JournalTOCs

Journal of Health Psychology
Journal Prestige (SJR): 0.91

Citation Impact (citeScore): 2
Number of Followers: 58

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1359-1053 - ISSN (Online) 1461-7277
Published by Sage Publications

[1176 journals]

Common and unique menopause experiences among autistic and non-autistic
people: A qualitative study
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  Authors: Martha A Piper, Rebecca A Charlton
  Abstract: Journal of Health Psychology, Ahead of Print.
  Autistic people face both similar challenges to non-autistic people as they navigate menopause and additional unique challenges. Semi-structured interviews with 15 autistic and 14 non-autistic adults (assigned female at birth), explored experiences of menopause. Thematic analysis was carried out for the autistic and non-autistic groups separately. Analysis yielded four overarching themes: information about menopause, experiences of menopause, medical support for menopause and backdrop to the menopause. Each of these contained subthemes which indicated both shared and unique experiences between the groups. Both groups reported a lack of information about menopause, endured negative psychological changes during menopause and experienced menopause alongside other important life events. Autistic people faced unique challenges during menopause, including medical professionals not accommodating autistic differences, uncertainty-induced anxiety and the lifelong impact of living without an autism diagnosis. This study highlights the need for tailored care for this group during the menopause transition.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-15T10:27:09Z
  DOI: 10.1177/13591053251316500
Consumers’ and practitioners’ perspectives on the antipsychotic
induced metabolic syndrome and challenges in metabolic monitoring to
patient prescribed second generation antipsychotics in severe mental
illness
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  Authors: Pooja Gopal Poojari, Amary Mey, Sohil A Khan, Sonia Shenoy, Keshava Pai, Sahana Shetty, Sripathy M Bhat, P Venkataraya Bhandary, Leelavathi D Acharya, Swarnali Bose, Girish Thunga
  Abstract: Journal of Health Psychology, Ahead of Print.
  Second-generation antipsychotics are highly effective in controlling symptoms if taken as prescribed. However, poor medication adherence results in patients continuing to experience psychotic episodes and metabolic disturbances that can cause them to develop abnormal lipid levels, weight gain, and diabetes. Understanding the underlying modulators that impact follow-up appointments and metabolic monitoring is critical. Semi-structured interviews were conducted with patients and their treating psychiatrists across four sites in South India. Narrative data were thematically analyzed, informed by an inductive approach. Patient-reported barriers included medication side effects, lack of awareness about metabolic monitoring, and financial constraints. Psychiatrists reported both patient and resource barriers that impact their provision of care. This study has shed light on key barriers impacting the provision of care and subsequently health outcomes for patients living with severe mental illness to inform strategies that target barriers for both patients and psychiatrists.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-15T10:21:10Z
  DOI: 10.1177/13591053251315263
Psychometric properties of the Vietnamese version of the Copenhagen
Burnout Inventory (CBI-V) and its associated factors among community
pharmacists in Thua Thien Hue, Vietnam
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  Authors: Thao T P Nguyen, Thi Kim Cuc Ngo, Tran Tuan Anh Le, Thi Tan Tien Vo, Chuyen Le
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study evaluates the psychometric properties of the Vietnamese version of the Copenhagen Burnout Inventory (CBI-V) and examines factors associated with burnout among community pharmacists in Thua Thien Hue, Vietnam. A cross-sectional, interview-based study was conducted in Hue City from January to June 2023, involving 362 pharmacists. The following measurement properties of CBI-V were tested: distributional characteristics, structural validity (principal component and confirmatory factor analyses), internal consistency reliability (Cronbach’s alpha and McDonald’s omega), known-groups validity (Mann-Whitney U or Kruskal-Wallis H test). The CBI-V demonstrated good internal consistency, with Cronbach’s α and McDonald’s Omega coefficients ranging from 0.867 to 0.904. The 19-item, three-factor model showed a good fit, supported by Kaiser-Meyer-Olkin measures. CPs working in hospital retail settings, experiencing higher job satisfaction, and having a better grasp of accurate drug information sources were associated with higher burnout scores (p
  Citation: Journal of Health Psychology
  PubDate: 2025-02-13T11:33:47Z
  DOI: 10.1177/13591053251314932
An interpretative phenomenological analysis of the experience of a
nature-based therapy intervention for children with long-term health
conditions and associated psychological difficulties
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  Authors: Farhin Bhatti, Tamara Leeuwerik, Charlotte Savins, Lana Jackson
  Abstract: Journal of Health Psychology, Ahead of Print.
  Children and young people (CYP) with long-term health conditions (LTC) are at higher risk of developing mental health difficulties. Research suggests nature-based therapeutic interventions (NBTIs) may benefit CYP’s wellbeing, but less is known about the impact on CYP with LTC. This study’s objective was to explore how CYP with LTC and associated psychological difficulties experienced a NBTI and the impact on their wellbeing. Ten participants aged 10–13 attended a NBTI and took part in semi-structured interviews that explored how they made sense of their journey through the intervention, its impact on mental, physical wellbeing and sense of self. An interpretative phenomenological analysis of the interview data yielded four group experiential themes: ‘Overcoming Illness-Identity’, ‘Freedom to Choose’, ‘Sense of Connection’ and ‘A Mindful Presence’. Participants reported improved self-esteem, a deepened sense of belonging with peers and nature, and enhanced emotion regulation. Clinical implications and directions for future research are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-08T07:32:28Z
  DOI: 10.1177/13591053251315380
Trust in the healthcare system declines after exposure to information
about the harms and benefits of breast cancer screening
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  Authors: Tamar Parmet, Grant Yoder, Brad Morse, Joseph Cappella, Marilyn Schapira, Carmen Lewis, Kirsten McCaffery, Heather Smyth, Jolyn Hersch, Laura D Scherer
  Abstract: Journal of Health Psychology, Ahead of Print.
  Conflicting health messages negatively impact trust. Breast cancer screening (BCS) is one area of healthcare where conflicting messages are common. We examined whether women’s healthcare system trust was impacted after exposure to information about harms and benefits of BCS. We enrolled 497 women into this study. Participants were administered a decision aid (DA) containing information about the harms and benefits of BCS and reported their healthcare system trust pre- and post-DA exposure. We observed a significant decrease in healthcare system trust from pre- to post-DA. This decrease in trust was associated with participants’ perception that the message conflicted with their previously held beliefs and not the reactions it elicited. When people receive information about BCS that conflicts with past health messages, they may lose trust in the healthcare system. This underscores the importance of adopting consistent messages about BCS.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-07T09:46:34Z
  DOI: 10.1177/13591053251315383
Children’s socio-moral reasoning about vaccine-like behaviors
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  Authors: Sarah Probst, Felix Warneken
  Abstract: Journal of Health Psychology, Ahead of Print.
  Framing public-health behaviors as benefiting others, rather than the self, can increase behavior uptake in adults. However, there are mixed results on the effects of such messaging in a vaccination context, and it is unclear how children reason about the social and moral implications of vaccination. In this study, we present school-aged children (N = 60) with hypothetical vaccine-like behaviors and manipulate whether they benefit the self or others, and whether they prevent low or high severity harm. We find that children readily endorse these behaviors when they prevent high severity harm, and that the beneficiary of the behavior does not impact children’s endorsement. Younger children thought vaccine-like behaviors were morally important regardless of who they protected; However, as children get older, they thought about the vaccine-like behaviors in moral terms when they protected others. We discuss potential implications for how communications about vaccination may impact children’s reasoning about others.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-06T07:34:33Z
  DOI: 10.1177/13591053251314684
PTSD symptoms in war-displaced refugees diagnosed with hypertension or
type 2 diabetes: Prevalence and correlates
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  Authors: Omar Gammoh, Mariam AL-Ameri, Sireen Abdul Rahim Shilbayeh, Alaa AA Aljabali, Khlood Mohammad Aldossary, Hayam Ali AlRasheed
  Abstract: Journal of Health Psychology, Ahead of Print.
  War-displaced refugees are subjected to ongoing mental and somatic health issues that impair their well-being. This study examined the prevalence and risk factors for self-reported PTSD symptoms in war-displaced Syrian refugees residing in Jordan who had been diagnosed with at least with either hypertension or type 2 diabetes. The sample included 165 women (50.3%) and 162 men (49.7%); and 186 (56.7%) were older than 50 years. Self-reported PTSD symptoms were assessed using a validated Arabic scale. Data analysis revealed that 229/327 participants (69.8%) scored above the threshold for severe PTSD symptoms. The multivariable binary logistic regression analysis demonstrated that participants reporting a lack of medications or symptoms of chronic non-specific widespread pain were at significantly higher odds for severe PTSD, respectively. Prompt logistic, medical, and psychiatric care is required to alleviate the high trauma burden in this fragile population.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-01T07:37:49Z
  DOI: 10.1177/13591053251315890
A qualitative exploration into the lived experiences of females with a
gastrointestinal condition
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  Authors: Elizabeth Dent, Nicola Davinson, Stephanie Wilkie, Diane Stevens
  Abstract: Journal of Health Psychology, Ahead of Print.
  Research typically addresses the experiences of those with gastrointestinal (GI) conditions using quantitative methods, even though qualitative exploration of lived experiences could provide valuable knowledge for health and policy stakeholders. The study explored the lived experiences of eight females with irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) using semi-structured interviews. Reflexive thematic analysis (RTA) identified five themes: negative emotional experiences, coping with daily life, a barrier in daily life, lived experiences of remission and lack of awareness: better informing others of GI conditions. Themes suggested complex experiences of those living with IBS or IBD, with embarrassment, negatively affected romantic relationships, and a general lack of awareness of these conditions, ameliorated by forging the experience of positive aspects including strong social networks, remission as a period of relief, and finding adaptive coping strategies.
  Citation: Journal of Health Psychology
  PubDate: 2025-02-01T07:33:39Z
  DOI: 10.1177/13591053251315685
Psychological well-being factors and the likelihood of transitioning from
overweight and obesity to normal weight at population level: Evidence from
two cohort studies of UK adults
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  Authors: I Gusti Ngurah Edi Putra, Michael Daly, Eric Robinson
  Abstract: Journal of Health Psychology, Ahead of Print.
  We examined the prospective associations between psychological well-being related factors (depressive symptoms, life satisfaction, self-efficacy) and transitioning from overweight and obesity to normal body weight (vs persistence of overweight and obesity) and change in body mass index (BMI). We used multiple baselines and follow-ups from the National Child and Development Study (NCDS; 8513 observations) and the British Cohort Study (BCS; 11,113 observations). A proportion (8%–9%) of participants with overweight and obesity (BMI ≥25) at baseline transitioned into normal weight (BMI 18.5–
  Citation: Journal of Health Psychology
  PubDate: 2025-02-01T07:29:10Z
  DOI: 10.1177/13591053251313589
Prerequisites for self-care actions in individuals with restless legs
syndrome—A deductive qualitative analysis based on the COM-B model
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  Authors: Elzana Odzakovic, Anna Eliasson, Paula Jansson, Maria Lagerqwist, Bengt Fridlund, Lise-Lotte Jonasson, Martin Ulander, Jonas Lind, Anders Broström
  Abstract: Journal of Health Psychology, Ahead of Print.
  Restless Legs Syndrome (RLS) affects 3% of the world’s population, causing tingling sensations primarily in the legs. Incorporating self-care activities could improve the management of RLS symptoms, yet knowledge about effective self-care actions is limited. This study employs the Capability, Opportunity, and Motivation-Behaviour (COM-B) model to explore self-care behaviours in individuals with RLS, as research in this area is sparse. Qualitative content analysis of interviews with 28 participants with RLS, 26 subcategories emerged, aligning with the COM-B model’s components. The first part, Capability, highlighted the importance of being able to be in motion, while the second, Opportunity referred to situations where there was a lack of trust and guidance for self-care. The third part, Motivation, emphasised the importance of fixed routines of sleep, rest, and activity. These identified prerequisites can inform the development of screening instruments and patient-reported outcome measures to evaluate self-care needs and interventions for individuals with RLS.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T03:21:28Z
  DOI: 10.1177/13591053251315379
Adolescent health behavior profiles and associations with mental health in
a longitudinal study
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  Authors: Katherine M Kidwell, Rebecca L Brock, Cara Tomaso, Eric Phillips, Tiffany D James, Amy Lazarus Yaroch, Jennie L Hill, Jennifer Mize Nelson, Terry T-K Huang, W Alex Mason, Kimberly Andrews Espy, Timothy D Nelson
  Abstract: Journal of Health Psychology, Ahead of Print.
  To characterize adolescent health behavior profiles and associations with mental health, mixture models using data from two assessment points (N = 201; Female = 53.7%, Time 1 m-age = 15.4 years; Time 2 m-age = 16.3 years) identified three distinct health behavior patterns. Profile 1 (27.9% of sample) had overall healthy behaviors (e.g. diet, physical activity, sleep), except nearly half tried e-cigarettes. Profile 2 (51.9%) had above average physical activity, minimal substance use, but diets high in sugar and below average sleep. The smallest, most concerning group (20.2%, Profile 3), had high caffeine and sugar consumption, low fruit/vegetable intake, below-average sleep duration, were physically inactive, and had the most substance use. Profile 3 adolescents had greater parent psychopathology and co-occurring and future mental health symptoms (p
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T03:15:44Z
  DOI: 10.1177/13591053251314328
The impact of a personal cancer diagnosis on adolescent and young adult
cancer survivors’ social connectedness: A qualitative analysis
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  Authors: Pooja Rao, Joel E Segel, Kristin Bingen, Katie A Devine, Allison M Scott, Laura M Koehly, Ashton M Verdery, Courtney L Rumbaugh, Emily Wasserman, Heather J Costigan, Smita Dandekar, Kevin Rakszawski, Natthapol Songdej, George F Blackall, Monali Vasekar, Seema Naik, Eugene J Lengerich, Lauren J Van Scoy
  Abstract: Journal of Health Psychology, Ahead of Print.
  Adolescent/young adult cancer survivors (AYACS) are diagnosed with cancer between 15 and 39 years of age. Improving AYACS’ survivorship quality is crucial—including improving social connectedness, a construct describing the quality, structure and function of social relationships. With better understanding of AYACS’ social connectedness, network-based interventions can be developed to foster social health. This study explored how a personal cancer diagnosis impacts AYACS’ social connectedness among 35 AYACS 15–25 years old. Three themes emerged through thematic analysis: (1) AYACS experience substantial heterogeneity related to social support needs; (2) AYACS leverage multiple relationships and resources when seeking support after a personal cancer diagnosis; (3) AYACS’ individual experiences were unique in that some noted positive changes, whereas others noted negative changes in relationships within social networks, specifically with peers. These findings create a foundation to develop social programming, foster peer relationships, and incorporate social science methods to aid intervention development to strengthen AYACS’ social connectedness.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T03:13:21Z
  DOI: 10.1177/13591053241311977
A qualitative exploration of illness-related experiences, emotions, and
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  Authors: Elizabeth G. Walsh, Kemberlee Bonnet, David G. Schlundt, Erin C. Kelly, Kayleigh Rogalski, Chandler Broadbent, Alfredo Gamboa, Gurjeet S. Birdee
  Abstract: Journal of Health Psychology, Ahead of Print.
  Postural orthostatic tachycardia syndrome (POTS) is a relatively common, burdensome condition of the autonomic nervous system characterized by orthostatic intolerance. This paper presents a subset of findings from a qualitative study investigating the lived experience and perspectives of adults with POTS. Twenty-nine individuals participated in a series of focus groups. We present a conceptual model which summarizes themes related to illness-related experiences, emotional reactions, and coping strategies, and distinguishes how these vary from pre- to post-diagnosis. Our findings emphasize the myriad challenges of living with a condition with diffuse and wide-ranging symptoms, significant quality of life impacts, and limited treatment options, as well as the role of active coping strategies in facing these challenges and their emotional impacts. Additionally, we summarize themes of patient-derived suggestions for improvement in care, which highlight the importance of compassionate, patient-centered care and mental health care to support adaptive coping.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T02:27:15Z
  DOI: 10.1177/13591053251315374
Examining associations between body appreciation and positive well-being
among young adults: A cross-sectional analysis
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  Authors: Joshua A Marmara, Warwick Hosking, Siân A McLean
  Abstract: Journal of Health Psychology, Ahead of Print.
  Interest in positive body image stems from its contrast with negative body image. Research shows self-compassion and physical activity enhance body appreciation and positive well-being, yet their interaction in young adults is not well understood. This study examined connections between self-compassion, planned physical activity and intrinsic exercise motivations in 386 adults aged 18–39 (Mage = 27.54; SD = 5.58). Path analysis and serial mediation analysis revealed positive associations between self-compassion, planned physical activity, body appreciation and positive well-being, with notable sex differences. In men, self-compassion was linked to planned physical activity through intrinsic exercise motivations, which improved positive well-being via body appreciation. For women, planned physical activity indirectly influenced positive well-being through body appreciation. These findings underscore the importance of integrating sex-specific factors into health psychology interventions aimed at promoting positive body image. They also suggest avenues for future research to enhance well-being through targeted self-compassion and physical activity strategies.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T01:52:33Z
  DOI: 10.1177/13591053251313592
What’s on the agenda' Examining public health communication
about opioids
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  Authors: Erin Willis, Ye Wang, Somaieh Goudarzvand, Yugyung Lee
  Abstract: Journal of Health Psychology, Ahead of Print.
  The way media portray public health problems influences the public’s perception of problems and related solutions. Social media allows users to engage with news and to collectively construct meaning. This paper examined news in comparison to user-generated content related to opioids to understand the role of second-level agenda-setting in public health. We analyzed 162,760 tweets about the opioid crisis, and compared the main topics and their sentiments with 2998 opioid stories from The New York Times online. Evidence from this study suggests that second-level agenda setting on social media is different from the news; public communication about opioids on X/Twitter highlights attributes that are different from the ones highlighted in news. The findings suggest that public health communication should strategically utilize social media data, including obtaining consumer insight from personal tweets, listening to diverse views and warning signs from issue tweets, and tuning to the media for policy trends.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T01:50:52Z
  DOI: 10.1177/13591053241312043
Proposing and refining a physical activity intervention for individuals
living with COPD
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  Authors: Emilie Michalovic, Tayah M. Liska, Dennis Jensen, Lauren Saletsky, Meaghan Osborne, Shane N Sweet
  Abstract: Journal of Health Psychology, Ahead of Print.
  Preliminary test a two stage, self-determination theory (SDT) and participation-based physical activity and peer support intervention for individuals with Chronic Obstructive Pulmonary Disease (COPD). In Stage 1, four focus groups were conducted to provide insights about individuals’ needs and experiences with physical activity. In Stage 2, four individuals with COPD aged 76–90 years (50% female) participated in an eight-week online physical activity and peer support intervention. Pre-post assessments evaluated acceptability, feasibility, and functioning. Participants (n = 14; 36% female) identified that a physical activity-based program using functional task-based exercises and peer support is acceptable for adults with COPD in Stage 1. Three of the four participants improved their satisfaction with and self-reported participation in physical activity in Stage 2. Participants reported the intervention supported their psychological needs, associated with SDT. The online, peer support, participation-based physical activity intervention is feasible in its virtual delivery for physical activity promotion for individuals with COPD.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-31T01:46:54Z
  DOI: 10.1177/13591053241311984
Is vital exhaustion distinct' A meta-analytic investigation on the
immediate nomological network of vital exhaustion
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  Authors: Matt C Howard, Allona S Murry
  Abstract: Journal of Health Psychology, Ahead of Print.
  A multitude of studies have supported that vital exhaustion is an important predictor of physical and psychological well-being, especially in the aftermath of adverse medical events; however, some authors have expressed that vital exhaustion may be repetitive with other popular constructs, namely burnout, fatigue, and depression. We resolve this tension by performing a meta-analysis of 74 sources on the immediate nomological network of vital exhaustion. Our results support that the relations of vital exhaustion with emotional exhaustion ([math] = 0.71, [math] = 0.82, k = 4, n = 1152) and depression ([math] = 0.70, [math] = 0.83, k = 59, n = 30,963) approached the magnitude of its convergent validity correlation ([math] = 0.75, [math] = 0.88, k = 4, n = 1445), suggesting that these constructs share most of their variance. Researchers should reinvestigate whether vital exhaustion relates to outcomes when accounting for these two constructs.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-30T11:57:42Z
  DOI: 10.1177/13591053251313583
Social support among women with infertility: Associations with psychiatric
symptoms, disordered eating, and substance use
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  Authors: Lisa R Miller-Matero, Genevieve EM Joseph-Mofford, Kaitlyn M Vagnini, Erin N Haley, Alyssa M Vanderziel, Amy M Loree, Leah M Hecht
  Abstract: Journal of Health Psychology, Ahead of Print.
  Though social support in the broader population is related to better psychosocial outcomes, little work has examined the relationship between social support and patient-reported outcomes among women with infertility. The purpose of this study was to investigate whether perceived social support was associated with psychiatric symptoms, disordered eating, and substance use among women with an infertility diagnosis. Individuals who received a diagnosis of female-factor infertility (N = 188) completed measures of perceived social support, psychiatric symptoms, disordered eating, and substance use. Approximately two-thirds of participants endorsed having high levels of perceived social support (63.3%) with smaller proportions indicating moderate (28.2%) or low levels (8.5%). Compared to those with high levels of support, participants with low/moderate levels were more likely to report greater symptoms of anxiety (p
  Citation: Journal of Health Psychology
  PubDate: 2025-01-27T06:51:25Z
  DOI: 10.1177/13591053251313588
Resilience and mindful attention as determinants of psychological distress
among patients with a stoma: The mediating role of body image
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  Authors: Locatelli Sarah, Nembrini Greta, Melis Viviana, Vavassori Massimo, Radaelli Alfredo, Brugnera Agostino
  Abstract: Journal of Health Psychology, Ahead of Print.
  This research investigated if dispositional mindfulness, resilience, and self-efficacy affect quality of life (QoL) and distress in a sample of patients with stoma. Further, it tested if body image distress and post-traumatic growth mediate these associations. A total of 102 patients with a stoma (mean age: 60.37 ± 12.79 years; 60 females, 52 males) volunteered for this cross-sectional study. The results revealed that mindful attention and resilience were direct, significant negative predictors of psychological distress. On the contrary, body image distress was directly and positively associated with psychological distress and significantly mediated the association between resilience and the dependent variable. The results emphasize the importance of interventions aimed at enhancing dispositional mindfulness and resilience as well as reducing body image-related distress to improve the QoL of patients with a stoma. Additional longitudinal and cross-cultural studies are needed to confirm these findings.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-24T07:06:55Z
  DOI: 10.1177/13591053251314327
The effect of altruism on attitude to organ donation in health workers in
Türkiye
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  Authors: Damlanur Ari, Seda Aydan
  Abstract: Journal of Health Psychology, Ahead of Print.
  Organ donation is a very important issue due to its life-saving feature. The purpose of this study is to reveal the effect of the altruism levels of health workers in a public hospital in Türkiye on their organ donation attitudes. This research is a descriptive cross-sectional survey study. The survey includes questions regarding the sociodemographic information, “Organ Donation Attitude Scale” and the “Altruism Scale.” According to the findings, while the “helping” dimension significantly and positively affected the organ donation attitude, the “philanthropy” dimension did not. Organ donation attitude is lower in women, young people, married people, those with lower education levels, health workers other than doctors, and units other than the emergency department. The level of altruism was lower in younger employees, those with lower education levels, doctors and those working in intensive care services. Helping sub-dimension positively affects organ donation attitudes. For policies to increase organ donation, factors that will increase altruism need to be determined.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-24T07:02:54Z
  DOI: 10.1177/13591053241312593
Comprehensive assessment of caregiver burden and strain in early-stage
Parkinson’s disease: An exploratory study
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  Authors: Maria Grazia Maggio, Laura Culicetto, Lilla Bonanno, Rosaria De Luca, Francesco Corallo, Amelia Rizzo, Silvia Marino, Angelo Quartarone, Antonina Luca, Alessandra Nicoletti, Rocco Salvatore Calabrò
  Abstract: Journal of Health Psychology, Ahead of Print.
  Parkinson’s Disease (PD) is a progressive neurodegenerative disorder affecting motor and cognitive functions, reducing the quality of life (QoL) for both patients and caregivers. This study explored correlations between clinical and psychological factors in early-stage PD patients and their caregivers, focusing on disease burden and caregiver stress. Nineteen PD patients and their caregivers were assessed. For patients, we evaluated disease severity (Hoehn and Yahr), cognitive functions (Montreal Cognitive Assessment, MoCA), anxiety levels (Hamilton Rating Scale for Anxiety, HRS-A), and quality of life (Parkinson’s Disease Questionnaire, PDQ-39). For caregiver, we assessed caregiver burden (Caregiver Burden Inventory, CBI), functional social support (Family Strain Questionnaire, FSQ), and anxiety level (HRS-A). Spearman’s correlation analyzed relationships between patient factors and caregiver burden. Cognitive impairment (MoCA) negatively correlated with patient QoL (PDQ-Cogn; r = −0.48, p = 0.04). Caregiver anxiety (HRS-A) was positively correlated with physical (r = 0.65, p = 0.003) and emotional stress (r = 0.57, p = 0.01), and higher family stress (FSQ). Our study highlights the complex relationships between clinical and psychological factors in PD patients and their caregivers. This supports the need for integrated approaches that address the clinical management of PD and the caregivers’ psychological well-being.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-24T07:00:34Z
  DOI: 10.1177/13591053241312505
Associations of health beliefs and worry with COVID-19 protective
behaviors among lung cancer patients
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  Authors: Marcia F Burns, Ellen Krueger, Nasser Hanna, Gregory A Durm, DuyKhanh P Ceppa, Shadia I Jalal, Thomas J Birdas, Kenneth A Kesler, Lawrence H Einhorn, Catherine E Mosher
  Abstract: Journal of Health Psychology, Ahead of Print.
  Although cognitions have predicted COVID-19 protective behaviors in cancer populations, theory suggests that emotions may be more predictive of these behaviors. This study examined Health Belief Model (HBM) variables as correlates of COVID-19 protective behaviors in lung cancer patients and whether worry about COVID-19 was associated with these behaviors beyond the effects of HBM variables. From 2021 to 2022, 191 patients (62.3% female, mean age = 66 years, range = 34–91 years, mean time post-diagnosis = 2 years, range = 0.4–22 years) completed a one-time survey. Results of regression analyses showed that fewer perceived barriers to mask wearing were associated with greater mask wearing, and greater perceived severity of COVID-19 was associated with more social distancing. Higher levels of worry about COVID-19 were associated with greater mask wearing and social distancing above and beyond the effects of HBM variables. HBM variables and worry were unrelated to hand hygiene. Results are largely consistent with theory and suggest potential intervention targets.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-23T05:57:02Z
  DOI: 10.1177/13591053241312672
Exploring body image among transgender and nonbinary adults: Considering
positive body image and the pursuit of gender-affirming surgery
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  Authors: Charlotte H Markey, Christina Goodwin, Kristin J August, Dua Malik, Simran Pillarisetty, Greg Langan, Justin Schweitzer
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study explored body image among transgender and nonbinary adults, including their body appreciation, embodiment, general psychological distress, and gender identity-related pride. This study also considered participants’ pursuit of gender-affirming surgery and mental health services. This cross-sectional survey examined participants’ (N = 214; Mage = 28.57, SD = 9.50) body image and psychological well-being and how these may differ when considering participants’ interest in gender-affirming surgeries and gender-affirming mental health services. Transgender and nonbinary participants were similar in terms of their body image, but transgender participants had less psychological distress than nonbinary participants. Participants who had no interest in or had pursued a gender-affirming surgery were more likely to experience positive body image than those who desired but had not completed a gender-affirming surgery. Participants who had no interest in or had pursued mental health services also had more positive body images than those who desired treatment but had not pursued it.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-23T05:52:45Z
  DOI: 10.1177/13591053241312509
Corrigendum to “Do Diagnostic Criteria for ME Matter to Patient
Experience with Services and Interventions' Key results from an online RDS
survey targeting fatigue patients in Norway”
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  Abstract: Journal of Health Psychology, Ahead of Print.
  
  Citation: Journal of Health Psychology
  PubDate: 2025-01-22T06:18:23Z
  DOI: 10.1177/13591053241308063
ME patient experiences: Sampling bias limits the external validity of
findings
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  Authors: Joel Selvakumar, Vegard Bruun Bratholm Wyller
  Abstract: Journal of Health Psychology, Ahead of Print.
  In a recent paper in Journal of Health Psychology, Kielland et al. present a study with the first objective of documenting how helpful or unhelpful persons with ME perceive common services and interventions. The authors recruited participants by respondent driven sampling, a method that aims to produce estimates that correct for sampling bias. However, we argue that the main assumptions of the method are not met, and that the results of the study thus cannot be generalised to the intended target population.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-22T06:16:50Z
  DOI: 10.1177/13591053241310320
Internalization of help-seeking stigma and the moderating role of familism
among Latine adults with chronic pain
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  Authors: Melissa-Ann Lagunas, Joel Jin, Peter Rivera, Cammy Widman
  Abstract: Journal of Health Psychology, Ahead of Print.
  Latine1 adults with chronic pain face heightened stigmatization of seeking professional psychological help. However, research is needed to test whether stigma is internalized and to identify protective factors. We focus on familism, a value commonly found in collectivist cultures that emphasizes family bonds. We cross-sectionally examined whether self-stigma mediates public stigma and attitudes toward help-seeking while accounting for previous help-seeking experience and whether familism acts as a protective factor. We recruited 259 Latine adults with chronic pain (Mage = 33.05, SD = 11.46) from Prolific. Results revealed that self-stigma mediated the relationship between public stigma and help-seeking attitudes. Additionally, familism moderated the relationship between public stigma and self-stigma. When familism was high, the association between public stigma and self-stigma was weaker, indicating a buffering effect. Findings highlight the need for values-based, culturally tailored interventions to improve help-seeking attitudes and reduce stigma.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-18T07:10:49Z
  DOI: 10.1177/13591053241312493
‘A boy actually said I looked like a fire victim’: Exploring the
psychosocial impacts of psoriasis, eczema and acne amongst young women in
the UK through thematic analysis
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  Authors: Emily Rutter, Alison Owen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Our knowledge of the psychosocial implications of skin conditions continues to broaden, as research identifies multiple psychological morbidities relating to psoriasis, eczema and acne. This includes findings of poor body image, as a result of the change in physical appearance to the skin. However, there is limited qualitative research in the UK that explores how young women with skin conditions experience unique psychosocial impacts, including body image issues. The present study explored the experiences of seven young women with psoriasis, eczema and acne. Four main themes were developed: Embarrassment over appearance related symptoms; An unrealistic female beauty standard; Change in appearance attacking personal identity; and Lack of support. The implications of these findings are discussed, including a call for a biopsychosocial approach to skin condition treatment, that prioritises the psychological and social well being of young female skin condition patients, as well as their physical health.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T09:51:54Z
  DOI: 10.1177/13591053241312504
Weight stigma in pediatric type 1 diabetes: An associated risk for
disordered eating'
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  Authors: Paige J Trojanowski, Jennifer Warnick, Katherine E Darling, Bailey Tanner, Lauren B Shomaker, Holly K O’Donnell
  Abstract: Journal of Health Psychology, Ahead of Print.
  Adolescents with type 1 diabetes (T1D) have elevated eating disorder risk. No studies have examined weight stigma as a potential factor associated with disordered eating. This study investigated cross-sectional associations among weight-based victimization, weight bias internalization, and disordered eating in adolescents with T1D. Adolescents (12–17 years; N = 166) self-reported experiences of weight-based victimization from peers, family members, and healthcare professionals. The Weight Bias Internalization Scale (WBIS) and Diabetes Eating Problems Survey (DEPS-R) assessed internalized weight bias and disordered eating, respectively. In a series of multiple hierarchical linear regression analyses (controlling for zBMI, diabetes duration, HbA1c, sex), weight bias internalization, weight-based victimization, and frequency of weight-based victimization by peers, family, and healthcare professionals were all positively associated with disordered eating. Weight stigma is an understudied but potentially important factor to address in adolescents with T1D. Reducing weight stigma may be a promising, novel target for eating disorder prevention in this population.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T09:46:05Z
  DOI: 10.1177/13591053241311755
Unveiling the impact of perceived stigma on psychological well-being in
adult patients with inflammatory bowel disease: The mediating role of
patient engagement
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  Authors: Dilara Usta, Mariarosaria Savarese, Marta Acampora, Enrica Previtali, Salvo Leone, Vito Annese, Guendalina Graffigna
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study elucidated the impact of perceived stigma on the well-being of inflammatory bowel disease (IBD) patients and explored the mediating role of patient engagement. A descriptive cross-sectional study was conducted using an online survey, recruiting participants through the Italian IBD patient organization. The survey assessed perceived stigma, psychological well-being, and patient engagement using validated instruments. Data were analyzed using multiple regressions and bias-corrected bootstrapping analysis. Perceived stigma significantly predicted psychological well-being, and patient engagement significantly predicted well-being. Patient engagement partially mediated the relationship between perceived stigma and well-being, suggesting that lower levels of patient engagement were associated with higher perceived stigma, negatively affecting well-being. Perceived stigma significantly impairs the psychological well-being of IBD patients. However, patient engagement is important for mitigating adverse effects of stigma and enhancing overall well-being. Interventions to reduce stigma and promote patient engagement are essential for improving health outcomes in IBD management.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T07:09:59Z
  DOI: 10.1177/13591053241311526
Body satisfaction, problematic smartphone use, sleep deprivation, and
psychological well-being in adolescents: A half-longitudinal serial
mediation study
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  Authors: Hacer Yildirim-Kurtulus, Mehmet Engin Deniz, Seydi Ahmet Satici
  Abstract: Journal of Health Psychology, Ahead of Print.
