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Physical and Psychological Symptoms After Stroke: Longitudinal Symptom Prevalence and Network Analysis. 脑卒中后的生理和心理症状:纵向症状患病率和网络分析。
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-10-01 Epub Date: 2025-03-24 DOI: 10.1080/08964289.2025.2469911
Theresa Schrage, Lea Schumacher, Martin Härter, David Leander Rimmele, Götz Thomalla, Levente Kriston

Stroke survivors experience physical and psychological symptoms. However, long-term symptom prevalence and symptom associations have not been extensively studied. The current study aimed to assess the prevalence of physical and psychological symptoms across four years after stroke and to evaluate the relationship between these symptoms. We conducted a secondary analysis of a prospective, clinical, observational study. Physical (pain, fatigue, and physical impairment) and psychological (loss of interest, depressed mood, anxiety, and worry) symptoms were assessed using the International Consortium for Health Outcomes Measurement Standard Set for Stroke and the Patient Health Questionnaire for Depression and Anxiety three months, one year, two years, three years, and four years after hospital admission. We evaluated the prevalence of these symptoms across time and conducted a network analysis using panel vector autoregressive modeling. Physical impairment and fatigue had the highest prevalence in the sample. Psychological symptoms were also consistently observed, however, at a lower prevalence. There was no reduction in any symptom's prevalence across the course of four years after stroke. Furthermore, psychological and physical symptoms were associated with each other. Physical impairment was most strongly associated with the other symptoms, and anxiety symptoms preceded depressive symptoms. Thus, despite established follow-up care in Germany, symptoms persisted for years after stroke. Further, the observed symptom associations suggest the need to investigate the impact of physical symptoms on psychological distress. Our findings emphasize the need to prevent and treat persisting physical and psychological symptoms after stroke.

中风幸存者会经历身体和心理上的症状。然而,长期症状患病率和症状相关性尚未得到广泛研究。目前的研究旨在评估中风后四年中身体和心理症状的患病率,并评估这些症状之间的关系。我们对一项前瞻性临床观察性研究进行了二次分析。入院后3个月、1年、2年、3年和4年,使用卒中国际健康结果测量标准集和患者抑郁和焦虑健康问卷对身体(疼痛、疲劳和身体损伤)和心理(兴趣丧失、抑郁情绪、焦虑和担忧)症状进行评估。我们评估了这些症状在不同时间的患病率,并使用面板向量自回归模型进行了网络分析。身体损伤和疲劳在样本中患病率最高。心理症状也一直被观察到,但患病率较低。在中风后的四年中,任何症状的患病率都没有减少。此外,心理和生理症状相互关联。身体缺陷与其他症状的关系最为密切,焦虑症状先于抑郁症状。因此,尽管在德国建立了随访护理,中风后症状持续数年。此外,观察到的症状关联表明有必要调查身体症状对心理困扰的影响。我们的研究结果强调了预防和治疗中风后持续存在的生理和心理症状的必要性。
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引用次数: 0
Medical Mistrust and SARS-CoV-2 Antibody Testing Among African Americans and White Americans. 非裔美国人和白人之间的医疗不信任和SARS-CoV-2抗体检测
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-09-29 DOI: 10.1080/08964289.2025.2565823
Olivia Aspiras, Todd Lucas, Ahnalee M Brincks, Anurag Dawadi, Leah Maschino, Lindsey Rose, Monicia Summers, Kent Key

