Journal of Health Psychology最新文献

Inflammatory Bowel Disease often causes abdominal pain, faecal urgency and a range of other symptoms, and is a common chronic disease among young people. Stoma surgery seeks to alleviate these symptoms, though complications often arise from surgery and many stoma patients experience various stigmas. Young people with chronic conditions are increasingly gathering online to share their experiences of illness. Given the rise in popularity of TikTok and its appeal to young people, this study explored how young ostomates with Inflammatory Bowel Disease and a stoma portray themselves on TikTok. Using thematic analysis, three themes were identified in which ostomates portrayed themselves as educators, warriors and reformers, providing education, support and guidance to the wider stoma community. These findings show that TikTok offers an innovative platform for ostomates' self-presentations and a novel space health professionals should harness to better support ostomates.

The current study examined the relationship between mothers' selfie-related behaviors and adolescents' cosmetic surgery consideration, as well as the mediating effects of the adolescents' selfie-related behaviors, body surveillance, and facial dissatisfaction. A total of 541 mother-child dyads with adolescents averaging 16.55 years old, was recruited. The path analysis revealed that mothers' selfie-related behaviors were not directly related to adolescents' consideration of cosmetic surgery, but the link was mediated by the adolescents' selfie-related behaviors, body surveillance, and facial dissatisfaction. Specifically, there was a mediating effect of adolescents' facial dissatisfaction, as well as serial mediating effects of adolescents' selfie-related behaviors and facial dissatisfaction, of adolescents' selfie-related behaviors and body surveillance, and of adolescents' selfie-related behaviors, body surveillance and facial dissatisfaction. Additionally, we did not find a significant gender difference in the model. These findings provide further insights into the association between a mother's selfie activities and adolescent children's cosmetic surgery consideration.

Young adults have long been leaders of social change, yet university student samples are often criticized for limits to generalizability. However, students may be a critical population to gather insight from to understand how they engage in activism and how their wellbeing is impacted by global conflict. We conducted two studies examining college students' perceptions of the Russian invasion of Ukraine and their activism at an urban Northeastern US university. In study one which included two waves of data collection (n = 44 at T1; n = 30 at T2), students reported increased anxiety related to the invasion which decreased over time, but not significantly. In study two, participants (n = 123) reported high levels of direct and indirect activism across a variety of social issues. Findings indicate that students were impacted by global conflict and engaged in social activism. University students provide valuable insight into global and social issues and should be considered as more than a convenience sample.

Breast cancer survivors often lack post-treatment psychological care options. Internet-delivered cognitive behavioural therapy (iCBT) has proven effective for depression and anxiety among survivors. Involving carers in iCBT can further encourage survivors and enhance the benefits they receive. This study explored survivors' experiences with iCBT and their perspectives on carer involvement. Fifteen participants were interviewed. Data were analysed using thematic content analysis. Most survivors found iCBT helpful, mentioning evidence-based approach, reminders, readiness for change, recognising benefits, and contributing to research as engagement facilitators. Suggestions included widespread availability of the programme and additional guidance on some tools. Reluctance to involve carers resulted from carers' unwillingness to discuss cancer, desire not to burden others, and the need for ownership over their recovery. Findings support iCBT's acceptability in addressing post-treatment depression and anxiety among survivors. Future research could explore alternative ways to involve carers, such as dedicated programmes, optional joint exercises, or brief interventions.

Health misinformation, defined as false or misleading claims lacking scientific evidence, poses a significant threat to public health. This paper investigates factors associated with the failure to discern misinformation, including health consciousness, information processing strategies, and inaccurate self-assessments of health literacy. Through an online experiment involving 707 English-speaking U.S. participants (mean age = 43 years, 56.2% female), we found that misinformation beliefs about nutrition, vaccination, vaping, and cancer were significantly correlated, implying susceptibility across health topics. Greater susceptibility was associated with higher health consciousness, lower objective health literacy, more elaboration, and more selective scanning. Results provided evidence for the Dunning-Kruger effect and metacognitive monitoring errors, whereby confident individuals were unaware of inadequate health literacy and showed poor misinformation identification. Findings suggest that promoting both health literacy education and cognitive reflection skills among the general adult population could empower them to more critically evaluate online health information.