  The relationships between body satisfaction, problematic smartphone use, sleep deprivation and psychological well-being have been examined with cross-sectional methods. However, the lack of any longitudinal study in which these variables were examined together made it necessary to conduct this study. In this study, we tested whether problematic smartphone use and sleep deprivation serially mediate the relationship between body satisfaction and psychological well-being. After matching the data obtained from the first (T1) and second waves (T2) of the study, the final sample consisted of 222 Turkish adolescents (M = 14.08 years, SD = 0.70). For this purpose, a study was conducted in two separate time waves and structural equation modeling was used to test longitudinal serial mediation between variables. According to the results, problematic smartphone use and sleep deprivation play a serial mediating role in the longitudinal relationship between body satisfaction and psychological well-being.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T06:52:58Z
  DOI: 10.1177/13591053241311013
Motivation, accountability, and outcomes in a randomized controlled trial
of internet weight-loss programs in primary care
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  Authors: Caitlin E Martinez, Brooke T Nezami, Amy A Gorin, Elizabeth Mayer-Davis, Erik A Willis, Christopher N Sciamanna, Deborah F Tate
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study explored whether baseline autonomous motivation (AM), controlled motivation (CM), and relative autonomy index (RAI) scores predicted 12-month weight in a three-arm randomized controlled trial of internet weight loss programs in primary care. It also evaluated perceived accountability to a primary care provider for weight loss as a moderator and study engagement (operationalized as weeks logged into the study website) as a mediator of these relationships. Participants with complete data for all model variables (n = 428) were included. Multiple linear regression models controlling for baseline weight and covariates showed that one-unit increases in baseline CM and RAI scores predicted a 0.57 kg increase (p = 0.015; Cohen’s f2 = 0.02) and 0.52 kg decrease (p = 0.019; Cohen’s f2 = 0.02) in weight, respectively. AM was not associated with 12-month weight. No moderating or mediating effects were found. Findings suggest the need for greater attention to baseline CM in weight loss programs in primary care.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T06:45:38Z
  DOI: 10.1177/13591053241309178
Health-related quality of life and associated factors in people with Type
2 diabetes mellitus in Nepal: Baseline findings from a cluster-randomized
controlled trial
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  Authors: Ashmita Karki, Corneel Vandelanotte, Stephanie Alley, Lal B Rawal
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aims to assess the status of health-related quality of life (HRQOL) and its associated factors in people with Type 2 diabetes mellitus (T2DM) in Nepal. HRQOL of 481 participants with T2DM in Kavrepalanchok and Nuwakot was measured using European Quality of life Visual Analogue Scale (EQVAS) and European Quality of life 5 dimensions (EQ5D) index from the EQ5D-3L tool. Associated correlates of T2DM were examined using linear regression analyses. The study participants generally reported higher HRQOL. Being 60 years or older was associated with a significantly lower EQVAS whereas, urban residence, higher education, testing glycated haemoglobin regularly were significantly associated with a higher EQVAS. Not having depressive symptoms was significantly associated with higher EQVAS and EQ5D-3L index. Encouraging screening of depressive symptoms, improving awareness on the importance of regular blood glucose monitoring and T2DM self-management education should be incorporated within primary diabetes care to improve HRQOL in Nepal.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-17T05:47:18Z
  DOI: 10.1177/13591053241302877
Internet addiction affects college students’ intuitive eating over
physical activity: Evidence from multiple studies
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  Authors: Kai Liu, Heli Gong, Xiaoying Liu, Tianyue Zhang, Songli Mei
  Abstract: Journal of Health Psychology, Ahead of Print.
  Intuitive eating is a key focus in health psychology and has been closely linked to negative emotions, particularly among college students. A study examining the protective and risk factors influencing students’ intuitive eating could be valuable in helping them manage their weight and improve their emotional well-being. We therefore examined the effects of physical activity and internet addiction. A total of two studies were conducted: a questionnaire survey and an ecological transient assessment. Ultimately, we found that physical activity did not influence students’ intuitive eating. However, we found that internet addiction negatively influenced college students’ intuitive eating, both in terms of immediate and short-term delayed effects. Using multiple studies, we found that physical activity was not a predictor of intuitive eating and that internet addiction had both immediate and short-term delayed effects on intuitive eating. Furthermore, there was no interaction effect between the two.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-13T09:59:33Z
  DOI: 10.1177/13591053241310321
Dutch translation and validation of the Stanford Gender-Related Variables
for Health Research questionnaire: Associations with lifestyle and mental
health
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  Authors: Paula MC Mommersteeg, Nina Kupper, Ineke Klinge, Irene van Valkengoed
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to validate the Dutch version of the Stanford Gender-Related Variables for Health Research (GVHR) questionnaire and explore sex differences in lifestyle factors, mental health, and health status. In 2021, 569 Dutch participants (54% women, 45% men, aged 20–80) completed the survey. Sex-stratified analyses examined associations with lifestyle (obesity, smoking, alcohol use, physical activity), mental health (depression, anxiety, stress), and overall health status. A seven-factor model best fit the data, revealing significant gendered differences. Women reported higher caregiver strain, discrimination, and emotional intelligence, while men reported more social support and risk-taking. In women findings were more pronounced, and caregiving strain was linked to psychological distress, whereas emotional intelligence and social support were protective. For men, gender discrimination was associated with smoking, depression, anxiety, stress, and poorer health status. The GVHR effectively assesses gender-related behaviors in Dutch samples, though further validation is needed in more diverse populations.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-10T12:50:56Z
  DOI: 10.1177/13591053241306874
The association between family resilience and psychological well-being
during the COVID-19 pandemic: A three-level meta-analysis
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  Authors: Rui Li, Donghong Wu, Lin Zhu, Tingni Mi, Siyao Jia, Zhihong Ren
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite numerous studies observing a positive correlation between family resilience and psychological well-being during the COVID-19 pandemic, the strength of this association varied considerably in previous research. This study aims to obtain reliable estimates for effect sizes and investigate the potential moderators of the association between family resilience and psychological well-being during the COVID-19 pandemic. Seventeen studies (65 effect sizes, 14,511 participants) were reviewed using a systematic literature search and the PRISMA approach. A three-level meta-analysis revealed a significant positive correlation (r = 0.504, p
  Citation: Journal of Health Psychology
  PubDate: 2025-01-07T11:09:12Z
  DOI: 10.1177/13591053241311572
Discrimination, sleep, and physical health: Moderation by respiratory
sinus arrythmia reactivity
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  Authors: Leanna M McWood, Stephen A Erath, Ben Hinnant, Mona El-Sheikh
  Abstract: Journal of Health Psychology, Ahead of Print.
  Discrimination (unfair treatment due to group membership) is relatively common among adolescents and has been linked to poor sleep and physical health. Individual differences in physiological functioning may moderate these associations. A sample of 323 youth (48% boys, 52% girls; 58.5% White, 40.9% Black, Mage = 17.38 years, SD = 10.18 months) participated. Adolescents reported on discrimination and health, wore actigraphs to measure sleep, and came to the laboratory to assess respiratory sinus arrythmia reactivity (RSA-R) to two stressful tasks. Results indicate that discrimination was directly associated with health. Furthermore, discrimination interacted with RSA-R to predict sleep and health. Discrimination was related to more sleep activity and poorer health when RSA increased relative to baseline (augmentation), and better sleep quality (higher efficiency, fewer long wake episodes), when RSA decreased relative to baseline (suppression). Findings support the importance of examining physiological regulation as a protective/vulnerability factor when attempting to explicate relations between discrimination and health.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-07T10:59:30Z
  DOI: 10.1177/13591053241310165
Exploring the lived experiences of parents living with cystic fibrosis: A
qualitative study
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  Authors: Anne Jacob, Dominique Hubert, Cléa Brain, Dominique Grenet, Cécile Flahault
  Abstract: Journal of Health Psychology, Ahead of Print.
  Because of the lengthening of their life-expectancy, more people with cystic fibrosis (CF) now pursue parenthood. To explore the experience of parenting while having CF, 18 French parents with CF were interviewed (including 12 mothers and 9 participants with a lung transplant). A thematic analysis of the interview transcripts was conducted. Within the domain of parenthood, seven themes were found: Journey to Parenthood; Experience of Parenthood; Daily Life; Administrative and Financial Aspects; Interaction of CF with Children’s Lives; The Spouse; The Children. This paper documents the positive aspects of parenthood, and the logistical and emotional challenges faced by participants and how they adjust to them. Notably, this paper highlights the struggle of most participants to become parents, the sensitive period of lung transplant surgery for the family, what children are told about CF, and how children’s lives are coloured by a sense of normality and worries for their sick parent.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-07T10:51:32Z
  DOI: 10.1177/13591053241307874
Developing and testing the effectiveness of a videoconferencing,
Meaning-Centered Coping Program among Turkish women with breast cancer: A
pilot randomized trial
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  Authors: Selva Ülbe, Gülay Dirik
  Abstract: Journal of Health Psychology, Ahead of Print.
  This pilot randomized controlled trial (RCT) investigated the preliminary effects of an 8-week videoconferencing Meaning-Centered Coping Program (MCCP) on women diagnosed with breast cancer. Forty-one participants with stage I, II, or III breast cancer were randomly assigned to either the MCCP or the waitlist control (WLC) group. Data were collected at baseline and after the intervention. MCCP recipients were also assessed at a 2-month follow-up. The results showed that the MCCP group had significantly greater improvements in the presence of meaning, posttraumatic growth, appraisal of breast cancer as a challenge, and anxiety, with a large effect size, compared with the WLC. In addition, improvement in the presence of meaning was observed from baseline to post-intervention and maintained at the 2-month follow-up in the MCCP group. These findings suggest that videoconferencing MCCP is a promising intervention for supporting patients’ meaning-making processes.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-02T12:16:07Z
  DOI: 10.1177/13591053241307875
Does social support buffer the impact of stress on health among people
living with sickle cell disease' A cross-sectional study
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  Authors: Desmond Uchechukwu Onu, Tochukwu Charles Orjiakor, Anwanabasi Obot Prince
  Abstract: Journal of Health Psychology, Ahead of Print.
  In this cross-sectional study, we examined the contributions of social support in mitigating the burden that sickle cell disease (SCD) has on the well-being of patients living with the condition. SCD patients (n = 139) in Nigeria completed measures of sickle cell distress, social support, and quality of life. Although we found that SCD distress was strongly associated with poorer quality of life, across domains; social support did not mitigate the impact that SCD distress had on the quality of life of patients. Unlike many health conditions where social support helps patient, SCD distress bears down hard on patients regardless of social support structures.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-02T11:39:36Z
  DOI: 10.1177/13591053241309498
US state death rates: Structural equation modeling of Big Five
personality, socioeconomic status, and health risk factors
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  Authors: Stewart JH McCann
  Abstract: Journal of Health Psychology, Ahead of Print.
  Structural equation modeling (SEM) tested the plausibility of a causal model with neuroticism, openness to experience, socioeconomic status (SES), and race as predictors of a composite of six health risks and age-adjusted all-cause mortality in 2020 using the 48 contiguous American states as analytic units. In the final model, neuroticism, openness, and SES accounted for 80% of the health risk composite variance. These three variables and composite health risk accounted for 85% of the death rate variance. Neuroticism, openness, and SES had direct impacts on the health risk composite and indirect impacts on death rates through the health risk composite. SES and composite health risk also had direct impacts on death rates. Spatial autocorrelation and multicollinearity were not problematic. These SEM results underline the importance of state resident personality and SES in this context and support the plausibility of the speculation that the demonstrated relations may be causal in nature.
  Citation: Journal of Health Psychology
  PubDate: 2025-01-02T11:38:19Z
  DOI: 10.1177/13591053241306564
Body mass index and social media addiction as predictors of hedonic hunger
in adolescents
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  Authors: Harun Özbey, Yağmur Sezer Efe, Meral Bayat
  Pages: 268 - 281
  Abstract: Journal of Health Psychology, Volume 30, Issue 2, Page 268-281, February 2025.
  This study was planned to determine the relationship between hedonic hunger, social media addiction and body mass index (BMI) in adolescents. The study was conducted with 720 adolescents receiving education in high schools. Data was collected online using the Children’s Power of Food Scale (CPFS) and Social Media Addiction Scale (SMAS). Mean, percentage, t-test, ANOVA and regression analysis were used to analyse data. In the study, it was found that social media addiction explained 16.4% of the variance in hedonic hunger and had a significant impact (F = 140.433, p ≤ 0.001). When the BMI variable was added to the model in the second step (Model II), it was determined that social media addiction and BMI significantly predicted CPFS scores (F = 81.839, p ≤ 0.001) and explained 18.6% of the variance. The study results revealed that social media addiction and BMI significantly predict hedonic hunger in adolescents.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-23T10:31:25Z
  DOI: 10.1177/13591053241305201
  Issue No: Vol. 30, No. 2 (2024)
Gender and race differences in weight discrimination’s relationship to
psychological distress and eating behavior
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  Authors: Brianna S Richmond, Ana C Vieira Zaidan, Ashley M Araiza, Adam J Beam, Aaron A Lee, Joseph D Wellman
  Abstract: Journal of Health Psychology, Ahead of Print.
  Stigma and discrimination against people higher in weight is common in the U.S. and understanding weight stigma’s consequences for different individuals is important. In this study, Black (N = 290) and White (N = 449) men and women who perceived themselves to be “overweight” completed self-report measures of perceived weight discrimination, emotion regulation, psychological distress, and eating behavior. Results showed gender differences among White but not Black participants, weight discrimination and the outcomes of interest were stronger for White men, compared to White women. Furthermore, difficulties in emotion regulation significantly mediated the associations of perceived weight discrimination with anxiety, depression, and emotional eating, with this association stronger for White men relative to White women. These results illuminate difficulties with emotion regulation as an important variable to consider in how perceived weight discrimination impacts psychological distress and eating behavior. These findings point to the possibility that White men may be differentially affected by weight discrimination.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-31T12:52:03Z
  DOI: 10.1177/13591053241302285
“I felt like a woman”: A phenomenological qualitative study of
disease-related experiences in Mayer-Rokitansky-Küster-Hauser syndrome
(MRKH syndrome)
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  Authors: Perihan Güner, Tuğba Ulukaya, Tuğba Pehlivan Sarıbudak
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to examine the psychosocial problems and their effects experienced by individuals diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome) who had undergone surgical operations. Ten patients who had undergone a McIndoe operation after a MRKH syndrome diagnosis were recruited with a convenience sample. Data collection was conducted at the Department of Obstetrics and Gynecology of a university hospital in Türkiye. This study produced four main themes: (1) Emotional Turmoil Upon Diagnosis, (2) Challenges to Sexual Identity and Intimate Relationships, (3) The Profound Impact of Infertility, and (4) Navigating the Complexities of Surgical Treatment. This study revealed that MRKH syndrome individuals experienced psychological reactions such as shock, resentment, anger, and sadness throughout their journey with the disease, including both before and after undergoing surgical operations. The study sheds light on the psychological needs of individuals (particularly during the initial diagnosis and postoperative period), offering important implications for nurses caring for such individuals.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-31T11:42:37Z
  DOI: 10.1177/13591053241305941
Distress and health-related quality of life among people living with type
2 diabetes: An analysis of moderated mediation roles of mindfulness and
social support
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  Authors: Desmond Uchechukwu Onu, Elisha John Igwe
  Abstract: Journal of Health Psychology, Ahead of Print.
  Type 2 diabetes patients often experience distress that adversely impacts their health-related quality of life (HRQoL). However, studies remain scarce on the pathways explaining the poor health outcomes. This study investigated the mediating link between diabetes distress (DD) and HRQoL through mindfulness and the moderating role of social support in this link. Utilizing a cross-sectional design, 276 type 2 diabetes patients completed measures of relevant variables. Results of moderated mediation analysis showed that social support moderated the mediating effect of mindfulness in the link between DD and HRQoL. Intervention may integrate mindfulness-based therapies with targeted support enhancements to improve patients’ health.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-31T04:42:31Z
  DOI: 10.1177/13591053241306559
The association between adult attachment and quality of life in stroke
patients: The mediating roles of fear of disease progression and stigma
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  Authors: Jun-Ying Fan, Qing Zhao, Shu-Min Jiang, Lin-Lin Zhu, Yu-Fang Guo
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study, conducted in China, aimed to investigate the association between adult attachment and quality of life in stroke patients, and to explore the underlying mechanisms. Questionnaires were administered using the Experiences in Close Relationships Inventory, Fear of Progression Questionnaire-Short Form, Stroke Stigma Scale and World Health Organization Quality of Life-BREF. The sample consisted of 242 participants, with a mean age of 60.33 years; 81 were women and 161 were men, and 92.98% had an ischaemic stroke. The results indicated that attachment avoidance was negatively associated with the quality of life in these patients. Additionally, fear of disease progression and stigma mediated the association between adult attachment and patients’ quality of life. These findings contribute to a deeper understanding of the psychological factors associated with quality of life in stroke patients, offering valuable insights for developing clinical practices and intervention strategies.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-30T06:23:32Z
  DOI: 10.1177/13591053241308039
Neighborhood social contact and cohesion mediate the relationship between
subjectively perceived artificial light at night and mental wellbeing
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  Authors: Hansen Li, Ying Yang, Qian Liu, Xing Zhang, Mingyue Yin, Guodong Zhang, Yang Cao
  Abstract: Journal of Health Psychology, Ahead of Print.
  Artificial Light at Night (ALAN) may improve health by promoting increased social activity. However, this hypothesis still lacks empirical evidence. In this study, we conducted an online survey to investigate the relationship between both subjective and objective measures of artificial light at night (ALAN) and mental wellbeing among 646 adults across 27 provinces in China. Additionally, we explored the potential mediating role of social contact and social cohesion within neighborhoods. Objective ALAN data were obtained through remote sensing technologies, while subjective ALAN exposure, social contact, and social cohesion were assessed via pre-established survey instruments. We found a non-linear relationship between subjective ALAN and mental wellbeing: subjective ALAN scores within the range of 6–11 (out of a total of 11) were positively correlated with mental wellbeing. This association was largely explained by neighborhood social contact and social cohesion, particularly among men. These results underscore the bright side of ALAN and provide a mechanism for understanding the health benefits of ALAN.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-30T05:22:35Z
  DOI: 10.1177/13591053241307366
A latent class analysis of lifetime potentially traumatic event exposure
and the buffering role of social support on anxiety during the COVID-19
pandemic
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  Authors: Emily K. Miller
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study examined relationships among lifetime trauma exposure, perceived social support, and anxiety during the first year of the COVID-19 pandemic. The sample included 246 diverse adults (59.8% female/women, M age = 44.39 [SD = 12.96] living in Ohio who completed questionnaires on trauma exposure, perceived social support, and anxiety symptoms. Latent class analysis identified four distinct classes based on patterns of potentially traumatic event exposure: Low, Moderate-Low, Moderate, and High. Further analyses using the BCH method demonstrated that the High Exposure class was associated with significantly higher anxiety than other classes. Perceived social support buffered anxiety symptoms for the Low Exposure and Moderate-Low Exposure classes. This study highlights how trauma exposure impacts psychological and mental health in the context of a public health crisis and underscores the role of social relationships as a protective factor, with implications for trauma-informed mental health planning and programing to address disparities.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-30T05:20:00Z
  DOI: 10.1177/13591053241306854
‘Is anyone else’s husband trying to undermine them all the time'’: A
reflexive thematic analysis of online support forum discussions about
bariatric surgery saboteurs
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  Authors: Sophia Quirke-McFarlane, Jane Ogden
  Abstract: Journal of Health Psychology, Ahead of Print.
  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.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-30T05:14:56Z
  DOI: 10.1177/13591053241305946
Medical, subjective and objective forms of exercise dependence and the
role of learning, cognitive and emotional biases
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  Authors: Kate Nicholls, Philip Dean, Jane Ogden
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite numerous benefits of regular exercise, research has demonstrated some people develop problematic exercise behaviour, with ongoing debates regarding the definition. This study defined three approaches: a traditional medical model including for example withdrawal symptoms; a subjective approach whereby individuals identify their own problematic exercise; and an objective perspective involving persistent exercise despite negative consequences. This cross-sectional study assessed the association between these three approaches in UK-based frequent exercisers (n = 139) alongside correlations with learning, cognitive and emotional biases (reward vs punishment sensitivity, delay discounting and sensation seeking). The results indicate these three approaches to problematic exercise are related but different. Further, medical problematic exercise was associated with heightened sensitivity to reward and punishment; subjective problematic exercise was only associated with heightened punishment sensitivity; objective problematic exercise was associated with reduced punishment sensitivity. This novel classification approach to problematic exercise may help clarify the factors that initiate and perpetuate this behaviour.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-23T10:27:00Z
  DOI: 10.1177/13591053241304561
A randomized, controlled trial study of the effectiveness of
mindfulness-based stress reduction program on depression and physical
problems in depressed elderly individuals
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  Authors: Nima Javadzade, Victoria Omranifard, Fatemeh Zargar, Arash Marzban, Sayed Vahid Esmaeili
  Abstract: Journal of Health Psychology, Ahead of Print.
  The aim of this study was to investigate the effectiveness of mindfulness-based stress reduction (MBSR) program on depression and physical problems in depressed elderly individuals. This randomized controlled trial was conducted on two groups of 30 depressed elderly individuals over 60 years old using purposive sampling. The GDS and the PE-PSI questionnaires were administered to both groups before and after the intervention. A standardized 8-week MBSR training program was held for the experimental group weekly for 1.5 hours. The results showed that between the beginning and 8 weeks of MBSR therapeutic intervention, the level of depression in the elderly individuals significantly decreased (p 0.05). This study provides preliminary evidence for the effectiveness of MBSR as a suitable treatment for the elderly individuals, which caregivers and psychologists in nursing homes can use to improve the mental well-being of the elderly individuals.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-21T12:22:30Z
  DOI: 10.1177/13591053241302472
Exploring the impact of physical activity on resilience: A longitudinal
analysis in Japanese adults
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  Authors: Yuki Ueno, Mari Hirano, Atsushi Oshio
  Abstract: Journal of Health Psychology, Ahead of Print.
  Recently, the role of physical activity in enhancing resilience has garnered increasing attention. Resilience describes the personal characteristics that influence psychological recovery and adaptation to stress. This study examined the relationships between various domains of physical activity and resilience in Japanese adults by analyzing panel data from five waves, gathered at 3-month intervals over a year. The study included 579 Japanese adults, with an average age of 46.4 years (SD = 8.0, range = 30–59 years). Results from random effects models revealed a positive association between work-related moderate-to-vigorous physical activity (MVPA) and innate resilience factors. In contrast, sedentary behavior was negatively associated with these factors. Transport- and leisure-related MVPA showed positive correlations with acquired resilience factors. These findings show that the influence of physical activity on resilience may vary across different activity and resilience domains. Therefore, designing targeted interventions based on physical activity types is necessary for enhancing resilience.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-21T07:01:30Z
  DOI: 10.1177/13591053241302888
Victims and actions: A personal perspective based on four decades of
clinical research and practice
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  Authors: Ladislav Valach
  Abstract: Journal of Health Psychology, Ahead of Print.
  Experience of war, terrorism, genocide and politicide manifests in suffering of the victims and survivors. Nevertheless, it is argued here, that, in engaging with these patients, we have to adopt an action theory informed conceptualization of the life of our clients and patients mobilizing their action resources and competences. After describing some experiences with victims of torture, their PTSD symptoms and suicidality are taken as an example to illustrate the contribution of action theory to understanding PTSD and to preventing suicide. This is a review of our research and psychotherapy practice of past four decades.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-17T06:58:56Z
  DOI: 10.1177/13591053241299209
Assessing the relationship between multimorbidity, psychosocial variables,
and clinical outcomes among older adults living in rural Appalachia
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  Authors: Brittany L Smalls, Adebola O Adegboyega, Courtney L Ortz, Patience E Simon-Okube, Philip M Westgate, Nancy E Schoenberg
  Abstract: Journal of Health Psychology, Ahead of Print.
  The objective of this study was to assess the relationship between multimorbidity, psychosocial variables, and clinical outcomes among older adults with type 2 diabetes (T2D) in rural Appalachia. Point-of-care clinical data (e.g. A1c, systolic blood pressure, diastolic blood pressure) and self-reported survey data, that includes psychosocial factors (e.g. distress, depressive symptoms, social support, perceived stress), chronic conditions, and sociodemographic variables were obtained from older adults living in rural Appalachia. Clinical data and psychosocial variables were treated as outcome variables, whereas the number of comorbid conditions was treated as the predictor variable. Stress was significantly associated with multimorbidity (β = 0.24, SE = 0.08, p = 0.01). However, T2D distress, social support, disability, and depression did not have statistically significant relationships with multimorbidity. Further research should assess the role of stress on psychosocial factors and clinical outcomes in rural-dwelling older adults.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-12T12:33:02Z
  DOI: 10.1177/13591053241302131
The role of basic psychological needs satisfaction and subjective
well-being in the relationship between identification with all humanity
and physical health problems: A serial mediation model
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  Authors: Zafer Güney Çağış, Habibe Tuğba Erol Korkmaz
  Abstract: Journal of Health Psychology, Ahead of Print.
  The present study sought to explore the mediating effects of basic psychological needs satisfaction (BPNS) and subjective well-being (SWB) on the link between identification with all humanity (IWAH) and physical health problem (PHP). The sample consisted of 552 young and middle-aged Turkish adults (Mage = 29.53 ± 8.67; 60.0% women, 40.0% men). The findings indicated that BPNS has a statistically significant mediating role in the relationship between IWAH and PHP, whereas SWB did not have a mediating role in this relationship. However, the findings revealed that BPNS and SWB have a serial mediating role in the relationship between IWAH and PHP, even while controlling for gender, age, and socioeconomic status. The results improve our understanding of how social identity may be related to physical health, and fill a gap in the existing literature on IWAH. Thus, the current study has implications for future research and practice by drawing attention to IWAH.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-10T12:39:29Z
  DOI: 10.1177/13591053241302138
Integrating sleep care in psychological practice: A survey of Brazilian
clinical psychologists and a global bibliometric analysis
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  Authors: Luisa Marilac Soalheiro, Mateus Assis Benfica, Beatriz de Jesus Brandão, Rafaella Valete Nunes Paiva, Lázaro Dias Carvalho, Rita de Cássia Menezes Paranhos, Laiane Tavares de Jesus Ferreira, Antonio Maurício Moreno, Paulo César Ribeiro Barbosa, Eduardo Koji Tamura
  Abstract: Journal of Health Psychology, Ahead of Print.
  Given psychologists’ role and the use of psychotherapies for sleep issues, our study explored: (1) whether psychologists inquire about patients’ sleep quality and their beliefs regarding the relationship between mental health and biological rhythms, and (2) global trends in psychological approaches through a bibliometric analysis. We analyzed responses from 1011 Brazilian clinical psychologists (October 2018–May 2019) and found that most routinely inquire about sleep quality and address sleep problems, while a small portion did not perceive a direct link between mental disorders and biological rhythms. Behavioral psychotherapy practitioners showed greater interest in sleep quality. The bibliometric analysis revealed that cognitive behavioral therapy had the strongest associations with sleep-related terms compared to other approaches. In conclusion, clinical psychology plays a key role in addressing human health. Given rising concerns about biological rhythms, further exploration across psychological approaches is essential, especially to enhance education in this field.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-10T12:36:37Z
  DOI: 10.1177/13591053241298780
Effect of physical activity on depression, anxiety, and stress in women
surviving breast cancer: A systematic review and meta-analysis of
randomized clinical trials
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  Authors: Dario da Silva Monte Nero, Carlos Rodrigo Nascimento de Lira, Claudio Luiz da Silva Lima Paz, Priscila Ribas de Farias Costa, Carla de Magalhães Cunha, Allain Amador Bueno, Rosângela Passos de Jesus, Lucivalda Pereira Magalhães de Oliveira
  Abstract: Journal of Health Psychology, Ahead of Print.
  Breast cancer treatment can lead to psychological distress, including depression, anxiety, and stress. We systematically investigated the effect of physical exercise on these factors in women surviving breast cancer (WSBC). Eight databases were searched to identify eligible randomized controlled trials (RCTs). Data extraction and bias risk analysis were conducted using standardized tools, with meta-analysis performed using RevMan® software. Out of 3529 documents initially identified, 15 RCTs were included, comprising 2756 WSBC (1284 in intervention groups and 1472 in control groups), with 2082 participants in depression analyses, 513 in anxiety analyses, and 161 in stress analyses. Meta-analyses showed that physical exercise promoted significant reduction in depression and anxiety. Subgroup analyses showed greater reduction in anxiety when aerobic and resistance exercise were combined. Only two studies investigated stress, with less robust data suggesting improvement when combining aerobic and resistance interventions. Future RCTs with standardized intervention protocols are needed to confirm these findings.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-10T12:33:26Z
  DOI: 10.1177/13591053241298752
Predictors of vaccine uptake during a pandemic: The interplay of lifetime
discrimination, educational attainment, and family support
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  Authors: Seung Eun Cha, Carol D Ryff, Jieun Song
  Abstract: Journal of Health Psychology, Ahead of Print.
  The experience of discrimination can have significant health implications, especially during a global pandemic. This study examines how lifetime discrimination, educational attainment (measured in years of education), and family support individually and interactively predict COVID-19 vaccine uptake. Low educational attainment may amplify the impact of discrimination due to increased vulnerability to misinformation. Conversely, family support can buffer the negative effects of discrimination on health behaviors by mitigating how stressors adversely influence health decisions. We utilized national data from the Midlife in the United States (N = 2004; aged 25–74). The results showed that although lifetime discrimination did not predict vaccine uptake, interaction analyses revealed that lifetime discrimination, in combination with higher educational attainment predicted lower vaccine uptake. In addition, family support moderated the relationship between lifetime discrimination and vaccine uptake, buffering its negative impact. These findings highlight the complex interplay of factors influencing COVID-19 vaccination decisions.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-09T10:57:36Z
  DOI: 10.1177/13591053241300102
Coping with Type 2 diabetes: Commonly used strategies associated with
mental wellbeing and treatment engagement
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  Authors: Alannah Shelby Rivers, Juliet Adams, Rachel Morrison, Audrey Randall, Autumn Sanders, Evelyn Pugh, Mona Medrano
  Abstract: Journal of Health Psychology, Ahead of Print.
  Type 2 diabetes (T2D) is a common, chronic condition. People with T2D often report poor mental wellbeing and treatment engagement, especially when stressed. Coping mechanisms may help manage stress, but it is crucial to identify which strategies are most common and (mal)adaptive. Using a psychometrically-informed approach and a series of pilot studies (n = 570) to develop and test the structural validity of a final item pool of coping strategies, a final study recruited 503 people with T2D through Prolific. Participants reported on coping, mental wellbeing (stress, anxiety and depressive symptoms), and treatment engagement (adherence, self-efficacy, A1C). All seven coping strategies (humor, self-blame, avoidance, support-seeking, positive mindset, religion/spirituality, and accessing resources) were psychometrically distinct and were associated with at least one indicator of treatment engagement, but fewer with wellbeing. After controlling for other variables, self-blame, avoidance, and positive mindset were the most robust predictors of both wellbeing and treatment engagement.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-07T09:15:38Z
  DOI: 10.1177/13591053241302718
Pre-sleep arousal and poor sleep quality link experiential avoidance to
depressive symptoms in young adults
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  Authors: Elizabeth J Pantesco, Melanie R Schanke
  Abstract: Journal of Health Psychology, Ahead of Print.
  Higher levels of experiential avoidance are associated with increased risk for depression. Here, we examined the mediating roles of pre-sleep arousal and sleep quality in the relationship between experiential avoidance and depressive symptoms. Undergraduate students (N = 173) completed self-reports of experiential avoidance, pre-sleep arousal, habitual sleep quality, and depressive symptoms. The indirect effect of experiential avoidance on depressive symptoms through pre-sleep arousal and sleep quality was examined in a set of serial mediation analyses. Effect estimates supported a pathway in which higher experiential avoidance was associated with heightened pre-sleep arousal, and heightened pre-sleep arousal was associated with poor sleep quality. Poor sleep quality, in turn, was associated with increased depressive symptoms. Follow-up analyses showed that the indirect path was driven by cognitive, rather than somatic, arousal. Future research assessing the role of pre-sleep cognitive arousal in the relationship between experiential avoidance and mood disruption using longitudinal design is warranted.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-06T01:03:27Z
  DOI: 10.1177/13591053241302136
Patient engagement, quality of life and chronic pain: A cross-sectional
study on endometriosis
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  Authors: Monica Ahmad, Cristina Sechi, Stefano Guerriero, Marco Guicciardi, Laura Vismara
  Abstract: Journal of Health Psychology, Ahead of Print.