Recent research suggests that in addition to structural barriers (e.g., access), psychosocial factors like medical mistrust can influence uptake of COVID-19 tools and treatments. However, less is known about racial differences in how medical mistrust affects SARS-CoV-2 antibody testing. We evaluated whether medical mistrust alters receptivity to SARS-CoV-2 antibody testing, and whether this influence differs across race. African American (N = 298) and White American (N = 205) participants were recruited from a Midwest urban community for an online study about COVID-19 and SARS-CoV-2 antibody testing. Participants completed the Group-Based Medical Mistrust Scale and then viewed educational videos about the SARS-CoV-2 virus, antibodies, and antibody testing. Participants reported their receptivity to antibody testing using Theory of Planned Behavior (TPB) measures (attitudes, normative beliefs, perceived behavioral control, and intentions). Medical mistrust was significantly higher among African Americans than White Americans, although there were no race differences in receptivity to antibody testing. Multiple regression analyses showed that higher medical mistrust was associated with lower receptivity to antibody testing across all TPB measures. A significant race x medical mistrust interaction revealed that medical mistrust was more strongly associated with less favorable antibody testing attitudes among White Americans than African Americans. Results suggest that medical mistrust may be a psychosocial barrier to antibody testing. However, despite being higher among African Americans, mistrust may exert a stronger influence on receptivity toward antibody testing among White Americans, highlighting a need to consider medical mistrust as a barrier to health behavior responses across racial groups.

最近的研究表明,除了结构性障碍(例如获取)外,医疗不信任等社会心理因素也会影响COVID-19工具和治疗方法的使用。然而,人们对医疗不信任如何影响SARS-CoV-2抗体检测的种族差异知之甚少。我们评估了医疗不信任是否会改变对SARS-CoV-2抗体检测的接受度,以及这种影响是否因种族而异。来自中西部城市社区的非裔美国人(N = 298)和美国白人(N = 205)参与者参与了一项关于COVID-19和SARS-CoV-2抗体检测的在线研究。参与者完成了以小组为基础的医疗不信任量表,然后观看了关于SARS-CoV-2病毒、抗体和抗体检测的教育视频。参与者使用计划行为理论(TPB)测量方法(态度、规范信念、感知行为控制和意图)报告他们对抗体测试的接受程度。尽管在接受抗体检测方面没有种族差异,但非裔美国人对医疗的不信任程度明显高于白人。多元回归分析显示,在所有TPB措施中,较高的医疗不信任与较低的抗体检测接受度相关。一项显著的种族与医疗不信任的相互作用表明,与非裔美国人相比,白人美国人对医疗不信任的态度更不友好。结果表明,医疗不信任可能是抗体检测的心理障碍。然而,尽管在非裔美国人中这一比例更高,但不信任可能会对美国白人对抗体检测的接受程度产生更大的影响,这突显了需要将医疗不信任视为跨种族群体健康行为反应的障碍。
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引用次数: 0
Implementation of Non-Armed First Responder Programs; Optimization by Centering Program Perspectives. 实施非武装第一响应者方案;以程序视角为中心进行优化。
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-09-16 DOI: 10.1080/08964289.2025.2560319
Zaire Cullins, Margaret Roach, Melanie Mayfield, Tonia Poteat, Lauren Brinkley-Rubinstein

Factors such as structural racism and disinvestment in community mental health and social services have resulted in harmful interactions between law enforcement and individuals experiencing mental health crises. These harms are even more prevalent among racial and ethnic minorities, sexual and gender minorities, and individuals with a mental illness. Nationwide, municipalities are exploring ways to ameliorate the harms experienced during these interactions, with some implementing alternative crisis response units. In Durham, North Carolina, we conducted interviews with staff of one such program to better understand what aids and prevents successful program implementation. Participants reported that buy-in from program partners such as other first responders as well as from the broader community facilitated program operations. Barriers disclosed included inadequate funding of local social services and changing policies and procedures.

结构性种族主义以及对社区心理健康和社会服务的投资减少等因素导致执法部门与经历心理健康危机的个人之间产生有害的相互作用。这些伤害在种族和少数民族、性和性别少数群体以及患有精神疾病的个人中更为普遍。在全国范围内,市政当局正在探索如何减轻在这些互动中所经历的危害,其中一些正在实施替代危机应对单位。在北卡罗来纳州的达勒姆,我们采访了其中一个项目的工作人员,以更好地了解是什么帮助和阻碍了项目的成功实施。与会者报告说,方案合作伙伴(如其他急救人员)以及更广泛的社区的支持促进了方案的运作。披露的障碍包括地方社会服务资金不足以及政策和程序不断变化。
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引用次数: 0
Blood Glucose Levels and Diabetes Family Conflict in Black Adolescents with Type 1 Diabetes During the COVID-19 Pandemic. COVID-19大流行期间黑人青少年1型糖尿病患者的血糖水平和糖尿病家庭冲突
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-08-27 DOI: 10.1080/08964289.2025.2543265
Katherine M Knauft, Angela J Jacques-Tiura, April Idalski Carcone, Meredyth A Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab, Deborah Ellis

