Journal of Health Psychology最新文献

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Psychometric characteristics of the multidimensional scale of perceived social support in ostomy patients and their caregivers. 造口患者及其护理人员感知社会支持多维量表的心理测量特征。

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-18 DOI: 10.1177/13591053241278169

Paolo Iovino,Ilaria Marcomini,Laura Rasero,Duilio Fiorenzo Manara,Ercole Vellone,Giulia Villa

Despite the importance of social support in ostomy care, the Multidimensional Scale of Perceived Social Support (MSPSS) does not appear to be validated in the context of ostomy care. This study evaluated the psychometric characteristics of MSPSS in ostomy patients and their informal caregivers. The MSPSS was tested in a sample of 775 participants with confirmatory factor analysis. Internal consistency reliability was assessed with the ordinal Omega coefficient. Criterion-related validity was ascertained via hypothesis testing by correlating the scores of the MSPSS with other measures. MSPSS for patients and caregivers has a three-factor structure with a good fit. Internal consistency reliability of the factors was excellent. Concurrent validity was supported by the negative correlations between MSPSS scores with depression and stoma-related QoL, and the positive correlations with perceived mutuality. Our research indicates that the MSPSS is a sound measure of social support for ostomy patients and their caregivers.

尽管社会支持在造口护理中非常重要，但感知社会支持多维量表（MSPSS）似乎尚未在造口护理中得到验证。本研究评估了 MSPSS 在造口患者及其非正式护理人员中的心理测量特征。通过确认性因素分析，对 775 名参与者的样本进行了 MSPSS 测试。内部一致性可靠性通过序数欧米茄系数进行评估。通过将 MSPSS 的得分与其他测量指标进行相关性假设检验，确定了标准相关有效性。针对患者和护理人员的 MSPSS 具有拟合良好的三因素结构。各因子的内部一致性可靠性极佳。MSPSS 评分与抑郁和造口相关 QoL 之间的负相关以及与感知到的相互性之间的正相关证明了并发有效性。我们的研究表明，MSPSS 是衡量造口患者及其护理人员社会支持的可靠指标。

引用次数: 0

Trends in loneliness in 17 European countries between 2006 and 2015: A secondary analysis of data from the European Social Survey 2006 至 2015 年间 17 个欧洲国家的孤独趋势：对欧洲社会调查数据的二次分析

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-18 DOI: 10.1177/13591053241278473

Simone Amendola, Agnes von Wyl

The present study analysed changes in loneliness between 2006 and 2015 and associated factors using publicly available data ( N = 128,718) from the European Social Survey from 17 countries. The study protocol was pre-registered on the Open Science Framework ( https://osf.io/eq63j/ ). Loneliness-weighted prevalence (and mean) decreased from 30% to 27% over time. The decreasing trend was significant for both sexes. Young and old age groups reported a decline in loneliness over time while other age groups did not. Loneliness did not demonstrate a significant decline – but rather a stable trend – in persons with disability and first- and second-generation immigrants. Sociodemographic characteristics, social factors, well-being and psychological distress were associated with loneliness. These findings update those from previous studies indicating that loneliness trends and differences between European regions might be better explained by differences in psychological distress.

本研究利用来自 17 个国家的欧洲社会调查（European Social Survey）的公开数据（N = 128,718），分析了 2006 年至 2015 年间孤独感的变化及相关因素。研究方案已在开放科学框架（https://osf.io/eq63j/ ）上预先注册。随着时间的推移，长期加权的患病率（和平均值）从 30% 降至 27%。这种下降趋势在男女两性中都很明显。随着时间的推移，年轻和年老年龄组的孤独感有所下降，而其他年龄组则没有。残疾人士、第一代和第二代移民的孤独感并没有明显下降，而是呈稳定趋势。社会人口特征、社会因素、幸福感和心理困扰都与孤独感有关。这些研究结果更新了以往的研究结果，表明欧洲地区之间的孤独趋势和差异可以更好地用心理困扰的差异来解释。