  Endometriosis is a chronic condition affecting approximately 1 in 10 women of childbearing age, significantly impacting their daily lives, mental health, and quality of life. This study explores the relationship between chronic pain, patient engagement, and quality of life among women with endometriosis. Utilizing a sample of 354 women the study employed the WHOQOL-BREF, Patient Health Engagement Scale, and Numerical Pain Rating Scale to measure QoL, engagement, and pain intensity, respectively. Results indicated significant correlations between chronic pain and reduced QoL, as well as between higher patient engagement and improved QoL. Structural equation modeling revealed that patient engagement partially mediates the negative impact of chronic pain on QoL, suggesting that active involvement in health management can mitigate some adverse effects of chronic pain. These findings underscore the importance of patient engagement in enhancing QoL and managing endometriosis, highlighting the need for tailored interventions to foster proactive health management among affected women.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-04T07:15:16Z
  DOI: 10.1177/13591053241302134
Health anxiety and related factors among the rural population: A
cross-sectional study in China
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  Authors: Zhihui Jiang, Gaohui Cao, Reima Suomi, Daolin Zha
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated the prevalence and correlates of health anxiety among rural populations in China, due to the unique socio-economic challenges in these areas, such as limited healthcare access. A sample of rural residents (N = 909) was analyzed to identify key predictors of health anxiety, such as age, education level, living type, anxiety sensitivity, and perceived information overload. Results indicated that older individuals and those with lower educational levels exhibited significantly higher levels of health anxiety. Furthermore, living alone was associated with increased health anxiety, while anxiety sensitivity and perceived information overload were found to exacerbate anxiety levels. These findings highlight the critical need for tailored interventions aimed at mitigating health anxiety in rural areas, thereby contributing to improved mental health outcomes and overall well-being.
  Citation: Journal of Health Psychology
  PubDate: 2024-12-04T07:12:37Z
  DOI: 10.1177/13591053241301201
Perspectives on weight change and antiretroviral therapy from people
living with HIV in New York City: A qualitative study
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  Authors: Jennifer E Kaufman, Yiyi Wu, Jasmine A Manalel, Ethan Fusaris, Arlene Correa, Jerome Ernst, Mark Brennan-Ing
  Abstract: Journal of Health Psychology, Ahead of Print.
  Some people living with HIV experience weight gain or loss after initiating or switching antiretroviral therapy (ART) regimens. There is limited research on how perceptions of weight change affect health behaviors in this population. We interviewed 61 people living with HIV (aged 23–65; 51% cisgender men, 36% cisgender women, 13% transgender/nonbinary; 87% Black and/or Hispanic) in New York City about their feelings about weight change. Using an inductive thematic approach, we identified four themes: weight changes were attributed to external and internal factors; weight management was seen as an individual responsibility; feeling in control of one’s health was linked to body image satisfaction; and one’s sense of control related to health behaviors in divergent ways. Low perceived control could interfere with recommended behaviors, but some long-term survivors focused on controlling what they could. Healthcare providers should consider HIV patients holistically and be aware of ART’s impact in their daily lives.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-30T11:56:58Z
  DOI: 10.1177/13591053241300994
Examining healthcare professional delivery of health behaviour change
interventions during a public health emergency: A multi-professional
survey among NHS healthcare professionals
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  Authors: Chris Keyworth, Judith Johnson, Christopher J Armitage, Katharina Sophie Vogt, Tracy Epton, Mark Conner
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to assess the extent to which healthcare professional characteristics and perceptions of major stressors during a public health emergency were associated with delivering health behaviour change interventions. A survey was administered in 2022 to a representative sample of 1008 healthcare professionals working in the UK’s National Health Service (NHS). Data were analysed using descriptive statistics and hierarchical linear regression. Older respondents, higher levels of job satisfaction, being a nurse or health visitor, and reporting higher levels of perceived impacts of the COVID-19 public health emergency were associated with higher prevalence of delivering interventions. Higher levels of emotional job stress were associated with greater time spent delivering interventions (but not with a higher prevalence of contacts involving intervention delivery). Interventions targeted at younger healthcare professionals, those reporting lower job satisfaction, and healthcare professionals other than nurses or health visitors would be particularly beneficial.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-29T01:08:30Z
  DOI: 10.1177/13591053241291478
Deep Brain Stimulation Impairment Scale in Brazilian Portuguese:
Cross-cultural adaptation and content validity
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  Authors: Juliana Corrales Tauil, Amer Cavalheiro Hamdan
  Abstract: Journal of Health Psychology, Ahead of Print.
  Parkinson’s disease has exhibited the most rapid increase in prevalence among neurodegenerative disorders over the past 25 years. With the expanding availability of its surgical interventions and the controversial side effects identified in the literature, it is urgent to develop instruments for discerning subtle changes in patients’ biopsychosocial functioning. Therefore, the primary objective of this study was to culturally adapt the Deep Brain Stimulation Impairment Scale (DBS-IS) into Brazilian Portuguese and evaluate its content validity. The final version of the DBS-IS in Brazilian Portuguese comprises 19 Likert items and yielded an S-CVI of 0.97, indicating robust content validity. Given the escalating number of Parkinson’s disease diagnoses annually in Brazil, this tool may prove beneficial for practitioners and could also contribute to clarifying some of the apparent disparities among users of brain stimulation therapies worldwide and in Brazil.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-28T05:28:29Z
  DOI: 10.1177/13591053241298742
Prevalence and intervention strategies of health misinformation among
older adults: A meta-analysis
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  Authors: Bo Hu, Xinjie Liu, Chang Lu, Xingda Ju
  Abstract: Journal of Health Psychology, Ahead of Print.
  The rapid expansion of the Internet and social media has intensified the spread of health misinformation, posing significant risks, especially for older adults. This meta-analysis synthesizes evidence on the prevalence and interventions of health misinformation among older adults. Our findings reveal a high prevalence rate of 47% (95% CI [33%, 60%]), surpassing recent estimates. Offline research settings have a higher prevalence of health misinformation. Despite methodological variances, the prevalence remains consistent across different measures and development levels. Interventions show significant effectiveness (Hedges’ g = 0.76, 95% CI [0.25, 1.26]), with graphic-based approaches outperforming video-based ones. These results underscore the urgent need for tailored, large-scale interventions to mitigate the adverse impacts of health misinformation on older adults. Further research should focus on refining intervention strategies and extending studies to underrepresented regions and populations.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-28T05:28:20Z
  DOI: 10.1177/13591053241298362
The psychological impact of living with peritoneal mesothelioma: An
interpretative phenomenological analysis
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  Authors: Benjamin Lond, Lindsay Apps, Kerry Quincey, Iain Williamson
  Abstract: Journal of Health Psychology, Ahead of Print.
  Peritoneal mesothelioma is a rare life-limiting cancer that is likely to have an extremely negative impact on mental health; however, no studies to date have explored the impact and needs of those living with the condition. Ten individuals diagnosed with peritoneal mesothelioma (eight women, two men) participated in interviews and could share and discuss photographs to convey their illness experiences. Data analysis was informed by ‘Interpretative Phenomenological Analysis’. Two themes are presented: ‘Experiences of Care’ and ‘Psychological Distress’. Individuals experienced a lengthy diagnostic journey with little follow-up support. Women also reported negative impacts on body image due to abdominal swelling and scaring, diminished sexual ability and loss of fertility. Individuals recalled vivid feelings of anxiety and post-traumatic stress, and tried to cope by compartmentalising their fears and modifying diets. These findings demonstrate the need to further signpost services, help individuals manage gendered issues, and alleviate feelings of anxiety.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T12:02:54Z
  DOI: 10.1177/13591053241298932
The influence of stress, social support and feminine values on the health
behaviour of women in Hong Kong
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  Authors: Tina L Rochelle, Ami SM Li
  Abstract: Journal of Health Psychology, Ahead of Print.
  The relationship between feminine values, cultural values, stress, social support and health behaviour among women in Hong Kong was examined in a sample of 306 women aged 18–61 years (M = 34.77, SD = 10.43). Older age and weaker identification with Chinese cultural values were predictive of engagement with risky health behaviour, older age was also associated with lower perceived levels of stress. Further post-hoc analysis explored the mediating effect of Chinese values and stress on the relationship between feminine values and health behaviour, Chinese values and stress fully mediated the relationship between feminine values and engagement with risky health behaviour. Experiencing high levels of stress did not necessarily lead to engagement in health compromising behaviour. Incorporating cultural values into health promotion campaigns may be one approach to better engagement in health promotion behaviour.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T11:52:53Z
  DOI: 10.1177/13591053241298881
Psychological factors in diabetes-related foot complications: A cohort
study
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  Authors: Mai Loan Nguyen, Dana Wong, Elizabeth Barson, Eva Staunton, Caroline A Fisher
  Abstract: Journal of Health Psychology, Ahead of Print.
  Living with diabetes has been linked with an increased prevalence of psychological distress. Psychological problems may interfere diabetes-related foot complication (DRFC) self-management. We aimed to characterise psychological functioning in DRFC, and identify clinical factors that may be associated with psychological problems. Eighty-one participants (Mage = 62.8, SD = 11.3, range = 30–87) with DRFC were recruited from The Royal Melbourne Hospital. Each participant completed a battery of psychological questionnaires. DRFC participants endorsed an elevated prevalence of depression, anxiety, post-traumatic stress and diabetes distress. There were also maladaptive personality traits, differences in emotion regulation skills and negative illness perceptions. Previous mental health disorder, higher HbA1C levels and diabetes-related complications were also associated with greater psychological symptoms. Elevated prevalence of psychological symptoms is apparent in DRFC. Our study highlights the need to use targeted interventions to address psychological difficulties to help DRFC patients cope better with their condition.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T11:47:53Z
  DOI: 10.1177/13591053241297736
Are health protective behaviors promoted by anticipated regret'
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  Authors: Lise C Xiong, Serge Caparos, Sabine Gueraud, Chrystelle Augusto, Marianne Habib
  Abstract: Journal of Health Psychology, Ahead of Print.
  Several factors influence the adoption of health-protective behaviors, including anticipatory affective reactions like regret. The ability to anticipate regret matures with age, allowing individuals to make increasingly risk-averse decisions. This study examined the relationship between age and the adoption of health-protective behaviors to limit the spread of a virus from adolescence to adulthood, and the mediating effect of anticipated regret. A total of 410 French participants, aged 14–58, reported their compliance with health-protective behaviors (e.g., using surgical masks, handwashing, social distancing), along with their anticipated regret in the event of non-adherence to such behaviors leading to the contamination of themselves or others. The findings revealed that both the adoption of these behaviors and anticipated regret increased with age. Moreover, anticipated regret mediated the effect of age on health-protective behavior, encouraging higher compliance with preventive measures and reducing risk-taking.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T11:40:13Z
  DOI: 10.1177/13591053241298516
Exploring personality correlates of falsification of COVID-19 lateral flow
tests through vignettes
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  Authors: Devashish Ray, Raenhha Dhami, Aritra Mukherjee, Jan Lecouturier, Laura J McGowan, Ivo Vlaev, Michael P Kelly, Falko F Sniehotta
  Abstract: Journal of Health Psychology, Ahead of Print.
  Regular testing using rapid antigen lateral flow tests (LFTs) was an important prevention strategy during the COVID-19 pandemic. However, falsification of home LFTs was a concern. Using a large quota-representative sample of adults (n = 1295) in England, we conducted a vignette survey consisting of four hypothetical scenarios of LFT falsification behaviours (FBs) to examine whether prosocial personality traits were associated with attitudes towards and intentions for falsifying home LFTs during the pandemic. Results show that higher levels of affective empathy for people vulnerable to COVID-19 and Honesty-Humility from the HEXACO model of Personality are associated with non-acceptability of LFT FBs and intentions to not engage with them. However, affective empathy explained more of the variation compared to the facet-level measures of Honesty-Humility for both attitude and intention. Public health communications aimed at encouraging personal protective behaviours should consider the role of empathy and prosocial messages.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T11:36:32Z
  DOI: 10.1177/13591053241298034
Improving processing fluency to encourage family health information
seeking: The mediating role of communication efficacy
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  Authors: Rachel Wade, Ji Youn Ryu, Hillary Shulman, Shelly Hovick
  Abstract: Journal of Health Psychology, Ahead of Print.
  Drawing from the metacognitive literature, this experimental study examines how the relative ease of retrieving information (i.e. processing fluency) impacts individuals’ efficacy about engaging in family health discussions and interpersonal information seeking intention across two health topics: family organ donation status and family health history. Participants (N = 609) were randomly assigned to one of three conditions. Those in the easy retrieval task condition (versus a difficult or no task control), who were asked to recall information regarding two (versus six or zero) family members, reported greater processing fluency. Moreover, those who reported greater fluency also reported higher communication efficacy, and a greater intention to seek out family health information. Practically, this study highlights how metacognitive strategies may be used in healthcare settings to motivate patient information seeking. For example, it may be advantageous to start by collecting information for relatively few diseases/family members and slowly build a family history over time.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-25T11:27:53Z
  DOI: 10.1177/13591053241294116
Maintaining a sense of normality with the help of others: Lived
experiences of facilitators and barriers to Lupus adjustment
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  Authors: Sofia Silva-Ribeiro, Sónia F Bernardes, Marta M Marques, Cristina A Godinho
  Abstract: Journal of Health Psychology, Ahead of Print.
  Systemic lupus erythematosus (SLE) has a high detrimental impact on individuals’ quality of life. Identifying key factors associated with SLE adjustment is crucial for intervention development, yet there is no previous research exploring the perspectives of individuals with SLE regarding illness adjustment’ facilitating or hindering factors. In this qualitative study, 16 individual semi-structured interviews with Portuguese adults with SLE (13 women) were conducted to explore perceived facilitators and barriers to illness adjustment. A reflexive thematic analysis revealed that efforts toward maintaining a normal life, optimism, keeping engaged in meaningful activities, accessing reliable illness-related information, and having supportive relationships were core facilitators of SLE adjustment. Main barriers included inability to maintain normality, engaging in excessive activity, pessimism, being unsupported or stigmatized, and not having access to reliable illness-related information. These findings unveil potential targets for psychosocial and behavioral interventions aimed at enhancing the quality of life for individuals with SLE.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-22T10:16:48Z
  DOI: 10.1177/13591053241296190
Understanding the public’s decision-making about seasonal flu
vaccination during a pandemic: Application of the precaution adoption
process model
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  Authors: Carly Meyer, Vivi Antonopoulou, Louis Goffe, Aikaterini Grimani, Fiona Graham, Jan Lecouturier, Mei Yee Tang, Paul Chadwick, Falko F Sniehotta
  Abstract: Journal of Health Psychology, Ahead of Print.
  Understanding the behavioural factors influencing flu vaccination is crucial for mitigating seasonal infection outbreaks. This study utilised the Precaution Adoption Process Model (PAPM) to examine the public’s decision-making about seasonal flu vaccination through an online cross-sectional survey with 2004 participants in England, UK. Results showed varying stages of decision-making: 7% in Stage 2 (unengaged), 10% in Stage 3 (undecided), 7% in Stage 4 (decided not to vaccinate), 39% in Stage 5 (decided to vaccinate) and 38% in Stage 6 (vaccinated). Regression modelling revealed factors common across stages and unique to certain stages, such as flu vaccination history distinguishing those who received the vaccine. Vaccine knowledge (Stage 2), perceived benefits (Stage 4), perceived control and fear of needles (Stage 5) were uniquely associated with specific PAPM stages. The study discusses policy implications for integrating these findings to improve flu vaccination uptake, highlighting the importance of tailored strategies based on decision-making stages.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-22T01:17:42Z
  DOI: 10.1177/13591053241296650
‘It’s that camaraderie’: Experiences of a Long-COVID peer support
group for staff working in health, social care and emergency services
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  Authors: Amy Somerton, Holly Jeffrey
  Abstract: Journal of Health Psychology, Ahead of Print.
  Health, social care and emergency services staff, continue to feel the impact of Long-COVID. Using quantitative and qualitative methods, this study aims to evaluate the experience of UK health and social care staff who participated in a virtual Long-COVID peer support group between May 2021 and May 2023. The outcome measures (SWEMWBS and PHQ9) show an improvement in post-group scores, suggesting participation in the peer support group is linked to improved wellbeing. Thematic analysis identified five key themes: finding connectedness, reciprocity, effective facilitation, filling the gaps and virtual format. This evaluation shows how peer support groups provided space for reciprocity and the positive outcomes associated with this. This evaluation highlights the importance of co-produced, needs-based services providing Long-COVID peer support.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-22T01:11:58Z
  DOI: 10.1177/13591053241296184
Navigating women’s cancer prevention: Two cross-sectional studies to
investigate psychosocial antecedents of cervical and breast cancer
screening attendance
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  Authors: Marcella Bianchi, Miriam Capasso, Anna Rosa Donizzetti, Daniela Caso
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite population-based cancer screening programmes effectively decreasing mortality, participation rates are unsatisfactory for both cervical and breast screening. This research tested an integrated theory of planned behaviour model applied to cervical cancer screening (CCS; Study 1) and breast cancer screening (BCS; Study 2) attendance. Women residing in Campania (Italy) and belonging to each screening target population joined two independent surveys (Study 1: n = 332, Mage = 41.03, SD = 11.45; Study 2: n = 298, Mage = 55.03; SD = 5.17). In both studies, screening behaviour was predicted by intention to undergo the screening, action and coping planning. Significant predictors of intention were subjective norms, perceived behavioural control and self-identity in Study 1, and subjective norms, anticipated regret and self-identity in Study 2. A mediation analysis confirmed the role of action and coping planning in the intention-behaviour relation. This model can guide forthcoming interventions and steer enhancements in healthcare access.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-22T01:06:18Z
  DOI: 10.1177/13591053241295895
Exploring social, cultural and environmental factors that influence
attitudes to exercise among people with Parkinson’s disease: A
qualitative study
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  Authors: Fred Baron, Angeliki Bogosian
  Abstract: Journal of Health Psychology, Ahead of Print.
  Exercise is recommended for people with Parkinson’s (PwP) but clinical exercise-based interventions are generally ineffective. Social, cultural and environmental factors can influence exercise behaviours, but these topics are under-researched. We interviewed 18 PwP using a narrative approach to identify factors influencing their exercise behaviours throughout their lives. Thematic analysis identified three themes: (1) Why I exercise, (2) What helps and (3) Exercise with Parkinson’s. Participants had consistent core motivations to exercise: mood and well-being, body image, competition, and camaraderie. Having active partners, supportive work, and varied exercise options were among the important facilitators of long-term exercise. Participants believed strongly in the benefits of exercise for Parkinson’s, but experienced guilt about not exercising enough and frustration when symptoms made it harder to continue. This study illustrates how narrative interviews can reveal important social, cultural and environmental influences on exercise behaviour, offering potential to develop more individualised and effective exercise interventions.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-22T01:02:58Z
  DOI: 10.1177/13591053241296647
Key factors for inappropriate supplement intake in risk-taking users: An
exploratory sequential mixed-methods pilot study in Japan
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  Authors: Nanae Tanemura
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study identified the control factors of inappropriate supplement intake to support public agencies in preventing health problems. We used an exploratory sequential mixed-method design with the integrated behavioral model (IBM). Control factors in the IBM were identified with 95 participants. The highest impact behavioral change was established for the following two out of 19 control factors: “I trust others’ blogs as a source of information when they post the bad as well as the good” (r = −0.324, p
  Citation: Journal of Health Psychology
  PubDate: 2024-11-21T11:01:50Z
  DOI: 10.1177/13591053241296648
The roles of self-compassion and social support on the maternal adjustment
to a child’s hip dysplasia
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  Authors: Bruna Veloso, Lara Palmeira, Lénia Carvalhais, Joana Marta-Simões, Inês A Trindade
  Abstract: Journal of Health Psychology, Ahead of Print.
  Parenthood can be challenging when facing a child’s chronic illness such as developmental dysplasia of the hip (DDH). Although social support is known as a protective factor for the caregiver’s mental health, the role of self-compassion is less explored. This study, conducted in Portugal, explored whether self-compassion and social support mediate the relationship between mothers’ psychological adjustment and perception of their child’s illness. Ninety-four mothers of children with DDH completed questionnaires on illness perception, self-compassion, perceived social support, and psychological distress. Results suggested that self-compassion and social support mediated the relationship between mothers’ overall negative perception of the children’s illness and psychological distress. The final model accounted for 50% of the variance of depressive symptoms, 40% of anxiety, and 63% of perceived stress. This study highlights the potential value of encouraging mothers to seek social support when facing their child’s DDH diagnosis. Promoting self-compassion may be important in clinical intervention.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-21T10:46:50Z
  DOI: 10.1177/13591053241295892
Navigating the food environment: Experiences of reduced calorie
interventions to manage Type 2 Diabetes Mellitus
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  Authors: Rachael McDonnell Murray, Colm Peelo, Fiona Duffy
  Abstract: Journal of Health Psychology, Ahead of Print.
  Research into achieving Type 2 Diabetes Mellitus remission through weight loss efforts has grown steadily in the past decade. Most of this research has focused on the effectiveness of weight loss as a method to achieve remission, rather than considering individuals experiences of engaging with such change. This paper aims to review the qualitative research on individuals’ experience of proposed dietary modifications with a weight loss focus. Six databases were searched for qualitative and mixed-methods research studies, and studies were subject to analysis following Thomas and Hardin’s guidelines. The search yielded 2945 results, of which 47 were reviewed in full, and nine were included for analysis. Four analytical themes were identified; variability in support; choosing dietary change; re-negotiating the food relationship; and looking beyond weight loss. Providing tailored nutritional information that is comprehensible and culturally appropriate must be the premise of the interventions offered. Supporting patients to understand their relationship with food and identify meaningful goals beyond weight loss is an important starting point.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-21T10:41:51Z
  DOI: 10.1177/13591053241292823
“I am the mother of the kind of child you dread having”: Experiences
of living with chronic sorrow among parents with a disabled child
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  Authors: Edith Raap, Katie Lee Weille, Christine Dedding
  Abstract: Journal of Health Psychology, Ahead of Print.
  Chronic sorrow involves parents’ enduring grief due to their child’s disability. This stems not only from the recurring painful reality parents face, which differs from the life they had hoped for their children, families, and themselves but from also being confronted with societal and personal norms and expectations they cannot meet. There is a lack of research on the lived experiences of parents’ chronic sorrow. An Interpretative Phenomenological Analysis (IPA) study involving six parents with severely disabled children explored what it is like for parents to confront being “different.” Besides sorrow, the parents experienced intense ambiguity, guilt, and uncertainty while navigating societal expectations and their own perceptions of their children. Their ideas of parenthood and their self-identity as parents proved central to their strategies. This study provides insight into the intricacies of this particular aspect of chronic sorrow in parents, with relevance for research and practice.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-15T01:38:46Z
  DOI: 10.1177/13591053241292822
Efficacy of positive expressive writing in reducing depression and social
anxiety symptoms among schoolchildren during COVID-19: A randomized
controlled trial
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  Authors: Chao S. Hu, Haotian Zhang, Lihao Hu, Artur Nadiiev, Junru Yan, Mengyuan Liu
  Abstract: Journal of Health Psychology, Ahead of Print.
  The COVID-19 pandemic harmed children’s mental health, and limited therapy access exacerbates the issue. We studied positive expressive writing (EW) as a psychological intervention for teachers to reduce depression and social anxiety symptoms among schoolchildren. Altogether, 165 Chinese schoolchildren aged 10–15 were randomly assigned to positive EW, memory EW, or control group. EW groups wrote for 10 minutes weekly for 7 weeks about people and things they felt grateful for (positive EW) or memorable in the past week. The control group continued with regular weekly class meetings. All groups measured depression and social anxiety before and after the intervention. Positive EW significantly reduced depression and social anxiety symptoms compared to the control condition (both Cohen’s d = −0.45) and reduced social anxiety symptoms compared to memory EW (Cohen’s d = −0.32). Therefore, teachers can implement positive EW to support schoolchildren’s mental health recovery during and after disasters.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-15T01:27:39Z
  DOI: 10.1177/13591053241295446
Personality and social determinants of health predict adolescent comfort
and honesty reporting sports-related concussion symptoms
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  Authors: Megan G. Weishaar, Jaclyn A. Stephens, Mark A. Prince, Alissa Wicklund, Bradley T. Conner
  Abstract: Journal of Health Psychology, Ahead of Print.
  Proper diagnosis is essential in mitigating risk associated with sports-related concussion (SRC); however, 50% of SRCs remain undiagnosed due to unreported symptoms. The current study aimed to identify the most clinically-relevant, attainable personality and social determinants of health variables that are associated with honesty and comfortability reporting symptoms in 317 adolescents (Mage = 17.8, SD = 0.97, female = 55.0%, white racial identity = 81.4%). Three variables emerged as significantly associated with symptom disclosure outcomes. Openness to experience was positively associated with comfort and honesty in symptom disclosure, while impulsivity and pressure to continue playing were negatively associated with these outcomes. Importantly, increased pressure to continue playing was the most salient factor associated with symptom disclosure. These results underscore the importance of considering these specific variables when tailoring SRC intervention and prevention efforts at the individual, environmental, and systemic levels.
  Citation: Journal of Health Psychology
  PubDate: 2024-11-11T06:25:08Z
  DOI: 10.1177/13591053241293288
Self-efficacy and social support enable women to protect their pelvic
floor health: A nonrandomized controlled trial in rural Nepal
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  Authors: Vica Marie Jelena Jonitz, Akina Shrestha, Helena Luginbuehl, Aastha Kasaju, Chiara Scarnato, Regula Meierhofer, Jennifer Inauen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Carrying heavy loads increases the risk of pelvic organ disorders, particularly in low-income countries. Low self-efficacy hampers adoption of pelvic-floor-protective behaviors. The enabling hypothesis suggests that social support may strengthen women’s behavioral self-efficacy. A three-arm parallel non-randomized controlled trial with 300 women and their social partners experimentally examined whether self-efficacy and social support can enable women’s pelvic-floor-protective behaviors in rural Nepal. Three villages received (1) self-efficacy (2) self-efficacy and social support promotion, or (3) information only control. The co-primary outcomes were reduced weight carried and using protective lifting techniques at 2-month follow-up. Self-efficacy promotion increased the use of protective lifting techniques 9% more than information only (d = 0.28). Weight was reduced by 3 kg more when additionally promoting social support compared to self-efficacy alone (d = 0.39). Self-efficacy and social support promotion enable women to better protect their pelvic floor health and may complement educational approaches to health behavior change in low-resource populations.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-30T07:51:27Z
  DOI: 10.1177/13591053241283945
Psychological distress in Aotearoa New Zealand adults with type 1 diabetes
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  Authors: Joanna M McClintock, Lynne Chepulis, Tania Blackmore, Sonya Fraser, Ryan G Paul
  Abstract: Journal of Health Psychology, Ahead of Print.
  The psychological burden of type 1 diabetes (T1D) can negatively impact health outcomes. This study evaluates the prevalence of low mood (WHO-5), disordered eating (DEPS-R), diabetes distress (PAID) and fear of hypoglycaemia (HFS-II), in a sample of 250 New Zealand adults (8.4% Māori/91.6% non-Māori; 43.6% female/56.4% male) with T1D using validated tools. Māori and female patients indicated low mood, with lower median WHO-5 scores than non-Māori (p = 0.027) and males (p = 0.002). Māori were more likely to score in the clinical range on the WHO-5, DEPS-R, PAID and HFS-II (all p
  Citation: Journal of Health Psychology
  PubDate: 2024-10-28T01:27:27Z
  DOI: 10.1177/13591053241289189
How did slovak students perceive the COVID-19 pandemic: Insights from one
of the least vaccinated EU countries
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  Authors: Veronika Korim, Radomír Masaryk, Mária Lesičková
  Abstract: Journal of Health Psychology, Ahead of Print.
  The COVID-19 pandemic brought different challenges to different populations. A less explored group was university students who generally suffered low mortality rates compared to other populations. Yet, they were affected by the psychological impact of lockdowns and limited access to education and socialization. This paper focuses on Slovakia, one of the least vaccinated EU countries. In November 2021 we conducted eight focus groups with 51 university students (45 women; 6 men; M = 23.67; SD = 3.43) and analyzed the data using reflexive thematic analysis. Our results identified the development of prevailing themes associated with COVID-19. Initially, COVID-19 was perceived as unreal but brought certain secondary benefits. We also identified themes of exaggerated disease, conspiracy, resignation, frustration, or adaptation to the disease. We divided the students into three groups based on their COVID-19 vaccine stance: accepting, hesitant, and rejecting. Insights from these groups could guide better communication strategies in the future.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-27T08:34:08Z
  DOI: 10.1177/13591053241291477
Emotional awareness amplifies affective sensitivity to social support for
women with breast cancer
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  Authors: Carter M Goldman, Anne E Chuning, Richard D Lane, Ryan Smith, Karen L Weihs
  Abstract: Journal of Health Psychology, Ahead of Print.
  Emotional awareness (EA) is thought to facilitate psychological health by aiding emotion regulation in oneself and garnering social support from others. This study tested these potential relationships within a one-year longitudinal study of 460 women (age 23–91 years, mean 56.4 years) recently diagnosed with breast cancer (i.e., within four months). The women completed measures of emotional awareness, social support, social stress, affective symptoms, and well-being. Linear models tested EA as a moderator of social support and stress on affective symptoms and well-being. In those with higher EA, low social support was associated with greater depression and lower optimism. There was some evidence that higher EA predicted greater depression at baseline but lower depression at nine-month follow-up. These results support the idea that EA increases sensitivity to available social support and facilitates emotional adjustment over time, suggesting that assessment of EA could help guide clinicians in identifying those at greatest risk of adverse mental health outcomes in this population.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-25T07:20:37Z
  DOI: 10.1177/13591053241291018
Much more than a biological phenomenon: A qualitative study of women’s
experiences of brain fog across their reproductive journey
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  Authors: Hannah Johnson, Jane Ogden
  Abstract: Journal of Health Psychology, Ahead of Print.
  Whilst ‘brain fog’ is mostly considered a biological problem little is understood about an individual’s experience. This qualitative study explored women’s experiences of brain fog focusing on those at the start (aged 18–25; n = 10) and end (aged 45–60; n = 10) of their reproductive journey. Descriptive thematic analysis described three themes: (i) ‘daily disruptions’ describing cognitive dysfunctions and the main triggers; (ii) ‘the cycle of impact’ with a focus on women’s emotional experiences and how these can exacerbate brain fog; (iii) ‘taking control’ highlighting the use of self-care, physical prompts and Hormonal Replacement Therapy (HRT) to manage brain fog. Transcending these themes was the notion of ‘crisis of identity’ illustrating the negative impact of brain fog on the women’s sense of self with some older women describing acceptance and finding it less challenging. Brain fog is much more than a biological phenomenon and has broader implications for a woman’s sense of self.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-25T07:14:28Z
  DOI: 10.1177/13591053241290656
Psychometric evaluation of the Turkish version of the Work-Related Stress
Scale: A study among search and rescue workers responding to the 2023
Kahramanmaraş earthquakes
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  Authors: Mehmet Halil Öztürk, Ahmet Doğan Kuday
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study evaluates the reliability and validity of the Turkish version of the Work-Related Stress Scale (WRSS) among search and rescue workers who responded to the 2023 Kahramanmaraş earthquakes. Data were collected from 275 workers between January and April 2024 using the Personal Information Form and the Turkish version of the WRSS. Language, content, and construct validity were assessed, and reliability was determined using item-total correlation, Cronbach’s alpha, split-half, and test-retest methods. The scale demonstrated strong content validity with a CVI range of 0.9–1.0 and a mean CVI of 0.98. Exploratory factor analysis yielded factor loadings from 0.469 to 0.932, resulting in four factors that explained 75.3% of the variance. The reliability coefficients for the sub-dimensions ranged from 0.833 to 0.900, with an overall Cronbach’s alpha of 0.913. These results indicate that the Turkish WRSS is a valid and reliable tool for assessing stress among search and rescue workers.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-22T10:50:48Z
  DOI: 10.1177/13591053241287675
An exploratory study of resettled Rohingya refugees: Healthcare access and
preventive cancer screenings
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  Authors: Wendy de los Reyes, Sarah Farhan, Nasir bin Zakaria, Anne Saw
  Abstract: Journal of Health Psychology, Ahead of Print.
