Journal of Health Psychology最新文献

The health benefits of meditation are well-documented, yet people struggle to practice regularly. Domain-specific self-efficacy is an important modifiable driver of health behavior change that is poorly understood in the meditation context. As such, the present study developed the Self-Efficacy for Regular Meditation Practice Scale (SERMS) assessing confidence in one's capacity to meditate frequently and in a way that favorably impacts well-being, including securing the psychological, social, and structural supports needed for ongoing practice. Participants provided online survey data at baseline and 1-week follow-up. Exploratory factor analyses were conducted (n = 249) followed by confirmatory factor analysis (n = 249). A three-factor structure best fit the data, with subscales measuring self-efficacy to benefit from meditation, persist in meditation, and obtain teacher and community support. Validity and test-retest reliability coefficients supported the SERMS as a promising measure of self-efficacy for meditation that may further research on meditation behavior adoption.

This study validates the Turkish version of the Attitudes Toward Face Mask Use Scale (ATFMUS). This scale is crucial for understanding public attitudes toward mask usage in preventing the transmission of infectious diseases. The research was conducted between September 2023 and February 2024 with 530 students from a foundation university's health sciences faculty. The study assessed the scale's language equivalence, content validity, and factor structure through exploratory and confirmatory factor analyses. Reliability was examined via item-total correlations, Cronbach's alpha coefficient, and test-retest reliability, indicating satisfactory internal consistency and stability over time. The results confirm the Turkish ATFMUS's validity and reliability in measuring attitudes toward mask usage. This offers essential insights for formulating preventive initiatives within Turkish communities.

Collusions, interpersonal phenomena with an impact on patients, significant others, clinicians, and care, are mainly described in the psychotherapeutic literature but also occur in the medical setting. Comprehended as an unconscious bond between two or more persons from a psychotherapeutic perspective, definitions and collusive situations described in the medical setting vary. The question arises whether medical collusions, compared to collusions occurring in the psychiatric setting emerge in different clinical situations or are not identified as transference-countertransference experiences, since there is less sensitivity for the unconscious dimensions of care. We systematically reviewed the medical literature on collusions. Even though a read threat, avoidance of unpleasant feelings (mainly anxiety), runs through the described collusions, the unconscious dimensions and associated defensive maneuvers are rarely evoked. Given the expressed desire to act on collusions in medicine, involving third-party psychiatric liaison clinicians, who supervise clinicians, and hereby help to disentangle collusions, could be beneficial.

Subjective social status (SSS), the perception of one's social standing compared to others in society, and socioeconomic status (SES) are interconnected but distinct determinants of health. Intermediary factors such as distress and health behaviors can contribute to this relationship. This pre-registered study hypothesized that, in the early months of the COVID-19 pandemic, nonspecific psychological distress would indirectly link SSS and SES to perceived changes in three health behaviors: sleep quality, physical activity, and alcohol consumption. Data from 412 US adults were collected from April to June 2020 through an online cross-sectional survey. Findings indicated that lower SSS was indirectly associated with lower current sleep quality, worsened sleep quality, and decreased physical activity since the pandemic onset via greater psychological distress. Path analyses controlled for age, gender, race, COVID-19-related worry, and shelter-in-place status. Results are discussed in light of findings from COVID-19 research and the broader literature on SES health disparities.

As most women now reaching the age for cervical cancer screening (24.5 years old) in the UK will be HPV vaccinated, their current perspectives on screening can inform effective interventions to increase screening uptake (and thus, early detection). Twenty-four interviews were conducted with women aged 24-30 years old to explore their views on cervical cancer screening (n = 12 attendees and n = 12 non-attendees). Reflexive thematic analysis generated six themes that were then mapped onto the COM-B model. Reflective motivations (e.g. reassurance) were key facilitators to screening attendance for both groups. Social opportunities (e.g. open communication) contrasted between the groups, with attendees more likely to have discussed screening with friends. Automatic motivations (e.g. embarrassment) were key barriers to attending screening in both groups. Notably, HPV vaccination did not factor into the decision to attend screening. Interventions to increase screening uptake may target motivational and social factors.