This study was aimed to examine the moderated mediating effects of exercise self-efficacy and fear of movement on the relationship between fatigue and quality of life in patients with heart failure. A total of 305 patients with heart failure were enrolled in this cross-sectional study. The results showed that fear of movement significantly mediated the relationship between fatigue and quality of life, indicating that relieving fear of movement may be beneficial to improve quality of life. Furthermore, exercise self-efficacy negatively moderated the mediating effect of fear of movement on the relationship between fatigue and physical health-related quality of life. It is suggesting that improving exercise self-efficacy may provide opportunities to buffer the negative effect of fear of movement on physical health-related quality of life in patients with heart failure, especially for those with fatigue. The findings provide additional strategies to optimize quality of life management in patients with heart failure.

Despite significant advances in long COVID research, many aspects of the condition remain unknown. There is a persisting need for further research to improve the management of long COVID symptoms. This study aimed to explore the experiences and psychological needs of patients who were previously hospitalised with COVID-19, and who subsequently developed long COVID symptoms. Twelve patients with long COVID were interviewed between October 2021 and June 2022. Transcripts were analysed thematically. An overarching theme of 'Existential Crisis' was developed, incorporating three interconnecting sub-themes: 'Facing Psychological Threat', 'Seeking Legitimisation' and 'Forging a Path Through Uncertainty'. Findings suggest that the psychological impact of emergency hospitalisation for COVID-19 can be severe, particularly for those with ongoing long COVID symptoms, and that early psychological intervention should be available. Our findings also suggest the importance of further planning for future pandemics to ensure the presence of patient advocates during hospitalisation at points of critical decision-making.

Social prescribing is a healthcare model designed to reduce loneliness and improve individuals' health by addressing unmet social needs. The present study adopted the Social Cure framework to provide an understanding of the psychosocial processes involved in helping participants to engage with social activities, from both the link workers' and clients' perspectives. Semi-structured interviews were conducted with 15 link workers (M_age = 40.12; 87% female) and 15 clients (M_age = 55.33; 73% female, 7% non-binary) of social prescribing programmes across Australia and the transcripts were analysed using reflexive thematic analysis. Three overarching themes were identified: (1) Breaking Down Barriers, (2) Finding Fit with Others, and (3) Rebuilding a Sense of Self. These findings communicate how social prescribing addressed the psychosocial barriers of clients, and how joining groups that fostered positive shared social identities resulted in meaningful improvements to clients' well-being.

This focus group study explored the needs, preferences and beliefs of adults with seasonal allergic rhinitis regarding their self-management practices, and related information use and needs. Four focus groups were held, two online and two on location. The 20 participants (11 women); M_age = 39.0 years (range: 21-56 years) were reluctant to identify themselves as patients, trivializing their complaints while avoiding being confronted too much with their condition. Participants often expressed low trust in the effectiveness of medication and the ability of healthcare to alleviate their complaints. This resulted in relatively low openness to information such as personalized pollen predictions. Findings were synthesized under three interrelated themes: 'Being ill, but not a patient: it's bad, but you learn to live with it', 'Individual search for what does or doesn't work' and 'Information needs and sources'. Implications for communication supportive of self-management practices for seasonal allergic rhinitis are discussed.

Using a qualitative design, we explored how life transitions influence Danish adults' physical activity beliefs and behaviour adopting the Theory of Planned Behaviour as a guiding framework. Life story interviews with 42 participants revealed 6 salient life transition periods which affected physical activity behaviour, either in a disruptive way resulting in decreased activity levels or in a facilitative manner, providing opportunities for increased activity engagement. The identified life transition periods uniquely influenced individuals' attitudes, subjective norms and perceived behavioural control (PBC) beliefs, thus affecting motivations toward physical activity. Specifically, starting primary school or a career, forming a romantic relationship, and having a child primarily shaped subjective norm and PBC, while leaving home was especially influential on PBC and retirement on attitudes and PBC. Consistent themes across the transition periods included time constraints and opportunities to be active, supportive social contexts, access to facilities and having a need to be active.