  Research suggests that preventive healthcare needs are high among U.S. refugees from Myanmar; yet no studies have examined healthcare patterns among U.S. Rohingya refugees. We examined participation in preventive cancer screening, healthcare access barriers, and facilitators in a community-based sample of 308 Rohingya refugees in Chicago, Illinois. Descriptives were conducted for the participation rates to preventive cancer screenings, indicated by age and gender. Chi-square tests were used to examine gender differences in barriers and facilitators in healthcare. Participants reported low participation in preventive screenings (e.g. 89.2% never received a Papanicolaou (pap) test). Healthcare access barriers were observed: 82.8% uninsured, 81.2% not knowing where to go for healthcare needs, and 55.1% needed interpretation, with men less likely to have had a doctor’s visit in the past year or a regular provider. Findings highlight the urgent need to further develop or tailor interventions to address the healthcare needs for resettled Rohingya refugees.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-19T05:53:55Z
  DOI: 10.1177/13591053241288539
Tū Kaha: he mōhio ki ngā Māori o te kōmaoa waewae (Stand Strong: A
qualitative study of Māori with venous leg ulcers in Aotearoa New
Zealand)
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  Authors: Jacquie Kidd (Ngāpuhi), Mary-Kaye Wharakura (Tainui / Ngāpuhi), George Laking (Te Whakatōhea), Dianna McGregor (Ngāpuhi), Rosie Dobson, Andrew Jull
  Abstract: Journal of Health Psychology, Ahead of Print.
  Venous leg ulcers have impact on people’s lives far beyond that of a skin lesion but these impacts have not been explored from an Indigenous perspective. We used a Māori-centered narrative approach to interview 13 Māori in Aotearoa New Zealand with venous leg ulcers. Data analysis was informed by a reflexive thematic approach and four themes were identified: Ko waewae ahau (I wear the leg); Ngā mea hōhā (annoying things); Ka tangi te ngākau (heartfelt grief); and Mamae (pain, sore, hurt). Recognizing patients’ expertise in their condition, the inclusion of whānau (family) in care planning and provision, while providing consistent advice and resource access, would all enhance the experience of venous ulcer management. Training in venous leg ulcer care needs to move beyond a focus on the leg and toward a more holistic approach that encompasses a broader understanding of patient experiences and cultural contexts when managing venous ulcers.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-19T05:38:56Z
  DOI: 10.1177/13591053241289049
Characteristics and influencing factors of posttraumatic growth in young
and middle-aged cancer patients: A cross-sectional latent profile analysis
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  Authors: Shuman Wang, Rong Ge, Wenjie Xu, Mimi Zheng, Lina Xiang, Yu Zhu, Hongwei Wan
  Abstract: Journal of Health Psychology, Ahead of Print.
  This cross-sectional study aimed to examine the subgroups of posttraumatic growth (PTG) among young and middle-aged cancer patients in China and to explore influencing factors. A total of 378 young and middle-aged cancer patients aged 18–60 were selected for the study at a hospital in Shanghai, China. Latent profile analysis identified four categories of PTG among young and middle-aged cancer patients: the “predicament group” (5.9%), the “struggle group” (36.8%), the “limited growth group” (44.1%) and the “remarkable growth group” (13.2%). Age, gender, time since diagnosis, cancer site, primary/recurrence, and meaning in life significantly influenced the distribution of PTG in young and middle-aged cancer patients. Targeted interventions should be developed to enhance the level of PTG among this population, considering the specific characteristics and influencing factors within each profile.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-19T03:40:34Z
  DOI: 10.1177/13591053241287686
Adaptive coping, emotions, and antiretroviral therapy adherence among gay,
bisexual, and other men who have sex with men (gbMSM) with HIV
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  Authors: Jacklyn D Foley, Lauren Bernier, Conall O’Cleirigh, Kenneth H Mayer, Judith T Moskowitz, Abigail W Batchelder
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study evaluated the hypothesis that positive emotions attenuate associations between negative emotions with adaptive coping and adherence, as well as explored evidence of the hypothesis of an indirect effect association between adaptive coping and adherence via positive emotions. The sample was 202 gbMSM with HIV who use substances (mean age [standard deviation] = 47.15 [12.26]; 34% Black, 14% Hispanic, and ≥50% with annual income ≤$20,000). Positive emotions were a moderator: negative emotions were not associated with approach coping at low positive emotions but were associated with more adaptive coping at high positive emotions (b = 0.32, p = 0.01). There was also an indirect effect association between adaptive coping with better adherence via high positive emotions (indirect effect: 0.29, 95% Confidence Interval = 0.004–0.39). Findings support the likely benefit of experiencing positive emotions, and investment in intensive longitudinal studies on how emotions, coping, and health behaviors are related to inform behavioral intervention development.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-14T12:09:10Z
  DOI: 10.1177/13591053241287618
The association between religiosity, suicidality, psychological distress,
and quality of life among breast cancer patients, an example of a Middle
Eastern population
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  Authors: Ahmad S Alzahrani, Saleh Mohammed Al-Mulhem, Ibrahim Abdulaziz Alfurayh, Saud Abdullah Mohammed Alshehri, Hussain Khrad, Rozan Omdah, Hanady Gouta, Noor Habib, Reem Alharthi, Wejdan Bajandouh, Marwa Sabgul, Renan Abdulwahab Alabbasi, Esraa Abdulaziz Alsaloumi
  Abstract: Journal of Health Psychology, Ahead of Print.
  The study aimed to explore the relationship between religiosity, psychological distress, and quality of life (QOL) in Saudi breast cancer patients. Utilizing a multi-center cross-sectional design, 277 patients were recruited. Patients completed questionnaires assessing religiosity, depression, anxiety, suicidality, and QOL. Results revealed a high prevalence of depression (35.7%) and anxiety (18.1%), with no significant variations in internal religiosity across different health stages, despite high levels of perceived social support. Suicidal ideation was reported by a small proportion of patients (2.5%). Multivariate analysis identified anxiety, therapy side effects, and breast symptoms as significant predictors of depression, while depression and previous psychiatric treatment predicted anxiety levels. QOL assessments indicated that body image received the highest satisfaction ratings, while sexual function received the lowest. These findings highlight the critical need for integrated mental health support in the treatment regimen of breast cancer patients.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-12T07:36:17Z
  DOI: 10.1177/13591053241288098
Impact of an mHealth intervention on parents’ emotional health and on
the neurodevelopment of high-risk infants
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  Authors: Mercedes Bellido-González, Eva María Padilla Muñoz, María José Castelar-Ríos, Miguel Ángel Díaz López, José Maldonado Lozano, María Dolores Lanzarote Fernández
  Abstract: Journal of Health Psychology, Ahead of Print.
  We assess the prenatal and postnatal effect of the High-Risk Pregnancy and Baby Parenting programme, which is complemented with two mHealth (app-based) resources. The GLM Repeated Measures Model technique was used to explore differences in the emotional health of the participants and in their infants’ neurodevelopment, comparing programme versus usual care groups, composed of 150 and 195 participants, respectively. The mothers presented lower levels of depression (mean difference 1.74, p = 0.04, 95% CI 0.07, 3.40) and higher levels of resilience (mean difference 4.09, p = 0.004, 95% CI 1.40, 6.78). For the fathers, positive effects on resilience were recorded (p
  Citation: Journal of Health Psychology
  PubDate: 2024-10-12T07:21:15Z
  DOI: 10.1177/13591053241287035
Navigating the social world with neck dystonia: An interpretative
phenomenological analysis
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  Authors: Melanie Maxwell-Scott, Fiadhnait O’Keeffe, Fiona JR Eccles
  Abstract: Journal of Health Psychology, Ahead of Print.
  Neck dystonia is a neurological condition, characterised by involuntary movements of the neck muscles, causing twisted head positions and often pain and head tremor. Ten participants with neck dystonia were interviewed and the data was analysed using an interpretative phenomenological analysis approach. Three themes were constructed: (1) dismissed by others for having an unfamiliar condition; (2) negotiating a new social identity; and (3) managing the stigma of a visible condition. It is proposed that psychological support could benefit people with neck dystonia who experience difficulties arising from identity management and stigma. Systemic interventions, such as education campaigns, are also proposed to help address stigmatising attitudes.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-12T07:16:15Z
  DOI: 10.1177/13591053241286131
The impact of war situation on endometriosis patients: Evaluating physical
and mental health outcomes
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  Authors: Jollanar Mostafa, Alexander Volodarsky-Perel, Hellen Altshuler, Avia Doron, Yechiel Z Burke, Shai E Elizur, Elad Berkowitz
  Abstract: Journal of Health Psychology, Ahead of Print.
  To investigate the impact of war situation on physical functioning, mental health status, and disease manifestations among endometriosis patients. Questionnaire-based study analyzing physical and psychosocial well-being. The study includes 50 endometriosis patients at Sheba Medical Center who completed a detailed questionnaire before and after the onset of the October 7, 2023, War in Israel. Significant deterioration in physical and mental health after the onset of war (pain score 6 vs 7; p
  Citation: Journal of Health Psychology
  PubDate: 2024-10-12T07:12:55Z
  DOI: 10.1177/13591053241288963
“We didn’t even have time to worry about our mental health.”
Long-term impact of the pandemic on nursing professionals’ experiences
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  Authors: Tyele Goulart Peres, Paul Springer, Sezercan Ucar, Bruna Larissa Seibel, Ivy Bastos Ramis
  Abstract: Journal of Health Psychology, Ahead of Print.
  Explore the experiences of nursing professionals during the COVID-19 pandemic and the impact these experiences continue to have on their personal and professional lives. This qualitative study utilized interpretative phenomenological analysis with nine nursing professionals from southern Brazil. Two main themes and five subthemes were developed. The first theme, “Ongoing trauma response,” had three subthemes: (a) Fear of dying and family dying, (b) Loneliness and isolation, and (c) My emotions don’t matter. The second theme highlights the “Continued problems with the larger healthcare system” and is made up of two subthemes: (a) We are humans, not superheroes, and (b) We are still invisible. Symptoms of trauma response continued to be a significant challenge among nursing professionals even after the end of the pandemic. Recommendations for improving working conditions and making mental health services more readily available are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-11T03:56:47Z
  DOI: 10.1177/13591053241288694
Psychological, psychosocial and physical barriers preventing nature-based
intervention participation in adults with mental health disorders: A
scoping review
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  Authors: Mark W Burrell, Jo Barton, Gina Yannitell Reinhardt, Carly J Wood
  Abstract: Journal of Health Psychology, Ahead of Print.
  Nature-based interventions (NBIs) are becoming a common mental health care referral option; however, little is known about the barriers to participation. Research reveals a concentration of evidence on the practical barriers with a paucity of guidance on the personal barriers as experienced by service users. This review explores what is known on the psychological, psychosocial and physical barriers as disclosed by adult mental health service users and the various stakeholders involved in NBI. Nine of the 104 articles screened met the inclusion criteria. The review identified a total of 47 barriers in which the majority were standalone barriers unique to the individual article or participant that generated them. However, other barriers suggest a level of universality with the greatest array of barriers identified in the psychosocial category. The review highlights an urgent need for further research on the psychological, psychosocial and physical barriers to NBI participation.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-10T10:57:24Z
  DOI: 10.1177/13591053241270410
Reporting heterogeneity in the associations between personality and health
problems: Anchoring self-reports with health vignettes
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  Authors: Markus Jokela
  Abstract: Journal of Health Psychology, Ahead of Print.
  Associations between personality and self-reported health problems may be biased by reporting heterogeneity, that is, tendency to rate the severity of the same health problem differently. This study used hypothetical health vignettes to examine the magnitude of such heterogeneity. Participants were from Health and Retirement Study (HRS; n = 3950; mean age 65 years, range from 30 to 97) and Wisconsin Longitudinal Study (WLS; n = 8664; mean age 64 years, range from 34 to 87). Personality traits of the Five Factor Model (extraversion, emotional stability, agreeableness, conscientiousness, and openness to experience) were only weakly associated with vignette ratings (rs
  Citation: Journal of Health Psychology
  PubDate: 2024-10-07T05:50:32Z
  DOI: 10.1177/13591053241285960
Compassion in Italian palliative care: Investigating healthcre
professionals’ perspectives using focus groups
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  Authors: Andrea Bovero, Chiara Tos, Sara Pesce, Alexa Pidinchedda, Rossana Botto, Luca Ostacoli, Francesca Malandrone
  Abstract: Journal of Health Psychology, Ahead of Print.
  Compassion, a complex response aimed at alleviating suffering, plays a crucial role in healthcare professionals’ (HCPs) patient care, especially in palliative settings. This study explored compassion in Italian palliative care HCPs using focus groups. A total of 52 palliative care HCPs participated in this study across five focus groups. The transcripts of the discussions were subjected to content analysis. Compassion emerged as “being with someone,” a relational dimension deeply influenced by various factors, including patients, caregivers, work environment, and HCPs themselves. While often perceived as innate, the participants expressed their potential to be nurtured through training and group discussions. Compassion is integral to the HCP-patient relationship, shaped by multifaceted aspects. These findings emphasize the importance of cultivating and enhancing compassion through training and group discussions.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-05T11:56:47Z
  DOI: 10.1177/13591053241273577
Identifying the ways in which tobacco cessation interventions have been
tailored for sexual and gender minority individuals: A systematic review
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  Authors: Justin J Fogarty, Madison R Fertig, Lauren Gulbicki, Devisi Ashar, Conall O’Cleirigh, Amelia M Stanton
  Abstract: Journal of Health Psychology, Ahead of Print.
  Sexual and gender minority (SGM) individuals smoke at higher rates than their heterosexual and cisgender peers. SGM persons, especially transgender and gender diverse (TGD) individuals, face unique, adverse health effects associated with smoking. As such, SGM individuals may benefit from smoking cessation interventions that are tailored to meet their needs. This systematic review aims to describe the ways in which these interventions have been tailored for SGM individuals and summarize available acceptability and efficacy data. Four databases were searched to identify smoking cessation interventions adapted for SGM populations. Thirteen articles were identified, with tailored aspects focusing on culturally tailored references, SGM-specific psychoeducation, and intra-community support strategies. No clear patterns of efficacy were identified, and only one study included bioverified abstinence. Preliminary evidence suggests that smoking cessation interventions can be acceptably tailored to SGM individuals, however, additional research is needed to determine if SGM-tailored interventions are more efficacious than non-tailored approaches.
  Citation: Journal of Health Psychology
  PubDate: 2024-10-04T11:44:50Z
  DOI: 10.1177/13591053241284083
Examining support marshalling within an asynchronous online peer support
forum for individuals affected by dementia
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  Authors: Neil S Coulson, Catherine V Talbot
  Abstract: Journal of Health Psychology, Ahead of Print.
  Online support communities may provide individuals affected by dementia opportunities for reciprocal peer support, however, the support marshalling strategies employed and their success remain unclear. Analysis of 100 randomly selected conversation threads from the Dementia Support Forum indicated that 29% (29/100) of opening posts included a direct support marshalling strategy (i.e. explicit support request) compared with 54% (54/100) labelled as indirect, with the remainder not seeking support. Within the direct marshalling posts, informational support was the most frequently requested (n = 23), followed by network support (n = 7), emotional support (n = 5) and esteem support (n = 1) with analysis of subsequent posts confirming that the types of support requested were present within responses. Regardless of whether a direct or indirect strategy was used, most posts received a response, typically on the same day. Other response facets were comparable, apart from thread duration with conversations elicited through a direct strategy being longer (M = 39.71 vs 14.62 days).
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T12:20:13Z
  DOI: 10.1177/13591053241287029
High levels of Patient Self Advocacy may confound clinical research in
understudied patient populations
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  Authors: Emily P Rabinowitz, Grant H Ripley, Chase Lemek, Philip A Allen, Douglas L Delahanty
  Abstract: Journal of Health Psychology, Ahead of Print.
  Objective:To examine the levels of patient self-advocacy in a sample of participants with Chiari Malformation (CM) and to explore how they relate to clinical outcomes.Methods:As part of a larger clinical trial addressing chronic pain in patients with CM, 111 participants completed the Patient Self Advocacy Scale (PSAS), the Depression, Anxiety, and Stress Scale (DASS-21), and the Brief Pain Inventory (BPI).Results:PSAS scores indicated a moderately high level of patient self-advocacy (Mean = 3.86 SD = 0.50). The PSAS was not related to depression, anxiety, stress, pain intensity, or pain interference. There were no differences in PSAS according to surgical status (t(61.25) = 0.44, p = 0.66) or use of pain medication (t(109) = 1.05, p = .29).Discussion:Participants in a clinical trial for CM have high levels of pre-existing patient self-advocacy. Research is needed to understand how patient self-advocacy contributes to the management of CM and how it could impact research of individuals with understudied conditions.Clinical Trials Registration:NCT05581472
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T12:19:07Z
  DOI: 10.1177/13591053241286643
Coping in crisis: The role of sense of coherence, life satisfaction, and
resilience in the relationship between depression, social support, fear of
COVID-19, and perceived vulnerability to disease among nurses in South
Africa
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  Authors: Bronwyne Coetzee, Phillipa Haine, Martin Kidd, Lindokuhle Shongwe, Marnus Janse Van Vuuren, Ashraf Kagee
  Abstract: Journal of Health Psychology, Ahead of Print.
  In the context of the formidable challenges posed by the COVID-19 pandemic, healthcare professionals coped in various ways. This cross-sectional survey study sought to examine the protective role of satisfaction with life, sense of coherence, and resilience in the relationship between depression, social support, fear of COVID-19, and perceived vulnerability to disease among nurses in South Africa. Participants were a convenience sample of nurses (n = 264) working at four South African hospitals in the Western Cape. Data were collected by means of an electronic survey and analysed using structural equation modelling. Participants completed a comprehensive battery of psychological measures. We found that while higher levels of fear of COVID-19 robustly predicted depressive symptomology among nurses, factors such as sense of coherence, and social support emerged as protective resources. These protective factors have the potential to alleviate the mental health impacts of pandemic-related stressors among nurses.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T09:24:31Z
  DOI: 10.1177/13591053241279000
The self-efficacy for regular meditation practice scale (SERMS):
Development and psychometric validation
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  Authors: Carly A Hunt, Janelle E Letzen, Dana Direnzo, Neda F Gould, Erica MS Sibinga, Maria Vetter, Caroline Webb, Patrick H Finan, Chung Jung Mun
  Abstract: Journal of Health Psychology, Ahead of Print.
  The health benefits of meditation are well-documented, yet people struggle to practice regularly. Domain-specific self-efficacy is an important modifiable driver of health behavior change that is poorly understood in the meditation context. As such, the present study developed the Self-Efficacy for Regular Meditation Practice Scale (SERMS) assessing confidence in one’s capacity to meditate frequently and in a way that favorably impacts well-being, including securing the psychological, social, and structural supports needed for ongoing practice. Participants provided online survey data at baseline and 1-week follow-up. Exploratory factor analyses were conducted (n = 249) followed by confirmatory factor analysis (n = 249). A three-factor structure best fit the data, with subscales measuring self-efficacy to benefit from meditation, persist in meditation, and obtain teacher and community support. Validity and test-retest reliability coefficients supported the SERMS as a promising measure of self-efficacy for meditation that may further research on meditation behavior adoption.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T09:19:35Z
  DOI: 10.1177/13591053241274462
The factors associated with paediatric medical post-traumatic stress: A
systematic review
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  Authors: Ilia Marcev, Colm Lannon-Boran, Philip Hyland, Joanna McHugh Power
  Abstract: Journal of Health Psychology, Ahead of Print.
  We examined and synthesised existing literature on factors associated with paediatric medical-related posttraumatic stress among children and their parents. Children experiencing a broad spectrum of medical conditions, diseases and injuries were of interest. A search of relevant literature concerning PMTS in children and their parents, as well as factors associated with PMTS, was conducted using Medline, PubMed and Scopus. Only studies published in English between January 2018 and November 2023 were included. Twelve articles met inclusion criteria. A broad range of correlates of PMTS were identified for children and parents, which were thematically organised into six key areas: hospital practices and environments; the parent-child relationship; parental mental wellbeing; psychological factors; sociodemographic factors; and the physical consequences of the condition. Bearing in mind constraints on causal inference due to the design of the included studies, knowledge of the factors associated with PMTS may enable clinicians to identify at-risk children and parents, with a view to intervention.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T09:15:15Z
  DOI: 10.1177/13591053241272214
Turkish validity and reliability study of the Attitudes Toward Face Mask
Use Scale
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  Authors: Özcan Erdoğan, Ahmet Doğan Kuday
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study validates the Turkish version of the Attitudes Toward Face Mask Use Scale (ATFMUS). This scale is crucial for understanding public attitudes toward mask usage in preventing the transmission of infectious diseases. The research was conducted between September 2023 and February 2024 with 530 students from a foundation university’s health sciences faculty. The study assessed the scale’s language equivalence, content validity, and factor structure through exploratory and confirmatory factor analyses. Reliability was examined via item-total correlations, Cronbach’s alpha coefficient, and test-retest reliability, indicating satisfactory internal consistency and stability over time. The results confirm the Turkish ATFMUS’s validity and reliability in measuring attitudes toward mask usage. This offers essential insights for formulating preventive initiatives within Turkish communities.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T06:39:31Z
  DOI: 10.1177/13591053241285500
Focus on the blind spots of clinician-patient interactions: A critical
narrative review of collusion in medical setting
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  Authors: Sophia Deliyanidis, Friedrich Carl Stiefel, Céline Bourquin, Laurent Michaud
  Abstract: Journal of Health Psychology, Ahead of Print.
  Collusions, interpersonal phenomena with an impact on patients, significant others, clinicians, and care, are mainly described in the psychotherapeutic literature but also occur in the medical setting. Comprehended as an unconscious bond between two or more persons from a psychotherapeutic perspective, definitions and collusive situations described in the medical setting vary. The question arises whether medical collusions, compared to collusions occurring in the psychiatric setting emerge in different clinical situations or are not identified as transference-countertransference experiences, since there is less sensitivity for the unconscious dimensions of care. We systematically reviewed the medical literature on collusions. Even though a read threat, avoidance of unpleasant feelings (mainly anxiety), runs through the described collusions, the unconscious dimensions and associated defensive maneuvers are rarely evoked. Given the expressed desire to act on collusions in medicine, involving third-party psychiatric liaison clinicians, who supervise clinicians, and hereby help to disentangle collusions, could be beneficial.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-30T06:37:53Z
  DOI: 10.1177/13591053241284197
Health behaviors at the start of the COVID-19 pandemic: Evidence for
indirect effects of subjective social status via psychological distress
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  Authors: Jacqueline Rodriguez-Stanley, Tim Bogg, Yanping Jiang, Samuele Zilioli
  Abstract: Journal of Health Psychology, Ahead of Print.
  Subjective social status (SSS), the perception of one’s social standing compared to others in society, and socioeconomic status (SES) are interconnected but distinct determinants of health. Intermediary factors such as distress and health behaviors can contribute to this relationship. This pre-registered study hypothesized that, in the early months of the COVID-19 pandemic, nonspecific psychological distress would indirectly link SSS and SES to perceived changes in three health behaviors: sleep quality, physical activity, and alcohol consumption. Data from 412 US adults were collected from April to June 2020 through an online cross-sectional survey. Findings indicated that lower SSS was indirectly associated with lower current sleep quality, worsened sleep quality, and decreased physical activity since the pandemic onset via greater psychological distress. Path analyses controlled for age, gender, race, COVID-19-related worry, and shelter-in-place status. Results are discussed in light of findings from COVID-19 research and the broader literature on SES health disparities.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-29T05:05:57Z
  DOI: 10.1177/13591053241284075
Fatalism in Turkish women with gestational diabetes: Its relationship with
diabetes self-management and perception of risk to maternal and fetal
health in pregnancy
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  Authors: Gulden Anataca, Selda Celik, Feride Taskin Yilmaz
  Abstract: Journal of Health Psychology, Ahead of Print.
  Fatalism is one of the variables associated with disease management. This descriptive-correlational study aimed to determine the level of fatalism in women with gestational diabetes mellitus (GDM) and its relationship with diabetes self-management and perception of risk to maternal and fetal health in pregnancy. The study included 531 pregnant women. The data were collected using a pregnancy information form, the Fatalism Scale, the Perception of Pregnancy Risk Questionnaire, and the Diabetes Self-Management Questionnaire. Fatalism explained 25% of the total variance on risk perception in pregnancy and 7% of the total variance on diabetes self-management. Fatalism had a fully mediating role in the effect of risk perception in pregnancy on diabetes self-management. It is important for health professionals to evaluate the effects of women’s perceptions of fatalism on their health behaviors in order to maintain a healthy pregnancy process.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-28T12:49:09Z
  DOI: 10.1177/13591053241283953
“Take a minute (or 60) to focus on yourself”: Using autophotography to
explore postpartum physical activity experiences and associated
psychological constructs
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  Authors: Iris A. Lesser, Corliss Bean, Talia Ritondo
  Abstract: Journal of Health Psychology, Ahead of Print.
  The demands of motherhood have been shown to negatively impact physical activity (PA) engagement. Participants in a larger PA-based study in British Columbia, Canada were invited to participate in this sub study. Forty-eight photos and descriptions were provided by 9 participants with infants 3–7 months of age. Photos depicted challenges with PA, PA self-efficacy, body image and self-compassion in motherhood. We noted four themes that reflected the complex and gendered nature of postpartum PA engagement. First, gendered expectations of motherhood placed demands on time and space for PA engagement. Second, how mothers felt about their bodies both positively and negatively impacted their sense of self and PA engagement. Third, moments of self-compassion illustrated how navigating feelings of self-compassion about PA was messy. Fourth, PA self-efficacy was essential and required reimagining PA within the constraints of motherhood. In conclusion, PA postpartum is complex and impacted by broader concepts related to the expected duties of motherhood.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-28T12:44:11Z
  DOI: 10.1177/13591053241284032
Utilising the COM-B model to interpret barriers and facilitators to
cervical cancer screening in young women
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  Authors: Sonia Shpendi, Paul Norman, Jilly Gibson-Miller, Rebecca K. Webster
  Abstract: Journal of Health Psychology, Ahead of Print.
  As most women now reaching the age for cervical cancer screening (24.5 years old) in the UK will be HPV vaccinated, their current perspectives on screening can inform effective interventions to increase screening uptake (and thus, early detection). Twenty-four interviews were conducted with women aged 24–30 years old to explore their views on cervical cancer screening (n = 12 attendees and n = 12 non-attendees). Reflexive thematic analysis generated six themes that were then mapped onto the COM-B model. Reflective motivations (e.g. reassurance) were key facilitators to screening attendance for both groups. Social opportunities (e.g. open communication) contrasted between the groups, with attendees more likely to have discussed screening with friends. Automatic motivations (e.g. embarrassment) were key barriers to attending screening in both groups. Notably, HPV vaccination did not factor into the decision to attend screening. Interventions to increase screening uptake may target motivational and social factors.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-28T12:40:13Z
  DOI: 10.1177/13591053241281405
Self-compassion and death distress among individuals affected by the
February 6, 2023, Türkiye Earthquake: The mediating role of doomscrolling
and resilience
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  Authors: Yağmur Kaya, Naile Osmanoğlu, Seydi Ahmet Satıcı, M Engin Deniz
  Abstract: Journal of Health Psychology, Ahead of Print.
  Large-scale events like natural disasters and epidemics can have significant impacts on individuals’ mental health worldwide. Thus, it is crucial to examine the psychological effects of such events on people. This study aimed to investigate the relationship between self-compassion, death distress, doomscrolling, and resilience, among individuals affected by earthquakes. A total of 364 Turkish adults affected by the earthquakes that occurred in Türkiye on February 6, 2023, participated in the study. Structural equation modeling was utilized to explore the mediating roles of doomscrolling and resilience in the association between self-compassion and death distress. The results of the structural equation modeling indicated that both doomscrolling and resilience mediated the relationship between self-compassion and death distress in earthquake-affected individuals. These findings contribute to understanding the interplay between self-compassion, death distress, doomscrolling, and resilience in the context of earthquakes and are expected to inform future research endeavors.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-25T11:54:43Z
  DOI: 10.1177/13591053241282129
Examining the effect of nudging on college students’ behavioral
engagement and willingness to participate in online courses
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  Authors: Xiaoli Guo, Rui Li, Zhihong Ren, Xu Zhu
  Abstract: Journal of Health Psychology, Ahead of Print.
  Nudging is a subtle behavioral intervention that has been successful in various domains such as healthy eating and energy conservation, yet its application in mental health remains underexplored. This study examines the effect of nudging to increase engagement with online mental health resources in a university setting. We assigned 2539 first-year undergraduate and graduate students in China to either a nudging group, which received course information augmented with behavioral cues (including framing effects and social norms), or a control group, which received only basic course information. Outcomes measured included self-reported willingness to enroll, willingness to recommend enrollment, and actual enrollment actions. Results indicated that students in the nudging group demonstrated significantly higher engagement levels than those in the control group across all metrics. These findings suggest the potential of nudging strategies to effectively enhance college students’ participation in online mental health education.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-25T11:46:45Z
  DOI: 10.1177/13591053241281588
The heterogeneity of insomnia symptoms for emerging workers in the digital
economy: Latent profile and network analysis
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  Authors: Ying Huang, Ruobing Zheng, Xiaxin Xiong, Yanping Chen, Wanqing Zheng, Rongmao Lin
  Abstract: Journal of Health Psychology, Ahead of Print.
  Although insomnia symptoms is a common public health issue, few studies pay attention to insomnia symptoms among emerging workers in the digital economy. In this study, a total of 1093 emerging workers were recruited. Latent profile analysis was used to investigate the heterogeneity profiles and the relationship between job characteristics and these profiles. Additionally, core symptoms of insomnia were explored through network analysis. Latent profile analysis identified four insomnia profiles: severe insomnia without daytime dysfunction (8.8%), good sleepers (39.6%), mild insomnia (41.7%), and moderate to severe insomnia (9.9%). Job characteristics (e.g. daily working duration, intensity, and performance measurement system) significantly affected the profiles. Network analysis revealed that four profiles had similar network structures, but the edge and strength were varied. The implication for preventing and intervening insomnia symptoms for emerging workers in the digital economy has been discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-20T12:22:05Z
  DOI: 10.1177/13591053241274472
Caring for a child with cancer: Parental competence, distress, and
cortisol levels
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  Authors: Noa Benaroya-Milshtein, Or Cohen Ben-Simon, Tamar Natanzon, Meital Avishai-Neumann, Adi Moka, Noa Tsuk-Ram, Veit Roessner, Judith Buse, Anne Uhlmann, Shimrit Daches
  Abstract: Journal of Health Psychology, Ahead of Print.
  Parents of children facing cancer are subject to psychological distress. In this study, we explored whether the time that had passed since a child’s cancer diagnosis was associated with parents’ distress levels and whether parental sense of competence (PSOC) moderated this association. Forty-four parents of children with cancer who were hospitalized during 2022 participated. Parents completed questionnaires and provided hair samples for the examination of hair cortisol concentration (HCC). Correlations indicated no significant association between time since diagnosis and distress indices. Yet, linear regression analysis revealed that PSOC moderated the association between time since diagnosis and parental HCC (β = −0.36, p
  Citation: Journal of Health Psychology
  PubDate: 2024-09-19T11:54:08Z
  DOI: 10.1177/13591053241280146
Psychometric characteristics of the multidimensional scale of perceived
social support in ostomy patients and their caregivers
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  Authors: Paolo Iovino, Ilaria Marcomini, Laura Rasero, Duilio Fiorenzo Manara, Ercole Vellone, Giulia Villa
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite the importance of social support in ostomy care, the Multidimensional Scale of Perceived Social Support (MSPSS) does not appear to be validated in the context of ostomy care. This study evaluated the psychometric characteristics of MSPSS in ostomy patients and their informal caregivers. The MSPSS was tested in a sample of 775 participants with confirmatory factor analysis. Internal consistency reliability was assessed with the ordinal Omega coefficient. Criterion-related validity was ascertained via hypothesis testing by correlating the scores of the MSPSS with other measures. MSPSS for patients and caregivers has a three-factor structure with a good fit. Internal consistency reliability of the factors was excellent. Concurrent validity was supported by the negative correlations between MSPSS scores with depression and stoma-related QoL, and the positive correlations with perceived mutuality. Our research indicates that the MSPSS is a sound measure of social support for ostomy patients and their caregivers.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-19T06:38:08Z
  DOI: 10.1177/13591053241278169
Exploring the impact of adverse childhood experiences on health and
cognitive functions in older adults
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  Authors: Rosa Angela Fabio, Lucia Natolo, Tindara Caprì, Carmela Mento, Giulia Picciotto
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study examines whether adverse childhood experiences (ACEs) predict long-term health issues and how ACEs, alongside stress, impact well-being and cognitive abilities in older adults. 279 adults were categorized into three age groups (30–46, 47–60, and 61–80). Participants completed an online survey assessing health problems, stress, resilience, and ACEs. Additionally, 32 older adults underwent cognitive tests. ACE scores predicted physical and psychological diseases in adults but not in older adults. However, a significant correlation between ACEs and cognitive abilities was evident in older participants. ACEs are significant indicators of long-term health issues and stress in adults but may not predict these factors in older individuals. Understanding ACEs’ impact on cognitive abilities in older adults is crucial for tailored interventions and support.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-19T06:32:17Z
  DOI: 10.1177/13591053241277369
A qualitative analysis of parents’ beliefs about portable pool
safety behaviours
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  Authors: Kyra Hamilton, Kim Dunn, Jacob J Keech, Amy E Peden
  Abstract: Journal of Health Psychology, Ahead of Print.
