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Journal of Behavioral Medicine

Robert Böhm, Nicolas W Meier, Marina Groß, Lars Korn, Cornelia Betsch
Vaccination provides direct protection for the vaccinating individual and indirect protection for other, unvaccinated individuals via herd immunity. Still, some people do not get vaccinated-either because they cannot (e.g., due to health conditions) or they don't want to (e.g., due to vaccine hesitancy). We investigate whether non-vaccinators' level of responsibility for not being vaccinated affects individuals' motivation to vaccinate and, thus, to indirectly protect non-vaccinators. In Study 1 (N = 101), the intention to vaccinate increased (Cohen's d = 0...
November 1, 2018: Journal of Behavioral Medicine
Zachary L Mannes, Lauren E Hearn, Zhi Zhou, Jennifer W Janelle, Robert L Cook, Nicole Ennis
This study examined the association between generalized anxiety disorder (GAD) symptoms and healthcare utilization (HCU) among 801 people living with HIV (PLWH). Participants recruited from community health centers in Florida completed questionnaires assessing demographics, substance use, symptoms of GAD and depression, and HCU. Adjusted binary and multinomial logistic regressions assessed the association between moderate-severe GAD symptoms and past 6-month missed HIV-care appointments, overnight hospitalization, and emergency department (ED)/urgent care visits...
November 1, 2018: Journal of Behavioral Medicine
Swati Mehta, Vanessa A Peynenburg, Heather D Hadjistavropoulos
This systematic review and meta-analysis aims to evaluate the effectiveness of internet-delivered cognitive behavioural therapy (ICBT) on anxiety and depression among persons with chronic health conditions. A systematic database search was conducted of MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane for relevant studies published from 1990 to September 2018. A study was included if the following criteria were met: (1) randomized controlled trial involving an ICBT intervention; (2) participants experienced a chronic health condition; (3) participants ≥ 18 years of age; and (4) effects of ICBT on anxiety and/or depression were reported...
November 1, 2018: Journal of Behavioral Medicine
Seth C Kalichman, Rob Horne, Harold Katner, Dominica Hernandez
Erroneous beliefs that it is toxic to drink alcohol while taking antiretroviral therapies (ART) used for treating HIV infection, known as alcohol interactive toxicity beliefs, may at least in part account for ART nonadherence among alcohol drinkers. This study was conducted to test a conceptual framework to explain the effects of interactive toxicity beliefs on ART adherence. Computerized surveys were administered to 124 participants receiving HIV care in the southeastern US. Serial mediation model with perceived sensitivity to medicines predicting HIV viral load through three mediating variables: alcohol-ART interactive toxicity beliefs, alcohol-ART avoidance behaviors, and ART adherence...
October 31, 2018: Journal of Behavioral Medicine
John A Sauceda, Nadra E Lisha, Torsten B Neilands, Katerina A Christopoulos, W Christopher Mathews, Julie H Levison, Ann M Dennis, Mallory O Johnson
The disparity in viral suppression rates between Latino and non-Latino White patients in HIV care appears to be narrowing, but it is unclear if depression and substance use perpetuate this disparity. We analyzed electronic medical records from the CFAR network of integrated clinical systems cohort. First observations/enrollment data collected between 2007 and 2013 were analyzed, which included survey (race/ethnicity, depression, substance use, adherence) and clinical data (viral suppression). We estimated indirect effects with a regression-based bootstrapping method...
October 30, 2018: Journal of Behavioral Medicine
Raphael M Herr, Frenk Van Harreveld, Bert N Uchino, Wendy C Birmingham, Adrian Loerbroks, Joachim E Fischer, Jos A Bosch
Ambivalent social ties, i.e., whereby a relationship is evaluated simultaneously in positive and negative terms, are a potential source of distress and can perturb health-relevant biological functions. Social interactions at the workplace, in particular with supervisors, are often described in ambivalent terms, but the psychological and psychobiological impact of such interactions has received little scientific attention. The current study examined associations between ambivalent attitudes towards one's supervisor, perceived distress (general and work-related), and diurnal dynamics of the stress hormone cortisol...