The coronavirus 2019 (COVID-19) pandemic escalated family stress and prompted interruptions of regular healthcare visits. Such pandemic-related disruptions may be particularly deleterious among Black youth with chronic health conditions, such as type 1 diabetes. The present study leveraged longitudinal data from a multi-center randomized clinical trial (Clinicaltrials.gov [NCT03168867]) and a follow-up ancillary study focused on effects of COVID-19 to examine blood glucose trajectories and diabetes family conflict among Black adolescents with type 1 diabetes and their caregivers. Throughout the primary and ancillary studies, both adolescents and caregivers reported on their experience of diabetes family conflict across seven study visits. At each of these visits, the adolescent's hemoglobin A1c (HbA1c) was measured as an indicator of their blood glucose levels; further, HbA1c data during the study window was also extracted from the electronic medical record. Results demonstrated that HbA1c among the sample was linearly improving prior to the pandemic, but improvement halted following the onset of COVID-19. Following COVID-19 onset, average HbA1c remained stable, but higher than the recommended level. Higher mean levels of diabetes family conflict across the study were associated with higher HbA1c on average. However, diabetes family conflict did not predict changes in HbA1c trajectories pre- or post-pandemic onset. These findings highlight the potential stagnation of improving health-related outcomes during the COVID-19 pandemic for Black adolescents with type 1 diabetes and the need for further longitudinal work examining the familial and systemic factors contributing to the negative health consequences of the COVID-19 pandemic.

2019冠状病毒(COVID-19)大流行加剧了家庭压力,并导致定期就诊中断。这种与大流行有关的干扰可能对患有慢性疾病(如1型糖尿病)的黑人青年尤其有害。本研究利用多中心随机临床试验(Clinicaltrials.gov [NCT03168867])的纵向数据和一项针对COVID-19影响的随访辅助研究,研究黑人1型糖尿病青少年及其照顾者的血糖轨迹和糖尿病家庭冲突。在主要研究和辅助研究中,青少年和照顾者在七次研究访问中报告了他们的糖尿病家庭冲突经历。在每次访问中,测量青少年的血红蛋白A1c (HbA1c)作为他们血糖水平的指标;此外,研究窗口期间的HbA1c数据也从电子病历中提取。结果显示,样本中的HbA1c在大流行前呈线性改善,但在COVID-19发病后停止改善。新冠肺炎发病后,平均HbA1c保持稳定,但高于推荐水平。在整个研究中,糖尿病家庭冲突的平均水平越高,平均HbA1c也越高。然而,糖尿病家族冲突并不能预测大流行发病前后HbA1c轨迹的变化。这些发现突出表明,在COVID-19大流行期间,患有1型糖尿病的黑人青少年健康相关结果的改善可能停滞不前,需要进一步开展纵向研究,研究导致COVID-19大流行负面健康后果的家族和系统性因素。
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引用次数: 0
Physical Activity, Sedentary Behavior, and Cardiometabolic Risk Factors in People Living with HIV. 艾滋病毒感染者的身体活动、久坐行为和心脏代谢危险因素
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-08-11 DOI: 10.1080/08964289.2025.2543263
Raymond Jones, Michael J Hankes, Nicole D Armstrong, Kelley Pettee Gabriel, Thomas W Buford, Erin E Dooley

