Journal of Health Psychology最新文献

In this randomized controlled trial, we investigated the efficacy of the digital cognitive behavioral therapy-based program lancivis in improving quality of life (QoL), cancer-related fatigue, distress symptoms and fear of cancer progression in N = 604 cancer patients and survivors in Germany. Participants in the intervention group (IG; n = 304) used lancivis alongside treatment as usual (TAU) while participants in the control group (CG; n = 300) received TAU only. Intent-to-treat (ITT) analyses revealed significant improvements in fatigue in the IG compared to the CG after 3 months (T1; Cohen's d: 0.29) and 6 months (T2; Cohen's d: 0.31). Participants in the IG reported also significantly lower fear of cancer progression than the CG at T1 and T2 and lower levels of distress symptoms at T2. No between group differences were found for health-related QoL. Results suggest that lancivis may present a beneficial addition to psycho-oncological care services.

This study explored the relationship between nature deficit and abnormal eating behaviors among adolescents, with a focus on the role of anxiety, and utilized the three good things in nature (3GTiN) paradigm as an intervention strategy. Study 1 surveyed 608 adolescents (346 boys; M_age = 13.55, from 12 to 18 years old) to examine the relationships among nature deficit, anxiety, and abnormal eating behaviors. Study 2 employed a 2 × 3 mixed experimental design with 79 10th-grade students (54 boys; M_age = 15.35) participating to assess the effectiveness of the 3GTiN paradigm. Results indicated that nature deficit is positively associated with abnormal eating behaviors, mediated by anxiety. Moreover, the 3GTiN paradigm effectively reduces anxiety and abnormal eating behavior and mitigates the further deterioration of nature deficit. These findings provide evidence that nature deficit contributes to anxiety and abnormal eating behaviors in adolescents and suggest that nature-based interventions like 3GTiN can improve adolescent mental health and behavior.

Delay discounting (DD) is associated with smoking behavior and relapses. Episodic future thinking (EFT) is one of the leading interventions shown to reduce DD. The 1-month follow-up study with 60 participants that employed EFT as active intervention and episodic recent thinking (ERT) as control intervention was conducted in participants receiving smoking cessation treatment. In EFT group, there was significant decrease in DD rates from pre-intervention to post-intervention (p = 0.009), whereas no significant change was observed in ERT group (p = 0.497). DD rates in EFT group did not change significantly over 1 month (p = 0.059), while decrease was detected in ERT group (p = 0.011). Smoking cessation rates between groups were similar (p = 0.486). Adherence with completing follow-up evaluation forms and performing relevant exercises was higher in EFT group (p = 0.038, p = 0.006). Adding EFT to usual smoking cessation treatment did not increase smoking cessation rates, however feasibility of the self-administered exercises needs to be improved to clarify clinical effects.

This research examined the relation between health anxiety and death anxiety. The mediating role of cyberchondria and the moderating role of social aspirations were also explored. The sample included 405 participants, 67% women, between 18 and 38 years old (M_age = 21.12, SD = 3.32). Two dimensions of health anxiety (the likelihood of an illness and severity of an illness) had a significant positive relation with death anxiety. Cyberchondria had a positive relation with death anxiety, while motivation for a high social class had a non-significant relation with death anxiety. Further, cyberchondria mediated the relation between health anxiety and death anxiety. Moreover, when motivation for social class was high, high body vigilance was associated with a low level of death anxiety. The implications of the obtained results for the relief of death anxiety, when the participants present health anxiety and cyberchondria, are discussed, taking into account the level of social aspirations.

This study explored wishes, conflicts, beneficial, and wished support of informal caregivers (ICGs) providing care to a palliative ill close other. We interviewed five current and 15 bereaved ICGs (25-75 years), and used thematic analyses. ICGs wished to continue life as normal as possible, spend time together and with their family, comfort their close other, and continue own activities. Caregivers experienced conflicts in balancing caregiving and own activities, quality time with each other and social contacts, the level of professional or informal support preferred, and in their shifting role from partner/child to nurse. ICGs experienced practical support, being heard, and good professional support as helpful. An overview of available support options, one contact for administrative issues, and an environment that pays attention to ICGs' wellbeing could make caregiving easier. Formal carers and digital tools can support caregivers in balancing wishes and boundaries with the requests of caregiving to decrease conflicts.