October 26, 2018: Journal of Behavioral Medicine
Nadine Ungar, Laura Schmidt, Martina Gabrian, Alexander Haussmann, Angeliki Tsiouris, Monika Sieverding, Karen Steindorf, Joachim Wiskemann
This vignette based study aimed to examine recommendations of health care professionals (HCPs) in promoting self-management strategies to cancer patients. Nine-hundred-forty-two physicians and nurses were asked to (1) indicate if they would recommend self-management strategies to a vignette cancer patient, and (2) to specify those in an open format. Vignettes included a manipulation of patient age (60 vs. 75 years) and treatment phase (currently treated versus treatment completed). Six categories emerged through coding a total of 2303 recommendations: physical activity (71...
October 23, 2018: Journal of Behavioral Medicine
Christine C Call, Amani D Piers, Emily P Wyckoff, Michael R Lowe, Evan M Forman, Meghan L Butryn
Many adults enter behavioral weight loss (BWL) programs at a weight below their highest lifetime weight. The discrepancy between highest lifetime weight and current weight is known as weight suppression (WS). Research has yet to characterize WS during BWL or investigate its relation to weight loss outcomes or treatment acceptability. Adults (N = 272) in a 12-month BWL program were assessed. WS was calculated by subtracting measured baseline weight from self-reported highest lifetime weight. Participants with higher WS lost significantly less weight than those with lower WS during treatment, although they still had clinically meaningful weight losses (e...
October 11, 2018: Journal of Behavioral Medicine
Emily J Jones, Edith Chen, Cynthia S Levine, Phoebe H Lam, Vivian Y Liu, Hannah M C Schreier
Much is known about the effect of parent-child relationships on child health; less is known about how parent-child relationships influence parent health. To assess the association between aspects of the parent-child relationship and parent metabolic outcomes, and whether these associations are moderated by parent gender. Five metabolic outcomes (systolic and diastolic blood pressure, heart rate, total cholesterol and glycated hemoglobin) were assessed among 261 parents (45.83 ± 5.50 years) of an adolescent child (14...
September 27, 2018: Journal of Behavioral Medicine
Kazuhiro Harada, Kouhei Masumoto, Narihiko Kondo
This study examined the associations of time spent out of home with physical activity and sedentary behavior among middle-aged and older adults. A diary survey was conducted for 7 days with 157 adults to measure out-of-home time and working status. Time spent in sedentary behavior and levels of physical activity were measured using an accelerometer. After a year, 137 individuals from the original sample participated in a follow-up survey. From the daily analyses of 535 non-working days and 347 working days, multilevel models revealed that on non-working days, more out-of-home time was associated with less sedentary time and higher levels of physical activity at both within- and between-person levels...
September 21, 2018: Journal of Behavioral Medicine
Gert-Jan de Bruijn
Good dental hygiene is key to public health. To promote dental hygiene behaviours, persuasive messages are key. Message framing is a popular theory that has seen mixed evidence. In this web-based experimental study, interaction effects of message frame, behavioural function, and risk priming were investigated on mouth rinse use and intentions in a representative sample of Dutch adults. Final included sample contained 549 participants (50.1% male, mean age = 47.4, SD = 16.1) and outcomes were immediate mouth rinse product choice, intentions to use mouth rinse, and mouth rinse behaviour at 2-week follow-up...
September 21, 2018: Journal of Behavioral Medicine
Aleksandra Kroemeke, Zuzanna Kwissa-Gajewska, Małgorzata Sobczyk-Kruszelnicka
This study examines the indirect effect between parallel fluctuation in daily physical symptoms, symptom-related coping, and mood in patients following hematopoietic stem cell transplantation. Two models were analyzed with a within-person mediating role of coping and mood, respectively. Physical symptoms, coping (brooding, reflection, co-rumination, positive reframing, venting, acceptance, and active coping), and positive (PA) and negative affect (NA) were reported by 229 patients for 28 consecutive evenings after post-transplant hospital discharge...
September 3, 2018: Journal of Behavioral Medicine
Christine C Call, Leah M Schumacher, Diane L Rosenbaum, Alexandra D Convertino, Fengqing Zhang, Meghan L Butryn
No prior studies have examined how interventionists' perceptions of participants' weight control challenges or the agreement between participants and interventionists on these perceptions relate to outcomes during group-based behavioral weight loss treatment. This study characterized participants' and interventionists' perceptions of, and agreement about, weight control challenges and assessed how these factors relate to weight loss. Three months into treatment, participants and interventionists independently selected three weight control challenges believed to be most relevant for each participant...
