Journal of Health Psychology最新文献

The relationship between socioeconomic status (SES) and time poverty remains poorly understood, particularly how financial and temporal resources jointly shape outcomes. Drawing on data from 9830 participants in the 2020 China Family Panel Studies, this study used latent profile analysis to identify SES-time usage profiles and examine differences in health and well-being outcomes. Four distinct subgroups emerged: Low Income-Short Working Hours (Income Poverty, 12.0%), Middle Income-Long Working Hours (Time Poverty, 41.7%), Low Income-Long Working Hours (Double Poverty, 4.5%), and High Income-Appropriate Working Hours (Balance, 41.9%). Results revealed systematic differences across profiles. The Balance group consistently exhibited optimal outcomes across almost all measured domains, while the Double Poverty group demonstrated the worst. Notably, temporal scarcity may be more detrimental to well-being than financial resources for individuals who have overcome absolute economic poverty. These findings clarify the interplay between socioeconomic resources and time allocation, providing evidence for targeted interventions to enhance well-being.

This paper reports two prospective studies using psychological network analysis to explore how couples adapt to cardiovascular disease. Study 1 examined the relationships among three illness perceptions (i.e., illness acceptance, helplessness, and benefit-finding) and symptoms of anxiety and depression in 75 couples. Study 2 examined the interconnections among three other illness perceptions (i.e., personal control, treatment control, and illness consequences) and physical and psychological well-being in 104 couples. The findings show that patient and partner illness perceptions are strongly interrelated, while patient and partner well-being are also closely connected. Patient and spouse illness perceptions were linked to well-being through a rich network of direct and indirect connections. Central variables involved a sense of control and the emotional impact of illness. The findings provide a more comprehensive understanding of dyadic adaptation to illness and identify key factors/processes that could support improved adaptation for both patients and their partners.

This cross-sectional study aimed to identify latent categories of exercise self-efficacy among young and middle-aged patients with Crohn's disease and to analyze the factors associated with these profiles. A total of 332 young and middle-aged patients with Crohn's disease were recruited for the study at a hospital in China. Latent profile analysis revealed three distinct categories of exercise self-efficacy: the low efficacy group (19.9%), the moderate efficacy group (49.1%), and the high efficacy group (31.0%). Significant predictors of the latent categories of exercise self-efficacy included occupation, disease duration, self-reported economic pressure, family support level, and illness perception. Healthcare providers should implement tailored promotion strategies that align with the specific exercise self-efficacy profiles of these patients to enhance their intrinsic motivation for exercise training and improve their exercise efficacy levels.

Network analysis provides a novel approach to examining associations among mental health symptoms. This study explored the network structure of depression and anxiety symptoms and their relationship with psychological help-seeking delay among Chinese university students. 823 students completed the 20-item General Health Questionnaire and the Help-Seeking Delay Scale. Centrality and bridge centrality indices identified central and bridge symptoms, and stability was assessed via case-dropping bootstrap. Overwhelm, Restless and tension, and Mental strain were the most central symptoms. Perceiving life-as-battle (GHQ-D6) and feeling overwhelmed (GHQ-A5) emerged as key bridge symptoms. Irritability affects sleep (GHQ-A2), Overwhelm (GHQ-A5), and Mental strain (GHQ-A4) were strongly associated with delayed help-seeking. These findings suggest that anxiety-related symptoms, particularly Overwhelm, may be critical intervention targets for students with comorbid depression and anxiety. From a network perspective, anxiety symptoms may play a relatively stronger role than depressive symptoms in understanding psychological help-seeking delays in university populations.

In the digital era, people with multiple sclerosis (MS) turn to platforms like YouTube (YT) for information and support, where diverse illness narratives intersect. Evidence suggests that men with MS, an underrepresented population subject to critical experiences of disability, particularly go online to gain agency, connectedness, and reshape their present and future identity with illness. However, little is known about the narratives conveyed in staged MS experiences on YT, and, to our knowledge, no studies have examined how men use this platform to communicate about the disease. This study explores such content to analyze how men with relapsing-remitting MS construct and share their experiences online. We selected YT videos from three sources: MS associations, pharmaceutical companies, and independent influencers. The material was analyzed independently and simultaneously using three complementary narrative approaches, integrated through a critical clinical meta-synthesis. Our findings reveal a common trajectory of identity transformation, often framed as a before-and-after shift linked to the illness experience. While these narratives convey hope and agency for resilience, they may also risk promoting oversimplified positivity and alienating those who struggle. The findings raise clinical and ethical concerns regarding the balance between empowering and stigmatizing messages. This offers implications for clinical practice and the design of supportive, inclusive interventions tailored to the diverse experiences of people with MS.