引用次数: 0

The impact of COVID-19 on physical activity and mental health: A mixed-methods approach COVID-19 对体育活动和心理健康的影响：混合方法

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-15 DOI: 10.1177/13591053241275599

Wai Tung Hung, Vaughan Bell, Keri Ka-Yee Wong

This mixed-methods study investigated how and why physical activity (PA), anxiety, depression and self-perceived loneliness are related, and the feasibility of social prescribing (SP). Whilst SP may involve PA with broader effects on health and wellbeing, there is little research exploring perceptions of this intervention. Data from the UCL-Penn Global COVID Study wave 1 (17 April–17 July 2020, N = 1037) were analysed. Twenty-one UK adults who self-identified as low ( n = 15) and high ( n = 6) on PA at wave 1 were interviewed at wave 4 (18 March–1 August 2022). At wave 1, depression was associated with higher odds of low-PA (OR = 1.05; 95% CI 1.01–1.10, p = 0.02). Both high/low-PA groups cited the threat of contracting COVID-19, general impacts of COVID-19 policies and heightened awareness of the mind-body connection. Five recommendations are made to address challenges in engaging with SP.

这项混合方法研究调查了体育锻炼（PA）、焦虑、抑郁和自我感觉孤独之间的关系和原因，以及社会处方（SP）的可行性。虽然社会处方可能涉及对健康和幸福有更广泛影响的体育锻炼，但很少有研究探讨人们对这种干预措施的看法。我们分析了 UCL-Penn 全球 COVID 研究第 1 波（2020 年 4 月 17 日至 7 月 17 日，N = 1037）的数据。在第 4 波（2022 年 3 月 18 日至 8 月 1 日）研究中，21 名英国成年人接受了访谈，他们在第 1 波研究中自我认同为 PA 低（15 人）和 PA 高（6 人）。在第 1 次调查时，抑郁症与低活动量的较高几率相关（OR = 1.05；95% CI 1.01-1.10，p = 0.02）。高/低 PA 组都提到了感染 COVID-19 的威胁、COVID-19 政策的总体影响以及对身心联系的进一步认识。本报告提出了五项建议，以应对在参与 SP 方面遇到的挑战。

引用次数: 0

The influence of gender and body satisfaction on attentional bias among young adults in Hong Kong: An eye-tracking study 性别和身体满意度对香港年轻人注意力偏差的影响：眼动追踪研究

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-15 DOI: 10.1177/13591053241278509

Tina L Rochelle, Xiuyan Huang

The present study examined gender differences in attentional bias of body images. Using an experimental design, 58 young adults aged 18–29 years ( Mage = 20.53) completed self-report measures of body satisfaction, eating pathology and trait appearance comparison before viewing whole body images of thin/muscular and large men/women through an eye tracker. After viewing the images, participants completed self-report measures of body satisfaction and state appearance comparison, BMI was also recorded. Results revealed that higher BMI was associated with reduced body satisfaction. Problematic eating attitudes were associated with greater engagement in appearance comparison, which was linked to lower levels of body satisfaction. Exposure to idealised body images negatively impacted individuals with lower body satisfaction leading to lower levels of body satisfaction post-experiment. Findings provide support for the positive association between body dissatisfaction and attentional bias to idealised bodies in both women and men in a Chinese context.

本研究探讨了身体形象注意偏差的性别差异。58 名年龄在 18-29 岁之间的年轻人（平均年龄为 20.53 岁）采用实验设计，在通过眼动仪观看瘦弱/肌肉发达和高大的男性/女性的全身图像之前，完成了身体满意度、饮食病理学和特质外观比较的自我报告测量。观看完图片后，参与者完成了身体满意度和状态外观对比的自我报告测量，体重指数也被记录下来。结果显示，体重指数越高，身体满意度越低。有问题的饮食态度与更多的外貌比较有关，而外貌比较与较低的身体满意度有关。接触理想化的身体形象会对身体满意度较低的个体产生负面影响，导致实验后身体满意度较低。研究结果为中国女性和男性的身体不满意度与对理想化身体的注意偏差之间的正相关提供了支持。