The demands of motherhood have been shown to negatively impact physical activity (PA) engagement. Participants in a larger PA-based study in British Columbia, Canada were invited to participate in this sub study. Forty-eight photos and descriptions were provided by 9 participants with infants 3-7 months of age. Photos depicted challenges with PA, PA self-efficacy, body image and self-compassion in motherhood. We noted four themes that reflected the complex and gendered nature of postpartum PA engagement. First, gendered expectations of motherhood placed demands on time and space for PA engagement. Second, how mothers felt about their bodies both positively and negatively impacted their sense of self and PA engagement. Third, moments of self-compassion illustrated how navigating feelings of self-compassion about PA was messy. Fourth, PA self-efficacy was essential and required reimagining PA within the constraints of motherhood. In conclusion, PA postpartum is complex and impacted by broader concepts related to the expected duties of motherhood.

Fatalism is one of the variables associated with disease management. This descriptive-correlational study aimed to determine the level of fatalism in women with gestational diabetes mellitus (GDM) and its relationship with diabetes self-management and perception of risk to maternal and fetal health in pregnancy. The study included 531 pregnant women. The data were collected using a pregnancy information form, the Fatalism Scale, the Perception of Pregnancy Risk Questionnaire, and the Diabetes Self-Management Questionnaire. Fatalism explained 25% of the total variance on risk perception in pregnancy and 7% of the total variance on diabetes self-management. Fatalism had a fully mediating role in the effect of risk perception in pregnancy on diabetes self-management. It is important for health professionals to evaluate the effects of women's perceptions of fatalism on their health behaviors in order to maintain a healthy pregnancy process.

Large-scale events like natural disasters and epidemics can have significant impacts on individuals' mental health worldwide. Thus, it is crucial to examine the psychological effects of such events on people. This study aimed to investigate the relationship between self-compassion, death distress, doomscrolling, and resilience, among individuals affected by earthquakes. A total of 364 Turkish adults affected by the earthquakes that occurred in Türkiye on February 6, 2023, participated in the study. Structural equation modeling was utilized to explore the mediating roles of doomscrolling and resilience in the association between self-compassion and death distress. The results of the structural equation modeling indicated that both doomscrolling and resilience mediated the relationship between self-compassion and death distress in earthquake-affected individuals. These findings contribute to understanding the interplay between self-compassion, death distress, doomscrolling, and resilience in the context of earthquakes and are expected to inform future research endeavors.

Nudging is a subtle behavioral intervention that has been successful in various domains such as healthy eating and energy conservation, yet its application in mental health remains underexplored. This study examines the effect of nudging to increase engagement with online mental health resources in a university setting. We assigned 2539 first-year undergraduate and graduate students in China to either a nudging group, which received course information augmented with behavioral cues (including framing effects and social norms), or a control group, which received only basic course information. Outcomes measured included self-reported willingness to enroll, willingness to recommend enrollment, and actual enrollment actions. Results indicated that students in the nudging group demonstrated significantly higher engagement levels than those in the control group across all metrics. These findings suggest the potential of nudging strategies to effectively enhance college students' participation in online mental health education.

Although insomnia symptoms is a common public health issue, few studies pay attention to insomnia symptoms among emerging workers in the digital economy. In this study, a total of 1093 emerging workers were recruited. Latent profile analysis was used to investigate the heterogeneity profiles and the relationship between job characteristics and these profiles. Additionally, core symptoms of insomnia were explored through network analysis. Latent profile analysis identified four insomnia profiles: severe insomnia without daytime dysfunction (8.8%), good sleepers (39.6%), mild insomnia (41.7%), and moderate to severe insomnia (9.9%). Job characteristics (e.g. daily working duration, intensity, and performance measurement system) significantly affected the profiles. Network analysis revealed that four profiles had similar network structures, but the edge and strength were varied. The implication for preventing and intervening insomnia symptoms for emerging workers in the digital economy has been discussed.