Journal of Health Psychology最新文献

This study aimed to explore the parallel mediating effects of social support and family functioning in the relationship between social network and depressive symptoms in patients with heart failure. A cross-sectional study was conducted on 282 patients with heart failure. Validated self-report measurements were used to assess social network, social support, family functioning, and depressive symptoms. Parallel multiple mediation models were tested using the PROCESS macro in SPSS. The parallel mediation analysis indicated that social network exerted a significant direct effect on depressive symptoms, and had two indirect effects on depression symptoms via social support and family functioning. This study revealed potential mechanisms by which social network affects depressive symptoms through two novel mediators, that is, social support and family functioning. Findings suggest that enhancing social support and promoting family functioning may help to alleviate depressive symptoms in patients with heart failure, especially among those with a smaller social network.

The aim of this study is to investigate the level of intolerance of uncertainty experienced by earthquake victims due to earthquake fear, doomscrolling and anxiety approximately 1 year after the 2023 Kahramanmaraş earthquake. A total of 255 Turkish University students (83.9% female, M_age = 21.81 years, SD = 3.81) completed self-report questionnaires on earthquake fear, doomscrolling, anxiety and intolerance of uncertainty. Data collection was carried out in two waves 6 months intervals. The results showed that doomscrolling and anxiety were serial mediators in the relationship between earthquake fear and intolerance of uncertainty, and earthquake fear affected intolerance of uncertainty through three mediation pathways. Interventions aimed at making earthquake fear controllable may also be effective in reducing the risk of intolerance of uncertainty. Finally, the effect of doomscrolling and anxiety on the development of intolerance to uncertainty after a disaster should also be considered in practice as a clinical implication.

This study translated and validated the Traditional Chinese (Taiwan) version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Spiritual Well-Being 32 (EORTC QLQ-SWB32) for older adults with chronic illnesses and examined factors influencing SWB. A cross-sectional study recruited 292 participants. The scale demonstrated good internal consistency (overall Cronbach's α = 0.87), with subdomain Cronbach's α ranging from 0.77 to 0.87, and acceptable test-retest reliability (intraclass correlation coefficient = 0.76). Exploratory and confirmatory factor analyses confirmed consistency of the domain structure with the original version, supporting its construct validity. Multiple regression analyses showed that demographic characteristics, chronic disease status, and health-related quality of life (HRQoL) significantly influenced SWB (R² = 21.6%-41.0%), with the Existential domain most affected. Religious belief, higher education levels, and employment-based income may be potential independent protective factors for SWB, whereas stroke, anxiety/depression, and pain/discomfort may be potential risk factors.

This study explores midwives' perceptions of bereavement care for women experiencing perinatal loss through metaphor analysis. Perinatal loss is a traumatic event that also affects midwives emotionally and professionally, yet their experiences remain underexplored. Data were collected via an online semi-structured form from Turkish midwives who had previously cared for bereaved women. Using metaphorical expressions, participants conveyed emotional, cognitive, and professional reflections on bereavement care. Metaphors were identified, coded, and grouped into overarching themes. Three themes emerged: Supportive and Positive Role, Emotional Approach, and Challenges and Negatives. Midwives often saw themselves as emotional guides and caregivers, while also reporting burnout, helplessness, and fatigue. These findings highlight the emotional demands placed on midwives and the need for institutional support, training, and standardized guidelines. The study contributes to the limited literature on bereavement midwifery in Turkey and calls for cross-cultural research to advance global understanding of perinatal grief care.

Health-seeking behavior is a sequence of actions taken to promote health and prevent disease. This study aims to investigate health-seeking behavior among the communities in Hosanna town, Central Ethiopia Region. We used a cross-sectional study among (n = 443) communities in Hosanna town. The health-seeking behavior of study participants was assessed using the mean score of each dimension (health promotion and disease prevention activities) as a cut-off value. Having a score below the mean on each target dimension was equated with having a low level of health-seeking behavior. Eighty-five percent (85.4%) of participants had a low level of health-seeking behavior. Males (AOR: 1.8; CI 1.03-3.42), widowed participants (AOR: 4.8; CI 2.1-17.1), and those who had not attended formal education were more likely to have low health-seeking behavior (AOR: 4.5; CI 1.16-17.8). The study revealed low health-seeking behavior among study participants, and the finding implies the need for urgent intervention.

