Health Psychology Open最新文献

Countries across the world, including India, are witnessing an increase in the cases of diabetes, posing public health challenges. Although diabetes is a metabolic disease, psychosocial factors are crucial in its management. Hence, the present study tried to identify the association of diabetes-related factors with life satisfaction and sleep disturbances among ageing adults living with diabetes in India. The data of adults aged 45 years and older living with diabetes (N = 8272) were extracted from the Longitudinal Ageing Study in India Wave 1 (2017-18). We conducted weighted least squares regression, t-test, and descriptive analysis. The likelihood of life satisfaction reduced with insulin usage (β = -.73, 99% CI: -1.16 to -.29), special diet (β = -.92, 99% CI: -1.31 to -.54), smoking habit, involvement in physical activity, depressive symptoms, lack of involvement in social activities and with duration of diabetes. The insulin usage (β = -.25, 99% CI: -.44 to -.07), special diet (β = -.22, 99% CI: -.38 to -.06), and involvement in physical activities decreased the probability of sleep disturbances, while alcohol consumption, smoking habits, and depressive symptoms escalated the likelihood of it. The evidence from this study underlines the links between diabetes and psychosocial factors. It signifies the importance of addressing such factors to ensure better glycemic control and the well-being of people living with diabetes.

Long COVID has been associated with stigmatization, prompting exploration of coping mechanisms. This cross-sectional study examined whether self-compassion and self-coldness mediate long-COVID stigma's effects on well-being. We surveyed 201 German adults with long-COVID (89% female; M _age = 43.27, SD = 10.57). Most were officially diagnosed (88%), and 93% still experienced long-COVID symptoms at the time of survey. Measures included stigma, self-compassion, self-coldness, subjective well-being (SWB), and flourishing. Long-COVID stigma negatively correlated with SWB and flourishing. Higher self-compassion and lower self-coldness predicted better outcomes. Internalized stigma predicted lower flourishing through decreased self-compassion and increased self-coldness. In contrast, enacted stigma was associated with higher SWB and flourishing through lower self-coldness. Overall, mediation effects via self-coldness were significantly stronger than those via self-compassion, particularly in flourishing. These findings highlight the interplay between stigma, self-relating, and well-being, indicating both adaptive and maladaptive pathways. Interventions promoting self-compassion and reducing self-coldness may support holistic long-COVID care.

Raynaud's Phenomenon is a condition characterised by vasoconstriction of the extremities and can have a detrimental impact on people's lives. The treatment options for patients currently offered through healthcare services, e.g., in the United Kingdom (UK), are insufficient. This study provides a theoretical basis for future interventions by presenting insights into experiences of living with Raynaud's. Using an inductive-deductive approach, our thematic analysis of 19 semi-structured interviews with people living with Raynaud's in the UK was informed by the common-sense model of self-regulation. Three interrelated themes were generated to capture the illness experiences of people with Raynaud's: 1) Illness representations, 2) Coping response, and 3) Advice and guidance. Together, these themes provide insight into illness perceptions, coping styles and factors that may contribute to adherence to self-management. The findings suggest that a stepped care approach to managing Raynaud's may be beneficial.

This study explored the association between body mass index (BMI), weight and appetite change, the severity of depression and anxiety, and related physical symptoms in youth seeking treatment for depression and/or suicidality. Youth completed self-report surveys and were categorized by BMI into healthy weight, overweight, and obese groups. Findings demonstrated overweight and obese participants were more likely to come from low-income households. Obese youth were more likely to report recent increases in appetite compared to healthy and overweight youth and in perceived weight compared to healthy weight youth. Obese youth had worse depression severity than overweight youth and worse physical function compared to healthy and overweight youth. Appetite and perceived weight changes were generally associated with worse clinical symptoms, with appetite more consistently associated with poorer presentations. These findings suggest high BMI, particularly within the obese range, is of concern for depressed youth, potentially putting them at risk for poorer clinical characteristics.

Children diagnosed with cancer are vulnerable to long-term health issues. Engaging in physical activity (PA) and adopting a healthy diet could mitigate these risks. This study aimed to understand the role of variables from the Theory of Planned Behavior (TPB) in adherence to healthy/unhealthy PA and nutrition scenarios. Through convenience sampling, four ad hoc questionnaires measuring variables from the TPB were completed by 96 parents of children diagnosed with cancer in paper format or via a secure online platform to assess attitude, perceived behavioral control (PBC), subjective norms (SN), and intention. We performed a MANOVA and multiple linear regressions. We found an effect of behavior domain (F(3, 4828.66) = 6.467, p < 0.001, ηp2 = 0.004), and scenario (F(3, 152.86) = 76.495, p < 0.001, ηp2 = 0.600). Intention was a complete intermediary variable between attitude/SN and healthy nutrition. Attitude, PBC, and intention are promising targets for PA and nutrition behaviors. SN should also be targeted for nutrition behaviors.

