Health Psychology and Behavioral Medicine最新文献

{"title":"Body image distress, self-esteem, and psychological adjustment following breast cancer surgery: a comparative and mediation analysis.","authors":"Bassam Abdul Rasool Hassan, Ali Haider Mohammed, Alya A Al Zobair","doi":"10.1080/21642850.2026.2721024","DOIUrl":"10.1080/21642850.2026.2721024","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer surgery can substantially affect body image and self-esteem, particularly after mastectomy. Although breast reconstruction may be associated with more favourable psychosocial outcomes, the body-image dimensions underlying differences in self-esteem remain incompletely understood. This study examined cross-sectional associations among surgical status, body image, and self-esteem in women with breast cancer.</p><p><strong>Methods: </strong>A multicentre cross-sectional study included 450 women: mastectomy with reconstruction (<i>n</i> = 150), mastectomy without reconstruction (<i>n</i> = 150), and a non-mastectomy comparison group (<i>n</i> = 150), comprising women without documented mastectomy at assessment. Self-esteem and body-image dimensions were assessed using validated questionnaires. Group differences were analysed using adjusted analysis of covariance, hierarchical regression, exploratory cross-sectional indirect-effect analysis with 5,000 bootstrap resamples, and multivariable logistic regression.</p><p><strong>Results: </strong>Self-esteem and body-image scores differed significantly across groups after adjustment for sociodemographic and clinical characteristics (all <i>p</i> < 0.001). Women who underwent mastectomy without reconstruction reported the lowest self-esteem (26.7 ± 5.8), followed by women with reconstruction (32.9 ± 5.1), whereas the non-mastectomy comparison group reported the highest scores (37.4 ± 4.2). Appearance evaluation (<i>β</i> = 0.46) and fear of negative appearance evaluation (<i>β</i> = -0.34) were the strongest correlates of self-esteem (both <i>p</i> < 0.001). The final model explained 60% of the variance (adjusted R² = 0.58). Body-image domains statistically accounted for approximately 89% of the cross-sectional association between surgical status and self-esteem. Recurrence history independently predicted low self-esteem (adjusted OR = 2.18, 95% CI: 1.29-3.68).</p><p><strong>Conclusions: </strong>Body-image domains were strongly associated with self-esteem and statistically accounted for a substantial proportion of the cross-sectional association between surgical status and self-esteem. Women with reconstruction reported higher self-esteem than those without reconstruction, although scores remained lower than the non-mastectomy comparison group. Body-image assessment and psychosocial support may be valuable components of survivorship care; however, prospective studies are needed to evaluate targeted interventions.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2721024"},"PeriodicalIF":2.7,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social comparison target selections as health information preferences: exploring contextual influences among women in midlife with elevated risk for cardiovascular disease.","authors":"Emmanuel Lapitan, Andrea F Lobo, Danielle Arigo","doi":"10.1080/21642850.2026.2721026","DOIUrl":"10.1080/21642850.2026.2721026","url":null,"abstract":"<p><strong>Background: </strong>Insufficient physical activity heightens risk for cardiovascular disease (CVD), particularly among women ages 40-65 whose risk is already elevated by conditions like hypertension. Physical activity interventions exist for this group, but whether health information preferences (which may affect intervention outcomes) vary for the same individual across contexts is unclear. Little is known about contextual predictors of selections of health-relevant social comparisons (i.e. evaluating oneself relative to others), which represent sources of health information.</p><p><strong>Methods: </strong>To explore social comparison selections as indicators of health information preferences, we conducted secondary analyses using data from tests of a web application designed to increase physical activity for women in midlife with elevated risk for CVD (<i>N</i> = 88). Participants completed an initial survey, used the web application each morning for 7 days (where they selected and viewed a comparison target), and completed daily surveys and exit interviews. We used multilevel models to assess stability versus fluctuation and associations between daily context and selections, and highlighted statements from interviews for additional context.</p><p><strong>Results: </strong>Women showed considerable daily variability in physical activity satisfaction and social comparison target selections (<i>ICCs</i> < 0.63; <i>Design Effects</i> > 1.3); they attributed the latter in part to the desire to explore web app content. On days women reported greater-than-usual satisfaction with their steps, they were less likely to select a <i>not very active</i> peer (<i>ORs</i> < 0.78, <i>ps</i> < 0.03) and more likely to avoid making a specific target selection (<i>ORs</i> > 1.25, <i>ps</i> < 0.02).