引用次数: 0

Adverse childhood experiences: A health risk in emerging adulthood 童年的不良经历：成年后的健康风险

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-14 DOI: 10.1177/13591053241275592

Katherine Quezada-Gaibor, Aitana Gomis-Pomares, Lidón Villanueva

Adverse Childhood Experiences (ACEs) represent a child’s exposure to negative events that are detrimental to their mental and physical health. Despite this, very few studies have focused on the relationship between ACEs and physical health problems, in non-English-speaking populations and in emerging adulthood. Therefore, the objective of this study was to investigate the cumulative and differential impact of ACEs on diverse physical health problems in a Spanish population. Participants were 648 young adults (22% men), between the ages of 18 and 30 (mean age = 21.37, SD = 3.11), who completed the ACE Questionnaire and answered some questions about their health (e.g. asthma, obesity, global health). From the cumulative perspective, ACEs had a significant relationship with global health and asthma. Additionally, the differential approach revealed some specific ACEs related to three out of five health outcomes. Therefore, early detection of ACEs is of paramount importance to reduce their impact.

童年不良经历（ACEs）是指儿童所经历的不利于其身心健康的负面事件。尽管如此，很少有研究关注 ACE 与身体健康问题之间的关系，尤其是在非英语国家人群和成年期。因此，本研究旨在调查西班牙人群中 ACE 对各种身体健康问题的累积和不同影响。研究对象为 648 名年龄在 18 岁至 30 岁之间的年轻人（22% 为男性）（平均年龄 = 21.37 岁，SD = 3.11），他们填写了 ACE 问卷，并回答了一些有关其健康状况（如哮喘、肥胖、全球健康）的问题。从累积的角度来看，ACE 与总体健康和哮喘有显著的关系。此外，差异法显示，一些特定的 ACE 与五项健康结果中的三项有关。因此，及早发现 ACE 对减少其影响至关重要。

引用次数: 0

Rationalising a spectrum of problematic exercise: A qualitative study 合理解释问题运动的范围：定性研究

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-14 DOI: 10.1177/13591053241274471

Kate Nicholls, Jane Ogden

Whilst a substantial body of evidence supports the benefits of exercise for physical and mental health, the overfocus on the benefits of exercise could result in harmful behaviours in some individuals. Conceptualised as a behavioural addiction, research often dichotomises the behaviour through a medical diagnostic model. The present qualitative study explored the meaning of problematic behaviour from the exerciser’s perspective. Nineteen UK-based frequent exercisers were interviewed regarding their experiences. Thematic analysis described three themes: ‘relentlessly pushing the limits’ of their personal best and comparing to others; ‘an enabling community’ which could promote problematic behaviours; and ‘the complexity of the ideal body’ focussing on perceptions of weight maintenance. Transcending these themes was the notion of ‘rationalising choices’. The results indicate that participants felt that the benefits outweighed the costs, encouraging them to continue, even when causing harm. These findings support the notion of problematic exercise as a continuum, rather than dichotomous.

虽然大量证据证明运动有益身心健康，但过度关注运动的益处可能会导致某些人产生有害行为。研究通常通过医学诊断模型，将运动成瘾概念化为一种行为成瘾，并将这种行为一分为二。本定性研究从锻炼者的角度探讨了问题行为的含义。研究人员就 19 名经常锻炼的英国人的经历进行了访谈。主题分析描述了三个主题："坚持不懈地挑战极限 "个人最好成绩并与他人进行比较；"有利的社区 "可能会助长问题行为；"理想身体的复杂性 "侧重于对体重保持的看法。超越这些主题的是 "合理化选择 "的概念。研究结果表明，参与者认为运动带来的好处大于付出的代价，这鼓励他们继续运动，即使会造成伤害。这些研究结果支持了有问题的运动是一个连续体而不是二分法的概念。