  The aim of this study was to develop an in-depth understanding of the beliefs parents hold regarding portable pool safety behaviours using the theory of planned behaviour (TPB). Semi-structured interviews were conducted with parents (N = 15) of children aged 5 years and younger who owned a portable pool. Interviews examined three key safety behaviours: supervising within arms’ reach, fencing portable pools deeper than 30 cm, and emptying and storing portable pools safely after use. Parents identified a range of advantages, disadvantages, normative influences, and facilitators and barriers towards the three behaviours. The identification of these salient behavioural, normative, and control beliefs enrich limited understandings of portable pool safety behaviours of parents with young children. Current findings fill a knowledge gap in portable pool safety and provide potential targets for messages to improve parents’ behaviours for their young children around portable pools in the hope of preventing loss of life.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-18T12:53:48Z
  DOI: 10.1177/13591053241275588
Trends in loneliness in 17 European countries between 2006 and 2015: A
secondary analysis of data from the European Social Survey
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  Authors: Simone Amendola, Agnes von Wyl
  Abstract: Journal of Health Psychology, Ahead of Print.
  The present study analysed changes in loneliness between 2006 and 2015 and associated factors using publicly available data (N = 128,718) from the European Social Survey from 17 countries. The study protocol was pre-registered on the Open Science Framework (https://osf.io/eq63j/). Loneliness-weighted prevalence (and mean) decreased from 30% to 27% over time. The decreasing trend was significant for both sexes. Young and old age groups reported a decline in loneliness over time while other age groups did not. Loneliness did not demonstrate a significant decline – but rather a stable trend – in persons with disability and first- and second-generation immigrants. Sociodemographic characteristics, social factors, well-being and psychological distress were associated with loneliness. These findings update those from previous studies indicating that loneliness trends and differences between European regions might be better explained by differences in psychological distress.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-18T01:08:45Z
  DOI: 10.1177/13591053241278473
The influence of gender and body satisfaction on attentional bias among
young adults in Hong Kong: An eye-tracking study
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  Authors: Tina L Rochelle, Xiuyan Huang
  Abstract: Journal of Health Psychology, Ahead of Print.
  The present study examined gender differences in attentional bias of body images. Using an experimental design, 58 young adults aged 18–29 years (Mage = 20.53) completed self-report measures of body satisfaction, eating pathology and trait appearance comparison before viewing whole body images of thin/muscular and large men/women through an eye tracker. After viewing the images, participants completed self-report measures of body satisfaction and state appearance comparison, BMI was also recorded. Results revealed that higher BMI was associated with reduced body satisfaction. Problematic eating attitudes were associated with greater engagement in appearance comparison, which was linked to lower levels of body satisfaction. Exposure to idealised body images negatively impacted individuals with lower body satisfaction leading to lower levels of body satisfaction post-experiment. Findings provide support for the positive association between body dissatisfaction and attentional bias to idealised bodies in both women and men in a Chinese context.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-15T03:12:46Z
  DOI: 10.1177/13591053241278509
The impact of COVID-19 on physical activity and mental health: A
mixed-methods approach
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  Authors: Wai Tung Hung, Vaughan Bell, Keri Ka-Yee Wong
  Abstract: Journal of Health Psychology, Ahead of Print.
  This mixed-methods study investigated how and why physical activity (PA), anxiety, depression and self-perceived loneliness are related, and the feasibility of social prescribing (SP). Whilst SP may involve PA with broader effects on health and wellbeing, there is little research exploring perceptions of this intervention. Data from the UCL-Penn Global COVID Study wave 1 (17 April–17 July 2020, N = 1037) were analysed. Twenty-one UK adults who self-identified as low (n = 15) and high (n = 6) on PA at wave 1 were interviewed at wave 4 (18 March–1 August 2022). At wave 1, depression was associated with higher odds of low-PA (OR = 1.05; 95% CI 1.01–1.10, p = 0.02). Both high/low-PA groups cited the threat of contracting COVID-19, general impacts of COVID-19 policies and heightened awareness of the mind-body connection. Five recommendations are made to address challenges in engaging with SP.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-15T03:03:20Z
  DOI: 10.1177/13591053241275599
Adverse childhood experiences: A health risk in emerging adulthood
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  Authors: Katherine Quezada-Gaibor, Aitana Gomis-Pomares, Lidón Villanueva
  Abstract: Journal of Health Psychology, Ahead of Print.
  Adverse Childhood Experiences (ACEs) represent a child’s exposure to negative events that are detrimental to their mental and physical health. Despite this, very few studies have focused on the relationship between ACEs and physical health problems, in non-English-speaking populations and in emerging adulthood. Therefore, the objective of this study was to investigate the cumulative and differential impact of ACEs on diverse physical health problems in a Spanish population. Participants were 648 young adults (22% men), between the ages of 18 and 30 (mean age = 21.37, SD = 3.11), who completed the ACE Questionnaire and answered some questions about their health (e.g. asthma, obesity, global health). From the cumulative perspective, ACEs had a significant relationship with global health and asthma. Additionally, the differential approach revealed some specific ACEs related to three out of five health outcomes. Therefore, early detection of ACEs is of paramount importance to reduce their impact.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-14T01:21:58Z
  DOI: 10.1177/13591053241275592
Attrition of older adults in web-based health interventions: Survival
analysis within an observational cohort study
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  Authors: Marian ZM Hurmuz-Bodde, Stephanie M Jansen-Kosterink, Hermie J Hermens, Lex van Velsen
  Abstract: Journal of Health Psychology, Ahead of Print.
  To identify demographics and personal motivation types that predict dropping out of eHealth interventions among older adults. We conducted an observational cohort study. Participants completed a pre-test questionnaire and got access to an eHealth intervention, called Stranded, for 4 weeks. With survival and Cox-regression analyses, demographics and types of personal motivation were identified that affect drop-out. Ninety older adults started using Stranded. 45.6% participants continued their use for 4 weeks. 32.2% dropped out in the first week and 22.2% dropped out in the second or third week. The final multivariate Cox-regression model which predicts drop-out, consisted of the variables: perceived computer skills and level of external regulation. Predicting the chance of dropping out of an eHealth intervention is possible by using level of self-perceived computer skills and level of external regulation (externally controlled rewards or punishments direct behaviour). Anticipating to these factors can improve eHealth adoption.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-14T01:12:29Z
  DOI: 10.1177/13591053241274097
Rationalising a spectrum of problematic exercise: A qualitative study
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  Authors: Kate Nicholls, Jane Ogden
  Abstract: Journal of Health Psychology, Ahead of Print.
  Whilst a substantial body of evidence supports the benefits of exercise for physical and mental health, the overfocus on the benefits of exercise could result in harmful behaviours in some individuals. Conceptualised as a behavioural addiction, research often dichotomises the behaviour through a medical diagnostic model. The present qualitative study explored the meaning of problematic behaviour from the exerciser’s perspective. Nineteen UK-based frequent exercisers were interviewed regarding their experiences. Thematic analysis described three themes: ‘relentlessly pushing the limits’ of their personal best and comparing to others; ‘an enabling community’ which could promote problematic behaviours; and ‘the complexity of the ideal body’ focussing on perceptions of weight maintenance. Transcending these themes was the notion of ‘rationalising choices’. The results indicate that participants felt that the benefits outweighed the costs, encouraging them to continue, even when causing harm. These findings support the notion of problematic exercise as a continuum, rather than dichotomous.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-13T12:38:43Z
  DOI: 10.1177/13591053241274471
Reproductive identity of women undergoing IVF: An interpretative
phenomenological analysis
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  Authors: Ivana Janković, Miljana Spasić Šnele, Milica Mitrović, Nikola Ćirović, Mila Guberinić, Jelena Opsenica Kostić
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated how women undergoing IVF make sense of themselves in the context of their reproductive experiences. Interviews were conducted with fourteen women aged 27–42. Interpretative phenomenological analysis was used. Four main themes emerged: Motherhood beyond all, Us and them, Changes in self-perception, My agency. The results are discussed in the context of reproductive identity. It has shown that being a mother is an identity the participants strongly strive for. Participants feel connected to women with whom they share the experience of dealing with infertility and different from those without such an experience. The specificity of their reproductive experience leads to changes in self-perception that can be interpreted as either impairment or growth. On their reproductive journey, they show their agency by undertaking a series of activities (control of thoughts, feelings, and body). Practical implications of the obtained results are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-11T12:18:29Z
  DOI: 10.1177/13591053241274682
Seeking professional help in health crises: The impact of cognitive
factors, discrete emotions, and eHealth information seeking on mental
health communication
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  Authors: Yen-I Lee, Yang Cheng, Wen Zhao
  Abstract: Journal of Health Psychology, Ahead of Print.
  A common challenge facing public health practitioners and communication scholars is how to best change perceptions and increase favorable attitudes and awareness of health recommendations, such as help-seeking about depression. Given the need to identify persuasive ways to communicate depression, this study examined how discrete emotions, cognition, and engaging eHealth information-seeking behavior affected US adults’ intentions regarding help-seeking about depression. The results from an online survey of 1422 US adults revealed (1) elated emotion and loving emotion; (2) depression consciousness; (3) attitude toward seeking help from mental health services; and (4) eHealth information-seeking significantly predicted intention to seek help from professionals. In addition, depression consciousness, attitude toward seeking help from mental health services, and eHealth information-seeking acted as sequential mediators for the relationship between elated emotion, loving emotion, and behavioral intention. Implications for health communication and depression communication research and practice are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-09T11:18:38Z
  DOI: 10.1177/13591053241274460
Perceived vulnerability to disease and children’s COVID behavioral
response: The role of health consciousness and family financial status
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  Authors: Hui Jing Lu, Hongduo Li, Qiushi Zhou
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated the impact of family financial status on Chinese children’s health-related traits and their behavior in controlling COVID-19. When the children were 7 years old, their guardians provided information on family financial status. When the children reached 10 years old, they completed questionnaires concerning their own health consciousness and health status. At age 11, during the COVID-19 pandemic in 2020, they filled out questionnaires on perceived vulnerability to disease and disease control behavior. The findings revealed that higher health consciousness is associated with better health, particularly among children from financially challenged families. Additionally, a greater perception of vulnerability to disease is linked to increased COVID-19 control behaviors, particularly in children with high health consciousness in affluent families. These results contribute to our understanding of how children’s personal health-related traits and family financial status interact to shape their response to the COVID-19 pandemic.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-09T11:08:58Z
  DOI: 10.1177/13591053241270421
Psychological profiles in patients receiving maintenance dialysis:
Classification, correlates, and behavioral health outcomes
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  Authors: Ni Zhang, Yanru Chen, Jinmei Yin, Jiaxin Liu, Jinjie Liu, Jieling Chen
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study identified psychological profiles based on depressive symptoms, anxiety symptoms, positive affect, and posttraumatic growth in 298 patients receiving maintenance dialysis, and examined their relationships with self-management at baseline and 1-year follow-up. Five psychological response profiles were identified: well-being (42.95%), resilient (26.17%), moderate-distress-with-growth (17.79%), distressed (11.07%), and high-distress-with-growth (2.01%). Patients were more likely to be in the distressed profile if they were younger, had less social support, received peritoneal dialysis, and suffered from a greater symptom burden of kidney disease. The well-being profile showed better self-management behavior at baseline and 1-year follow-up. The distressed profile was associated with worse self-management at baseline and the resilient profile was associated with worse self-management at follow-up. The findings highlighted the beneficial role of positive psychological constructs in promoting self-management behavior, which implied that beyond eliminating psychological distress, it is important to facilitate positive psychological well-being.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-09T09:51:46Z
  DOI: 10.1177/13591053241277978
Effect of health conditions and community program participation on
physical activity and exercise motivation in older adults
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  Authors: Anita Gust
  Abstract: Journal of Health Psychology, Ahead of Print.
  Physical activity (PA) declines with age, with chronic health conditions a contributing factor. Exercise motivation (EM), a factor of PA adherence, may be promoted through community program participation. The purpose was to investigate the effect of health conditions and community program participation on PA and EM. Surveys comprising of demographics, physical activity (PASE), and exercise motivation (BREQ-2), were distributed. Significant differences were found for PA between community program participants with and without a health condition. A significant main effect for health condition existed on several subscales of EM: identified regulation and intrinsic regulation, and for obesity on amotivation, identified regulation, and intrinsic regulation. Significant differences existed between community exercise program participants (N = 77) and non-participants (N = 145) for amotivation (p
  Citation: Journal of Health Psychology
  PubDate: 2024-09-05T01:36:53Z
  DOI: 10.1177/13591053241275308
Identifying motivational interviewing techniques in Quitline smoking
cessation counselling sessions from Queensland, Australia
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  Authors: Hollie Bendotti, Henry M Marshall, Coral Gartner, David Ireland, Sheleigh Lawler
  Abstract: Journal of Health Psychology, Ahead of Print.
  Motivational interviewing (MI) is a common approach for smoking cessation counselling, yet little is known about the use of MI techniques in practice. This qualitative content analysis applied a published classification of content and relational MI techniques to a sample of 30 Quitline transcripts (January-March 2019) from Queensland, Australia. Overall, 36 MI techniques (94.7%) were identified at least once within the total sample. On average, 20 techniques (52.6%) were used in an individual conversation with a small difference observed between initial and follow-up calls. Techniques most frequently applied across conversations were largely relational, while techniques addressing client ambivalence/resistance were less frequently/never applied. Variability in techniques between individual initial and follow-up calls highlights the high degree of personalisation when applying MI to smoking cessation. Further investigations exploring associations of individual techniques and cessation outcomes are warranted. The classification may prove useful for assessments of fidelity for training and monitoring activities.
  Citation: Journal of Health Psychology
  PubDate: 2024-09-02T06:29:42Z
  DOI: 10.1177/13591053241274091
Educators, warriors and reformers: A thematic analysis of how ostomates
portray themselves on TikTok
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  Authors: Emma Butel, Craig Owen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Inflammatory Bowel Disease often causes abdominal pain, faecal urgency and a range of other symptoms, and is a common chronic disease among young people. Stoma surgery seeks to alleviate these symptoms, though complications often arise from surgery and many stoma patients experience various stigmas. Young people with chronic conditions are increasingly gathering online to share their experiences of illness. Given the rise in popularity of TikTok and its appeal to young people, this study explored how young ostomates with Inflammatory Bowel Disease and a stoma portray themselves on TikTok. Using thematic analysis, three themes were identified in which ostomates portrayed themselves as educators, warriors and reformers, providing education, support and guidance to the wider stoma community. These findings show that TikTok offers an innovative platform for ostomates’ self-presentations and a novel space health professionals should harness to better support ostomates.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-31T06:44:52Z
  DOI: 10.1177/13591053241272205
Selfie-loving mothers and children in China: The relationship between the
selfie-related behaviors of mothers and adolescents’ cosmetic surgery
consideration
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  Authors: Lijuan Xiao, Yurui Ren, Baolin Li
  Abstract: Journal of Health Psychology, Ahead of Print.
  The current study examined the relationship between mothers’ selfie-related behaviors and adolescents’ cosmetic surgery consideration, as well as the mediating effects of the adolescents’ selfie-related behaviors, body surveillance, and facial dissatisfaction. A total of 541 mother-child dyads with adolescents averaging 16.55 years old, was recruited. The path analysis revealed that mothers’ selfie-related behaviors were not directly related to adolescents’ consideration of cosmetic surgery, but the link was mediated by the adolescents’ selfie-related behaviors, body surveillance, and facial dissatisfaction. Specifically, there was a mediating effect of adolescents’ facial dissatisfaction, as well as serial mediating effects of adolescents’ selfie-related behaviors and facial dissatisfaction, of adolescents’ selfie-related behaviors and body surveillance, and of adolescents’ selfie-related behaviors, body surveillance and facial dissatisfaction. Additionally, we did not find a significant gender difference in the model. These findings provide further insights into the association between a mother’s selfie activities and adolescent children’s cosmetic surgery consideration.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-26T07:34:19Z
  DOI: 10.1177/13591053241273663
Acceptability of internet-delivered cognitive behavioural therapy and
carer inclusion for breast cancer survivors: Thematic findings from
interviews
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  Authors: Selin Akkol-Solakoglu, David Hevey
  Abstract: Journal of Health Psychology, Ahead of Print.
  Breast cancer survivors often lack post-treatment psychological care options. Internet-delivered cognitive behavioural therapy (iCBT) has proven effective for depression and anxiety among survivors. Involving carers in iCBT can further encourage survivors and enhance the benefits they receive. This study explored survivors’ experiences with iCBT and their perspectives on carer involvement. Fifteen participants were interviewed. Data were analysed using thematic content analysis. Most survivors found iCBT helpful, mentioning evidence-based approach, reminders, readiness for change, recognising benefits, and contributing to research as engagement facilitators. Suggestions included widespread availability of the programme and additional guidance on some tools. Reluctance to involve carers resulted from carers’ unwillingness to discuss cancer, desire not to burden others, and the need for ownership over their recovery. Findings support iCBT’s acceptability in addressing post-treatment depression and anxiety among survivors. Future research could explore alternative ways to involve carers, such as dedicated programmes, optional joint exercises, or brief interventions.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-23T11:36:29Z
  DOI: 10.1177/13591053241272243
Why fall for misinformation' Role of information processing strategies,
health consciousness, and overconfidence in health literacy
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  Authors: Rachel X. Peng, Fuyuan Shen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Health misinformation, defined as false or misleading claims lacking scientific evidence, poses a significant threat to public health. This paper investigates factors associated with the failure to discern misinformation, including health consciousness, information processing strategies, and inaccurate self-assessments of health literacy. Through an online experiment involving 707 English-speaking U.S. participants (mean age = 43 years, 56.2% female), we found that misinformation beliefs about nutrition, vaccination, vaping, and cancer were significantly correlated, implying susceptibility across health topics. Greater susceptibility was associated with higher health consciousness, lower objective health literacy, more elaboration, and more selective scanning. Results provided evidence for the Dunning-Kruger effect and metacognitive monitoring errors, whereby confident individuals were unaware of inadequate health literacy and showed poor misinformation identification. Findings suggest that promoting both health literacy education and cognitive reflection skills among the general adult population could empower them to more critically evaluate online health information.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-23T05:11:58Z
  DOI: 10.1177/13591053241273647
Link workers’ and clients’ perspectives on how social prescribing
offers a social cure for loneliness
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  Authors: Shaun Hayes, Leah Sharman, Niamh McNamara, Genevieve Dingle
  Abstract: Journal of Health Psychology, Ahead of Print.
  Social prescribing is a healthcare model designed to reduce loneliness and improve individuals’ health by addressing unmet social needs. The present study adopted the Social Cure framework to provide an understanding of the psychosocial processes involved in helping participants to engage with social activities, from both the link workers’ and clients’ perspectives. Semi-structured interviews were conducted with 15 link workers (Mage = 40.12; 87% female) and 15 clients (Mage = 55.33; 73% female, 7% non-binary) of social prescribing programmes across Australia and the transcripts were analysed using reflexive thematic analysis. Three overarching themes were identified: (1) Breaking Down Barriers, (2) Finding Fit with Others, and (3) Rebuilding a Sense of Self. These findings communicate how social prescribing addressed the psychosocial barriers of clients, and how joining groups that fostered positive shared social identities resulted in meaningful improvements to clients’ well-being.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-23T04:51:50Z
  DOI: 10.1177/13591053241274090
The relationship between fatigue, exercise self-efficacy, fear of
movement, and quality of life in patients with heart failure: A moderated
mediation model
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  Authors: Xiuting Zhang, Wenjie Fang, Yilin Zhang, Mei Yang, Mei Wang, Xiuzhen Fan
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study was aimed to examine the moderated mediating effects of exercise self-efficacy and fear of movement on the relationship between fatigue and quality of life in patients with heart failure. A total of 305 patients with heart failure were enrolled in this cross-sectional study. The results showed that fear of movement significantly mediated the relationship between fatigue and quality of life, indicating that relieving fear of movement may be beneficial to improve quality of life. Furthermore, exercise self-efficacy negatively moderated the mediating effect of fear of movement on the relationship between fatigue and physical health-related quality of life. It is suggesting that improving exercise self-efficacy may provide opportunities to buffer the negative effect of fear of movement on physical health-related quality of life in patients with heart failure, especially for those with fatigue. The findings provide additional strategies to optimize quality of life management in patients with heart failure.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-23T04:49:17Z
  DOI: 10.1177/13591053241273655
Understanding post-hospitalised patients’ experiences of long-COVID
– the PELCO study
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  Authors: Alice Milne, David Arnold, Andrew Moore
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite significant advances in long COVID research, many aspects of the condition remain unknown. There is a persisting need for further research to improve the management of long COVID symptoms. This study aimed to explore the experiences and psychological needs of patients who were previously hospitalised with COVID-19, and who subsequently developed long COVID symptoms. Twelve patients with long COVID were interviewed between October 2021 and June 2022. Transcripts were analysed thematically. An overarching theme of ‘Existential Crisis’ was developed, incorporating three interconnecting sub-themes: ‘Facing Psychological Threat’, ‘Seeking Legitimisation’ and ‘Forging a Path Through Uncertainty’. Findings suggest that the psychological impact of emergency hospitalisation for COVID-19 can be severe, particularly for those with ongoing long COVID symptoms, and that early psychological intervention should be available. Our findings also suggest the importance of further planning for future pandemics to ensure the presence of patient advocates during hospitalisation at points of critical decision-making.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-23T04:43:58Z
  DOI: 10.1177/13591053241272233
Self-management and information needs of adults with seasonal allergic
rhinitis in the Netherlands: A focus group study
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  Authors: Bob C Mulder, Marise J Kasteleyn, Lisbeth Hall, Arnold JH van Vliet, Letty A de Weger
  Abstract: Journal of Health Psychology, Ahead of Print.
  This focus group study explored the needs, preferences and beliefs of adults with seasonal allergic rhinitis regarding their self-management practices, and related information use and needs. Four focus groups were held, two online and two on location. The 20 participants (11 women); Mage = 39.0 years (range: 21–56 years) were reluctant to identify themselves as patients, trivializing their complaints while avoiding being confronted too much with their condition. Participants often expressed low trust in the effectiveness of medication and the ability of healthcare to alleviate their complaints. This resulted in relatively low openness to information such as personalized pollen predictions. Findings were synthesized under three interrelated themes: ‘Being ill, but not a patient: it’s bad, but you learn to live with it’, ‘Individual search for what does or doesn’t work’ and ‘Information needs and sources’. Implications for communication supportive of self-management practices for seasonal allergic rhinitis are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-22T11:34:52Z
  DOI: 10.1177/13591053241272150
Perspectives on advance care planning and related end-of-life care in
people with heart failure: A Q methodology study
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  Authors: JinShil Kim, Yoon Young Hwang, KyungAh Cho, Myoung Hwan Shin, Mi-Seung Shin, Jisun Yang, Minjeong An, Seongkum Heo
  Abstract: Journal of Health Psychology, Ahead of Print.
  Negative perspectives around advance care planning (ACP) prevent people with heart failure (HF) from preparing their end-of-life (EOL) effectively. A Q methodology study was conducted to identify types of ACP perspectives in Koreans with HF. The Q sample (31 statements representing ACP perspectives) was constructed through an extensive literature review and in-depth qualitative interview. The P sample (individuals with HF) completed each grid with a statement on the Q sorting table. The data were analyzed using the PQ program. Individuals with HF have both different and common perspectives on ACP. Three types of perspectives were identified: “positive acceptance,” “contemplative support,” and “hesitancy in acceptance.” Common perspectives across types indicated that people with HF had positive attitudes toward ACP and emphasized their autonomy in EOL decisions. Clinicians need to consider these different and common perspectives on ACP to facilitate patients’ engagement and provide relevant support.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-22T05:01:41Z
  DOI: 10.1177/13591053241273618
The influence of life transitions on Danish adults’ physical activity
beliefs and behaviour: A qualitative study
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  Authors: Birgitte Westerskov Dalgas, Kyra Hamilton, Karsten Elmose-Østerlund, Thomas Bredahl
  Abstract: Journal of Health Psychology, Ahead of Print.
  Using a qualitative design, we explored how life transitions influence Danish adults’ physical activity beliefs and behaviour adopting the Theory of Planned Behaviour as a guiding framework. Life story interviews with 42 participants revealed 6 salient life transition periods which affected physical activity behaviour, either in a disruptive way resulting in decreased activity levels or in a facilitative manner, providing opportunities for increased activity engagement. The identified life transition periods uniquely influenced individuals’ attitudes, subjective norms and perceived behavioural control (PBC) beliefs, thus affecting motivations toward physical activity. Specifically, starting primary school or a career, forming a romantic relationship, and having a child primarily shaped subjective norm and PBC, while leaving home was especially influential on PBC and retirement on attitudes and PBC. Consistent themes across the transition periods included time constraints and opportunities to be active, supportive social contexts, access to facilities and having a need to be active.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-22T04:59:39Z
  DOI: 10.1177/13591053241272262
Sport-based interventions and health in prisons: The impact of Twinning
Project on prisoner wellbeing and attitudes
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  Authors: Linus Peitz, Martha Newson
  Abstract: Journal of Health Psychology, Ahead of Print.
  Social isolation and lack of support networks are key factors contributing to mental health problems among incarcerated people, which, in turn, are associated with an increased risk of reoffending. Enabling prisoners to form positive group relations and social identities is one approach to address the cycle of ill health and incarceration. We examine the impact of a football-based intervention, the Twinning Project, on prisoners’ wellbeing and social relations. Longitudinal and correlational analyses of data from N = 164 UK prisoners show how social bonding is linked with significant boosts to psychological need satisfaction, life satisfaction, efficacy beliefs as well as higher levels of wellbeing.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-21T05:00:12Z
  DOI: 10.1177/13591053241272188
Depressive symptom clusters and biomarkers of monocyte activation,
inflammation, and coagulation in people with HIV and depression
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  Authors: Christopher A Crawford, Brittanny M Polanka, Wei Wu, Krysha L MacDonald, Samir K Gupta, Jesse C Stewart
  Abstract: Journal of Health Psychology, Ahead of Print.
  We assess associations of somatic and cognitive/affective depressive symptom clusters with monocyte activation (soluble (s)CD14, sCD163), systemic inflammation (interleukin-6 (IL-6), high-sensitivity C-reactive protein (hsCRP)), and coagulation (D-dimer, fibrinogen) in people with HIV (PWH) on suppressive antiretroviral therapy with depression. Utilizing baseline data from a randomized controlled trial, we found no significant associations in linear regression models examining individual depressive symptom clusters; however, models examining both clusters simultaneously showed that the somatic cluster was positively associated with inflammation biomarkers, while the cognitive/affective cluster was negatively associated with inflammation and coagulation biomarkers (suggesting a cooperative suppression effect). Our findings indicate a differential association with depressive symptom clusters and biological mechanisms underlying cardiovascular disease (CVD) in HIV, which may be driven by unique components of each depressive symptom cluster. This line of research could identify subgroups of PWH with depression at elevated CVD risk needing early CVD prevention approaches. Supported by R01 HL126557.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-16T06:00:20Z
  DOI: 10.1177/13591053241270630
Behavior change techniques to increase physical activity among older
adults living in long-term care facilities: A systematic review
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  Authors: Ying Shi, Tingting Xie, Xiyan Xie, Lu Shao, Aidi Lao, June Zhang
  Abstract: Journal of Health Psychology, Ahead of Print.
  Despite the health benefits of physical activity, many older adults living in long-term care facilities lead sedentary lifestyles and do not meet minimum physical activity recommendations. Determining the behavior change techniques (BCTs) used in physical activity interventions can help us understand the underlying mechanisms by which behavioral change is achieved. The purpose of this systematic review was to identify and evaluate BCTs in physical activity interventions for the elderly residents. Six electronic databases were searched and 15 eligible studies were retained. Nine promising BCTs associated with physical activity promotion among elderly residents were identified: credible source, social support (unspecified), goal setting (outcome), goal setting (behavior), demonstration of the behavior, instruction on how to perform a behavior, self-monitoring of behavior, self-monitoring of outcome(s) of behavior, and adding objects to the environment. Future research is encouraged to select and tailor these BCTs to the specific needs and preferences of the target population.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-16T05:57:58Z
  DOI: 10.1177/13591053241270491
Relational conflicts during COVID-19: Impact of loss and reduction of
employment due to prevention measures and the influence of sex and stress
(in the iCARE study)
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  Authors: Noémie Tremblay, Camille Leger, Frédérique Deslauriers, Lydia Hébert-Auger, Vincent Gosselin-Boucher, Simon L. Bacon, Maximilien Vakambi Dialufuma, Kim L. Lavoie
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study explored the association between pandemic-related loss/reduction of employment, sex, COVID-19-related stress and relational conflicts. A sample of 5103 Canadians from the iCARE study were recruited through an online polling firm between October 29, 2020, and March 23, 2021. Logistic regressions revealed that participants with loss/reduction of employment were 3.6 times more likely to report increased relational conflicts compared to those with stable employment (OR = 3.60; 95% CIs = 3.03–4.26). There was a significant interaction between employment status and sex (x2 = 10.16; p
  Citation: Journal of Health Psychology
  PubDate: 2024-08-16T05:55:19Z
  DOI: 10.1177/13591053241260672
The effect of breast cancer awareness interventions on young women aged
18–50 years: A systematic review
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  Authors: Caitríona Plunkett, Melissa Pilkington, Joseph Keenan
  Abstract: Journal of Health Psychology, Ahead of Print.
  A scarcity of research has examined the effect of breast cancer awareness (BCA) interventions among young women (18–50 years). This overlooks important differences that may affect BCA levels such as education preferences within this younger cohort. Younger women are more likely than older women to present with aggressive subtypes of breast cancer if they develop the disease, and at a more advanced stage translating into poorer survival. It is therefore worthy to investigate which interventions have a significantly positive effect on BCA within this cohort. Five studies were deemed eligible for review. Despite differing intervention methods, theoretical applications and awareness targets, positive outcomes were reported across all designs. However, the evidence is weak in investigating the effectiveness of BCA interventions on this cohort and is considered as inconclusive with such a small number of available studies to review, highlighting a need for further research in this area.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-13T06:32:48Z
  DOI: 10.1177/13591053241270614
Transgender and non-binary people’s experience of endometriosis
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  Authors: Cheryl Eder, Rizwana Roomaney
  Abstract: Journal of Health Psychology, Ahead of Print.
  There is a lack of research on gender diverse people’s experiences with endometriosis. We explored the experience of 11 transgender and non-binary people with endometriosis using phenomenology. We collected data through multiple interviews and diaries and constructed two themes using hermeneutic analysis: (1) Unhomelikeness of Living with Endometriosis and being Gender Diverse, and (2) Towards a Homelikeness of Living with Endometriosis as a Gender Diverse Individual, which we discussed in relation to Svenaeus Phenomenology of Medicine. Unhomelikeness is an experience of disconnection with our bodies and being-in-the-world as a result of living with a chronic disease. We show how gender diverse people with endometriosis may have additional layers of unhomelikeness due to further diagnostic delays, endometriosis symptoms that may trigger gender dysphoria and experiences with treatment that are not inclusive of their gender identity. We advocate for additional support and awareness for gender diverse people with endometriosis.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-11T04:35:08Z
  DOI: 10.1177/13591053241266249
Mental health and exercise during the COVID-19 pandemic: A Twitter
sentiment analysis
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  Authors: Umit Tokac, Michael McKeever, Selen Razon
  Abstract: Journal of Health Psychology, Ahead of Print.
  Beyond its immediate health consequences, the COVID-19 pandemic led to an exacerbation in the mental health of the global population. Regular exercise and its lack thereof are also known to affect mental health. Tweets and their content analysis can provide information about aspects of users’ lives including their health habits and mental health. The purpose of this study was to examine individuals’ exercise habits and mental health during the pandemic by means of sentiment and correlational analyses. These results indicate that, while exercise and mental health tweets were more COVID-focused in the first 12 months of the pandemic, exercise tweets became more exercise-focused, and mental health tweets became more mental-health-focused eventually during the pandemic. Efforts to increase exercise participation in individuals may prove beneficial. Further research needs to examine the effects of exercise on mental health in the aftermath of COVID-19.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-07T05:22:27Z
  DOI: 10.1177/13591053241258208
Direct to psychology for sleep disorders: Innovating models of care in the
hospital and health service
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  Authors: Sara Winter, Sara Crocker, Tricia Rolls, Deanne Curtin, Jessica Haratsis, Irene Szollosi
  Abstract: Journal of Health Psychology, Ahead of Print.
