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What are weight bias measures measuring? An evaluation of core measures of weight bias and weight bias internalisation. 体重偏差测量测量的是什么?对权重偏差和权重偏差内在化的核心措施的评估。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-28 eCollection Date: 2021-07-01 DOI: 10.1177/20551029211029149
Sarah-Jane F Stewart, Jane Ogden

Research exploring weight bias and weight bias internalisation (WBI) is grounded upon several core measures. This study aimed to evaluate whether operationalisations of these measures matched their conceptualisations in the literature. Using a 'closed card-sorting' methodology, participants sorted items from the most used measures into pre-defined categories, reflecting weight bias and non-weight bias. Findings indicated a high degree of congruence between WBI conceptualisations and operationalisations, however found less congruence between weight bias conceptualisations and operationalisations, with scale-items largely sorted into non-weight bias domains. Recommendations for scale modifications and developments are presented alongside a new amalgamated weight bias scale (AWBS).

研究探索体重偏差和体重偏差内化(WBI)是基于几个核心措施。本研究旨在评估这些措施的操作化是否与文献中的概念相匹配。使用“封闭卡片分类”方法,参与者将最常用的测量方法中的项目分类到预定义的类别中,反映权重偏差和非权重偏差。研究结果表明,WBI概念化和操作化之间存在高度一致性,但权重偏差概念化和操作化之间的一致性较低,量表项目在很大程度上被分类为非权重偏差域。秤修改和发展的建议,同时提出了一个新的合并重量偏差量表(AWBS)。
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引用次数: 4
Hardiness and attitudes toward professional healthcare services: Implications for healthcare service utilization among Black American adults. 耐受性与对专业医疗保健服务的态度:对美国黑人成年人利用医疗保健服务的影响。
IF 1.7 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-28 eCollection Date: 2021-07-01 DOI: 10.1177/20551029211029157
Drexler James

This study (N = 780) examines the indirect effects of hardiness-health locus of control (HLOC), health competence (HC), health value (HV)-on past-year healthcare provider visit via attitudes toward seeking and receiving professional healthcare services (ATSRPHS). Across four health domains (dental, general health, mental, vision), ATSRPHS mediated the indirect effect of (1) HV and (2) internal HLoC on past-year healthcare provider visit. ATSRPHS also mediated the indirect effect of external HLoC on past-year visit to healthcare provider visit for general medical, mental, and vision health. ATSRPHS did not mediate any indirect effect of HC on past-year healthcare provider visit. This research contributes to understanding determinants of healthcare service utilization among Black American adults.

本研究(N = 780)通过对寻求和接受专业医疗保健服务的态度(ATSRPHS),探讨了 "硬度"--健康控制感(HLOC)、健康能力(HC)、健康价值(HV)--对过去一年医疗保健提供者就诊的间接影响。在四个健康领域(牙科、一般健康、精神、视力)中,ATSRPHS 对(1)健康价值(HV)和(2)内部 HLoC 对过去一年医疗服务提供者就诊的间接影响具有中介作用。在一般医疗、精神和视力健康方面,ATSRPHS 还调节了外部 HLoC 对过去一年医疗服务提供者就诊次数的间接影响。ATSRPHS 并未调节 HC 对过去一年医疗服务提供者就诊的任何间接影响。这项研究有助于了解美国黑人成年人利用医疗保健服务的决定因素。
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引用次数: 0
Couples talk about breastfeeding: Interviews with parents about decision-making, challenges, and the role of fathers and professional support. 夫妇谈论母乳喂养:采访父母关于决策,挑战,父亲的角色和专业支持。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-23 eCollection Date: 2021-07-01 DOI: 10.1177/20551029211029158
Erin J Henshaw, Maria Mayer, Sarina Balraj, Elsie Parmar, Kristine Durkin, Rita Snell

Despite health benefits, sustained breastfeeding rates remain low in the United States, and the role of partners in breastfeeding is not well understood. Using a grounded theory approach, the current qualitative study explored how couples communicate regarding breastfeeding decisions and challenges. Mother-father dyads (n = 16) completed individual semi-structured interviews 1 year after the birth of their first child. Following iterative qualitative analysis, three phases of breastfeeding communication emerged: Should we try this? ( Mother's opinion counts) How do we make this work? (adjusting and problem-solving) and How do we settle into a routine? (gaining confidence, resolving issues) Findings underscore the complexity of defining the partner role in breastfeeding.