Studies estimating the associations of physical activity (PA) and sedentary behavior (SB) with cardiometabolic risk factors and related conditions among people living with HIV (PWH) are limited. Data from the National Health and Nutrition Examination Survey (NHANES) (2007-08 through 2017-18 cycles) (N = 23,810) includes 125 PWH (representing 742,174 PWH). Adults were classified based on life epoch: emerging (18-29 yrs), early (30-44 yrs) and middle (45-59 yrs) adulthood. Achieving aerobic PA Guidelines (≥150 min/wk of moderate-vigorous intensity PA [MVPA]) was quantified from self-report data collected across three domains (transportation, occupation/household, and leisure-time). SB was self-reported time sitting (min/day), regardless of domain. Cardiometabolic conditions included blood pressure, body mass index (BMI), weight status, hypertension, and chronic kidney disease. Regression models estimated the differences in PA and SB by HIV status and among PWH we estimated the association of achieving PA Guidelines with cardiometabolic conditions. We also investigated whether age modified these relations and explored differences in domain-specific PA across life epochs. These analyses indicate that not meeting the PA Guidelines resulted in greater odds of obesity and higher diastolic blood pressure, which increases risk for poor health among PWH-an already high-risk group for cardiovascular disease. Future longitudinal studies are needed to establish temporality.

估计艾滋病毒感染者(PWH)中身体活动(PA)和久坐行为(SB)与心脏代谢危险因素和相关疾病之间关系的研究有限。来自国家健康和营养检查调查(NHANES)(2007-08至2017-18周期)的数据(N = 23,810)包括125名PWH(代表742,174名PWH)。成人根据生命阶段分为:成年初期(18-29岁)、成年早期(30-44岁)和成年中期(45-59岁)。实现有氧PA指南(≥150分钟/周的中等强度PA [MVPA])从三个领域(交通、职业/家庭和休闲时间)收集的自我报告数据进行量化。SB是自我报告的坐着时间(分钟/天),无论在哪个领域。心脏代谢状况包括血压、身体质量指数(BMI)、体重状况、高血压和慢性肾病。回归模型估计了HIV状态下PA和SB的差异,在PWH中,我们估计了达到PA指南与心脏代谢状况的关系。我们还研究了年龄是否改变了这些关系,并探讨了不同生命时期域特异性PA的差异。这些分析表明,不符合PA指南导致肥胖和舒张压升高的几率更大,这增加了pwh健康状况不佳的风险,pwh已经是心血管疾病的高危人群。需要进一步的纵向研究来确定时间性。
{"title":"Physical Activity, Sedentary Behavior, and Cardiometabolic Risk Factors in People Living with HIV.","authors":"Raymond Jones, Michael J Hankes, Nicole D Armstrong, Kelley Pettee Gabriel, Thomas W Buford, Erin E Dooley","doi":"10.1080/08964289.2025.2543263","DOIUrl":"10.1080/08964289.2025.2543263","url":null,"abstract":"<p><p>Studies estimating the associations of physical activity (PA) and sedentary behavior (SB) with cardiometabolic risk factors and related conditions among people living with HIV (PWH) are limited. Data from the National Health and Nutrition Examination Survey (NHANES) (2007-08 through 2017-18 cycles) (<i>N</i> = 23,810) includes 125 PWH (representing 742,174 PWH). Adults were classified based on life epoch: emerging (18-29 yrs), early (30-44 yrs) and middle (45-59 yrs) adulthood. Achieving aerobic <i>PA Guidelines</i> (≥150 min/wk of moderate-vigorous intensity PA [MVPA]) was quantified from self-report data collected across three domains (transportation, occupation/household, and leisure-time). SB was self-reported time sitting (min/day), regardless of domain. Cardiometabolic conditions included blood pressure, body mass index (BMI), weight status, hypertension, and chronic kidney disease. Regression models estimated the differences in PA and SB by HIV status and among PWH we estimated the association of achieving <i>PA Guidelines</i> with cardiometabolic conditions. We also investigated whether age modified these relations and explored differences in domain-specific PA across life epochs. These analyses indicate that not meeting the <i>PA Guidelines</i> resulted in greater odds of obesity and higher diastolic blood pressure, which increases risk for poor health among PWH-an already high-risk group for cardiovascular disease. Future longitudinal studies are needed to establish temporality.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time. 随着时间的推移,种族、贫困、健康素养和歧视如何影响医疗不信任与自评健康之间的关系?
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-07-29 DOI: 10.1080/08964289.2025.2535327
Nicolle A Mode, Dharsy Rodriguez, Jason Ashe, Michele K Evans, Alan B Zonderman