  A ‘Direct to Psychology Insomnia’ pathway was developed for implementation within a multidisciplinary sleep disorders service in a tertiary hospital in Brisbane, Australia. The project was informed by implementation science principles and methodology to re-design the model of care (MoC). A consensus group workshop using the Nominal Group Technique (NGT) with 12 multidisciplinary staff was undertaken to develop the new MoC. The workshop explored inclusion and exclusion criteria for a Direct to Psychology pathway including patient flow and enablers. The team endorsed a MoC that was acceptable to stakeholders and addressed service-level imperatives. The findings highlighted that patient inclusion or exclusion should be overseen by the Sleep Physician team and an Advanced Psychologist with behavioural sleep medicine expertise. Continuum of care for patients referred via primary care providers was considered. Barriers and risks to the MoC changes were identified which informed the refinement of the MoC.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-06T05:15:03Z
  DOI: 10.1177/13591053241267272
Value of a quality label and European healthcare professionals’
willingness to recommend health apps: An experimental vignette study
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  Authors: Ieva Biliunaite, Laurens van Gestel, Petra Hoogendoorn, Marieke Adriaanse
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to evaluate healthcare professionals’ (HCPs’) willingness to recommend health apps presented with versus without the CEN-ISO/TS 82304-2 health app quality label. The study was an experimental vignette study describing 12 short hypothetical scenarios, with Label (absent vs present) as a between and Type of App (prevention vs self-monitoring vs healthcare) and Patient Socioeconomic Status (low vs high) as within-subjects factors. The main outcome measure was HCPs’ willingness to recommend apps. A total of 116 HCPs took part in the study. A significant main effect of the label was found. Further, HCPs were most willing to recommend self-management apps and more willing to recommend apps to high as opposed to low SES patients. However, the effect of the label did not differ between apps or according to patients’ SES. Results confirm that the quality label has potential for increasing willingness to changing HCPs’ recommendation behavior.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-03T06:13:43Z
  DOI: 10.1177/13591053241258205
Exploring healthy lifestyle with health locus of control and
sociodemographic variables in Türkiye
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  Authors: Cigdem Baskici, Yunus Gokmen
  Abstract: Journal of Health Psychology, Ahead of Print.
  In this study, we aimed to explore the effects of Internal/Chance/Powerful Others Health Locus of Control (IHLC/CHLC/PHLC) on the healthy lifestyle and to assess the sensitivity of the healthy lifestyle to sociodemographic variables. To achieve this goal, we collected data by performing online and hand-delivered surveys (n = 950) with individuals aged 18 or older in Türkiye. The results showed that IHLC and PHLC had positive and significant effects on Healthy Lifestyle Index (HLI). However, the results expressed that CHLC had no negative and significant effect on HLI. Our assessment of a healthy lifestyle in terms of health locus of control (HLC) and sociodemographic variables revealed important findings, which may contribute to the development of public health strategies in several ways; for example, they can be used as a framework to conduct public health interventions that promote a healthy lifestyle.
  Citation: Journal of Health Psychology
  PubDate: 2024-08-02T09:57:17Z
  DOI: 10.1177/13591053241265999
Cross-country assessment of the unique contributions of psychological
factors to vaccination: Perspectives on the COVID-19 pandemic
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  Authors: Peter Adu, Tosin Popoola, Naved Iqbal, Anja Roemer, Sunny Collings, Clive Aspin, Oleg N Medvedev, Colin R Simpson
  Abstract: Journal of Health Psychology, Ahead of Print.
  We have identified the most relevant and significant psychological factors in relation to COVID-19 vaccination attitudes in Ghana, Germany, New Zealand and India. This study recruited 1822 participants from the general populations of India (n = 411), New Zealand (n = 413), Ghana (n = 523) and Germany (n = 475) to participate in a cross-sectional online survey. After controlling for the country of residence, individual psychological factors played a significant role in shaping attitudes towards COVID-19 vaccination. The results also revealed strong direct predictors that explained significant portions of the variance in the COVID-19 vaccination attitudes. Positive affect emerged as the strongest contributor in Ghana (7%), while self-compassion strongly influenced COVID-19 vaccination attitudes in India (66%). Dispositional optimism was the strongest predictor in New Zealand (5%). In Germany, compassion towards others was the strongest positive predictor (2%), while psychological distress had a strong negative impact (3%). Results highlight the importance of promoting emotional well-being to enhance vaccination coverage.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-31T07:51:25Z
  DOI: 10.1177/13591053241266592
The reciprocal relationship between prosocial behaviour and self-perceived
physical health: The role of positive affect and openness to experience
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  Authors: Xiaojun Yang, Peng Sun, Xiaonan Yao, Yu Kou
  Abstract: Journal of Health Psychology, Ahead of Print.
  The present study used a cross-lagged design to explore the bidirectional relationship between adolescents’ prosocial behaviour and self-perceived physical health and to explore the mediating role of positive affect and the moderating role of openness to experience. A total of 1525 middle school students (Mage = 12.41, 47% male) in northern China were surveyed for 3 years. The results showed the following: (1) prosocial behaviour at T1 positively predicted self-perceived physical health at T3; and vice versa; and (2) this observed relation between prosocial behaviour and self-perceived physical health was explained by positive affect; (3) the mediating role of positive affect on the path from prosocial behaviour at T1 to self-perceived physical health at T3 was observed only among adolescents with high openness traits. This finding verified the protective effect of prosocial behaviour on the healthy development of the actor.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-30T09:44:21Z
  DOI: 10.1177/13591053241267095
The experience of self-compassion training among NHS healthcare
professionals
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  Authors: Sarah Wason, Ceri Sims
  Abstract: Journal of Health Psychology, Ahead of Print.
  Self-compassion in healthcare professionals (HCPs) is under-researched and undervalued. Promoting self-compassion within healthcare could have far-reaching benefits. This research study explores the experience of four NHS HCPs receiving a single short self-compassion training, with recommended at-home practices completed over 4 weeks. Subsequently, semi-structured interviews gathered information about their experience, resultant wellbeing and any impact on colleagues and patients. The main themes emerging from analysis of the interviews were motivation, permission and prioritisation. The motivation to practise self-compassion, and share this learning resulted from improved understanding of its potential benefits. Permission ties in with the notion of common humanity in self-compassion and its impact on negative self-talk and negative attitudes to self-compassion in a workplace. Prioritisation acknowledges the challenges for HCPs of investing time in self-compassion practice despite overstretched HCP workloads. Further consideration of these themes may help to better target any future research into strategies for enabling self-compassion among HCPs.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-30T09:42:31Z
  DOI: 10.1177/13591053241267041
Does sunlight exposure predict next-night sleep' A daily diary study
among U.S. adults
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  Authors: Austen R Anderson, Lindsey Ostermiller, Mallory Lastrapes, Lauren Hales
  Abstract: Journal of Health Psychology, Ahead of Print.
  Poor sleep is becoming increasingly prevalent and is associated with adverse health outcomes. Sunlight exposure may improve sleep by regulating circadian rhythms, increasing vitamin D, and influencing melatonin production. However, research on the sunlight-sleep association is limited, especially outside of cross-sectional designs. This study examined associations between daily self-reported sunlight exposure and next-night sleep quality in 103 adults for up to 70 days. The timing of sunlight exposure predicted next-night sleep quality. Specifically, morning sunlight exposure, relative to no sunlight, predicted better sleep quality based on responses to the brief Pittsburg Sleep Quality Index. Duration of sunlight exposure was generally not associated with sleep quality. Morning sunlight may regulate circadian rhythms, subsequently improving sleep. Findings have potential implications for sleep interventions and daylight savings time policies. Future research should test whether morning sunlight exposure can enhance the effectiveness of sleep interventions.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-30T09:39:11Z
  DOI: 10.1177/13591053241262643
The experience of living with vitiligo in Nigeria: A participatory
Interpretative Phenomenological Analysis
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  Authors: Nick Taylor, Ogo Maduesesi, Vasilis S Vasiliou, Andrew R Thompson
  Abstract: Journal of Health Psychology, Ahead of Print.
  Vitiligo is a visible depigmenting skin condition, particularly noticeable on Black skin. There is widespread misunderstanding of the condition. Using a participatory form of Interpretative Phenomenological Analysis (IPA), we conducted eight semi-structured interviews with Nigerians living with vitiligo. Participants described their initial attempts to understand the condition, which typically drew on both traditional illness beliefs, religious influences, and the biomedical disease model. All participants reported experiencing marked stigmatization and discrimination. Participants experienced distress associated with thoughts about the personal meaning of the disease including its impact on their appearance and from concerns about anticipated and direct discrimination. Despite the wide-ranging impact, the participants’ narratives also contained references to the development of strategies that maintained wellbeing. This study provides valuable insights into the role of faith and traditional beliefs in both the experience and management of vitiligo in Nigeria. These insights can be used to develop individual and community interventions.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-30T09:36:31Z
  DOI: 10.1177/13591053241261684
Cross-cultural validation of the Jenkins Sleep Scale in Spanish-speaking
countries
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  Authors: Luis Palao-Loayza, Daniel E. Yupanqui-Lorenzo, Tania Arauco-Lozada, Tomás Caycho-Rodríguez, Heber Domingo Seminario Ortiz, Marlon Elías Lobos Rivera, Manuel Antonio Cardoza-Sernaqué, Luis Alexander Pulido-Joo, Víctor Pulido-Capurro, Eduardo Cárcamo-Zepeda, María-Isabel Mendoza-Sierra, Ma de Lourdes Cuellar-Hernández, Alonso Torres López, Julio Torales, Iván Barrios
  Abstract: Journal of Health Psychology, Ahead of Print.
  The study aimed to validate the Jenkins Sleep Scale (JSS-4) in six Spanish-Speaking countries. A total of 1726 people participated and were distributed between men (32.4%) and women (67.6%). Confirmatory factor analysis confirmed the unidimensional structure and high reliability of the JSS-4 overall (α = 0.85, ω = 0.81) and within each country. The invariance analysis revealed that JSS-4 exhibited complete invariance across countries, thus establishing a robust foundation for inter-group comparisons. Interestingly, a comparative analysis revealed significant differences in the average levels of sleep difficulties, with particularly high rates in Spain and Chile. Item Response Theory (IRT) showed sufficient discrimination parameters for all items, and a correlation of 0.998 between Confirmatory Factor Analysis (CFA) and IRT highlighted the robustness and reliability of the results obtained. In summary, JSS-4 exhibits strong evidence of validity and consistency in measurement invariance across the six countries.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-30T09:34:53Z
  DOI: 10.1177/13591053241261349
Accounting for access to healthcare: Analyzing interview talk of
hard-to-reach regions’ residents and mobile medical units’
professionals in Greece
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  Authors: Evangelia Sofia Vergouli, Lia Figgou, Panagiotis Koulouvaris, Nikolaos Scarmeas
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study explores how social actors account for psychosocial barriers to healthcare access. Interviews with 17 residents in remote regions of Greece and 12 professionals employed by Mobile Medical Units were analyzed using the tools and concepts of critical discursive social psychology. Analysis indicated that, oriented to different accountability concerns, residents tended to attribute reluctance to seek medical help to structural barriers, while professionals leaned toward psychological and individual-centered explanations. Findings also highlighted the construction of living in hard-to-reach areas as both a “cure” and a “curse” for residents’ capacity to achieve a healthy status, representing remote communities as both enhancing solidarity and social support and as promoting stigmatization against illness and social isolation. Building upon prior discourse-oriented approaches in health psychology, the study seeks to exemplify how a discursive and rhetorically oriented research agenda can be employed to explore how health inequalities are enacted and (re)produced in social interactions.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-27T07:26:39Z
  DOI: 10.1177/13591053241266384
Who decides on peritoneal dialysis treatment' A decision analysis for
patients with kidney failure
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  Authors: Che-Yi Chou, Yu-Ling Hsieh, Jia-Wen Lai
  Abstract: Journal of Health Psychology, Ahead of Print.
  Peritoneal dialysis, a home-based treatment, enhances patient well-being but is less preferred in Taiwan. This study uses in-depth interviews and ranking surveys to examine the decision-making process of 25 patients (13 male, 12 female, aged 31–80) who initiated peritoneal dialysis. Findings reveal that physicians significantly influence dialysis choices, with their expertise and leadership being core factors. Patients’ participation in decision-making is categorized as “active” or “passive” based on their knowledge and acceptance of treatments. Family members also play a crucial role in decisions for patients relying on familial care. Trust in physicians’ recommendations is crucial, emphasizing the importance of a strong doctor-patient relationship and ongoing support to boost patient confidence in peritoneal dialysis.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-27T07:25:19Z
  DOI: 10.1177/13591053241264984
You can’t nudge into vaccination: Comparing the effects of nudge types
and Covid-19 vaccination attitudes on vaccine willingness
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  Authors: Sergio Barbosa, Johanna Sánchez-Mora, Javier Alejandro Corredor
  Abstract: Journal of Health Psychology, Ahead of Print.
  Nudges can be an effective strategy to promote vaccination. However, it is necessary to better identify the characteristics of nudges that produce the strongest effects and how they interact with individuals’ attitudes. Here we sequentially test the effectiveness of three nudge characteristics (framing, nudge type, and presentation modality) and the role of participants’ attitudes toward Covid-19 vaccination, social solidarity and authoritarianism in vaccination decisions. In studies 1–4, participants were presented with a nudge manipulating a target characteristic (e.g. positive/negative framing, nudge type) and measuring willingness to vaccinate and related variables compared a control nudge. Study 5 used a single combined nudge reflecting the combination of successful nudges in previous studies. Results over all studies show that nudging has unreliable effects while vaccine attitudes are more reliably linked to all measures of vaccines willingness. These results suggest that attitudes play a more reliable role on effective adoption of vaccinations.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-27T07:23:39Z
  DOI: 10.1177/13591053241264932
Psychological experiences of Druze women with breast cancer
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  Authors: Avital Gershfeld-Litvin, Itay Ressler, Khola Daher, Samer Halabi
  Abstract: Journal of Health Psychology, Ahead of Print.
  The purpose of this study was to explore the experiences of Druze women who were diagnosed with breast cancer. Semi-structured interviews were conducted with nine Druze women. Inductive thematic analysis was used to analyze the data and three themes were generated. The first was “cancer discourse”: participants utilized codeswitching and medical jargon in their rhetoric, in a manner that seemed to imply difficulty to speak directly about their experiences. The second was “self-image”: the cancer and its treatments seem to have had an impact on participants’ body image and overall sense of femininity. The third was “coping”: sense and meaning-making as well as faith and family were identified as major coping mechanisms. Findings suggest a need for cultural competence in psychological interventions for breast cancer survivors.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-27T07:11:19Z
  DOI: 10.1177/13591053241262640
Effectiveness of yoga and laughter yoga in improving psychological
resilience of mothers with babies hospitalized in neonatal intensive care
unit
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  Authors: Zerrin Çiğdem, Emine Sarikamiş Kale, Tuba Koç Özkan
  Abstract: Journal of Health Psychology, Ahead of Print.
  This randomized controlled study aimed to determine the effectiveness of yoga and laughter yoga approaches in enhancing psychological resilience of mothers with babies hospitalized in the neonatal intensive care unit. The Mothers were randomized into three groups as yoga, laughter yoga, and control groups. The mothers received a total of 10 yoga/laughter yoga sessions for 45 minutes twice a week as home-based exercises. Depression, anxiety, stress, and psychological resilience outcomes were evaluated at baseline and after 5th and 10th sessions. The study was completed with 60 mothers including 20 mothers in the yoga group, 19 mothers in the laughter yoga group, and 21 mothers in the control group. There were statistically significant differences between the groups in terms of depression, anxiety, stress, and psychological resilience after 5th and 10th sessions. Yoga and laughter yoga was effective for increasing psychological resilience and alleviating depression, anxiety, stress.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-27T07:09:39Z
  DOI: 10.1177/13591053241262006
Flourishing in life in patients with Inflammatory Bowel Disease: The role
of illness identity and health-related quality of life
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  Authors: Antonia Krömeke, Maor Shani
  Abstract: Journal of Health Psychology, Ahead of Print.
  Amidst chronic challenges in Inflammatory Bowel Disease (IBD), including physical symptoms, emotional stress, and social constraints, this study aimed to elucidate how patients’ perceptions of their illness and its integration into their self-concept are related to their ability to flourish in life. We hypothesized that having a positive and integrative illness identity and social identification will predict higher flourishing, mediated by enhanced health-related quality of life (HRQoL). In an online survey with 244 German-speaking IBD adults (Mage = 36.62, 85% women), we found that lower engulfment (where the disease dominates one’s identity) predicted higher levels of flourishing, mediated by higher HRQoL. Enrichment, reflecting personal growth from illness, directly predicted higher flourishing, while stronger social identification predicted higher subjective well-being, but not flourishing. The results highlight the potential of fostering positive illness identities and social connections to enhance flourishing in individuals with IBD or similar chronic conditions.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-26T04:35:00Z
  DOI: 10.1177/13591053241260288
Men’s baldness stigma: A mixed methods international survey
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  Authors: Glen S. Jankowski, Dirk Kranz, Josip Razum
  Abstract: Journal of Health Psychology, Ahead of Print.
  Men’s baldness can be structurally stigmatized. For example, commercialized psychology research medicalizes it as a distressing “disease.” A mixed-methods survey on baldness stigma among 357 balding men (49% from Central- and South- America, Africa, Asia) was conducted. Qualitative and quantitative responses were content analyzed into two approximate sets: those (1) impacted by baldness stigma versus (2) those resisting baldness stigma. (1) The former included about half who had internalized baldness stigma agreeing it was disadvantageous (44%) and reporting distress (39–45% e.g. “[I] dread the future”). Participants reported baldness was stigmatized structurally (68%; e.g. “[it’s a] humiliating image”) and were attempting to combat their baldness largely via “treatments” (57%). (2) The latter participant response set resisted baldness stigma by reporting minimal distress, and structural stigma whilst accepting baldness (33–61%). Psychosocial and evidence-based support is needed to help some men resist baldness stigmatization.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-25T01:20:00Z
  DOI: 10.1177/13591053241259730
Psychosocial experience of the Covid-19 crisis among people who use or
inject drugs in Algeria: A community-based qualitative study
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  Authors: Marion Di Ciaccio, Nassima Boulahdour, Abdelaziz Tadjeddine, Nafaa Brouk, Rachida Ouchallal, Noria Hami, Othmane Bourhaba, Elisa Adami, Nicolas Lorente, Rosemary M Delabre, Mehdi Karkouri, Daniela Rojas Castro
  Abstract: Journal of Health Psychology, Ahead of Print.
  The COVID-19 crisis had a global impact and many marginalised groups, such as people who use or inject drugs, are more vulnerable to the SARS-CoV-2 virus and its consequences due to their pre-existing health inequalities. Moreover, people who use/inject drugs are also criminalised in some countries such as Algeria. This analysis aimed to explore the psychosocial experience of the COVID-19 crisis among people who use/inject drugs in Algeria. Twenty-nine qualitative interviews were conducted in 2021 with a community-based approach. Results of the thematic content analysis showed the intersectional effects of the COVID-19 crisis among people who use or inject drugs through the experience of a double crisis: one related to COVID-19 and the second to their specific difficulties related to drug use. Addressing social inequalities in health of people who use or inject drugs, through better recognition of their rights and needs, is crucial to improving their health.
  Citation: Journal of Health Psychology
  PubDate: 2024-07-24T08:53:09Z
  DOI: 10.1177/13591053241259251
Effectiveness and feasibility of the self-administered and repeated
episodic future thinking exercises in smoking cessation
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  Authors: Hakan Yılmaz, Mehmet Emrah Karadere
  Abstract: Journal of Health Psychology, Ahead of Print.
  Delay discounting (DD) is associated with smoking behavior and relapses. Episodic future thinking (EFT) is one of the leading interventions shown to reduce DD. The 1-month follow-up study with 60 participants that employed EFT as active intervention and episodic recent thinking (ERT) as control intervention was conducted in participants receiving smoking cessation treatment. In EFT group, there was significant decrease in DD rates from pre-intervention to post-intervention (p = 0.009), whereas no significant change was observed in ERT group (p = 0.497). DD rates in EFT group did not change significantly over 1 month (p = 0.059), while decrease was detected in ERT group (p = 0.011). Smoking cessation rates between groups were similar (p = 0.486). Adherence with completing follow-up evaluation forms and performing relevant exercises was higher in EFT group (p = 0.038, p = 0.006). Adding EFT to usual smoking cessation treatment did not increase smoking cessation rates, however feasibility of the self-administered exercises needs to be improved to clarify clinical effects.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-25T11:52:08Z
  DOI: 10.1177/13591053241258207
A latent classes analysis to detect cognitive and emotional profiles in
cancer patients
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  Authors: Mariana A Sierra-Murguía, Regina Mazatán-Orozco, Said Enrique Jiménez-Pacheco, Ferrán Padrós-Blázquez
  Abstract: Journal of Health Psychology, Ahead of Print.
  Thought style has been described as a mediator between cancer diagnosis and the emotional response to cancer. Describe the latent profiles related to thought style (rumination, cognitive engagement, and cognitive avoidance) and emotional response in a sample of cancer patients. 159 cancer patients were assessed prior to starting treatment. Measurement instruments used were HADS, Cancer response thought style inventory, distress thermometer, and PTGI. Analysis of latent classes to explore profiles of who share the same thought style. The solution had 4 subgroups: first group was avoidance, the means for anxiety, depression and post-traumatic growth were the lowest of the four groups. The second group was rumination, presenting highest scores for anxiety, depression and post-traumatic growth. The third group was indeterminate, this group presented low anxiety and depression. The fourth group, with cognitive engagement presented low anxiety and depression and post-traumatic growth was high.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-22T09:04:30Z
  DOI: 10.1177/13591053241257317
Risk of cancer-related distress by age in colorectal cancer survivors: The
modulatory role of unmet support needs
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  Authors: Y. Andreu, A. Soto-Rubio, C. Picazo, B. Gil-Juliá, S. Fernández, R. Chulvi
  Abstract: Journal of Health Psychology, Ahead of Print.
  To explore the modulating role of unmet support needs on the relationship between age and the prevalence of cancer-related distress in colorectal cancer (CRC) survivors. Two hundred and forty four participants completed the questionnaires; linear regression and odd ratios were calculated. Both the prevalence of needs and their interaction with age were predictors of cancer-related distress. The risk of significant clinically distress associated with physical and socio/family needs was high in both age subgroups. Higher risk of clinical distress was associated with life perspective, sexual, occupational and health care needs in the younger subgroup and with needs for specific support resources in the older subgroup. In reducing cancer-related distress, two key issues arise: (i) the importance of managing the persistent negative symptoms following CRC treatment in survivors of any age and (ii) the need for a differentiated attention to other care needs based on the survivor’s age.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-20T05:41:17Z
  DOI: 10.1177/13591053241253358
Associations of smart device apps with and without a perceived
self-efficacy component in a physical activity context with BMI
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  Authors: Alexander Karl Ferdinand Loder, Mireille Nicoline Maria van Poppel
  Abstract: Journal of Health Psychology, Ahead of Print.
  Smart device apps can be used to promote physical activity, decrease sedentariness, or increase self-efficacy to get active in college students, possibly reducing their obesity risk. This study assessed associations of college students’ smart device use with body mass index (BMI), expecting associations between physical activity parameters and self-efficacy with BMI, moderated by app type. In an online survey, app data of a week from student’s devices, weight, height, physical activity, and self-efficacy to get active were collected from 120 students. Apps were categorized “physical activity,” “physical activity with a self-efficacy component,” or “unrelated.” Use time of physical activity apps is not associated with BMI, while self-efficacy app time show negative and unrelated app time positive associations. Self-efficacy may be an important component in app design for obesity risk reduction of college students. Test economy was low, which is why future studies need to concentrate on better data extraction methods.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-20T04:57:27Z
  DOI: 10.1177/13591053241258254
Depressive symptoms, sleep-wake features, and insomnia among female
students: The role of rumination
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  Authors: Xin Zhang, Fei Wang, Liuni Zou, Shih-Yu Lee
  Abstract: Journal of Health Psychology, Ahead of Print.
  Depression symptoms are prevalent among nursing students, especially those in Asia. This study assessed the association between rumination and depression symptoms among female nursing students (N = 148) and the chain mediation role of sleep-wake indexes and insomnia symptoms. The data were collected from a battery of questionnaires and consecutive 7-day actigraphy data for analyzing sleep-wake indexes. About 54.1% of the participants had either mild or moderate depression symptoms. Most students (89.2%) had a delayed circadian phase, and circadian activity rhythm (CAR) was not ideal. The path mediation model underwent analysis using the PROCESS macros. The results showed that rumination in students is directly positively correlated with depressive symptoms (b = 4.831). Moreover, the association between rumination and depressive symptoms is sequent (moderating effect = 0.12, 95% CI [0.017, 0.410]). The proposed model in this study provides a foundation for improving educational programs on sleep hygiene and promoting mental wellness.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-20T04:54:26Z
  DOI: 10.1177/13591053241258252
Improving kidney care for people with severe mental health difficulties: A
thematic analysis of personal and family members’ perspectives
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  Authors: Clodagh Cogley, Jessica Bramham, Kate Bramham, Rebekah Cheung Judge, Julie Lynch, Siobhan MacHale, John Holian, Aoife Smith, Claire Carswell, Peter Conlon, Paul D’Alton
  Abstract: Journal of Health Psychology, Ahead of Print.
  People with severe mental health difficulties (SMHDs) often have poorer access to kidney healthcare. To better understand the barriers and facilitators to kidney healthcare for this population, we conducted interviews with nine individuals with SMHDs and four family members. Through reflexive thematic analysis, we generated three themes: (1) ‘One size doesn’t fit all’ describes the need for individualised kidney healthcare, adapted to meet the specific needs of each person with a SMHD. (2) ‘You just can’t say, “I’m only dealing with your kidney here”’ describes how fragmentation of physical and mental healthcare services can lead to poorer outcomes for people with SMHDs, underscoring the need for coordinated care. (3) ‘Just treat me with respect’ describes the impact of healthcare provider attitudes. Overall, participants praised the dedication and kindness of renal clinicians. However, some participants also described experiences of stigma and discrimination, and called for additional education for healthcare providers regarding SMHDs.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-20T04:52:27Z
  DOI: 10.1177/13591053241254715
‘Yeah, this is my donation’: An application of psychological
ownership in blood donation
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  Authors: Abigail R-A. Edwards, Rachel Thorpe, Barbara M. Masser, Fiona Kate Barlow
  Abstract: Journal of Health Psychology, Ahead of Print.
  To meet the priority healthcare needs of any population there must be a consistently available blood supply donated by willing donors. Due to this universal need for blood, retaining blood donors remains an ongoing challenge for blood services internationally. Encouraging psychological ownership, or the feeling of ownership one experiences over a possession, provides a potential novel solution to donor retention. This study, based on semi-structured interviews with blood donors, investigates how donors perceive and develop psychological ownership in the context of blood donation. Interviews were conducted in Australia with 20 current blood donors (10 men, 10 women; Mage = 41.95). Through thematic analysis, six themes were identified based primarily on the theoretical framework of psychological ownership. This research offers a novel perspective on donor retention, suggesting that donors’ ownership over their individual donation practices, and not the blood service, may contribute to maintaining a stable blood supply.
  Citation: Journal of Health Psychology
  PubDate: 2024-06-13T05:10:29Z
  DOI: 10.1177/13591053241254581
Beliefs, screening attitudes and breast cancer awareness of young women
with neurofibromatosis type 1: A reflexive thematic analysis
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  Authors: Caitríona Plunkett, Melissa Pilkington
  Abstract: Journal of Health Psychology, Ahead of Print.
  Neurofibromatosis type 1 (NF1) predisposes individuals to benign and malignant tumours. Young women with NF1 (
  Citation: Journal of Health Psychology
  PubDate: 2024-06-11T05:34:29Z
  DOI: 10.1177/13591053241255053
Effectiveness of identity-building interventions on recovery identity and
patient-reported health outcomes in chronic diseases: A meta-analysis
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  Authors: Jianan Zhao, Hanjing Zhu, Dian Zhu, Fangyuan Chang, Chenyang Liu, Yan Yang, Ting Han
  Abstract: Journal of Health Psychology, Ahead of Print.
  This meta-analysis aimed to assess the impact of identity-building interventions on recovery identity and patient-reported health outcomes in chronic disease patients. We identified 15 relevant empirical studies (comprising 2261 patients) from 989 records through extensive keyword searches and manual screening conducted between March 2nd and March 13th, 2023. Utilizing the Cochrane tool, meta-regression, and the GRADE approach, we evaluated these studies for their characteristics, findings, and quality. The analysis revealed that identity-building interventions, encompassing recovery-oriented group, interest group, and linguistic approaches, positively influenced identity synthesis and had varying effects on health outcomes. Notably, multiple regression analysis demonstrated that identity synthesis significantly predicted health outcomes. However, the study identified mild heterogeneity, a high attrition bias risk, and insufficient data on selection and detection bias as limitations. Overall, identity-building interventions proved influential in enhancing recovery identity, a vital predictor of patient-reported health outcomes in chronic disease patients.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-31T04:16:18Z
  DOI: 10.1177/13591053241249636
The prevalence of comorbid mental health difficulties in young people with
chronic skin conditions: A systematic review and meta-analysis
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  Authors: Clodagh Flinn, Amy McInerney, Finiki Nearchou
  Abstract: Journal of Health Psychology, Ahead of Print.
  Chronic skin conditions can have psychosocial and somatic implications, influencing well-being and quality of life. This systematic review and meta-analysis aimed to synthesise evidence on the prevalence of comorbid mental health difficulties in 0–25-year-olds with chronic skin conditions. A secondary aim included identifying factors associated with resilience. The narrative synthesis included 45 studies. Four meta-analyses were performed with moderate-high quality studies, one for each outcome: diagnosed mental disorders; mental health symptoms; suicidal behaviour; socio-emotional and behavioural difficulties. The pooled prevalence of diagnosed mental disorders was 1.2% (95% CI = 0.2–6.1); of mental health symptoms was 22.6% (95% CI = 18.9–26.7); of suicidal behaviour was 7.8% (95% CI = 1.4–3.1); of socio-emotional and behavioural difficulties was 20.9% (95% CI = 14.7–28.8). Findings demonstrate the pooled prevalence of comorbid mental health difficulties in youth with chronic skin conditions.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-30T05:31:34Z
  DOI: 10.1177/13591053241252216
Cultural adaption, translation, preliminary reliability and validity of
psychological and behavioural measures for adolescents living with HIV in
Botswana: A multi-stage approach
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  Authors: Michael Evangeli, Ina Kaleva, Abigail Agyemang, Ivor Williams, Tsitsi Chawatama, Rachel Jackson, Moemedi Keakantse, Barnabas Morake, Khumo Seipone, Lesego Busang
  Abstract: Journal of Health Psychology, Ahead of Print.
  Human immunodeficiency virus (HIV) remains a significant public health issue among young people living in Botswana. There is a need for reliable and valid psychological and behavioural measures of causally important constructs for this population. We developed a new HIV knowledge measure for use with 10–19-year-olds living with HIV and translated and adapted additional tools measuring HIV adjustment, HIV disclosure cognitions and affect, HIV communication beliefs, antiretroviral (ART) adherence, and self-esteem, using a multi-step process. This included (1) item generation for the HIV knowledge questionnaire, (2) translation including back-translation and expert review, (3) cognitive interviewing, (4) reliability testing (5) preliminary validity analysis. The HIV Knowledge Questionnaire for Adolescents living with HIV, the Illness Cognition Questionnaire, the Adolescent HIV Disclosure Cognition and Affect Scale, the HIV Communication Beliefs Scale, and the Rosenberg Self-Esteem Scale showed acceptable or good reliability and some evidence of validity for adolescents living with HIV in Botswana.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-29T05:55:39Z
  DOI: 10.1177/13591053241248944
Perceived social support and treatment adherence in Chileans with Type 2
diabetes
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  Authors: Belén Salinas-Rehbein, Manuel S. Ortiz, Theodore F. Robles
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to determine if greater perceived social support was directly associated with better Type 2 diabetes (T2D) treatment adherence and if better T2D treatment adherence was related to lower HbA1c levels in Chilean adults with T2D. For this purpose, 200 adults were recruited from the Chilean Diabetic Association. Participants were asked to complete self-report instruments and provide a capillary blood sample to measure HbA1c. Structural equation model analyses were performed to determine direct associations. The study’s results indicate that greater perceived social support was associated with healthier dietary habits, regular foot care, more frequent physical activity, and lower medication intake. Likewise, blood sugar testing and physical activity were related to HbA1c. These findings provide evidence of how perceived social support relates to T2D treatment adherence behaviors in Latino patients from South America and could be used for interventions to enhance social support from patients’ families, partners, and friends.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-29T05:53:20Z
  DOI: 10.1177/13591053241253370
Discordance between self-report and performance-based outcomes:
Contribution of psychosocial factors
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  Authors: Helen Razmjou, Susan Robarts, Suzanne Denis, Amy Wainwright, Patricia Dickson, John Murnaghan
  Abstract: Journal of Health Psychology, Ahead of Print.