This study sought to examine the predictive utility of the theory of planned behavior (TPB) for mask wearing behavior. Data was collected during the Texas public mask mandate (October 11-November 24, 2020) and post-mandate (March 25-April 29, 2021). University students were recruited through the department's online subject pool. Participants during the mandate (N = 579; M = 18.70, SD = 1.17; 60.8% female) and post-mandate (N = 236; M = 19.15, SD = 1.02; 50% female) completed identical TPB measures and demographic measures. Using structural equation modeling (SEM), attitudes, subjective norms and perceived behavioral control were associated with stronger mask wearing intentions. Intentions were positively associated with mask wearing behavior. Perceived behavioral control also had a direct positive association with wearing a mask in public. These findings suggest that the TPB is successful in predicting mask wearing behavior, which could have implications for prevention programs and public health campaigns.

Human papillomavirus (HPV)-associated cancers (oropharyngeal, cervical, vulvar, vaginal, anorectal, and penile cancers) have previously been reported to have favorable survival outcomes making patients' quality of life (QoL) an important consideration for clinicians. This scoping review examined the literature on the post-treatment psychosocial QoL outcomes in patients HPV-associated cancers in the United States. The final set of 57 articles were comprised of patients that predominantly identified as Non-Hispanic White, females, or those with cervical or gynecologic cancers. Physical and psychological QoL were the most studied domains. Qualitative studies demonstrated salient themes including low health literacy on HPV-associated cancers, decreased sexual well-being, and increased feelings of stress and fear. Future work is needed in understanding psychosocial QoL in non-gynecologic HPV-associated cancers among individuals from underrepresented racial/ethnic groups, male patients, and those of lower socioeconomic status. Additionally, cancer-related stigma is relatively understudied among patients with HPV-associated cancers.

Breast cancer survivors often report internal sensations of discomfort that influence body image or the subjective representation of one's appearance, which can cause a disconnection between body and personal identity. 12 breast cancer survivors were involved in a group psychological intervention which focused on the management of autobiographical memories related to their own body after breast cancer. Three open questions related to their body autobiographical memories were administered pre, post and 1 month later after the intervention. Autobiographical memories were analyzed with a qualitative methodology to explore the transformative process at three time points. Findings highlight three main themes: (1) narratives of cancer-related memories (2) narratives of emotion towards the body after cancer (3) narratives of memories of internal reflections. This innovative psychological group intervention appears to support breast cancer survivors in re-taking control of their own autobiographical memories related to the body and their related emotions.

Objective: While symptoms of polycystic ovary syndrome (PCOS) and psychological distress (PD) are directly linked, indirect effects are also apparent. The present study aims to develop an explanatory model for the effect of PCOS on women' PD and identify possible protective and risk factors. It examines the development of PD in women with PCOS and further investigates the association between body image, both positive (body appreciation) and negative (body dissatisfaction) dimensions, and PD as well as the potential mediating effect of illness perception on this association. Methods: This study comprised a total of 316 women aged 20-50 (M = 30.9, SD = 6.3) - 197 women with PCOS and 119 healthy peers-who completed questionnaires regarding demographic characteristics, anxiety (GAD-7), depression (PHQ-9), body appreciation (BAS-2), body dissatisfaction (EDI-BD), and the Brief Illness Perception Questionnaire (BIPQ). Results: Significant differences between groups were found in all measures. Body appreciation mediated the link between PCOS and PD, while body appreciation and illness perception also mediated the link between symptom level and PD among PCOS patients. Conclusion: Women with PCOS face considerable psychological strain and highlight body appreciation and illness perception as two underlying psychological mechanisms that contribute to the increased risk of distress. Interventions addressing both mechanisms may help improve PD in women with PCOS.

Parental burnout (PB) has adverse effects on parents and children. The aim of the present study was to develop a multilingual version of the Brief Parental Burnout Scale (BPBS) adapted to the Swiss context in order to (1) provide practitioners working with families in different language regions of Switzerland with a screening tool, and (2) to estimate initial prevalence rates for risk of PB. Overall, results indicate, that the Trilingual Swiss BPBS (3-L-BPBS) is a promising screening tool, allowing for early detection of parents at risk and therefore for the prevention of negative consequences of PB. Further, results suggests that a substantial proportion of Swiss parents is at moderate to high risk for PB, with prevalence rates varying between language regions. However, additional research is needed to further validate the 3-L-BPBS and to deepen our understanding of the impact of structural and cultural differences on PB.