</p><p><strong>Conclusion: </strong>Women showed meaningful daily fluctuations in social comparison target selection, and contextual factors such as satisfaction with the previous day's physical activity predicted these variations. Findings indicate that health information preferences may be dynamic, underscoring the potential benefits of tailoring content to daily or momentary experiences to enhance the effectiveness of digital health interventions.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2721026"},"PeriodicalIF":2.7,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey of Australian sex workers exploring the link between stigma and reduced access to health care.","authors":"Elena Cama, Kacey Martin, Loren Brener, Mish Pony, Carla Treloar, Greta Desgraves, Timothy Broady","doi":"10.1080/21642850.2026.2719269","DOIUrl":"https://doi.org/10.1080/21642850.2026.2719269","url":null,"abstract":"<p><strong>Background: </strong>Despite extensive evidence of the negative impacts of stigma on sex worker wellbeing, less research explores the link between stigma and reduced access to health care. This paper explores sex work stigma and its association with reduced access to health care among sex workers in Australia.</p><p><strong>Methods: </strong>Sex workers (n = 689) were recruited through sex worker organisations to complete an online survey measuring experiences of stigma and discrimination generally and in health care, including experiences of stigmatising practices known to affect sex workers (e.g. inappropriate comments, offers of unnecessary sexual health checks), as well as reduced access to health care due to stigma. Analyses explored associations between stigma and reduced access to care, controlling for socio-demographic variables, connection to the sex worker community, personal wellbeing, and social support.</p><p><strong>Results: </strong>Most sex workers had experienced stigma in the previous year, with 97% reporting experiencing any stigma and 88% experiencing negative treatment by health workers. Common stigmatising practices experienced by sex workers were inappropriate comments from health workers (70%), health workers diagnosing sex work as the problem (65%), suggestions/advice to leave sex work (65%), and offers of unnecessary sexual health checks (55%). Sex workers reported engaging in strategies to avoid experiencing stigma in health care, including not disclosing their sex work (93%) and looking for alternative health services (91%). Sex workers who had lower personal wellbeing, lower social support, experienced poor treatment from health workers, had greater connection to the sex worker community, and who were older in age reported greater reductions in their health care access due to stigma.</p><p><strong>Conclusions: </strong>Sex workers in Australia face considerable stigma, particularly in health care, which may have significant impacts on their access to care. This study has important implications for informing stigma reduction initiatives targeted at health workers who provide care to sex workers.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2719269"},"PeriodicalIF":2.7,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the smartphone distraction scale in arabic among lebanese young adults.","authors":"Lea Abou Nader, Elie Kesrewani, Joe Al Sarrouh, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid","doi":"10.1080/21642850.2026.2717829","DOIUrl":"10.1080/21642850.2026.2717829","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to validate the Arabic version of the 16-item Smartphone Distraction Scale (SDS) in a community sample of native Arabic-speaking young adults in Lebanon.</p><p><strong>Methods: </strong>A sample of 397 participants completed the survey (mean age = 22.22 ± 3.86 years; 63.2% female). The survey consisted of multiple sections, including the Smartphone Distraction Scale, the Insomnia Severity Index, the Generalized Anxiety Disorder 7-item, and the Patient Health Questionnaire-9.</p><p><strong>Results: </strong>The scale showed excellent internal reliability (<i>ω</i> = .93 and <i>α</i> = .93). Additionally, measurement invariance was assessed at the configural, metric, and scalar levels proving invariance across sexes. Finally, higher SDS scores were significantly associated with higher levels of nomophobia (r(397) = .68; <i>p</i> < .001), depression (r(397) = .43; <i>p</i> < .001), anxiety (r(397) = .36; <i>p</i> < .001) and insomnia (r(397) = .42; <i>p</i> < .001), supporting concurrent validity.</p><p><strong>Conclusions: </strong>Future research should examine the scale in other Arab countries to further explore smartphone distraction and its potential consequences.