  The purpose of this study was to examine the role of psychosocial factors in the discordance between perceived and observed physical disability in patients with osteoarthritis of the hip or knee joint. This was a cross-sectional study of patients seen for consideration of joint arthroplasty surgery. Patients completed a psychosocial outcome measure, a patient self-reported functional scale, and two performance-based tests. Data of 121 patients, mean age, 67 (8), 81 (67%) females were used for analysis. The fear avoidance and positive affect domains had the strongest association with the discordance between the self-report and both performance outcome measures. Age, gender, and severity of osteoarthritis were associated with discordance in relation to walking. Fear avoidance beliefs and positive affect play important roles in perception of pain and function. Age, gender, and severity of arthritis should be taken into consideration for a more holistic approach to arthritis care.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-27T10:59:39Z
  DOI: 10.1177/13591053241253895
The association between trait mindfulness and sleep problems: A
three-level meta-analysis
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  Authors: Li Lu, Guangming Ran
  Abstract: Journal of Health Psychology, Ahead of Print.
  Trait mindfulness has shown potential in relieving the symptoms related to sleep problems, but the relationship between trait mindfulness and sleep problems varies across studies. To explore this association and obtain reliable estimates, a three-level meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. A comprehensive literature search identified 86 studies involving 87 independent samples and 35,521 participants. A total of 441 effect sizes were analyzed. The study indicated a negative association between trait mindfulness and sleep problems. Furthermore, the meta-analysis revealed significant moderating effects of study design, mindfulness facets, and measurement for trait mindfulness on this relationship. This study suggests that trait mindfulness is closely related to the alleviation of sleep problems. Furthermore, trait mindfulness is vital important in strengthening prevention and intervention measures targeting individuals’ sleep problems.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-27T10:57:50Z
  DOI: 10.1177/13591053241253483
Reliability and validity of the Japanese version of the Pregnancy and
Weight Gain Attitude Scale
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  Authors: Yuki Kurashima, Mie Shiraishi, Rio Harada, Takako Chiba, Masayo Matsuzaki
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to develop the Japanese version of the Pregnancy and Weight Gain Attitude Scale (J-PWGAS) as a measurement of body image regarding body weight and shape during pregnancy. This cross-sectional study was conducted at a perinatal medical center in Osaka, Japan, between March and November 2020. We recruited pregnant women in their second or third trimester, who were 20 years old or older and without pregnancy complications. This study evaluated the criterion validity, construct validity, internal consistency, and test-retest reliability. Of the participants, 218 and 102 women participated in the validation and test-retest reliability studies, respectively. An exploratory factor analysis revealed a 17-item, five-factor structure. The J-PWGAS indicated acceptable criterion validity, internal consistency, and test-retest reliability. The J-PWGAS can measure attitudes toward gestational weight gain in Japanese pregnant women and would be useful in examining the association of body image with weight gain and psychological status during pregnancy.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-27T10:55:59Z
  DOI: 10.1177/13591053241253142
Implicit theories of health predict influenza vaccination intention among
elder Chinese: The mediating role of anticipated regret
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  Authors: Yun Kou, Ning Zhang
  Abstract: Journal of Health Psychology, Ahead of Print.
  Receiving influenza vaccines is the most effective public health strategy to protect people against seasonal flu infection. However, influenza vaccination rates are extremely low in China. This study investigated the association between implicit theories of health and influenza vaccination intention among elder Chinese when the vaccine is free (vs not free), and examined the mediating effect of anticipated regret. The results suggested that implicit theories of health, especially incremental theory of health, significantly predicted Chinese elders’ influenza vaccination intention and this relationship was mediated by anticipated regret. Implications of the current research for promoting influenza vaccination among elder Chinese and directions for future research are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-27T10:53:16Z
  DOI: 10.1177/13591053241253067
Overestimating prevalence' Rethinking boundaries and confounders of
moral distress
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  Authors: Stephan Oelhafen, Settimio Monteverde, Manuel Trachsel
  Abstract: Journal of Health Psychology, Ahead of Print.
  Moral distress denotes a negative reaction to a morally challenging situation. It has been associated with adverse outcomes for healthcare professionals, patients and healthcare institutions. We argue that existing definitions, along with measures of moral distress, compromise the validity of empirical research. First, the definition and measurement of moral distress conflate moral events and psychological distress, even though they are distinct phenomena that should be assessed independently. Second, in many studies, there is a lack of clarity in distinguishing between moral and non-moral events. Finally, prior research on moral distress often overlooks the substantial body of evidence demonstrating the impact of diverse work-related factors, beyond moral events, on both distress and job retention. These challenges might undermine the effectiveness of interventions aimed at alleviating moral distress. We outline a comprehensive research agenda that encompasses conceptual clarifications, the refinement of data collection instruments, the design of studies and the application of appropriate statistical methods.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-23T12:37:52Z
  DOI: 10.1177/13591053241253233
Implicit theories of health predict HPV vaccination intention among young
adult Chinese women: The mediating effect of consideration of future
consequences and future self-continuity
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  Authors: Ning Zhang, Qinghua Ma, Xiaoying Zhang, Qing Huang
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated the predicting effect of implicit theories of health on HPV vaccination intention among young adult Chinese women and its underlying mechanisms. Four-hundred and eighty-three young Chinese women adults (18–26 years old) participated this study by completing measures on implicit theories of health, consideration of future consequences, future self-continuity, and reported their HPV vaccination intention. The results demonstrated that age, whether they knew someone being diagnosed with cancer, implicit (incremental) theories of health, consideration of future consequences (CFC-Future), and future self-continuity significantly predicted young adult Chinese women’s HPV vaccination intention. The predicting effect of implicit theories of health was mediated by consideration of future consequences and future self-continuity. Implications of the current research for promoting HPV vaccination among young adult women and directions for future research are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-20T11:55:53Z
  DOI: 10.1177/13591053241253065
A resiliency intervention adapted for older women with HIV: Results from a
pilot randomized controlled trial in the northeastern US
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  Authors: Christina Psaros, Amelia M Stanton, Georgia R Goodman, Abigail Blyler, Mark Vangel, Allison K Labbe, Gregory K Robbins, Elyse R Park
  Abstract: Journal of Health Psychology, Ahead of Print.
  Aging with HIV often results in psychosocial and health-related challenges for women; however, no resiliency interventions exist for older women with HIV (WWH). WWH aged ≥50 were randomized to 10 group sessions of an adapted resiliency intervention or time-matched supportive psychotherapy. Assessments were conducted at three timepoints. Feasibility and acceptability metrics were defined a priori; differences in resilience, stress coping, anxiety, and depression across timepoints were assessed. Overall, 44 WWH enrolled; participants were 58 years old on average, and 56.4% identified as Black/African American. Among those who attended any sessions, all feasibility metrics were met, and the intervention was acceptable. The interaction of study arm and time was associated with significant decreases in depression and a trend toward significant decreases in anxiety. The intervention was not associated with changes in resilience or stress coping. Adjusting delivery modality may further reduce barriers to attendance, improving feasibility and clinical outcomes.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-18T10:26:27Z
  DOI: 10.1177/13591053241253050
The relationship between uncertainty in illness and psychological
adjustment to chronic illness
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  Authors: Theresa A Skojec, Tatiana M Davidson, Teresa J Kelechi
  Abstract: Journal of Health Psychology, Ahead of Print.
  Using Mishel’s Uncertainty in illness theory, this integrative review sought to identify how uncertainty in illness and psychological adjustment to illness are associated with chronic illness to guide development of interventions to support psychological adjustment. A search was conducted via EBSCOHost to answer the question “What is the relationship between uncertainty in illness and psychological adjustment to chronic illness'” Two key factors were identified as having an impact on psychological adjustment to chronic illness in the presence of uncertainty in illness including uncertainty appraisal and the type of coping strategies used in response to the appraisal. Individuals with a chronic illness diagnosis are more likely to experience increased levels of uncertainty in illness and decreased psychological adjustment to illness. A better understanding of these two concepts is important to augment and or guide the development of interventions to support psychological adjustment.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-18T10:00:47Z
  DOI: 10.1177/13591053241249861
Association between nutrition self-efficacy, health locus of control and
food choice motives in consumers in nine European countries
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  Authors: Barbara J Stewart-Knox, Rui Poínhos, Arnout RH Fischer, Audrey Rankin, Brendan P Bunting, Bruno MPM Oliveira, Lynn J Frewer
  Abstract: Journal of Health Psychology, Ahead of Print.
  We investigated associations between food choice motives and psychological determinants of dietary health behaviour change (nutrition self-efficacy, NS-E, and health locus of control, HLoC) among 9381 participants (18–65 years, 49.4% females) from nine European countries. Price was the highest rated food choice motive. Higher importance of all motives was associated with higher NS-E and with higher Internal HLoC. Relationships between food choice motives and External HLoC were also in the expected direction in showing negative associations with Health, Natural Content, Weight Control, Mood and Sensory Appeal. Higher External HLoC was also associated with perceived greater importance of ‘external’ motives Ethical Concern, Familiarity and Convenience. Relationships between External HLoC and food choice motives were not all in the expected direction. Price was unrelated to External HLoC. Females rated the importance of all motives higher than males. People with less education ascribed greater importance to Price in motivating food choices. Together, these findings imply that self-efficacy and health locus of control should be considered along with motivations for food choice in dietary health promotion.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-14T08:27:01Z
  DOI: 10.1177/13591053241249863
The impact of syndemic burden, age, and sexual minority status on
internalized HIV stigma among people living with HIV in South Florida
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  Authors: Elliott R Weinstein, Noelle A Mendez, Megan A Jones, Steven A Safren
  Abstract: Journal of Health Psychology, Ahead of Print.
  Internalized HIV stigma has been associated with several poor mental and physical health outcomes among people living with HIV (PLWH); yet, little research has explored how internalized HIV stigma may be affected by syndemic burden. This study sought to examine the relationship between syndemic conditions and HIV stigma over and above the potential effects of two social determinants of health, age and sexual minority status, using a linear regression approach (N = 1343). Syndemic burden was significantly positively associated with internalized HIV stigma above and beyond the effects of age and sexual minority status (b = 0.23). Additionally, age (b = −0.02) and being a sexually minority (b = −0.31) were significantly negatively associated with internalized HIV stigma. Findings should inform future treatment targets for this population by specifically working to reduce internalized HIV stigma for people with a greater syndemic burden and, potentially, among young adults and heterosexual PLWH.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-13T09:35:25Z
  DOI: 10.1177/13591053241249633
Is problematic use of the Internet and smartphone predictor of unhealthy
eating behaviors and abnormal body weight in Turkish young adults'
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  Authors: Hacı Ömer Yılmaz, Çağdaş Salih Meriç, Kenan Bülbül, Tuğba Türkkan
  Abstract: Journal of Health Psychology, Ahead of Print.
  With technological progress, the use of the internet and smartphones has become an inseparable part of our lives and their use is increasing. The uncontrolled use of both the internet and smartphones is defined as problematic use. This study examined the effects of problematic internet and smartphone use on dietary behaviors and abnormal body weight status in young adults. Participants were 560 university students. Participants completed measures of demographics, dietary behaviors, internet and smartphone usage habits, Young’s Internet Addiction Test and Smartphone Addiction Scale. Negative associations were found between dietary behaviors and problematic internet and smartphone use. Significant inverse associations were also found between these uses and recommended consumption levels of several food groups. For a healthy future generation, it is recommended that policies be developed to prevent or manage these problematic uses, especially in young adults with negative dietary behaviors and abnormal body weight.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-13T09:22:47Z
  DOI: 10.1177/13591053241249542
Spiritual issues, beliefs, needs, and resources in palliative healthcare
providers: An Italian qualitative study
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  Authors: Andrea Bovero, Francesco Gottardo, Chiara Tosi, Alexa Pidinchedda, Sara Pesce, Rossana Botto, Mario Caserta, Luca Ostacoli, Pierre Gilbert Rossini
  Abstract: Journal of Health Psychology, Ahead of Print.
  The significance of spirituality in navigating the meaning of illness and death has been well-established. However, healthcare professionals working with palliation also grapple with their own spiritual dimensions when confronted with these circumstances. This study aimed to explore spirituality from a subjective standpoint among a sample of palliative care professionals, investigating its role and associated needs. For the first time, the FICA Spiritual History Tool was applied in a focus group setting. The meetings were transcribed, and thematic analysis was performed. The findings underscore how spirituality is perceived as more relational than transcendent, potentially fostering connections between the self, patients, and colleagues, thereby enhancing resilience. Simultaneously, spirituality needs to be considered as a potential source of suffering that could impact both the quality of life and work of healthcare workers involved. This issue should be addressed through dedicated moments of shared reprocessing, with beneficial implications for public health.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-13T01:09:13Z
  DOI: 10.1177/13591053241253046
‘Listen to women as if they were your most cherished person’:
Australian women’s perspectives on living with the pain of
endometriosis: A mixed-methods study
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  Authors: Carmen Katz, Subhadra Evans, Antonina Mikocka-Walus
  Abstract: Journal of Health Psychology, Ahead of Print.
  This mixed-methods study used an online cross-sectional survey to explore perspectives of 533 adult Australian women living with endometriosis pain, and their relationship with biopsychosocial factors. Four themes were constructed: The primary theme, ‘Stigma and change’ reflected women’s experience of dismissal, and the wish to reverse the narrative of pain as normal. Some women emphasised self-education and self-advocacy to affect change, reflecting the theme ‘self-empowerment’. Participants described the ‘debilitating impact’ of endometriosis and the enduring difficulty of ‘inadequate healthcare’, reflecting themes three and four. Analysis indicated type of social support may impact perceived outcomes for endometriosis. Hierarchical regression analyses indicated too few significant relationships between biopsychosocial factors and themes to indicate meaningful patterns without risk of common method variance. Future research should explore the influence of social support and interventions which develop participant autonomy and practitioner competence and knowledge, using disease-specific measures over time.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-13T01:06:13Z
  DOI: 10.1177/13591053241250101
Anxiety sensitivity moderates the relationship between internet addiction
and cyberchondria among nurses
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  Authors: Majd T Mrayyan, Abdallah Abu Khait, Yazan Al-Mrayat, Ja’far M Alkhawaldeh, Imad Alfayoumi, Abdullah Algunmeeyn, Ola A Kutah, Hamzeh Yousef Abunab, Mouna S Hamdan, Hala Alhabashneh
  Abstract: Journal of Health Psychology, Ahead of Print.
  Internet addiction and cyberchondria have a bidirectional relationship. However, no known studies have evaluated the moderating role of anxiety sensitivity in that relationship. The study aimed to determine whether anxiety sensitivity moderates the relationship between internet addiction and cyberchondria among Jordanian nurses. Data were collected from 303 nurses using a web-based survey and convenience snowballing sampling methods using a cross-sectional research design. The Internet Addiction Test and the short version of the Cyberchondria Severity Scale were used to assess internet addiction and cyberchondria. Nurses reported mild internet addiction, low anxiety sensitivity, and moderate cyberchondria. Also, these findings suggested that sensitivity to anxious feelings moderates the relationship between internet addiction and cyberchondria. These findings would help nurses use psychosocial interventions for people with internet addiction and cyberchondria by understanding how their anxiety sensitivity promotes their internet addiction and cyberchondria.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-11T10:36:48Z
  DOI: 10.1177/13591053241249634
Relationship between the presence of meaning in life and sleep quality: A
moderated chain-mediation model
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  Authors: Dandan Ge
  Abstract: Journal of Health Psychology, Ahead of Print.
  Sleep is a vital component of health; however, sleep issues are particularly prominent among college students. Identifying protective factors for sleep among college students is of paramount importance. To investigate the mechanisms behind the association between the presence of meaning in life (PML) and sleep quality, we conducted two questionnaire surveys (separated by an interval of 6 months) with 5660 college students to collect longitudinal data. The results show that PML predicted sleep quality and that this relationship was influenced by the mediating effect of depression and the chain mediating effect of coping style and depression; further, the search for meaning in life played a moderating role in the chain mediation model. This study offers new theoretical perspectives on the protective factors of sleep quality and provides empirical insights useful for improving sleep health among college students.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-10T05:53:54Z
  DOI: 10.1177/13591053241249236
Acceptance of disability in stroke: A qualitative metasynthesis
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  Authors: Mervyn JR Lim, Jaclyn Tan, Arturo YY Neo, Brandon CJ Ng, Miho Asano
  Abstract: Journal of Health Psychology, Ahead of Print.
  Disability acceptance has been conceptualized as an internalization of oneself as a person experiencing disability and associated with better coping and motivation for rehabilitation. This is particularly pertinent to individuals experiencing stroke because many are initially not fully aware of their stroke-related impairments, which affects the acceptance process. This qualitative metasynthesis aimed to synthesize qualitative findings regarding disability acceptance in stroke and identify barriers and facilitators associated with it. Eighteen studies published from 2003 to 2022, conducted in Asia, Europe, and Australasia, were included in our review. A thematic synthesis was carried out through line-by-line coding and identification of descriptive and analytical themes. Three analytical themes emerged from the analysis: “understanding impairments,” “flexibility and active engagement,” and “disability acceptance as a non-linear process.” Healthcare professionals may facilitate this process by guiding individuals experiencing stroke to recognize that they can manage their limitations and still lead meaningful lives.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-10T05:48:57Z
  DOI: 10.1177/13591053241248943
The cultural representations and symbolizations emerging from Italian
psychologists working in multidisciplinary assisted reproduction teams: A
linguistic analysis with the emotional text mining
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  Authors: Michela Di Trani, Roberta Spoletini, Alessia Renzi, Silvia Monaco, Fabiola Fedele, Giulia Scaravelli
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aims to explore the perspectives of Italian psychologists who work in assisted reproductive treatment (ART) centres regarding their roles within multidisciplinary teams. Twenty-eight psychologists were interviewed, recorded and their transcribed text was analysed using emotional text mining. The analysis revealed four clusters representing the psychologists’ cultural symbolizations of their works: ‘Clinical Practice with the patient’, ‘Placing Psychology within the Treatment’, ‘Psychologist’s Loneliness’ and; ‘Collusion with Medicine’. The symbolic representations emerging clearly highlighted a lack of integration of psychology within the medical field. Psychologists expressed emotional and practical difficulties in trying to integrate their role, including a desire to provide psychological assistance, feelings of loneliness and concerns about jeopardizing their professional opportunities, which are intertwined with the medical field. Present findings underscore the importance of integrating psychology within ART centres and multidisciplinary teams and of establishing operational guidelines for psychologists. These steps are crucial for reaching integration of psychologists within the medical setting.
  Citation: Journal of Health Psychology
  PubDate: 2024-05-08T11:28:07Z
  DOI: 10.1177/13591053241251528
Association between stressful life events and sleep quality in Chinese
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  Authors: Qingyi Li, Xuejian Ye, Zheng Li, Shuxuan Yang, Luxiao Yin, Bao-ming Li, Chunjie Wang
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated whether emotion regulation mediates or modulates the relationship of SLEs with sleep quality and potential sex differences. A total of 1447 Chinese university students completed the Adolescent Self-Rating Life Events Checklist, the Pittsburgh Sleep Quality Index, and the Emotion Regulation Questionnaire. The results indicated that both cognitive reappraisal and expressive suppression significantly mediated and moderated the negative association between SLEs and sleep quality. Additionally, sex differences were found for the mediating role of cognitive reappraisal and for the modulating roles of cognitive reappraisal and expressive suppression in the relationship between SLEs and sleep quality. Although the present cross-sectional data does not allow us to test any causal relationships, these results help clarify the underlying emotion-regulation process between SLEs and sleep in university students and highlight the importance of considering sex differences in emotion regulation.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-30T12:01:24Z
  DOI: 10.1177/13591053241248940
Impact of public health communication for prevention and personal
resilience at the time of crisis. A pilot study with psychophysiological
and self-report measures
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  Authors: Carlotta Acconito, Laura Angioletti, Michela Balconi
  Abstract: Journal of Health Psychology, Ahead of Print.
  Health communication promotes public and individual health. Psychophysiological indices can unveil the unconscious emotional variables that influence audience’s representations of these communications. This study explored emotional and cognitive responses to health communications using implicit (psychophysiological) and explicit (self-report) measurements. Twelve communications (health prevention, personal health, public health, Covid-19) were shown to N = 19 participants, while psychophysiological (i.e. Heart Rate and Heart Rate Variability (HRV), skin conductance level and response (SCL and SCR)) and self-report (Semantic Differential and Self-Assessment Mannikin (SAM)) data were collected. Higher arousal and physiological engagement (SCL) were observed for health prevention, public and personal health communications. Lower HRV values were found for health prevention compared to crisis communication (Covid-19 stimuli), suggesting higher emotional reactions and concern for the first topic. Self-report results confirmed psychophysiological findings. Overall, using public health communication activates objective indicators about emotional reactions that have important implications for the effectiveness of the communication itself.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-29T09:18:36Z
  DOI: 10.1177/13591053241247599
Applying self-determination theory to internalized weight stigma and
mental health correlates among young and middle adult women: A structural
equation model
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  Authors: Dakota L Leget, Lara J LaCaille, Stephanie A Hooker, Rick A LaCaille, Matthew W Lauritsen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Limited research has explored the relationship between self-determination theory constructs (basic psychological needs, autonomous/controlled regulation) and internalized weight stigma (IWS). This cross-sectional, online study surveyed 480 U.S. women aged 18–40 between 2021 and 2022. We hypothesized that need frustration and controlled weight regulation would relate to higher IWS, which would be associated with dysfunctional eating, distress, and lower life satisfaction. Conversely, we predicted that need satisfaction, autonomous regulation, and body satisfaction would be associated with reduced IWS, dysfunctional eating and distress, and higher life satisfaction. Structural equation modeling demonstrated an acceptable model fit (CMIN/DF = 2.95, CFI = 0.90, RMSEA = 0.06, SRMR = 0.07), accounting for 74% of IWS variance. Findings indicate the relevance of self-determination theory in understanding IWS, supporting a dual-process model whereby adverse and adaptive outcomes follow distinct pathways. Longitudinal studies are warranted to validate psychological needs and regulatory styles as mechanisms for IWS development and to assess generalizability across diverse populations.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-29T05:16:17Z
  DOI: 10.1177/13591053241248283
Qualitative findings from a randomized trial of mindfulness-based and
cognitive-behavioral group therapy for opioid-treated chronic low back
pain
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  Authors: David M Horton, David K Woods, Eric L Garland, Robert R Edwards, Bruce Barrett, Aleksandra E Zgierska
  Abstract: Journal of Health Psychology, Ahead of Print.
  This article reports qualitative outcomes from a randomized controlled trial comparing eight weeks of cognitive-behavioral group therapy for chronic pain (CBT-CP) and mindfulness-based group therapy (MBT) in individuals with chronic low back pain (CLBP). Approximately 10 months post-treatment, 108 participants completed structured qualitative interviews to express how the study treatment affected their life or health. Responses were qualitatively analyzed to generate a set of themes and subthemes, with between-groups comparisons to evaluate differences (if any) in treatment-response between MBT and CBT-CP. A majority of participants (n = 88, 81.5%) across both groups reflected positively on the study intervention and outcomes, identifying benefits in pain management (31.5%), meditation and mindfulness skills (25.9%), and relaxation skills (22.2%). Perceived benefits varied widely, suggesting no one intervention may be ideal for CLBP. Future research should examine tailoring interventions to target diverse clinical presentations to achieve optimal outcomes.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-29T05:11:18Z
  DOI: 10.1177/13591053241247710
Changes of college students’ psychological stress during the COVID-19
pandemic in China: A two-wave repeated survey
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  Authors: Xinxin Ye, Junmeng Zhang, Huanju Liu, Xutong Zheng, Wan Ye, Wenhai Fu, Yanxia Zhong, Qiansha Wang, Yanni Lin, Cong Huang
  Abstract: Journal of Health Psychology, Ahead of Print.
  COVID-19 has posed unprecedented challenges to the mental health of college students worldwide. We examined the trends in students’ stress levels during and after China’s first wave of COVID-19 outbreaks by analyzing their demographics, behavior, mental health status, career confidence, and Chinese Perceived Stress Scale (CPSS) scores. Our findings indicate an increase in students’ stress levels since the COVID-19 onset, with more students experiencing higher stress levels after the first outbreak than during it (OR = 2.03, 95% CI 1.79, 2.30). Several factors were identified as being associated with higher CPSS scores, including higher class levels, residence in rural or town areas, low family income, and lack of familiarity with COVID-19, among others. Our study highlighted the urgency of developing and implementing effective strategies to cope with students’ stress during and after a global pandemic.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-25T08:51:14Z
  DOI: 10.1177/13591053241246620
Validating the Stanford Gender-Related Variables for Health Research
(SGVHR) in a Canadian population
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  Authors: Ahmed Abdel-sayyed, Kim Ngan Hoang, Tarek Turk, Lujie Xu, Esther Fujiwara
  Abstract: Journal of Health Psychology, Ahead of Print.
  In addition to biological sex, the impact of gender on health outcomes is now well-recognized. Gender norms are changing rapidly, demanding contemporary gender assessment tools. This study sought to validate the recent US-based Stanford Gender-Related Variables for Health Research (SGVHR) scale in Canada. We also aimed to improve gender prediction by including socio-demographic information on education, income and occupations. We recruited 2445 Canadian online participants (~50% female; mean age: 49.3). Multigroup confirmatory factor analyses confirmed the SGVHR factor structure in our sample, indicating its generalizability beyond the USA. Regression analyses indicated that the SGVHR subscales were moderately predictive of self-reported gender. Incorporating socio-demographic factors Significantly enhanced gender prediction via the SGVHR. This study underscores the SGVHR’s applicability in diverse Western populations and encourages the inclusion of easily accessible sociodemographic variables to approximate a gender metric. Future studies should test the health-relevance of such indicators along with the SGVHR.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-24T05:47:01Z
  DOI: 10.1177/13591053241247376
A scoping review: Forced/coerced sterilization as a socio-cultural risk
factor for sexually transmitted HIV for older Black women
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  Authors: Laneshia R Conner, Margie Ruppel, Carrie B Oser
  Abstract: Journal of Health Psychology, Ahead of Print.
  Understanding socio-cultural factors that influence older (age 50 and up) Black women’s risk for sexually transmitted HIV has often been absent from policies and programs. This scoping review asked: What does academic literature reveal about forced/coerced sterilization as a risk factor for older Black women who are disproportionately affected by sexually transmitted HIV' Using the Arksey and O’Malley scoping review methodology, the authors identified academic and gray literature published between 2000 and 2023. Of the 407 sources identified and screened, three articles met the criteria for inclusion. One study focused on birth control conspiracy beliefs, another focused on racial differences in Norplant use, and the third focused on the intergenerational transmission of mistrust of medical care that influences HIV prevention among Black Americans. The study findings suggest that because the link has not been made between socio-cultural factors that impact older Black women’s reproductive health practices, further investigation is warranted.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-24T04:55:35Z
  DOI: 10.1177/13591053241240922
Patients’ subjective well-being: Determinants and its usage as a metric
of healthcare service quality
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  Authors: Henry A Lee, Neo Poon, Paul Dolan, Ara Darzi, Ivo Vlaev
  Abstract: Journal of Health Psychology, Ahead of Print.
  It is commonly suggested that patients’ subjective well-being (SWB) can be affected by pre-treatment conditions and treatment experiences, and hence SWB can be used to measure and improve healthcare quality. With data collected in a hospital in the UK (N = 446), we investigated the determinants of patients’ SWB and evaluated its use in healthcare research. Our findings showed strong relationships between pre-treatment conditions and patients’ SWB: anxiety and depression negatively predicted SWB across all three domains, mobility positively predicted the life satisfaction and happiness domains, while the ability to self care and pain and discomfort also predicted SWB in some domains. In contrast, patients’ satisfaction with the treatment only played minor roles in determining SWB, much less so the characteristics of their nurses. The general lack of associations between treatment experiences and patient’s SWB highlighted the challenges of using SWB to measure healthcare quality and inform policy making.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-20T08:28:19Z
  DOI: 10.1177/13591053241246933
Sense of coherence and Covid-19 related stress: A three-wave longitudinal
study
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  Authors: Francesca Danioni, Angela Sorgente, Margherita Lanz, Raffaella Iafrate, Camillo Regalia, Rosa Rosnati, Daniela Barni
  Abstract: Journal of Health Psychology, Ahead of Print.
  Sense of coherence (SOC) is the fundamental concept of the salutogenic approach to health promotion. The main aim of the current longitudinal study is to consider whether SOC has had a positive effect in reducing people’s levels of stress during the prolonged time of the pandemic or rather stress has posed a threat to SOC. A large sample of Italian adults completed an online questionnaire at three different moments of the Covid-19 pandemic (from March 2020 to May 2021). To test the reciprocal associations between SOC and stress we estimated a cross-lagged panel model. Results questioned the stability of SOC, which changed across the different moments of the pandemic, and its causal role with respect to stress since, after controlling for gender and age, it emerged a significant effect only from stress to SOC. The implications of these results and the further expansions of the study are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-20T05:31:00Z
  DOI: 10.1177/13591053241242545
The (un)controlled body: A grounded theory analysis to conceptualise
stigma for women with gestational diabetes mellitus
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  Authors: Madeleine Benton, Natasha Hotung, Jessica Bird, Khalida Ismail, Sergio A Silverio
  Abstract: Journal of Health Psychology, Ahead of Print.
  Health-related stigma is associated with adverse outcomes including depression, stress and reduced engagement in health behaviours which are particularly harmful in pregnancy and the postpartum. Women with gestational diabetes mellitus (GDM) report negative psychosocial experiences and may be at risk of stigma related to the condition. We aimed to understand women’s experiences of GDM-specific stigma. Individual interviews were conducted with n = 53 women living in the UK with a current or past (within 4 years) GDM. Grounded theory methodology was used to analyse the data. Four themes were identified: (1) Preconceptions and misconceptions; (2) Locating, regaining, and negotiating agency; (3) Tension about and resisting the dominant discourse of stigma; and (4) Reclaiming control over the body. GDM-specific stigma was diverse and far reaching and may have broader implications for perinatal mental health and postnatal wellbeing. It is pertinent to investigate possible prospective associations between GDM-specific stigma, and biomedical and mental health outcomes.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-17T06:45:14Z
  DOI: 10.1177/13591053241241863
Supporting physical activity adoption through recommender system
technology: A pilot study
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  Authors: Jennifer P Agans, Fenglong Ma, Serena Schade, Christopher Sciamanna
  Abstract: Journal of Health Psychology, Ahead of Print.
  We tested the potential for recommender system technology to provide personalized physical activity (PA) suggestions for inactive young adults with high bodyweight. We developed a recommender system using data from the 2017 Behavioral Risk Factor Surveillance System and assessed interest in using the system among 47 young adults (mean age = 23.0 years; 63.4% female; 65.0% White; mean BMI = 29.4). Eleven of these participants (mean age = 23.6 years; 90.9% female, 63.6% White; average BMI = 28.5) also received a PA recommendation and a follow-up interview. Approximately half of the survey participants were willing to use the recommender system, and participants interested in the recommender system differed from those unwilling to try the system (e.g., more likely to be female, worse self-perceived health). Furthermore, eight of the 11 interviewees tried the PA recommended to them, but had mixed reviews of the system’s accuracy. Although our recommender system requires improvements, such systems have promise for supporting PA adoption.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-17T05:35:11Z
  DOI: 10.1177/13591053241242541
The moderating effect of social support on the effectiveness of a
web-based, computer-tailored physical activity intervention for older
adults
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  Authors: Stephanie J Alley, Stephanie Schoeppe, Hayley Moore, Quyen G To, Jannique van Uffelen, Felix Parker, Mitch J Duncan, Anthony Schneiders, Corneel Vandelanotte
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study aimed to assess the moderating effect of social support on the effectiveness of a web-based, computer-tailored physical activity intervention for older adults. In the Active for Life trial, 243 inactive adults aged 65+ years were randomised into: (1) tailoring + Fitbit (n = 78), (2) tailoring-only (n = 96) or (3) control (n = 69). For the current study, participants were categorised as having higher (n = 146) or lower (n = 97) social support based on the Duke Social Support Index (DSSI_10). Moderate-to-vigorous physical activity (MVPA) was measured through accelerometers at baseline and post-intervention. A linear mixed model analysis demonstrated that among participants with lower social support, the tailoring + Fitbit participants, but not the tailoring only participants increased their MVPA more than the control. Among participants with higher social support, no differences in MVPA changes were observed between groups. Web-based computer-tailored interventions with Fitbit integration may be more effective in older adults with lower levels of social support.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-15T10:17:06Z
  DOI: 10.1177/13591053241241840
Examining the influence of mental health and structural determinants of
health on the stage of motivational readiness for health behaviour
changes: A path analysis study
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  Authors: Irene Gómez-Gómez, María Luisa Rodero-Cosano, Juan Á Bellón, Edurne Zabaleta-del-Olmo, José A Maderuelo-Fernandez, Patricia Moreno-Peral, Rosa Magallón-Botaya, Bárbara Oliván-Blázquez, Marc Casajuana-Closas, Tomàs López-Jiménez, Bonaventura Bolíbar, Joan Llobera, Ana Clavería, Alvaro Sanchez-Perez, Emma Motrico
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study explores the influence of mental health and structural determinants of health on motivational readiness for health behaviour change in 1462 Spanish primary healthcare users. Chi-square test and structural equation modelling were performed. Results showed that depression and anxiety were negatively associated with being in the action stages of motivational readiness for a healthy diet and physical activity. This association was statistically significant only for motivational readiness for a healthy diet and depression ([math]). Furthermore, women and workers were more likely to be in the action stages of motivational readiness for a healthy diet while older adults and adults with higher health-related quality of life were more likely to be in the action stages of motivational readiness for physical activity. The present study suggests that structural (being older, being a woman and being employed) and intermediary (suffering from depression and higher health-related quality of life) determinants of health influence motivational readiness for health behaviour changes.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-12T06:21:11Z
  DOI: 10.1177/13591053241241015
The underlying mechanisms by which Post-Traumatic Growth is associated
with cardiovascular health in male UK military personnel: The ADVANCE
cohort study
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  Authors: Daniel Dyball, Alexander N Bennett, Susie Schofield, Paul Cullinan, Christopher J Boos, Anthony MJ Bull, Sharon AM Stevelink, Nicola T Fear
  Abstract: Journal of Health Psychology, Ahead of Print.
