Journal of Health Psychology最新文献

Online support forums (OSFs) are an increasingly utilised social support resource for bariatric surgery (BS) patients. OSFs could permit patients to discuss sensitive topics, such as being sabotaged post-BS. This study aimed to explore the phenomenon of BS saboteurs via BS-specific OSFs. Two internet search engines were used to identify BS-specific OSFs. The eligible OSF(s) was searched to identify relevant threads. Thread data were analysed using reflexive thematic analysis. One OSF was eligible. The final dataset included 18 threads (N replies = 569). Three themes were identified: Feeder Behaviours, Negative Reactions to Bariatric Surgery-Induced Weight Loss and Strategies to Avoid and/or Manage Bariatric Surgery Saboteurs. Transcending these was the notion of The Online Support Forum as a Source of Substituted Social Support and Place of Solace. In lieu of the limited social support received in real life, BS patients use OSFs as a form of social support when being sabotaged.

Neonatal hypoglycaemia is the most common metabolic disorder of infants worldwide. In Aotearoa New Zealand, Asian infants are at increased risk due to predisposing factors, including maternal diabetes and low birthweight. Little is known regarding the experience of parents of infants born at risk for neonatal hypoglycaemia, including finding their infant is at risk, testing, treatment, and follow-up. This qualitative study aimed to explore Asian families' experiences of having an infant born at risk of hypoglycaemia in Aotearoa New Zealand. Twelve interviews involving 14 participants were conducted and transcribed. Content analysis highlighted eight key themes that summarised families' experiences of the care pathway: complex circumstances, adequate information sharing, varied attitudes towards neonatal hypoglycaemia, cultural openness, confronting testing, acceptable gel treatment, importance of support, and continued monitoring. Our findings demonstrate the importance of comprehensive and culturally sensitive care of neonates born at risk for hypoglycaemia and their families.

The study aimed to examine the association between self-perceptions of aging (SPA) and delayed and/or forgone care (DFC) among older adults in the US during the COVID-19 pandemic, and to assess how SPA and DFC are associated with change in self-rated health status. A cross-sectional study of community-dwelling US adults (≥50 years) was conducted using the 2020 Health and Retirement Study data. Two separate multivariable logistic regression models were conducted to assess the study objectives. The final unweighted sample was 4079. Negative SPA were associated with DFC (adjusted odds ratio (aOR): 1.03, 95% CI: 1.01-1.04). DFC and negative SPA were associated with worsened health status compared to respondent's previous interview wave (aOR: 1.44, 95% CI: 1.10-1.87 and aOR: 1.06, 95% CI: 1.04-1.08, respectively). Health promotion efforts should be implemented to foster positive SPA among older adults in the US to encourage timely use of healthcare.

Psychological distress in older adults with hypertension in rural China significantly impacts their families and society. This study aims to explore how social participation affects psychological distress among older adults with hypertension in rural China, focusing on the mediating role of social capital. A total of 950 respondents completed surveys measuring social participation based on the frequency of social, recreational, and literary activities, the Resource Generator China scale, and the Kessler Psychological Distress Scale. Structural equation modeling was used to analyze the relationships between the variables. The results showed that social participation significantly affects psychological distress, with social capital mediating this relationship. The indirect effect of social capital accounted for 61.0% of the total effect. These findings suggest targeted interventions in social participation and social capital to reduce psychological distress among rural elderly individuals with hypertension in China.

This study examines maternal satisfaction with social support and its association with socioeconomic factors in mothers of preterm infants during the first year of life. A quantitative, cross-sectional analysis was conducted with 42 mothers of preterm-born infants from a follow-up service at a large public hospital in Brazil. Data were collected using the Social Support Satisfaction Scale (SSSS) and a socioeconomic questionnaire. Statistical analyses revealed less reported social support from family and friends among single women with less education and less income. These findings highlight the impact of socioeconomic factors on maternal social support, providing valuable insights for policymakers and healthcare professionals to design targeted interventions.