Abortion stigma varies across sociocultural contexts and is shaped by factors such as education, socioeconomic status, religious beliefs, and gender norms. Data were collected through face-to-face surveys with 384 adults (aged 18-65) attending family health centers in three central districts of a metropolitan city in Türkiye. Inclusion criteria were being between 18 and 65 years old and providing informed consent. Data were collected using a structured questionnaire that included the abortion stigma scale and sociodemographic variables. Parametric tests (t-tests, ANOVA, and chi-square tests) were applied to examine group differences and associations. Findings indicate that abortion stigma was higher among individuals with lower levels of education and socioeconomic status, as well as those from conservative or religious backgrounds. Additionally, participants with more children reported higher levels of stigma. These results highlight the importance of accessible reproductive health services and implementing educational efforts to reduce stigma, particularly in conservative settings.

Postpartum depression (PPD) may adversely affect breastfeeding self-efficacy, yet the underlying mechanisms remain unclear. This study explored whether self-compassion mediates the relationship between PPD and breastfeeding self-efficacy among Turkish women. An expert model was developed based on validated scales: the Self-Compassion Scale, the Edinburgh Postpartum Depression Scale, and the Postnatal Breastfeeding Self-Efficacy Scale-Short Form. In this cross-sectional study, 236 women (mean age: 28.71, SD = 6.16) were surveyed. Results showed that depression was negatively associated with self-compassion (β = -0.474, p < 0.001), and self-compassion was positively associated with breastfeeding self-efficacy (β = 0.785, p < 0.001). Mediation analysis indicated that self-compassion partially mediated the link between PPD and breastfeeding self-efficacy, with a significant indirect effect (-0.586, -0.209). Depression also had a direct negative effect on breastfeeding self-efficacy (β = -0.484, p < 0.001). These findings suggest that fostering self-compassion may enhance maternal mental health and breastfeeding outcomes.

Diabetes resilience is key to adolescents' effective type 1 diabetes management. This descriptive, cross-sectional study examined the relationships between diabetes resilience scores and behavioral and health indicators and individual and family factors in 202 older adolescents (aged 14-18 years) with type 1 diabetes presenting to a pediatric endocrinology outpatient clinic and ward in Türkiye. Data were collected using a background information form and the Diabetes Strengths and Resilience Measure for Adolescents with Type 1 Diabetes (DSTAR-Teen). Higher DSTAR-Teen scores were associated with higher maternal education level, absence of sibling diabetes, shorter diabetes duration, at least four blood glucose self-checks daily, and three or fewer hyperglycemic episodes in the last month (p < 0.05). DSTAR-Teen scores negatively correlated with HbA1c (p = 0.001) and postprandial blood glucose levels (p < 0.05). Understanding the factors associated with diabetes resilience in adolescents with type 1 diabetes may enable the development of targeted interventions to support diabetes management.

Autoimmune inflammatory rheumatic diseases (AIRDs) pose significant challenges due to persistent symptoms, such as pain, fatigue, and psychological distress (i.e. anxiety and depression). Limited research examined the relationship between psychological distress and rumination, compassion, and pain intensity. Therefore, grounded in social mentality theory, this cross-sectional study examined these relationships in 105 patients (72% women, mean age = 54.1) with rheumatoid arthritis, psoriatic arthritis, or axial spondyloarthritis. Hierarchical regression analysis showed rumination as the strongest predictor of distress, followed by pain intensity. Compassion from others was an independent protective factor. Self-compassion also contributed to reduced distress, but it was no longer significant when controlling for compassion from others. These findings emphasize the detrimental roles of rumination and pain, and the protective role of compassionate social support in psychological distress. Addressing rumination and fostering compassion through interventions, such as Compassion-Focused Therapy, may improve psychological outcomes in AIRDs patients.

Cervical screening rates in the UK are declining. While previous research has identified barriers to screening uptake, less is known about why many women attend cervical screening despite these barriers. This qualitative study explores factors influencing cervical screening decision-making. Through reflexive thematic analysis of semi-structured interviews (n = 44), two overall themes were developed: Perceived purpose of Screening and Experience of Screening. The analysis indicates that beliefs are central to decision-making and relate to individual meaning-making in relation to knowledge and information. The same information may be interpreted differently by different women and therefore impact cervical screening decision-making in different ways. Women associate cervical screening with pain, embarrassment and potential violation, but many choose to attend despite this. Trust, person-centred care and continuity of care are important for mitigating these negative perceptions and experiences. Implications of findings are discussed and include moving beyond knowledge-based public health interventions for enhancing cervical screening uptake.