  Post-Traumatic Growth (PTG) is associated with good cardiovascular health, but the mechanisms of this are poorly understood. This cross-sectional analysis assessed whether factors of PTG (Appreciation of Life (AOL), New Possibilities (NP), Personal Strength (PS), Relating to Others (RTO) and Spiritual Change (SC)) are associated with cardiovascular health in a cohort of 1006 male UK military personnel (median age 34). The findings suggest AOL, PS and RTO are associated with better cardiovascular health through cardiometabolic effects (lower levels of triglycerides, and total cholesterol) and haemodynamic functioning (lower diastolic blood pressure), but not inflammation. However, NP and SC were associated with poorer cardiovascular health through cardiometabolic effects (lower levels of high-density lipoproteins and higher levels of total cholesterol) and AOL had a non-linear association with low-density lipoproteins. These findings suggest that the relationship between PTG and cardiovascular functioning is complex and in need of further scrutiny.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-12T06:15:10Z
  DOI: 10.1177/13591053241240196
Physical attributes of workout instructors and appearance-related
messaging in a sample of home workout videos on YouTube: A content
analysis
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  Authors: Ha Gyoung Chung, Madeline R Wick, Caroline E Joo, Jennifer A Harriger
  Abstract: Journal of Health Psychology, Ahead of Print.
  Given the popularity of home workouts and effects of exposure to media messaging regarding appearance ideals, the purpose of this analysis was to examine the content of YouTube home workout videos. A sample of 298 YouTube home workout videos was coded for demographic factors and body shape of instructors and the presence of body positivity messaging, appearance-related messaging, and other relevant themes. All videos in the sample included detailed instructions and demonstrations of the exercises by instructors. The majority of the videos depicted young White women with low body fat and thin/athletic bodies with visible muscles. Instructors often focused on burning fat/calories but also emphasized body functionality, exercising for fun/enjoyment, and the importance of taking care of one’s body. Overall, findings demonstrate that workout instructors on YouTube conformed to unrealistic, narrowly defined appearance ideals present in Western culture, but the messaging in the videos contained many positive and affirming qualities.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-12T04:55:29Z
  DOI: 10.1177/13591053241242534
Appearance comparison on social networking sites and body shame: The role
of negative body talk and perceived sociocultural influences on body image
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  Authors: Ruining Wang, Baojuan Ye, Peiyi Wang
  Abstract: Journal of Health Psychology, Ahead of Print.
  Social media platforms play a significant role in the lives of young people. While the usage of these platforms has grown, research exploring the challenges of body image remains limited. This study investigated whether initiating negative body talk functioned as an indirect pathway between appearance comparison on social media and body shame and whether perceived sociocultural influences from parents, friends, and media on body image moderated this indirect effect. An online cross-sectional survey of 795 Chinese college students (Mage = 20.17, SD = 1.65; 60% female, 40% male) was conducted. Negative body talk was a partial indirect pathway in the association, and this indirect effect was significant among those experiencing higher sociocultural pressures from all three sources. This study highlights the need for health psychology in understanding and addressing the mental health consequences associated with digital media and sociocultural influences on body image perception.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-11T05:26:06Z
  DOI: 10.1177/13591053241245100
Childhood maltreatment and the risk of impaired glucose metabolism or type
2 diabetes in young adults: Findings from the Lifelines Cohort Study
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  Authors: Sonya S. Deschênes, Finiki Nearchou, Amy McInerney, Norbert Schmitz, Frans Pouwer, Arie Nouwen
  Abstract: Journal of Health Psychology, Ahead of Print.
  We examined the associations between childhood maltreatment and the risk of impaired glucose metabolism (IGM) or type 2 diabetes (T2D) in young adults aged 18–35. Participants (N = 8506) from the Lifelines Cohort Study without IGM or diabetes at baseline (2007–2013) were included. Childhood maltreatment was assessed by the Childhood Trauma Questionnaire (CTQ) and incident IGM/T2D was assessed by haemoglobin A1c levels (≥5.7%) in 2014–2017. There were 223 (2.6%) cases of IGM/T2D during the follow-up period. After adjusting for sociodemographic and health/lifestyle covariates and follow-up time, only the CTQ Sexual Abuse subscale was significantly associated with IGM/T2D (RR = 1.05 [95% CI = 1.01, 1.10]). The association remained when additionally accounting for depressive and anxiety symptoms (RR = 1.05 [95% CI = 1.00, 1.09]). Childhood sexual abuse was associated with an increased risk of IGM/T2D in young adults, highlighting the long-term metabolic consequences of childhood maltreatment.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-11T05:23:51Z
  DOI: 10.1177/13591053241243285
What motivates information (non-)seeking behaviors about a healthy
diet'
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  Authors: Yijia Zhu, Nour Zeid, Dominik J Leiner, Sebastian Scherr
  Abstract: Journal of Health Psychology, Ahead of Print.
  Previous research on health information seeking has primarily focused on individuals’intentions to seek or avoid information. However, limited empirical evidence exists regarding the actual behavioral patterns of information-seeking and non-seeking. To address this, we conducted a survey experiment manipulating cognitive load with mostly Belgian participants (N = 359). By integrating self-report and behavioral data, we investigated motivations and conditions associated with information (non)-seeking behaviors on a healthy diet. Guided by the risk information seeking and processing (RISP) model, we examined the roles of informational subjective norms and information insufficiency, as well as the moderating role of cognitive capacity. Neither informational subjective norms nor information insufficiency significantly correlated with information-seeking behaviors. However, a significant interaction between the predictors and cognitive capacity in predicting non-seeking behaviors was observed. These findings underscore the intricate nature of individuals’ behavioral patterns in seeking or not seeking information about healthy eating.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-08T04:19:53Z
  DOI: 10.1177/13591053241245263
How dyadic appraisal moderate the association between dyadic coping and
diabetes management efficacy
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  Authors: Huiqiong Zheng, Xinyu Fan, Yuyang Liu, Yanjuan Wu, Yixuan Liu, Yingxin Xu, Jingyi Zhi, Conghui Yang, Jing Liao
  Abstract: Journal of Health Psychology, Ahead of Print.
  To explore the moderating role of dyadic appraisal in the association between dyadic coping and diabetes management efficacy. Two hundred seventy six middle-aged and older couple pairs with one spouse who had diabetes were recruited from 14 community healthcare centers across Guangzhou. The moderating role of dyadic appraisal was investigated using the actor–partner interdependence moderation model. When both couples considered diabetes to be a shared condition, statistically-significant associations were found between patients’ negative (β = −22.7, p = 0.008) and neutral behaviors (β = 13.6, p = 0.017), plus spouses’ positive behaviors (β = 22.8, p = 0.009) on their own diabetes management efficacy, respectively (i.e. actor effects); as well as between spouses’ positive (β = 16.8, p = 0.028), negative (β = −28.5, p < 0.001), and neutral behaviors (β = 16.9, p = 0.006) on patient’s diabetes management efficacy (i.e. partner effects). Dyadic appraisal moderates the association between dyadic coping and diabetes management efficacy.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-08T04:13:03Z
  DOI: 10.1177/13591053241240735
Meaning in life during the COVID-19 pandemic in Brazil: Impact of quality
of life and sociodemographic factors
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  Authors: David Moises Barreto dos Santos, Diogo Arnaldo Corrêa, Thiago Antonio Avellar de Aquino
  Abstract: Journal of Health Psychology, Ahead of Print.
  Research on meaning in life typically emphasizes the psychological aspects of quality of life, neglecting broader dimensions. Additionally, its relevance to the COVID-19 context remains limited. This study investigated the relationship of meaning in life with quality of life and sociodemographic factors related to COVID-19 pandemic in Brazil. A total of 4133 Brazilian adults completed Meaning in Life Questionnaire (MLQ), WHOQOL-BREF, WHOQOL-SRPB BREF, and sociodemographic information. Our results indicated a positive correlation between the presence of meaning and quality of life dimensions, with psychological health exhibiting the strongest relationship. We found a lower presence of meaning among individuals experiencing heightened social isolation, while vaccinated individuals exhibited a greater presence of meaning. Additionally, non-working participants reported lower presence and higher search for meaning than employed individuals, with frontline workers showing the highest search for meaning. Theoretical and practical implications of these findings are discussed.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-06T12:00:39Z
  DOI: 10.1177/13591053241241479
Efficacy of Cognitive Behavioral Therapy in treating women with
endometriosis and chronic pelvic pain: A randomized trial
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  Authors: Lilian Donatti, Sergio Podgaec, Edmund Chada Baracat
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study seeks to assess the efficacy of Cognitive-Behavioral Therapy (CBT) in enhancing coping strategies, alleviating depression, stress, pain perception, and improving the quality of life for women with endometriosis. About 52 patients randomized, categorized into an intervention group (n = 25) and a control group (n = 27) filled out the instruments. A significant positive change was observed in all variables studied within the intervention group compared to the control group. This study introduced a psychological treatment protocol focused on refining coping strategies using CBT techniques. Following the promotion of adaptive coping, there was an improvement in scores related to depression, stress, quality of life, perception of pain, and emotional distress. This suggests that CBT is effective in enhancing the overall emotional wellbeing of women with endometriosis.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T06:32:52Z
  DOI: 10.1177/13591053241240198
Weight misperception and weight-related behaviors in non-Hispanic Black
youth
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  Authors: Tienna Fenton, Elena Bastida
  Abstract: Journal of Health Psychology, Ahead of Print.
  Current literature is conflicting regarding whether accurate weight perception encourages healthy weight-related behaviors. This study examined the prevalence of weight misperception and explored associations between weight misperception and weight-related behaviors among 353 Black adolescents in Broward County, Florida. Overall, 44.8% of participants misperceived their weight, with boys more often misperceiving their weight than girls (52.2% vs 40.2%). Students who misperceived their weight were more likely to try to lose weight but less likely to be adequately physically active. Adolescents who underestimated their weight were less likely to be physically active and excessively play video or computer games or use a computer. There was no association between weight misperception and daily physical education attendance or excessive television watching. Weight misperception appears to be a risk factor for obesity in adolescents, as weight misperception was associated with lower engagement in physical activity.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T05:15:21Z
  DOI: 10.1177/13591053241242548
Cultural persistence and the ‘herbal medicine paradox’:
Evidence from European data
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  Authors: Joan Costa-Font, Azusa Sato
  Abstract: Journal of Health Psychology, Ahead of Print.
  The use of herbal or traditional medicines has survived the proliferation of modern medicine. The phenomenon has been labeled as the ‘herbal medicines paradox’ (HMP). We study whether such HMP hypothesis can be explained by the persistence of attitudes across cultural boundaries. We undertake a secondary analysis of individual-level migration data to test the persistence of the use of herbal medicines in relation to norms in the person’s country of birth (or home country). We study the association between attitudes towards herbal medicine treatments of both first (N = 3630) and second-generation (N = 1618) immigrants in 30 European countries, and the average attitudes of their sending country origins. We find robust evidence of an association that is stronger for the second-generation migrants. We document a stronger effect among maternal than paternal lineages, as well as significant heterogeneity based on migrants’ country of origin. Our estimates are robust to different sample analysis. Our estimates are consistent with a cultural explanation for the HMP.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T05:13:51Z
  DOI: 10.1177/13591053241237031
Food insecurity and body dissatisfaction in a sample of Canadian adults
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  Authors: Allyson Lamont, David Speed
  Abstract: Journal of Health Psychology, Ahead of Print.
  Food insecurity may predict poorer body image, which is associated with increased risk of mental health problems. However, minimal attention has been given to the food insecurity-body image link and to factors that may influence this link, such as assigned sex; importantly, females are more likely to experience both food insecurity and body dissatisfaction. The present study used data from the 2017 to 2018 Canadian Community Health Survey (N = 32,017) to investigate the effects of food insecurity and sex on body satisfaction via generalized ordered logistic regression. Results indicated: (1) Food insecurity predicted lower odds of body satisfaction, (2) Males were more likely than females to be satisfied with their bodies, and (3) Food insecurity no longer predicted body satisfaction following the inclusion of sex. Findings suggest the association between food insecurity and body satisfaction may largely be driven by the link between food insecurity and sex. Further investigation is warranted.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T05:13:23Z
  DOI: 10.1177/13591053241242342
The integration of the cancer experience into identity: Perspectives from
young adults
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  Authors: Amanda M Marín-Chollom, Paige Beaucant, Cameron King, Ian Pervil, Lisa R Rubin, Tracey A Revenson
  Abstract: Journal of Health Psychology, Ahead of Print.
  The study explored how young adults with cancer create a cancer identity across the illness trajectory. Young adults with hematological cancers (n = 53, ages 20–39) completed a semi-structured interview and brief questionnaire. Deductive thematic analysis was used to code interviews. Four identity categories (Acceptance, Enrichment, Engulfment, and Rejection) were coded and linked to the cancer stage (pre-treatment, active treatment, post-treatment). Pre-treatment, there was minimal expression about identity. Acceptance during active treatment involved identity work around disclosure and the integration of pre-cancer identity with the treatment experience. Post-treatment, acceptance involved actively making sense of the cancer experience and its long-term impact; Enrichment was more frequent post-treatment. Engulfment was expressed most during treatment. Individuals who remained engulfed post-treatment expressed difficulties moving beyond the patient’s identity. Rejection of a cancer identity was rarely expressed. Understanding how young adults integrate the cancer experience into their identity may suggest intervention strategies.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T05:11:01Z
  DOI: 10.1177/13591053241240932
Dimensions of psychological flexibility and their significance in people
with somatic symptoms: The 18-item Flexibility Index Test (FIT-18)
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  Authors: Tim Y Koppert, Renée van Hoek, Rinie Geenen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Psychological flexibility has been hypothesized to preserve health in bad times. We examined whether psychological flexibility as assessed with an abbreviated questionnaire, was indicated to preserve mental and physical health when having somatic symptoms. Principal axis factoring indicated that two dimensions best represented the 60-item Flexibility Index Test (FIT-60) questionnaire: “mindfulness and acceptance” (M&A) and “commitment and behavior change” (C&BC). We selected 18 items that best denoted these dimensions (FIT-18 questionnaire). Regression analyses in 2060 Dutch people with and without persistent somatic symptoms, indicated that the M&A dimension (β = 0.33, p
  Citation: Journal of Health Psychology
  PubDate: 2024-04-03T05:06:24Z
  DOI: 10.1177/13591053241239129
Understanding and mitigating negative affect in preventive health
behaviors: Evidence from the COVID-19 vaccination process
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  Authors: Qianqian Fan, Wanying Hu, Xinxin Han, Stacey Lee Henderson, Yaoguo Geng
  Abstract: Journal of Health Psychology, Ahead of Print.
  The study investigated the willingness for vaccine uptake during the COVID-19 pandemic (April–June 2021), and explored the effect of both mindfulness and health education in managing negative affect post-vaccination. In study 1, a sample of 468 Chinese college students completed a one-time survey, assessing loneliness, stress, medical fear, and vaccination likelihood. Results showed that medical fear mediated the relationship between loneliness, stress and vaccination likelihood. In study 2, 70 college students were randomly assigned to one of three intervention conditions (mindfulness, health education, and control) during vaccination. Participants in mindfulness group showed lower negative affect scores than the control group post-intervention (p = 0.019). However, no significant difference was reported between health education with the other two conditions. As such, medical fear would be an important factor to target for improving the likelihood of vaccine uptake. Furthermore, a short mindfulness intervention was effective to improve experience of vaccination through mitigating negative affect.
  Citation: Journal of Health Psychology
  PubDate: 2024-04-02T04:46:42Z
  DOI: 10.1177/13591053241242526
Testing the mediatory role of kinesiophobia in the association between
perceived greenspace and physical activity among individuals with chronic
low back pain
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  Authors: Hansen Li, Matthew H.E.M. Browning, Haodong Tian, Li Huang, Xing Zhang, Mingyue Yin, Haowei Liu
  Abstract: Journal of Health Psychology, Ahead of Print.
  To test the mediatory role of kinesiophobia between greenspace and physical activity, we conducted a cross-sectional survey and recruited 801 participants with chronic low back pain. The level of greenspace was assessed using both perceived greenspace and the Normalized Difference Vegetation Index (NDVI). The frequency of walking and moderate and vigorous physical activities was measured using a brief assessment, while kinesiophobia was evaluated using the 11-item Tampa Scale for Kinesiophobia (TSK-11). The results revealed that perceived greenspace was positively associated with all measured physical activities, and was negatively associated with kinesiophobia. Meanwhile, NDVI was only positively associated with moderate and vigorous physical activity. Kinesiophobia played a marginal but significant mediating role in the association of perceived greenspace with walking, moderate physical activity, and vigorous physical activity. In conclusion, our findings offer early evidence of associations and pathways between greenspace and physical activity among individuals with chronic low back pain.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-29T05:10:18Z
  DOI: 10.1177/13591053241241413
Men’s experiences of a personalised, appearance-based, facial-morphing,
safer drinking intervention
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  Authors: Ian R Burgess, Alison Owen, Keira Scholtens, Sarah Grogan
  Abstract: Journal of Health Psychology, Ahead of Print.
  Risky alcohol consumption behaviours remain commonplace, representing a major threat to health and safety, and are especially evidenced by young university students. Consequently, new interventions targeting this high-risk group are required. The current study investigated young male university students’ experiences of a personalised, appearance-based, facial morphing, safer drinking intervention. Twenty-five male student participants were recruited, aged 18–34 years. Inductive thematic analysis of data gathered whilst participants were immersed in the intervention, and thereby exposed to alcohol-aged images of their own faces, produced four primary themes: alcohol as a threat to appearance and health, motivations to protect appearance, motivational aspects of the intervention, and proposed improvements and applications. The results of the current study suggested that participants expressed intentions towards healthier consumption/maintenance of already non-risky intake, supporting the potential of the facial-morphing appearance-based approach to address risky alcohol consumption, even in high-risk groups.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-27T04:33:02Z
  DOI: 10.1177/13591053241238166
Interoceptive sensibility, intuitive eating, binge, and disordered eating
behavior among individuals with obesity: A comparative study with the
general population
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  Authors: Vrutti Joshi, Pierluigi Graziani, Jonathan Del-Monte
  Abstract: Journal of Health Psychology, Ahead of Print.
  The present study assessed the links between interoceptive sensibility, binge, disordered (emotional, restrained, and external) and intuitive eating among individuals with obesity (n = 57) and normal weight (n = 29). Individuals with obesity presented lower “attention regulation,” “body-listening,” and “trusting” interoceptive dimensions. When age was controlled, group differences on “trusting” remained significant. Individuals with obesity showed lower intuitive eating, higher emotional, and binge eating compared to controls. Higher “body listening,” “eating for physical rather than emotional reasons,” and “reliance on hunger and satiety cues” predicted lower binge eating whereas “external eating” predicted higher binge eating among individuals with obesity. Eating for physical reasons and reliance on hunger and satiety had protective mediating roles in the relationship between external and binge eating in both groups. Interoceptive sensibility and intuitive eating should conjointly serve as psychotherapeutic targets for disordered eating, obesity, and weight management.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-27T04:31:23Z
  DOI: 10.1177/13591053241237900
The relationship between motivation profiles for health-oriented physical
activity, basic psychological needs and emotional regulation
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  Authors: Marta Vega-Díaz, Guillaume Martinent, Higinio González-García
  Abstract: Journal of Health Psychology, Ahead of Print.
  The study of motivation toward health-oriented physical activity helps to know the reasons that guide people to practice physical activity. Moreover, different types and levels of motivation may coexist. As such, this paper aimed to analyze the combination of motivation for health-oriented physical activity profiles and examine whether profiles differed in emotional regulation and basic psychological needs. A sample of 808 Spanish adults between 18 and 65 years old (Mage = 33.90; Standard Deviation = 12.91; 366 men) participated in a cross-sectional study. Results revealed the existence of three different motivational profiles: (a) Low scores in self-determined motivation and average-high scores in non-self-determined motivation; (b) Average scores in self-determined and non-self-determined motivation; (c) High scores in self-determined motivation and average-high in non-self-determined motivation. Furthermore, participants differed in the satisfaction of basic psychological needs and cognitive-emotional regulation strategies depending on the profiles combination that they perceive. In conclusion, practitioners need to enhance an optimal combination of motivation profiles to satisfy better basic psychological needs and the use of functional cognitive-emotional regulation strategies since this could help improve psychological and emotional health in adults.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-26T03:29:04Z
  DOI: 10.1177/13591053241240981
Guidelines for evaluating and reporting social isolation and loneliness
interventions
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  Authors: Eric C Schoenmakers, Mathias Lasgaard, Joanna McHugh Power
  Abstract: Journal of Health Psychology, Ahead of Print.
  Given the unpleasant nature of social isolation and loneliness (SIL) and their negative effects on health and wellbeing, interventions are needed. However, persistent issues in the design, evaluation, and reporting of SIL interventions preclude conclusive evidence and commentary on the effectiveness of SIL interventions. Here, we propose guidelines for evaluating SIL interventions, firstly by operationalising them into two categories: (1) interventions aiming to reduce SIL as a primary outcome and (2) interventions aiming to improve non-SIL outcomes in the lives of individuals experiencing SIL. Secondly, we evaluate instruments for measuring SIL and research designs for studying intervention effectiveness. Thirdly, guidelines for reporting information about the intervention, study design, results, and discussion in SIL intervention studies are presented. These guidelines will help researchers to better and more consistently report on SIL interventions and improve comparability of SIL interventions, ultimately contributing to the improvement of interventions and to the mitigation of SIL.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-26T03:24:45Z
  DOI: 10.1177/13591053241238127
Letting go of control: A qualitative descriptive study exploring
parents’ perspectives on their child’s transition from pediatric to
adult care for inflammatory bowel disease
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  Authors: Allison Bihari, Karen J Goodman, Eytan Wine, Cynthia H Seow, Karen I Kroeker
  Abstract: Journal of Health Psychology, Ahead of Print.
  Parents of young adults with chronic disease are important stakeholders in their child’s transition from pediatric to adult care. There remains a gap in characterizing the parent experience during transition. This study describes the experiences of 13 mothers of young adults with inflammatory bowel disease during their child’s transition. Most parents expressed fear and sadness about their child transitioning. Themes relating to involvement in their child’s adult care included: direct involvement (sub-themes: disease management; logistics of care); and indirect involvement. Reasons for involvement included themes of parent’s feelings and child’s circumstances. Themes of involvement were discussed in terms of previous research on parenting of children with chronic disease. We suggest that future efforts focus on improving empathy and understanding toward parents of transitioning children and providing resources on how they can best support their child during transition and transfer to adult care.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-25T04:27:04Z
  DOI: 10.1177/13591053241237861
Self-employed workers with chronic health conditions: A qualitative study
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  Authors: Dana Yagil, Miri Cohen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Chronic health conditions affect many individuals of working age, who cope with physical, psychological, and social difficulties that often involve limited work ability. This qualitative study explored experiences of self-employed individuals with chronic health conditions to advance our understanding of the effect of chronic illness on work. In-depth semi-structured interviews were conducted with 23 self-employed individuals coping with cancer, heart disease, inflammatory bowel disease, lung disease, or asthma. Data were analyzed with thematic analysis. Analysis of the interviews revealed four themes: uncertainty in planning work and committing to customers, acceptance versus denial of reduced work abilities, disclosure of health status to workers and customers, and temporal substitutes as a source of both support and concern. The results indicate that self-employed workers with a chronic health condition cope with unique challenges due to the need to sustain their business in the face of illness and a sense of sole responsibility.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-23T05:32:22Z
  DOI: 10.1177/13591053241239462
How perceived coercion polarizes unvaccinated people: The mediating role
of conspiracy beliefs
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  Authors: Haiyan Wang, Jan-Willem van Prooijen, Paul AM van Lange
  Abstract: Journal of Health Psychology, Ahead of Print.
  During the COVID-19 pandemic, different policies were implemented to increase vaccination uptake. Meanwhile, conspiracy theories spread widely, and vaccinated versus unvaccinated people increasingly polarized against each other. This study examined the associations between perceived vaccination coercion, conspiracy beliefs and polarization. We tested the relationship of vaccination status with perceived vaccination coercion, conspiracy beliefs, and polarization, with a total sample size of N = 1202 (n = 400 in China, n = 401 in the US, and n = 401 in the UK), among them n = 603 were vaccinated and n = 599 were unvaccinated. As pre-registered, unvaccinated people perceived more vaccination coercion and endorsed more conspiracy theories. Conspiracy mentality was positively related to perceived coercion. Contrary to our hypotheses, vaccinated people were more polarized toward unvaccinated people than vice versa. Finally, conspiracy beliefs mediated the link between perceived coercion and polarization among unvaccinated people.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-18T05:03:13Z
  DOI: 10.1177/13591053241238126
Resilience after combat: A prospective, longitudinal study of Marines and
Navy Corpsmen
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  Authors: Kate A Yurgil, Hayden Ricca, Dewleen G Baker
  Abstract: Journal of Health Psychology, Ahead of Print.
  Resilience is common, yet our understanding of key biopsychosocial and environmental correlates is limited. Additionally, perceived resilience is often conflated with absence of psychiatric symptoms. Here we leverage prospective, longitudinal data from 1835 Marines and Navy Corpsmen to examine predictors of perceived resilience 3 months after a combat deployment, while controlling for pre-deployment and concurrent psychiatric symptoms. Marines and Corpsmen did not differ significantly on psychosocial or clinical factors, and 50.4% reported high perceived resilience after deployment. Across groups, the strongest predictors of post-deployment perceived resilience were pre-deployment perceived resilience, positive emotions, and social support. Concurrent depression was the only clinical symptom negatively associated with perceived resilience. Our findings suggest that perceived resilience is a multi-dimensional construct that involves both psychosocial and personality factors, including but not limited to low psychopathology. Notably, establishing strong social support networks and encouraging positive emotions may help promote resilience following deployment.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-18T04:48:19Z
  DOI: 10.1177/13591053241236539
Colorectal cancer survivors’ adjustment to permanent colostomy in
Switzerland: A qualitative analysis
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  Authors: Thierry Mathieu, Sarah Cairo Notari, Fabienne Fasseur, Nicolas Favez
  Abstract: Journal of Health Psychology, Ahead of Print.
  Colostomized colorectal cancer survivors present physical, psychological, and social difficulties after treatment, which complicate their return to normal life. Nevertheless, we lack insight into their lived transition experience after treatment in Switzerland. We led nine semi-structured interviews with participants who had a colostomy for a mean of 16.4 years. The participants’ mean age was 73.1 years. Through an inductive thematic analysis, we highlighted several adaptation difficulties. Their body image was poor, and they behaved differently than before the surgery. For fear of being rejected, they concealed their colostomy. However, they felt isolated and often wished for more support. They may be in a vicious circle where their difficulties are maintained. We advocate that supporting survivors psychologically beyond the end of their treatment is essential to facilitate adjustment and overcome cancer.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-15T04:18:14Z
  DOI: 10.1177/13591053241237569
Perceived autonomy during childbirth predicts mothers’ parental
self-efficacy: A prospective cohort study
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  Authors: Rebecca J Brand, Casey A Gartland, Grace Koo, Jennifer E McMahon, Jordan M Hicks, Ranya Al-Khayyat, Martina M Jaatinen
  Abstract: Journal of Health Psychology, Ahead of Print.
  Experience during childbirth is an important predictor of mothers’ later well-being. Using the framework of Self-Determination Theory and, we hypothesized that the degree to which women felt autonomy over their choices during childbirth would be reflected in their later confidence as parents, termed Parental Self-Efficacy (PSE). We assessed PSE as well as depressive symptoms before birth (T1, approximately 36 weeks pregnant) and after birth (T2, approximately 5 weeks postpartum). Perceptions of autonomy during childbirth were measured at T2 using the Perceived Control in Childbirth scale. Using hierarchical linear regression, we found that mothers’ perceived autonomy during childbirth predicted their postpartum PSE, controlling for prenatal PSE, pre- and postnatal depression, number of childbirth interventions, and overall birth satisfaction. These data suggest that care providers’ support for women’s autonomy in childbirth impacts how women feel about themselves as mothers in the postpartum months.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-15T04:09:14Z
  DOI: 10.1177/13591053241236642
Validation of the Sibling Perception Questionnaire in healthy siblings of
children with chronic illnesses
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  Authors: Abbi L Gutierrez, Christine A Limbers
  Abstract: Journal of Health Psychology, Ahead of Print.
  The purpose of the study was to assess the psychometric properties of the parent-report version of the Sibling Perception Questionnaire (SPQ) in well-siblings. Participants were 200 caregivers of healthy children ages 9–17 years who had a sibling (ages 0–18 years) diagnosed with cancer, diabetes, cystic fibrosis, epilepsy, spina bifida, or congenital heart disease. The SPQ had acceptable internal consistency reliability for the total score (α = 0.83) and displayed acceptable convergent validity as evidenced by medium to large positive correlations with the Strengths and Difficulties Questionnaire and Pediatric Quality of Life Inventory 4.0 (r’s ranged from 0.39 to 0.56). The original four-factor model displayed a poor model fit (CFI = 0.6, RMSEA = 0.11, TLI = 0.55, SRMR = 0.14) in comparison to a revised, 14-item four-factor model (CFI = 0.92, RMSEA = 0.07, TLI = 0.90, SRMR = 0.06). The shortened, 14-item parent-report version of the SPQ largely demonstrated good psychometric properties and has the potential to reduce the burden of caregivers filling out the measure.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-15T04:04:24Z
  DOI: 10.1177/13591053241235095
The association of fatigue and cognitive complaints with work-related
outcomes and cancer-related anxiety among employees 2–10 years after
cancer diagnosis
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  Authors: Ingrid G Boelhouwer, Tinka van Vuuren
  Abstract: Journal of Health Psychology, Ahead of Print.
  This study investigated the association of fatigue and cognitive complaints among employees post-cancer diagnosis, with work-related outcomes, and moderation by cancer-related anxiety. A survey was carried out among workers 2–10 years after cancer diagnosis. Employees without cancer recurrence or metastases were selected (N = 566). Self-reported fatigue and cognitive complaints were classified into three groups. ANOVA’s and regression analyses were used, controlling for age. Group 1 (cognitive complaints, n = 25, 4.4%), group 2 (fatigue, n = 205, 36.2%), and group 3 (cognitive complaints and fatigue, n = 211, 37.3%) were associated with higher burnout complaints and lower work engagement, and group 2 and 3 with lower work ability. Cancer-related anxiety positively moderated the association of group 3 with higher burnout complaints. Employees with both fatigue and cognitive complaints report less favorable work functioning. Cancer-related anxiety needs attention in the context of burnout complaints.
  Citation: Journal of Health Psychology
  PubDate: 2024-03-04T08:59:45Z
  DOI: 10.1177/13591053241234748
Translation, cultural adaptation and validation of the German Quality of
life in Epidermolysis Bullosa (QOLEB) questionnaire
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  Authors: Gudrun Salamon, Sophie Strobl, Ursula Field-Werners, Tobias Welponer, Dédée F Murrell, Anja Diem
  Abstract: Journal of Health Psychology, Ahead of Print.
  Epidermolysis bullosa (EB) is a rare disease characterised by skin fragility and a wide variety of symptoms. The Quality of Life in Epidermolysis Bullosa (QOLEB) score is an English 17-item EB-specific validated measurement tool with two dimensions: functioning and emotions. The aim of this cross-sectional study was to develop and validate a culturally adapted German QOLEB. The following steps were carried out: translation, expert evaluation, back translation, linguistic and cultural adaptation, sample-based psychometric testing and evaluation. Data analysis was performed with n = 46 patients across all EB types. The reliability and internal consistency of the translated German QOLEB were excellent (α = 0.901). Regarding convergent validity, the QOLEB correlated highly with the iscorEB (r = 0.879; p < 0.001). Structural similarity with the English original version was confirmed through exploratory factor analysis. In conclusion, the German QOLEB demonstrates internal reliability and construct validity and is suitable to assess the quality of life in German-speaking EB patients.
  Citation: Journal of Health Psychology
  PubDate: 2024-02-19T05:28:11Z
  DOI: 10.1177/13591053231221369

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