Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how i...Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.展开更多
Objective:Kallmann syndrome(KS)is a rare inherited disorder characterized by congenital hypogonadotropic hypogonadism and reduced or absent olfactory function.In addition to gonadal dysgenesis and structural abnormali...Objective:Kallmann syndrome(KS)is a rare inherited disorder characterized by congenital hypogonadotropic hypogonadism and reduced or absent olfactory function.In addition to gonadal dysgenesis and structural abnormalities,KS patients may present with extensive psychosocial dysfunction and behavioral changes.This study aims to evaluate the effects of self-stigma,impulsivity,and insomnia on anxiety and depression in KS patients and to explore the interrelationships among these factors.Methods:A total of 206 patients with confirmed KS were recruited from the Xiangya Hospital and Henan Provincial People’s Hospital.Multivariable Logistic regression analysis was used to identify independent factors associated with anxiety and depression,and a serial multiple-mediator model was applied to characterize pathway effects.Results:The cohort of KS patients demonstrated substantial psychological and social burden,including self-stigma,impulsivity,insomnia,loneliness,anxiety,depression,and overall social isolation tendencies.Logistic regression analysis indicated that self-stigma(OR=1.112,P=0.003),loneliness(OR=1.198,P=0.007),and insomnia(OR=1.098,P=0.017)were independent factors the presence of anxiety and depression in KS patients.Mediation-effect modeling further showed that impulsivity and insomnia significantly mediated the effect of self-stigma on anxiety and depression in KS(indirect effect 3=0.013,P=0.008;95%CI 0.004 to 0.024;c’=0.147,P<0.001;95%CI 0.091 to 0.201).Conclusion:This study preliminarily identified the major modifiable factors associated with anxiety and depression in KS patients,including self-stigma,loneliness,and insomnia.Impulsivity and insomnia demonstrated significant serial mediation effects linking selfstigma to affective outcomes.Multidimensional intervention strategies targeting stigma reduction,impulsivity regulation,and sleep-quality improvement may help alleviate anxiety-depression symptoms and ultimately improve overall quality of life in patients with KS.展开更多
目的探讨LEARNS模式群组式正向反馈心理护理对精神分裂症(schizophrenia,SCZ)患者自尊、病耻感及社会功能的影响。方法选取2023年6月至2025年6月洛阳市第五人民医院收治的82例SCZ患者为研究对象,采用随机数字表法分为对照组和观察组,每...目的探讨LEARNS模式群组式正向反馈心理护理对精神分裂症(schizophrenia,SCZ)患者自尊、病耻感及社会功能的影响。方法选取2023年6月至2025年6月洛阳市第五人民医院收治的82例SCZ患者为研究对象,采用随机数字表法分为对照组和观察组,每组各41例。对照组实施常规护理干预,观察组在对照组基础上实施LEARNS模式的群组式正向反馈心理护理干预。两组均干预8周,对比干预后两组患者病耻感、自尊、疾病进展恐惧及社会功能。结果干预8周后,观察组贬低-歧视感知量表(perceived devaluation-discrimination scale,PDD)各维度评分均显著低于对照组(均P<0.001);Rosenberg自尊量表(Rosenberg self-esteem scale,RSES)评分显著高于对照组(P<0.001);疾病进展恐惧简化量表(fear of progression questionnaire-short form,FoP-Q-SF)评分自第2周末起持续下降,8周末明显优于对照组(P<0.001);住院精神病人社会功能评定量表(scale of social function in psychosis inpatients,SSPI)日常生活能力、动性与交往、社会性活动技能评分均显著高于对照组(均P<0.001)。结论LEARNS模式的群组正向反馈护理可有效降低SCZ患者病耻感与疾病恐惧,提升自尊水平并改善社会功能。展开更多
基金supported in part by(received funding from)the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100)the National Science and Technology Council,Taiwan(NSTC 112-2410-H-006-089-SS2)+1 种基金the Higher Education Sprout Project,the Ministry of Education at the Headquarters of University Advancement at the National Cheng Kung University(NCKU)the 2021 Southeast and South Asia and Taiwan Universities Joint Research Scheme(NCKU 31).
文摘Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.
基金supported by the Natural Science Foundation of Hunan Province(2023JJ30926)the Fundamental Research Funds for the Central Universities of Central South University(1053320220341),China。
文摘Objective:Kallmann syndrome(KS)is a rare inherited disorder characterized by congenital hypogonadotropic hypogonadism and reduced or absent olfactory function.In addition to gonadal dysgenesis and structural abnormalities,KS patients may present with extensive psychosocial dysfunction and behavioral changes.This study aims to evaluate the effects of self-stigma,impulsivity,and insomnia on anxiety and depression in KS patients and to explore the interrelationships among these factors.Methods:A total of 206 patients with confirmed KS were recruited from the Xiangya Hospital and Henan Provincial People’s Hospital.Multivariable Logistic regression analysis was used to identify independent factors associated with anxiety and depression,and a serial multiple-mediator model was applied to characterize pathway effects.Results:The cohort of KS patients demonstrated substantial psychological and social burden,including self-stigma,impulsivity,insomnia,loneliness,anxiety,depression,and overall social isolation tendencies.Logistic regression analysis indicated that self-stigma(OR=1.112,P=0.003),loneliness(OR=1.198,P=0.007),and insomnia(OR=1.098,P=0.017)were independent factors the presence of anxiety and depression in KS patients.Mediation-effect modeling further showed that impulsivity and insomnia significantly mediated the effect of self-stigma on anxiety and depression in KS(indirect effect 3=0.013,P=0.008;95%CI 0.004 to 0.024;c’=0.147,P<0.001;95%CI 0.091 to 0.201).Conclusion:This study preliminarily identified the major modifiable factors associated with anxiety and depression in KS patients,including self-stigma,loneliness,and insomnia.Impulsivity and insomnia demonstrated significant serial mediation effects linking selfstigma to affective outcomes.Multidimensional intervention strategies targeting stigma reduction,impulsivity regulation,and sleep-quality improvement may help alleviate anxiety-depression symptoms and ultimately improve overall quality of life in patients with KS.
文摘目的探讨LEARNS模式群组式正向反馈心理护理对精神分裂症(schizophrenia,SCZ)患者自尊、病耻感及社会功能的影响。方法选取2023年6月至2025年6月洛阳市第五人民医院收治的82例SCZ患者为研究对象,采用随机数字表法分为对照组和观察组,每组各41例。对照组实施常规护理干预,观察组在对照组基础上实施LEARNS模式的群组式正向反馈心理护理干预。两组均干预8周,对比干预后两组患者病耻感、自尊、疾病进展恐惧及社会功能。结果干预8周后,观察组贬低-歧视感知量表(perceived devaluation-discrimination scale,PDD)各维度评分均显著低于对照组(均P<0.001);Rosenberg自尊量表(Rosenberg self-esteem scale,RSES)评分显著高于对照组(P<0.001);疾病进展恐惧简化量表(fear of progression questionnaire-short form,FoP-Q-SF)评分自第2周末起持续下降,8周末明显优于对照组(P<0.001);住院精神病人社会功能评定量表(scale of social function in psychosis inpatients,SSPI)日常生活能力、动性与交往、社会性活动技能评分均显著高于对照组(均P<0.001)。结论LEARNS模式的群组正向反馈护理可有效降低SCZ患者病耻感与疾病恐惧,提升自尊水平并改善社会功能。
