adopting consistent messages about BCS.

Children and young people (CYP) with long-term health conditions (LTC) are at higher risk of developing mental health difficulties. Research suggests nature-based therapeutic interventions (NBTIs) may benefit CYP's wellbeing, but less is known about the impact on CYP with LTC. This study's objective was to explore how CYP with LTC and associated psychological difficulties experienced a NBTI and the impact on their wellbeing. Ten participants aged 10-13 attended a NBTI and took part in semi-structured interviews that explored how they made sense of their journey through the intervention, its impact on mental, physical wellbeing and sense of self. An interpretative phenomenological analysis of the interview data yielded four group experiential themes: 'Overcoming Illness-Identity', 'Freedom to Choose', 'Sense of Connection' and 'A Mindful Presence'. Participants reported improved self-esteem, a deepened sense of belonging with peers and nature, and enhanced emotion regulation. Clinical implications and directions for future research are discussed.

Framing public-health behaviors as benefiting others, rather than the self, can increase behavior uptake in adults. However, there are mixed results on the effects of such messaging in a vaccination context, and it is unclear how children reason about the social and moral implications of vaccination. In this study, we present school-aged children (N = 60) with hypothetical vaccine-like behaviors and manipulate whether they benefit the self or others, and whether they prevent low or high severity harm. We find that children readily endorse these behaviors when they prevent high severity harm, and that the beneficiary of the behavior does not impact children's endorsement. Younger children thought vaccine-like behaviors were morally important regardless of who they protected; However, as children get older, they thought about the vaccine-like behaviors in moral terms when they protected others. We discuss potential implications for how communications about vaccination may impact children's reasoning about others.

This study was planned to determine the relationship between hedonic hunger, social media addiction and body mass index (BMI) in adolescents. The study was conducted with 720 adolescents receiving education in high schools. Data was collected online using the Children's Power of Food Scale (CPFS) and Social Media Addiction Scale (SMAS). Mean, percentage, t-test, ANOVA and regression analysis were used to analyse data. In the study, it was found that social media addiction explained 16.4% of the variance in hedonic hunger and had a significant impact (F = 140.433, p ≤ 0.001). When the BMI variable was added to the model in the second step (Model II), it was determined that social media addiction and BMI significantly predicted CPFS scores (F = 81.839, p ≤ 0.001) and explained 18.6% of the variance. The study results revealed that social media addiction and BMI significantly predict hedonic hunger in adolescents.

The present study assessed the links between interoceptive sensibility, binge, disordered (emotional, restrained, and external) and intuitive eating among individuals with obesity (n = 57) and normal weight (n = 29). Individuals with obesity presented lower "attention regulation," "body-listening," and "trusting" interoceptive dimensions. When age was controlled, group differences on "trusting" remained significant. Individuals with obesity showed lower intuitive eating, higher emotional, and binge eating compared to controls. Higher "body listening," "eating for physical rather than emotional reasons," and "reliance on hunger and satiety cues" predicted lower binge eating whereas "external eating" predicted higher binge eating among individuals with obesity. Eating for physical reasons and reliance on hunger and satiety had protective mediating roles in the relationship between external and binge eating in both groups. Interoceptive sensibility and intuitive eating should conjointly serve as psychotherapeutic targets for disordered eating, obesity, and weight management.

Given the unpleasant nature of social isolation and loneliness (SIL) and their negative effects on health and wellbeing, interventions are needed. However, persistent issues in the design, evaluation, and reporting of SIL interventions preclude conclusive evidence and commentary on the effectiveness of SIL interventions. Here, we propose guidelines for evaluating SIL interventions, firstly by operationalising them into two categories: (1) interventions aiming to reduce SIL as a primary outcome and (2) interventions aiming to improve non-SIL outcomes in the lives of individuals experiencing SIL. Secondly, we evaluate instruments for measuring SIL and research designs for studying intervention effectiveness. Thirdly, guidelines for reporting information about the intervention, study design, results, and discussion in SIL intervention studies are presented. These guidelines will help researchers to better and more consistently report on SIL interventions and improve comparability of SIL interventions, ultimately contributing to the improvement of interventions and to the mitigation of SIL.