尽管对健康有益,但在美国,持续母乳喂养的比例仍然很低,而且人们对伴侣在母乳喂养中的作用也没有很好的了解。采用扎根的理论方法,目前的定性研究探讨了夫妇如何就母乳喂养的决定和挑战进行沟通。16对父母在他们的第一个孩子出生一年后完成了单独的半结构化访谈。经过反复的定性分析,母乳喂养沟通出现了三个阶段:我们应该尝试这个吗?(母亲的意见很重要)我们怎么做呢?(调整和解决问题)以及我们如何适应常规?(获得信心,解决问题)研究结果强调了界定伴侣在母乳喂养中的作用的复杂性。
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引用次数: 2
The association between experiencing police arrest and suicide ideation among emerging young adults: Does race matter? 经历警察逮捕与新兴年轻人自杀意念之间的关系:种族有影响吗?
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-21 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211026027
Manik Ahuja, Kathie Records, Angela M Haeny, Eleni M Gavares, Hadii M Mamudu

The objective of the study was to examine the association between lifetime arrest and marijuana-related first arrest with past-year suicide ideation among Black and White people. We used data from Wave-IV (2008-2009; N = 5114) of the publicly available National Adolescent Health Study (Add Health) data. A total of 4313 Non-Hispanic Black and White participants were selected for this study. Logistic regression was used to assess whether lifetime arrest and marijuana-related arrests were associated with past year suicide. Overall, 28.8% of the sample reported lifetime arrest, 6.3% reported lifetime suicide ideation, and 3.7% reported marijuana-related arrest. A significantly higher percentage of Black people (32.3%) in comparison to White people (27.4%) reported lifetime arrest (χ2 = 9.91; p < 0.001; df = 1). Among Black people, lifetime arrest (AOR = 2.98; 95% CI, 1.66-5.35; p < 0.001) and marijuana-related arrest (AOR = 4.09; 95% CI, 1.47-11.35; p < 0.001) were both associated with lifetime suicide ideation. Given the rate of death by suicide among Black people has been rising for two decades, further efforts are needed to educate and inform key stakeholders including law enforcement and policymakers regarding racial disparities in arrests, which may contribute to reducing risk for death by suicide among Black people.

该研究的目的是检验黑人和白人的终身逮捕和大麻相关的首次逮捕与过去一年自杀意念之间的关系。我们使用了第四波(2008-2009;N = 5114)。本研究共选择4313名非西班牙裔黑人和白人参与者。Logistic回归用于评估终身逮捕和大麻相关逮捕是否与过去一年的自杀有关。总体而言,28.8%的样本报告了终身逮捕,6.3%报告了终身自杀意念,3.7%报告了与大麻有关的逮捕。与白人(27.4%)相比,黑人(32.3%)报告终生被捕的比例明显更高(χ2 = 9.91;p df = 1) 。在黑人中,终身监禁(AOR = 2.98;95%可信区间1.66-5.35;p p
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引用次数: 3
Why it is so hard to lose weight? An exploration of patients' and dietitians' perspectives by means of thematic analysis. 为什么减肥这么难?通过专题分析,探讨患者和营养师的观点。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-18 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211024406
Magdalena Poraj-Weder, Grażyna Wąsowicz, Aneta Pasternak

The present paper is aimed at understanding the importance of motivation (perceived qualitatively) in ensuring the success of the dietary change process. This study expands on previous research by confronting the perspective of persons dieting to lose weight with the perspective of professionals providing support (dietitians). We interviewed 13 respondents (six patients, seven dietitians) and performed a thematic analysis. The study's results show that understanding motivational mechanisms is a prerequisite for a consistent narrative in the patient-dietitian dyad. The research results could help in developing effective dietary interventions that could facilitate effective and permanent dietary change.

本文旨在了解动机(定性感知)在确保饮食改变过程成功中的重要性。本研究在以往研究的基础上进行了扩展,将节食减肥者的观点与提供支持的专业人士(营养师)的观点进行了对比。我们采访了13名受访者(6名患者,7名营养师),并进行了主题分析。该研究的结果表明,理解动机机制是在患者和营养师之间保持一致叙述的先决条件。研究结果有助于制定有效的饮食干预措施,促进有效和永久的饮食改变。
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引用次数: 6
The first life skills intervention to enhance well-being amongst university students in the Arab world: 'Khotwa' pilot study. 第一次生活技能干预,以提高大学生在阿拉伯世界的福祉:“Khotwa”试点研究。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-16 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211016955
Diana Maddah, Youssra Saab, Hani Safadi, Nermine Abi Farraj, Zeinab Hassan, Sophia Turner, Lina Echeverri, Nael H Alami, Tamar Kababian-Khasholian, Pascale Salameh