August 28, 2018: Journal of Behavioral Medicine
Evan M Forman, Stephanie G Kerrigan, Meghan L Butryn, Adrienne S Juarascio, Stephanie M Manasse, Santiago Ontañón, Diane H Dallal, Rebecca J Crochiere, Danielle Moskow
Behavioral weight loss (WL) trials show that, on average, participants regain lost weight unless provided long-term, intensive-and thus costly-intervention. Optimization solutions have shown mixed success. The artificial intelligence principle of "reinforcement learning" (RL) offers a new and more sophisticated form of optimization in which the intensity of each individual's intervention is continuously adjusted depending on patterns of response. In this pilot, we evaluated the feasibility and acceptability of a RL-based WL intervention, and whether optimization would achieve equivalent benefit at a reduced cost compared to a non-optimized intensive intervention...
August 25, 2018: Journal of Behavioral Medicine
Julie Blow, Ivan N Torres, Theodore V Cooper
Theoretically-based correlates of weight and waist circumference in an overweight/obese Hispanic sample were assessed. Two-hundred thirty-one participants completed questionnaires assessing constructs from self-determination theory and the transtheoretical model. Height, weight, and waist circumference were also measured. Hierarchical regression models predicted weight and waist circumference. Lower weight was associated with greater perceived competence for diet and exercise (β = - .176, p = .054; β = - ...
August 23, 2018: Journal of Behavioral Medicine
Yudelki M Firpo-Perretti, Mardge H Cohen, Kathleen M Weber, Leslie R Brody
The original version of the article contained a mistake. The author has inadvertently given incorrect grant number. The corrected Grant No. is U01-AI034993.
December 2018: Journal of Behavioral Medicine
Lisa M McAndrew, Drew A Helmer, Shou-En Lu, Helena K Chandler, Sarah Slotkin, Karen S Quigley
Patients with chronic physical symptoms (e.g., chronic pain) often have significant functional impairment (i.e., disability). The fear avoidance model is the dominant theoretical model of how the relationship between chronic physical symptoms and functional impairment develops and proposes a cyclical/bidirectional relationship. There has never been a definitive test of the proposed bi-directional relationship. The current study followed 767 Operation Enduring Freedom/Operation Iraqi Freedom soldiers from pre-deployment, when they were relatively healthy, to 1 year after deployment, when it was anticipated that symptoms would increase or develop...
December 2018: Journal of Behavioral Medicine
Heather Herriot, Carsten Wrosch, Jean-Philippe Gouin
Many older adults experience chronic age-related stressors (e.g., life regrets or health problems) that are difficult to control and can disturb cortisol regulation. Self-compassion may buffer adverse effects of these stressful experiences on diurnal cortisol secretion in older adulthood. To examine whether self-compassion could benefit older adults' cortisol secretion in the context of chronic and largely uncontrollable age-related stressors, 233 community-dwelling older adults reported their levels of self-compassion, age-related stressors (regret intensity, physical health problems, and functional disability), and relevant covariates...
December 2018: Journal of Behavioral Medicine
Yudelki M Firpo-Perretti, Mardge H Cohen, Kathleen M Weber, Leslie R Brody
This study examined how the expression of positive and negative affect words and word tense in autobiographical narratives of 98 HIV+ women, predominantly African American, predicted undetectable HIV viral load (UDVL), CD4+ cells/mm3 counts and antiretroviral therapy medication (ART) adherence assessed concurrently (T1) and at 3 to 9-month follow-up (T2). Logistic regressions revealed that higher past tense words predicted worse odds of UDVL, CD4+ cells/mm3 above 350 at T1, and worse odds of 95% ART adherence at T2...
December 2018: Journal of Behavioral Medicine
Amy R Borchardt, Peggy M Zoccola
Identifying strategies that aid in recovery from stress may benefit cardiovascular health. Ninety-nine undergraduate meditation novices were randomly assigned to meditate, listen to an audio book, or sit quietly after a standardized stressor. During recovery, meditators' heart rate variability and skin conductance levels returned to baseline, whereas only heart rate variability returned to baseline for the audio book and control groups. Positive and negative affect were no different than baseline following meditation, whereas, both audio book and control groups had lower positive affect and higher negative affect following the intervention...
December 2018: Journal of Behavioral Medicine
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