引用次数: 0

Attrition of older adults in web-based health interventions: Survival analysis within an observational cohort study 网络健康干预中老年人的流失：观察性队列研究中的生存分析

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-14 DOI: 10.1177/13591053241274097

Marian ZM Hurmuz-Bodde, Stephanie M Jansen-Kosterink, Hermie J Hermens, Lex van Velsen

To identify demographics and personal motivation types that predict dropping out of eHealth interventions among older adults. We conducted an observational cohort study. Participants completed a pre-test questionnaire and got access to an eHealth intervention, called Stranded, for 4 weeks. With survival and Cox-regression analyses, demographics and types of personal motivation were identified that affect drop-out. Ninety older adults started using Stranded. 45.6% participants continued their use for 4 weeks. 32.2% dropped out in the first week and 22.2% dropped out in the second or third week. The final multivariate Cox-regression model which predicts drop-out, consisted of the variables: perceived computer skills and level of external regulation. Predicting the chance of dropping out of an eHealth intervention is possible by using level of self-perceived computer skills and level of external regulation (externally controlled rewards or punishments direct behaviour). Anticipating to these factors can improve eHealth adoption.

目的：确定可预测老年人退出电子健康干预的人口统计学特征和个人动机类型。我们开展了一项观察性队列研究。参与者填写了一份测试前问卷，并接受了为期 4 周的名为 "搁浅"（Stranded）的电子健康干预。通过生存分析和考克斯回归分析，确定了影响退出的人口统计学因素和个人动机类型。90 名老年人开始使用 Stranded。45.6%的参与者持续使用了 4 周。32.2%的人在第一周退出，22.2%的人在第二周或第三周退出。预测退出的最终多元考克斯回归模型由以下变量组成：感知的计算机技能和外部调节水平。通过使用自我感觉的计算机技能水平和外部调节水平（外部控制的奖惩行为），可以预测退出电子健康干预的几率。对这些因素进行预测可以提高电子保健的采用率。

引用次数: 0

Reproductive identity of women undergoing IVF: An interpretative phenomenological analysis. 接受试管婴儿的妇女的生殖身份：解释现象学分析。

IF 3.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-11 DOI: 10.1177/13591053241274682

Ivana Janković,Miljana Spasić Šnele,Milica Mitrović,Nikola Ćirović,Mila Guberinić,Jelena Opsenica Kostić

This study investigated how women undergoing IVF make sense of themselves in the context of their reproductive experiences. Interviews were conducted with fourteen women aged 27-42. Interpretative phenomenological analysis was used. Four main themes emerged: Motherhood beyond all, Us and them, Changes in self-perception, My agency. The results are discussed in the context of reproductive identity. It has shown that being a mother is an identity the participants strongly strive for. Participants feel connected to women with whom they share the experience of dealing with infertility and different from those without such an experience. The specificity of their reproductive experience leads to changes in self-perception that can be interpreted as either impairment or growth. On their reproductive journey, they show their agency by undertaking a series of activities (control of thoughts, feelings, and body). Practical implications of the obtained results are discussed.

本研究调查了接受体外受精的女性如何在生育经历中认识自我。研究人员对 14 名年龄在 27-42 岁之间的女性进行了访谈。采用了解释性现象分析法。访谈中出现了四大主题：超越一切的母性、我们和她们、自我认知的改变、我的能动性。研究结果以生育身份为背景进行了讨论。结果表明，作为母亲是参与者强烈追求的身份。参与者觉得自己与那些有共同不孕经历的妇女有联系，与那些没有不孕经历的妇女有区别。她们生育经历的特殊性导致了自我认知的变化，这种变化既可以被解释为损伤，也可以被解释为成长。在生育过程中，她们通过开展一系列活动（控制思想、情感和身体）来显示自己的能动性。本文讨论了所得结果的实际意义。

引用次数: 0

Seeking professional help in health crises: The impact of cognitive factors, discrete emotions, and eHealth information seeking on mental health communication. 在健康危机中寻求专业帮助：认知因素、离散情绪和电子健康信息搜索对心理健康交流的影响。