This study explores the process of adopting and maintaining breast self-examination (BSE), a key method for early breast cancer detection in women, using the Transtheoretical Model (TTM) as a theoretical framework. Conducted between February and April 2021 via digital platforms, the study recruited participants through WhatsApp, Instagram, and e-mail. Custom-designed TTM-based scales targeting BSE behavior were administered. Data were analyzed using IBM SPSS 22 and AMOS 22. Validity analyses included content, criterion, and construct validity, employing both exploratory and confirmatory factor analyses. Reliability was assessed through Cronbach's alpha, split-half method, Hotelling's T², item-total correlations, intra-class correlation coefficients, and standard error calculations. The results demonstrated that the developed scales are valid and reliable tools for measuring behavioral change related to BSE. This study underscores the utility of the Transtheoretical Model in understanding women's health behavior and provides a solid basis for future BSE-focused health education and intervention programs.

Peer support may help improve the wellbeing of informal caregivers, although little work has explored this in the context of multiple sclerosis (MS). This study explored peer support needs and experiences among MS caregivers in Ireland. A cross-sectional mixed methods survey of 27 MS caregivers, designed with public and patient involvement, measured peer support engagement, sociodemographic and care characteristics, caregiver burden, social support, loneliness and wellbeing. Data were analysed using descriptive, correlational and content analysis. Most caregivers expressed a desire for peer support, with few having participated in online or in-person peer support. Barriers to engagement included a lack of promotion of opportunities. While low levels of social support and wellbeing were reported, no clear associations between peer support needs and these variables were identified. Although peer support shows promise, more research and improvements in the provision of MS caregiver peer support are needed.

This study examined the relationship between online self-disclosure and posttraumatic growth (PTG) during public health emergencies, focusing on underlying mechanisms. A moderated mediation model was developed, incorporating deliberate rumination as a mediator and perceived positive feedback as a moderator. Data were collected from 559 college students using the COVID Stress Scale, Online Self-Disclosure Scale, Deliberate Rumination Scale, Perceived Positive Feedback Scale, and PTG Scale. Results showed that online self-disclosure directly and positively predicted PTG and indirectly influenced PTG through deliberate rumination. Moreover, perceived positive feedback negatively moderated the effect of online self-disclosure on deliberate rumination, indicating that the mediating pathway was stronger among individuals perceiving lower positive feedback. These findings extend the PTG theoretical framework and offer insights for mental health interventions, highlighting the importance of both cognitive processes and social feedback in fostering growth during crises.

This study examined how different combinations of psychosocial risks (e.g. negative life events, anxiety) and protective resources (e.g. resilience) are associated with adolescents' sleep quality over time. Mixture models using data from two assessment points (Spring 2023, Spring 2024) from adolescents in Liling and Zibo, China (N = 723; 45.09% male, 54.91% female; Time 1 mean age = 14.45 ± 1.52) identified three distinct patterns. Vulnerable and Distressed (17.43%)-showed high levels of risk and limited resources. Resilient and Well-Adapted (47.44%)-exhibited moderate levels of both risk and resilience. Protected and Thriving (35.13%)-was marked by strong protective factors and low risk exposure. Adolescents in the high-risk profile reported significantly poor sleep quality (p < 0.001). Girls and left-behind adolescents (whose one or both parents work away from home for extended periods) were more likely to belong to risk-dominated profiles. These findings underscore the need for tailored interventions to support at-risk youth.

The study assessed quality of life, wellbeing, and mental health in individuals living with Raynaud's disease (RD), using a large international sample (n = 720). Participants completed Raynaud-Specific Quality of Life Questionnaire (RQLQ), WHO-5 Wellbeing Index, DASS-21 and demographics. Meteorological variables were recorded based on location. Participants with secondary RD reported lower quality of life and wellbeing, and higher anxiety, depression, and pain, than participants with primary RD or without a diagnosis. Participants without a diagnosis reported worse mental health than groups with a diagnosis. Participants in tropical climates reported the lowest quality of life, and those in temperate climates had the lowest wellbeing. Pain and symptom severity were the strongest predictors of quality of life. RD negatively affects quality of life, wellbeing, and mental health, particularly in secondary RD. Pain and symptom severity are key determinants. Meteorological factors contribute minimally. Tailored interventions focusing on symptom management should be prioritised.