Although Life Skills programs showed to improve the psychological and physical wellbeing of individuals, little attention has been paid, worldwide and in the Arab countries in specific to implementing life skills intervention for university students. In this study, we tested the effectiveness of a life skills based health promotion intervention KHOTWA (STEP) in enhancing the wellbeing of university students in Lebanon, a country that faces economic and political instability. This is a quasi-experimental study, with pre and post-test, intervention-control design. Each group was formed of 78 participants studying in a private university in Lebanon. Mixed design was used to address the process and outcomes objectives of the intervention. The program was carried online due to COVID-19 pandemic. Significant differences were observed between the intervention and the control groups for life skills, dietary habits and mental health scores at the 3-month follow-up. For the intervention group, a significant increase was observed in the mean score of each of the following Life Skills subscales: self-care (p = 0.001), work and study (p = 0.013), career and education planning (p = 0.011) and looking forward/goal settings (p < 0.001). Students also achieved a healthier eating habit compared to those in the control group by decreasing their consumption of processed food. There was no significant effect in terms of body mass index (p = 0.827). Also, there was a significant change in the mental health status (p = 0.012) only in the intervention group as its mean score decreased after 3 months of the intervention implementation. This intervention enhances the mental health and promotes healthy habits leading consequently to a better quality of life and more productivity amongst university students. Therefore, such interventions should be replicated in other similar context to improve university students' well-being.

尽管生活技能项目能够改善个人的心理和身体健康,但在世界范围内,特别是在阿拉伯国家,很少有人关注对大学生实施生活技能干预。在这项研究中,我们测试了基于生活技能的健康促进干预措施KHOTWA (STEP)在提高黎巴嫩大学生福祉方面的有效性,黎巴嫩是一个面临经济和政治不稳定的国家。这是一项准实验研究,采用测试前后干预控制设计。每组由78名在黎巴嫩一所私立大学学习的参与者组成。混合设计用于解决干预的过程和结果目标。由于新冠肺炎疫情,该项目在网上进行。在3个月的随访中,干预组和对照组在生活技能、饮食习惯和心理健康评分方面存在显著差异。干预组在以下各项生活技能量表的平均得分显著提高:自我照顾(p = 0.001)、工作和学习(p = 0.013)、职业和教育规划(p = 0.011)和展望/目标设定(p = 0.827)。此外,只有干预组的心理健康状况有显著变化(p = 0.012),干预实施3个月后,其平均得分下降。这种干预措施增强了大学生的心理健康,促进了健康的习惯,从而提高了大学生的生活质量和生产力。因此,这些干预措施应该在其他类似的情况下复制,以提高大学生的幸福感。
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引用次数: 7
Does culture moderate the relationship between body dissatisfaction and quality of life? A comparative study of Australian and Malaysian emerging adults. 文化是否调节了身体不满意与生活质量之间的关系?澳大利亚和马来西亚新兴成人的比较研究。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-30 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211018378
Pravina Santhira Shagar, Caroline L Donovan, Jennifer Boddy, Caley Tapp, Neil Harris

Investigating moderating effects of culture between body dissatisfaction (BD) and quality of life (QoL) is paramount, as BD affects psychosocial functioning. Participants include 866 females (18-25) years old from Australia (n = 464) M (20.88) SD (3.38) and Malaysia (n = 402) M (20.63) SD (2.05). Higher levels of BD predicted lower levels of QoL across all four domains. BD had the strongest effect on psychological QoL for both cultures. Culture moderated the relationship between BD and: (i) physical QoL and (ii) environmental QoL. The adverse impact of BD on all domains of QoL, highlights the importance of BD as a public health problem.