Mistrust of the health care system is associated with underutilization of medical services and poor self-reported health, which itself is an important indicator for future morbidity and mortality. This study examines how several factors influence the association between medical mistrust and self-rated health in a middle-aged socioeconomically diverse cohort over 16 years. Participants (n = 1673) from the Health Aging in Neighborhoods of Diversity over the Life Span Study formed the sample. Information was gathered on race (African American/White), sex, poverty status, health literacy, and two measures of perceived discrimination. Linear mixed model regression was used for several models to examine the independent and combined influence of these factors on how medical mistrust is related to self-rated health over time. Poverty status exhibited the greatest influence on longitudinal self-rated health. Poverty status and health literacy did not influence the association between medical mistrust and self-rated health but perceived discrimination did. Stratified analyses by race found that White participants exhibited greater influence from medical mistrust and perceived discrimination on self-rated health than African American participants. Increasing trust, improving communication, and reducing unfair treatment across vulnerable groups is likely to improve health in middle-aged adults, but reducing overall poverty is likely to have the greatest effect.

对卫生保健系统的不信任与医疗服务的利用不足和自我报告的健康状况不佳有关,这本身就是未来发病率和死亡率的重要指标。本研究探讨了几个因素如何影响16年以上中年社会经济多样化队列中医疗不信任与自评健康之间的关联。样本来自“多样性社区健康老龄化”研究的参与者(n = 1673)。收集了关于种族(非裔美国人/白人)、性别、贫困状况、卫生知识普及和两项感知到的歧视措施的信息。对几个模型使用线性混合模型回归来检验这些因素对医疗不信任如何随时间与自评健康相关的独立和综合影响。贫困状况对纵向自评健康的影响最大。贫困状况和健康素养不影响医疗不信任与自我评价健康之间的关系,但感知到的歧视会影响。种族分层分析发现,白人参与者比非裔美国人更容易受到医疗不信任和感知歧视的影响。增加信任、改善沟通和减少弱势群体之间的不公平待遇可能会改善中年人的健康状况,但减少总体贫困可能会产生最大的效果。
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引用次数: 0
24-Hour Physical Activity Intensity and Energy Intake Trajectories and Their Associations with All-Cause Mortality: A Population-Based Cohort Study. 24小时体力活动强度和能量摄入轨迹及其与全因死亡率的关系:一项基于人群的队列研究
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-07-23 DOI: 10.1080/08964289.2025.2535320
Zibo Wu, Xiaotong Li, Ruirui Guo, Xiaoyi Yuan, Fengdan Wang, Yan Liu, Sizhe Wang, Yibo Dong, Bo Li, Mengzi Sun

Diet and physical activity together affect health as important components of energy intake and energy expenditure, but few studies have considered the temporal interaction effect between them. Therefore, this study aimed to identify real-world 24-h physical activity intensity and energy intake trajectories and explore their associations with all-cause mortality. A total of 6389 participants from the 2003-2006 annual survey of the National Health and Nutrition Examination Survey (NHANES) were involved as baseline data in this study. Physical activity data was obtained from the physical activity monitor ActiGraph AM-7164. Energy intake data was collected by the Mobile Examination Center and telephone 3 to 10 days later. All-cause mortality data were obtained in 2019. The group-based trajectory model (GBTM) was used to identify trajectories of 24-h physical activity intensity and 24-h energy intake. Weighted Cox proportional hazard regressions were used to estimate the association between 24-h trajectory groups and all-cause mortality. The 24-h energy intake-physical activity intensity dual trajectories were divided into four groups, including group1 (46.9%): three meals and low active, group2 (36.2%): three meals and moderately active, group3 (8.8%): night eating and moderately active, and group4 (8.1%): three meals and highly active. The dual trajectories were associated with all-cause mortality. Compared to participants with three meals and low activity levels, participants with three meals and moderate activity had a reduced risk of all-cause mortality. In summary, this study found that participants with three meals and moderately active had a lower risk of all-cause mortality.