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-09 DOI: 10.1177/13591053241274460

Yen-I Lee, Yang Cheng, Wen Zhao

A common challenge facing public health practitioners and communication scholars is how to best change perceptions and increase favorable attitudes and awareness of health recommendations, such as help-seeking about depression. Given the need to identify persuasive ways to communicate depression, this study examined how discrete emotions, cognition, and engaging eHealth information-seeking behavior affected US adults' intentions regarding help-seeking about depression. The results from an online survey of 1422 US adults revealed (1) elated emotion and loving emotion; (2) depression consciousness; (3) attitude toward seeking help from mental health services; and (4) eHealth information-seeking significantly predicted intention to seek help from professionals. In addition, depression consciousness, attitude toward seeking help from mental health services, and eHealth information-seeking acted as sequential mediators for the relationship between elated emotion, loving emotion, and behavioral intention. Implications for health communication and depression communication research and practice are discussed.

公共卫生从业人员和传播学者面临的一个共同挑战是，如何以最佳方式改变人们对健康建议的看法，并提高人们对健康建议的良好态度和认识，例如对抑郁症的求助。鉴于需要确定有说服力的抑郁症传播方式，本研究考察了离散情绪、认知和参与电子健康信息寻求行为如何影响美国成年人对抑郁症的求助意向。对 1422 名美国成年人的在线调查结果显示：（1）欣喜情绪和爱的情绪；（2）抑郁意识；（3）向心理健康服务机构求助的态度；（4）电子健康信息寻求行为显著预测了向专业人士求助的意向。此外，抑郁意识、向心理健康服务机构求助的态度和电子健康信息寻求是欣快情绪、关爱情绪和行为意向之间关系的顺序中介。本文探讨了健康传播和抑郁传播研究与实践的意义。

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引用次数: 0

Psychological profiles in patients receiving maintenance dialysis: Classification, correlates, and behavioral health outcomes. 接受维持性透析患者的心理状况：分类、相关因素和行为健康结果。

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology

Pub Date : 2024-09-09 DOI: 10.1177/13591053241277978

Ni Zhang, Yanru Chen, Jinmei Yin, Jiaxin Liu, Jinjie Liu, Jieling Chen

This study identified psychological profiles based on depressive symptoms, anxiety symptoms, positive affect, and posttraumatic growth in 298 patients receiving maintenance dialysis, and examined their relationships with self-management at baseline and 1-year follow-up. Five psychological response profiles were identified: well-being (42.95%), resilient (26.17%), moderate-distress-with-growth (17.79%), distressed (11.07%), and high-distress-with-growth (2.01%). Patients were more likely to be in the distressed profile if they were younger, had less social support, received peritoneal dialysis, and suffered from a greater symptom burden of kidney disease. The well-being profile showed better self-management behavior at baseline and 1-year follow-up. The distressed profile was associated with worse self-management at baseline and the resilient profile was associated with worse self-management at follow-up. The findings highlighted the beneficial role of positive psychological constructs in promoting self-management behavior, which implied that beyond eliminating psychological distress, it is important to facilitate positive psychological well-being.

本研究根据 298 名接受维持性透析的患者的抑郁症状、焦虑症状、积极情绪和创伤后成长，确定了他们的心理特征，并在基线和 1 年随访中考察了这些特征与自我管理的关系。结果发现了五种心理反应特征：幸福感（42.95%）、复原力（26.17%）、中度压力与成长（17.79%）、苦恼（11.07%）和高度压力与成长（2.01%）。如果患者年龄较轻、社会支持较少、接受腹膜透析、肾病症状较重，则更有可能处于痛苦状态。在基线和一年的随访中，幸福型患者的自我管理行为更佳。苦恼特征与基线自我管理较差有关，而复原特征与随访时自我管理较差有关。研究结果强调了积极心理结构在促进自我管理行为中的有益作用，这意味着除了消除心理困扰，促进积极的心理健康也很重要。

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