This study examined the illness perceptions held by individuals living with endometriosis, and their associations with psychological distress and chronic pain, over time. At baseline, 408 participants provided demographic and clinical information and completed measures of illness perceptions, anxiety and depression, and pain. One-year later, 283 of these participants completed the same measures again. Results showed that participants held largely negative perceptions of their endometriosis, perceiving adverse consequences, enduring timeline, and negative emotional representations of their condition. Additionally, participants felt a lack of personal control over the condition. Multiple regression analyses (controlling for demographics, clinical factors, and baseline levels of the outcome variables) showed that illness perceptions do not predict anxiety and depression at 12-month follow-up. However, the perception of illness timeline did significantly predict pain intensity at follow-up.

Neonatal hypoglycaemia can cause substantial morbidity and mortality. Pēpi Māori (Indigenous infants from Aotearoa New Zealand) are at increased risk. This study explored the lived experience of whānau (extended family kinship groups) Māori having a pēpi at risk of hypoglycaemia. Whānau Māori collectives were interviewed, and transcripts analysed using NVivo software and the Reflexive Thematic Analysis. There were 11 participants (10 whānau collectives; 10 Māmā (mothers) and one Pāpā (father)). The overarching concept of Pā Harakeke (flax bush) framed three superordinate themes, each with subordinate themes. Themes were Whānau, (desire to do the best for pēpi, whakapapa (geneology), collective decision making and whānau led solutions), Shifting the narrative (whānau as part of the team, communication, mana motuhake (self-determination), fully informed) and Health system (colonial health structures, navigation, racism and tikanga (customs)). Whānau Māori narratives provided insight into opportunities for optimising care for those with pēpi at risk of neonatal hypoglycaemia.

Social media is an external influence thought to notably impact body image. There is limited research to date exploring whether the rise of social media 'Mumfluencers' - women who gain large social media followings by sharing their experiences of motherhood - positively or negatively influence postpartum body image and wellbeing. The current study explored the lived experience of 208 women up to 4 years postpartum through open-ended survey responses. Through reflexive thematic analysis, we identified three main themes: (i) Protecting Body Image and Mental Health through Authentic Discourse, (ii) Conflicts of Interest and Appearance Ideals Shape Body Image Outcomes, and (iii) Postpartum Agency in Social Media Consumption. Our findings indicate that postpartum women are adaptable in navigating the complexities of Mumfluencer content for their body image. By implementing protective strategies and limiting harmful exposure, participants controlled their online experiences, curating environments that best supported positive body image.

Vape use among young adults remains a public health concern. Interventions may need to evaluate aspects related to the self to best support individuals. We hypothesized that individuals who vape, compared to those who do not, would report lower self-esteem, higher self-alienation, and increased likelihood to report a concealable stigmatized identity (CSI). This online cross-sectional study recruited undergraduate students (N = 378), and assessed self-esteem, self-alienation, general (non-vape-specific) CSI status, and vape use. Those who vape filled out vape-specific measures and wrote about their vape use which was thematically coded. Contrary to hypotheses, participants who vape reported higher self-esteem, marginally lower self-alienation, and an increased likelihood of a CSI. Thematic coding revealed social reasons as a primary motivation for vape use. These results suggest the role of social connection in engaging in vape use, underscoring the need for interventions that address identity and social belonging.

Difficulties in cognitive functioning (e.g., memory, attention) are common in chronic conditions characterized by physical pain, fatigue and depression. Yet investigations in endometriosis are lacking. We aimed to assess: (1) perceived cognitive functioning, (2) the association of cognitive functioning with fatigue, pain and depressive symptoms, and (3) whether endometriosis treatments moderated these relationships. Participants (n = 1239) with diagnosed endometriosis completed an online survey assessing perceived cognitive functioning [Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog)], pain, fatigue and depression. FACT-Cog scores indicated cognitive impairments in 80% of participants. Hierarchical regression analyses demonstrated that greater pain, fatigue, and depressive symptoms were associated with poorer perceived cognitive functioning. Moderation analyses indicated that taking hormonal treatments or pain medications diminished the adverse effects of depression, but exacerbated the adverse effects of pain, on cognitive functioning. The extensive perceived cognitive difficulties evident in this sample suggests that supportive interventions to enhance cognitive functioning may be warranted.