饮食和身体活动作为能量摄入和能量消耗的重要组成部分共同影响健康,但很少有研究考虑两者之间的时间交互效应。因此,本研究旨在确定现实世界24小时体力活动强度和能量摄入轨迹,并探讨它们与全因死亡率的关系。本研究以2003-2006年全国健康与营养检查调查(NHANES)年度调查的6389名参与者作为基线数据。身体活动数据来自身体活动监测仪ActiGraph AM-7164。3 ~ 10天后通过移动检测中心和电话采集能量摄入数据。2019年获得了全因死亡率数据。采用基于分组的运动轨迹模型(GBTM)识别24小时体力活动强度和24小时能量摄入的运动轨迹。加权Cox比例风险回归用于估计24小时轨迹组与全因死亡率之间的关系。将24 h能量摄入-体力活动强度双轨迹分为4组,其中组1(46.9%)为三餐低活动组,组2(36.2%)为三餐中活动组,组3(8.8%)为夜间进食中活动组,组4(8.1%)为三餐高活动组。双轨迹与全因死亡率相关。与三餐和低运动水平的参与者相比,三餐和适度运动的参与者的全因死亡率降低。总之,这项研究发现,三餐和适度运动的参与者有较低的全因死亡率。
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引用次数: 0
Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey. 巴西青少年健康行为指数与心理健康之间的关系:来自2019年全国学校健康调查的见解。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-07-17 DOI: 10.1080/08964289.2025.2517627
Rafaela Cavalheiro do Espírito Santo, Leonardo Peterson Dos Santos, Debora Tornquist, Felipe Barreto Schuch, Cesar Agostinis-Sobrinho

Previous studies have shown associations between individual health behaviors and mental health outcomes. However, the impact of the accumulation of such behaviors on mental health remains unclear. This study aimed to examine the association between an index of accumulated health behaviors and mental health in adolescents, using data from the Brazilian National School Health Survey (PeNSE), which included 4,361 schools and a sample of 124,898 students. Health behaviors were assessed across five domains: healthy diet, alcohol consumption, smoking, physical activity, and sedentary behavior, with scores ranging from 0 to 5. Mental health outcomes (anxiety, sadness, social isolation, stress, and depression) and self-rated health were evaluated based on students' responses about their feelings over the previous 30 days. Regression models were applied, adjusting for key sociodemographic variables. The majority of participants were female, aged 13-15 years, and from the Southeast region. The results showed that a higher accumulation of healthy behaviors was associated with better mental health and more favorable self-rated health. These associations remained consistent after controlling for potential confounders. The findings underscore the importance of promoting multiple healthy behaviors to support mental well-being and self-perceived health among Brazilian adolescents.

先前的研究表明,个人健康行为与心理健康结果之间存在关联。然而,这些行为的积累对心理健康的影响尚不清楚。本研究旨在研究累积健康行为指数与青少年心理健康之间的关系,使用巴西国家学校健康调查(PeNSE)的数据,该调查包括4,361所学校和124,898名学生。健康行为在五个方面进行评估:健康饮食、饮酒、吸烟、体育活动和久坐行为,得分从0到5不等。心理健康结果(焦虑、悲伤、社交孤立、压力和抑郁)和自评健康是根据学生对他们过去30天的感受的反应来评估的。应用回归模型,调整关键的社会人口变量。大多数参与者是女性,年龄在13-15岁之间,来自东南部地区。结果表明,健康行为的积累越多,心理健康状况越好,自我评价越好。在控制了潜在的混杂因素后,这些关联保持一致。研究结果强调了促进多种健康行为以支持巴西青少年心理健康和自我认知健康的重要性。
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引用次数: 0
Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease. 有心血管疾病风险的中年妇女睡眠质量、压力和疼痛之间关系的生态瞬时评估
IF 2.2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-07-03 DOI: 10.1080/08964289.2025.2513319
Gabrielle M Salvatore, Iris Bercovitz, Sofia Gular, Danielle Arigo

Women in midlife (ages 40-60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m2) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), on days when sleep was poorer. Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain.