研究文化在身体不满(BD)和生活质量(QoL)之间的调节作用是至关重要的,因为BD影响心理社会功能。参与者包括来自澳大利亚(n = 464) M (20.88) SD(3.38)和马来西亚(n = 402) M (20.63) SD(2.05)的866名女性(18-25)。BD水平越高,四个领域的生活质量水平越低。双相障碍对两种文化的心理生活质量影响最大。文化调节了生理障碍与(i)身体生活质量和(ii)环境生活质量之间的关系。BD对生活质量各方面的不利影响,凸显了BD作为一个公共卫生问题的重要性。
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引用次数: 4
Body talk in the digital age: A controlled evaluation of a classroom-based intervention to reduce appearance commentary and improve body image. 数字时代的身体谈话:对减少外貌评论和改善身体形象的课堂干预的对照评估。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-29 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211018920
Beth T Bell, Caitlin Taylor, Danielle L Paddock, Adam Bates, Samuel T Orange
This research evaluates the efficacy of a classroom-based intervention – Body Talk in the Digital Age (BTIDA) – in reducing adolescents’ appearance commentary and improving body image. British adolescents (N = 314; Age Range = 12–14) were cluster randomised to intervention or waiting-list control groups. Measures of appearance commentary, appearance ideal internalisation, self-objectification and body satisfaction were completed at baseline (T1), then one-week (T2) and eight-week (T3) post-intervention. Multi-level modelling showed girls who received BTIDA reported less appearance commentary engagement and thin ideal internalisation at T2 and T3, than the control, supporting the partial efficacy of BTIDA for girls. No intervention effects were found among boys.
本研究评估了以课堂为基础的干预-数字时代的身体谈话(BTIDA) -在减少青少年的外表评论和改善身体形象方面的效果。英国青少年(N = 314;年龄范围= 12-14岁)随机分为干预组或等候组。在基线(T1)、干预后1周(T2)和8周(T3)完成外貌评价、外表理想内化、自我物化和身体满意度的测量。多层次模型显示,与对照组相比,接受BTIDA的女孩在T2和T3时报告的外表评论参与度和理想内化程度较低,支持BTIDA对女孩的部分功效。在男孩中没有发现干预效果。
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引用次数: 4
Psychological distress and attachment styles in emerging adult students attending and not attending a university counselling service. 参加和未参加大学咨询服务的新兴成人学生的心理困扰和依恋方式。
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-20 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211016120
Cristina Riva Crugnola, Marta Bottini, Fabio Madeddu, Emanuele Preti, Elena Ierardi

Emerging adulthood is a turning point in the life cycle with regard mental health. To assess psychological distress and attachment styles 688 university students of which 370 requested a counselling support responded to Symptom Checklist 90 Revised and Attachment Style Questionnaire. Counselling attending students (vs counselling non-attending students) have a higher psychological risk profile, with more psychological distress and insecure attachment. A marked percentage of students not attending counselling presents psychological distress. In both groups associations emerged between psychopathological problems and insecure attachment. The importance of communication strategies aimed to those students who, albeit non requesting psychological help, display psychological distress is discussed.

成年期是心理健康生命周期的转折点。为了评估心理困扰和依恋方式,688 名大学生(其中 370 人要求心理咨询支持)回答了症状检查表 90 修订版和依恋方式问卷。参加辅导的学生(与不参加辅导的学生相比)的心理风险较高,心理困扰和依恋不安全感较多。不参加辅导的学生中,有明显比例的人有心理困扰。在这两组学生中,心理病理问题与不安全依恋之间存在关联。本文讨论了针对那些虽然没有要求心理帮助,但却表现出心理困扰的学生采取沟通策略的重要性。
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引用次数: 0
Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015. 越南初级卫生保健服务的门诊满意度:2015年越南卫生设施评估的多层次分析结果
IF 2.9 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-09 eCollection Date: 2021-01-01 DOI: 10.1177/20551029211015117
Bui Thi Tu Quyen, Nguyen Thanh Ha, Hoang Van Minh

Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients' age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients' waiting time and increase their examining time.

患者满意度影响着初级、二级和三级医疗保健的资源分配,以及优质服务的可及性和服务提供的公平性。本研究评估了门诊病人对卫生服务的满意度,并探讨了越南个人和环境层面的决定因素。4372名门诊患者的数据来自2015年越南卫生设施评估调查。采用三个层次的逻辑回归来检验门诊满意度与三种解释变量之间的关系。门诊患者对社区卫生中心和区医院的满意度比例较高(分别为85%和73%)。患者的年龄、职业和个体特征是患者满意度的显著预测因子,而省级因素与因变量无显著相关。当控制个体水平特征时,等待医疗服务时间较长的门诊患者不太可能报告满意。提高门诊满意度的干预措施应注重简化卫生机构的卫生程序,以减少患者的等待时间,增加他们的检查时间。
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引用次数: 9
期刊
Health Psychology Open
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