ArticlePsychology, health & medicine2018
Magnitude and sources of distress in mid-life adults with chronic medical illness: an exploratory mixed-methods analysis.
Article in Psychology, health & medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- A positive psychology-motivational interviewing intervention for patients with type 2 diabetes: Proof-of-concept trial.International journal of psychiatry in medicine · 2019Trial
- Article
- A text message intervention to promote physical activity in midlife: The MASTERY randomized pilot trial.Journal of psychosomatic research · 2025Article
- Associations of dietary biotin intake on anxiety and depression: findings from a population-based prospective cohort study.Frontiers in nutrition · 2025Article
- Associations Between Fatigue and Cardiovascular-Kidney-Metabolic Syndrome and the Mediating Role of Inflammation.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- The Effects of Urban Green Space on Depressive Symptoms of Mid-Aged and Elderly Urban Residents in China: Evidence from the China Health and Retirement Longitudinal Study.International journal of environmental research and public health · 2022Article
- A phone and text message intervention to improve physical activity in midlife: initial feasibility testing.Health psychology and behavioral medicine · 2022Article
- The case for targeted mid-life interventions to prevent cardiovascular disease.Acta cardiologica · 2020Article
- Exploring the feasibility and impact of positive psychology-motivational interviewing interventions to promote positive affect and physical activity in type 2 diabetes: design and methods from the BEHOLD-8 and BEHOLD-16 clinical trials.Health psychology and behavioral medicine · 2020Article
- Melatonin Alleviates Neuroinflammation and Metabolic Disorder in DSS-Induced Depression Rats.Oxidative medicine and cellular longevity · 2020Article
- Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome.Journal of the Academy of Consultation-Liaison PsychiatryArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
Most mid-life adults have at least one chronic medical condition (CMC) and are at risk for developing additional CMCs. Stressors specific to this life stage may contribute to CMC development by hindering healthy behaviors. The goal of this study was to compare sources and intensity of distress, as they relate to health behaviors, between mid-life and non-mid-life adults with CMCs. We utilized a mixed-methods approach by analyzing quantitative self-report measures of psychiatric symptoms and psychological well-being, with in-depth, semi-structured qualitative interviews to identify sources of stress in three cohorts of patients with CMCs (heart failure, type 2 diabetes, and coronary artery disease). Between-group differences on self-report measures were compared via independent samples t-tests and relevant themes from interview transcripts were compared via chi-square analysis. We found that mid-life participants (n = 30) reported greater psychological distress (depression/anxiety) than non-mid-life (n = 62) participants (Hospital Anxiety and Depression Scale scores 13.8 [SD 7.3] vs. 10.6 [SD 6.6]; t(90)=2.13; p = .035), and qualitative analysis revealed several specific sources of stress significantly more common (p < .001) in mid-life adults. Interventions targeting the needs of this population could reduce distress, improve health behaviors, and have a major impact on public health.
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