Rumination disorder (RD) is characterized by the persistent, recurrent, and effortless regurgitation of swallowed food back into the mouth. it is associated with various illnesses. RD is frequently misdiagnosed or ignored; this causes patients to have persistent discomfort and spend extended periods without therapy. Numerous attempts have been made to create and enhance psychotherapy interventions to lessen the symptoms of rumination, but the answer is still unknown. Thus, this scoping review was conducted to assess the efficacy of psychotherapy treatments in reducing symptoms of rumination disorder. A total of 27 studies that met the eligibility criteria found that psychotherapy treatments were effective in reducing rumination symptoms. CBT was the most commonly used type of therapy, followed by COMET, MBCT, ACT, rTMS, TDCS, and DBT. Psychotherapy is a contemporary therapeutic approach that has been recognized as an effective way to provide long-term positive results for people with RD.

Intermittent fasting (IF) is a popular health regimen for weight loss and overall health. Yet, potential negative side effects on cognition and mood could hinder its adoption. Such side effects, however, have so far only been studied in short term exposures to IF. We tested whether fasting impairs cognitive performance and mood when adapting to 16-hour, breakfast-skipping IF over 10 days in a randomised, waitlist-controlled trial (N = 122). Cognitive performance was repeatedly assessed online via standardised psychological tasks and subjective concentration and mood measured twice daily via smartphone questionnaires. Bayesian multi-level modelling revealed that fasting participants did not have lower cognitive performance or mood compared to control participants. However, participants felt less concentrated while fasting before noon, compared to after breaking the fast in the afternoon. Thus, 16-hour IF does not cause cognitive performance or mood deficits, removing a potential concern in its use as a health intervention.

This longitudinal cohort study explored resilience in adolescents with and without acne regarding development of depressive symptoms and suicidal ideation, and investigated the contribution of risk/protective factors. Participants were n = 482 13- to 17-years-olds from the Lifelines Cohort Study. Data were collected at three times (2007-2023). Two group-based trajectory models were fitted. Factors across social and built environments (family functioning, parental rearing, air quality) were accounted for using regression models. All variables except air quality used self-report measures. Two trajectories of suicidal ideation were identified: 'Low' (n = 456); and 'Early Adult Peak' (n = 26). Two trajectories of depressive symptoms were identified: 'Low' (n = 421); and 'Elevated' (n = 61). Regarding risk/protective factors, higher acne severity increased odds of membership in the 'Early Adult Peak' trajectory. Findings suggest that severe acne exposure in adolescence may increase risks of experiencing suicidal ideation during the transition to adulthood. Implications involve treating youth with acne, particularly severe cases, with a psychodermatological approach.

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.

Fear of recurrence (FoR) is common among breast cancer survivors (BCS). We sought to understand BCS' cognitive behavioral therapy (CBT) and health management content (HMC) intervention component experiences, to aid interpretation of previous findings, and inform future research. HMC comprised health-related content, including managing comorbidities and nutritional information. BCS with elevated FoR were randomized to CBT components (vs HMC) over 4 weeks. Post-participation interviews and additional data from FoRtitude BCS (N = 101) were analyzed. BCS were on average 55 years old (range 26-76 years), White (96%), non-Hispanic (93%), and diagnosed with early-stage breast cancer (87%). Analysis identified four themes: increased self-efficacy, including immediate access and interaction, managing emotional arousal, managing perceived risk of recurrence, and opportunities for future FoRtitude refinements. CBT and HMC play mechanistically distinct yet complementary roles in reducing FoR through increased self-efficacy supported by emotion- and problem-focused coping. Combining such content may be advantageous for reducing BCS' FoR.Clinicaltrials.gov: link, NCT03384992.