中年女性(40-60岁)患心血管疾病(CVD)的风险较高,日常经历如压力、身体疼痛和睡眠质量差加剧了这种风险。了解这些经历在日常生活中发生时的严重程度和时间顺序,将为这一弱势群体的健康促进工作提供信息。为了实现这些目标,我们使用了生态瞬时评估来澄清瞬时压力和疼痛之间的发生、严重程度和时间关联,并测试了主观睡眠质量对这些关联的调节作用。参与者为75名中年女性,心血管疾病危险因素为bbb1(平均年龄52岁,平均BMI = 34.0 kg/m2),完成了10天的评估。多层次模型显示,睡眠质量和压力在人体内存在相当大的可变性。疼痛在32%的时刻被报告,并表现出人与人之间的差异。在人体内,睡眠不足的日子压力和疼痛更严重;在压力更大(vs.更好)、睡眠更差的日子里,疼痛强度更大。研究结果表明,女性在日常睡眠质量、压力和疼痛方面的经历存在相当大的差异。在睡眠比平时差的日子里,比平时更大的压力可能是后期疼痛的实时标志。这种对女性日常生活中时间序列的澄清可能会为及时干预减轻疼痛提供信息。
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引用次数: 0
Pain Predicts Cannabis Initiation Among Emerging Adults: Results from the Population Assessment of Tobacco and Health (PATH) Study. 疼痛预测初出期成人大麻的开始:烟草与健康(PATH)研究的人口评估结果。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1080/08964289.2025.2465525
Callon M Williams, Nadine R Mastroleo, Mark F Lenzenweger, Emily L Zale

Pain is highly prevalent among emerging adults (18-25 years old), and rates of cannabis use are increasing among this population. Research indicates pain is a unique risk factor and motivator for substance use. However, evidence for pain-cannabis use relations among emerging adults is largely cross-sectional, and the only prospective evidence focuses on the frequency, quantity, and consequences of cannabis use, not initiation. Accordingly, this is the first study to examine pain as a prospective predictor of cannabis initiation among emerging adults. Data were drawn from five annual waves of the Population Assessment of Tobacco and Health Study. Emerging adults who denied cannabis use at baseline (n = 4,185) were included in the analysis. At baseline, a tenth of emerging adults reported moderate/severe pain (≥4/10). Adjusted Cox regression analysis revealed that emerging adults with moderate/severe baseline pain were more likely to initiate cannabis use, and did so earlier over the subsequent 4 years, than those with no/low baseline pain. These findings provide initial evidence for pain as a risk factor for cannabis initiation during emerging adulthood. Future research is needed to identify mechanisms by which pain motivates cannabis initiation and to examine the utility of pain-targeted content in cannabis use prevention and intervention efforts among emerging adults.

疼痛在新生成人(18-25岁)中非常普遍,这一人群的大麻使用率正在上升。研究表明,疼痛是一种独特的风险因素,也是药物使用的动机。然而,初生成人中疼痛-大麻使用关系的证据主要是横断面的,唯一的前瞻性证据集中在大麻使用的频率、数量和后果上,而不是开始。因此,这是第一个研究,以检查疼痛作为大麻开始在新兴的成年人的前瞻性预测因素。数据来自烟草与健康研究人口评估的五次年度浪潮。在基线时拒绝使用大麻的新生成人(n = 4185)被纳入分析。在基线时,十分之一的新生成人报告中度/重度疼痛(≥4/10)。调整后的Cox回归分析显示,与无/低基线疼痛的人相比,有中度/重度基线疼痛的新生成人更有可能开始使用大麻,并且在随后的4年里更早开始使用大麻。这些发现提供了初步证据,证明疼痛是成年初期吸食大麻的危险因素。未来的研究需要确定疼痛刺激大麻开始的机制,并检查疼痛靶向内容在新兴成年人大麻使用预防和干预工作中的效用。
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Behavioral Medicine
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