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2717829"},"PeriodicalIF":2.7,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13495466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The right time to quit: patients' experiences of smoking cessation support during COPD hospitalisation.","authors":"Louise Muxoll Grønhaug, Jannie Christina Frølund, Anders Løkke, Ingeborg Farver-Vestergaard","doi":"10.1080/21642850.2026.2704846","DOIUrl":"10.1080/21642850.2026.2704846","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking cessation is a central component of disease management in chronic obstructive pulmonary disease (COPD). Hospitalisation provides an opportunity to initiate smoking cessation support. The present study aimed to explore how patients with COPD perceived the usefulness of smoking cessation support in the context of hospitalisation.</p><p><strong>Methods: </strong>Patients receiving smoking cessation support during hospitalisation at the Department of Medicine, Lillebaelt Hospital, Denmark, were invited to semi-structured interviews via telephone one week after discharge. Interviews were transcribed verbatim and analysed inductively using qualitative content analysis.</p><p><strong>Results: </strong>Eight patients with COPD (mean age 73 years) were interviewed between January and March 2024. Patients described how their acute respiratory symptoms, the smoke-free environment and the easy access to pharmacological smoking cessation treatment during hospitalisation made smoking both impractical and unreasonable. A respectful, non-judgmental approach to smoking cessation support was emphasised as central to its perceived usefulness and acceptance. One week after discharge, seven patients remained abstinent and reported increased confidence in managing cravings with practical strategies and pharmacological smoking cessation treatment. However, many expressed uncertainty regarding long-term maintenance.</p><p><strong>Conclusions: </strong>Hospital-initiated smoking cessation support was perceived as timely and useful by patients with COPD. The combination of the hospital context and a respectful, person-centred approach facilitated early cessation. However, sustained abstinence after discharge was perceived to be challenging.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2704846"},"PeriodicalIF":2.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embodied meaning in therapeutic discourse during cognitive-behavioral therapy for generalized anxiety disorder: an image schema analysis.","authors":"Fereshteh Mohamadpour, Mehrdad Askarian","doi":"10.1080/21642850.2026.2716444","DOIUrl":"10.1080/21642850.2026.2716444","url":null,"abstract":"<p><strong>Background: </strong>Image schemas are simple mental structures that are formed from the body's interaction with the physical environment. One of the leading theories in this area is the one proposed by Mark Johnson. The aim of this study was to identify, classify, and quantify image schemas employed by psychotherapists during cognitive-behavioral therapy sessions with patients diagnosed with Generalized Anxiety Disorder and to explore the conceptual organization of therapeutic discourse through Johnson's image schema framework.</p><p><strong>Methods: </strong>This study employed a qualitative cognitive discourse analysis approach, supplemented by descriptive statistical methods. Data collection was done through audio recording of psychotherapy sessions of 16 patients with generalized anxiety disorder based on cognitive-behavioral therapy approach. The sampling method was purposive. Then, the conversations of the treatment process have been investigated based on the frequency and types of image schemas used in the discourse.</p><p><strong>Results: </strong>A total of 2,057 cognitive schemas were identified throughout the therapeutic conversations. Among these, 1017 schemas with an average of 49.44% related to types of force schemas, 557 schemas with an average of 27.08% related to types of path schemas, and 483 schemas with an average of 23.48% related to types of containment schemas. A chi-square goodness of fit test and pairwise Z-tests for proportions were conducted to assess whether these differences were statistically significant. The results showed that force schemas were used significantly more than other types.</p><p><strong>Conclusions: </strong>The results of this study suggest that integrating Johnson's theory of image schemas with cognitive-behavioral therapy may offer a complementary conceptual framework for understanding how anxious patients might reframe their negative thoughts and underlying mental models.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2716444"},"PeriodicalIF":2.7,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple stressors and stressor identification across assessment methods: findings from a psychosomatic rehabilitation sample within the ICD-11 adjustment disorder framework.","authors":"Alexa Alica Kupferschmitt, Volker Köllner, Rahel Bachem","doi":"10.1080/21642850.2026.2714623","DOIUrl":"10.1080/21642850.2026.2714623","url":null,"abstract":"<p><strong>Background: </strong>Adjustment disorder (AjD) is defined in ICD-11 by core symptoms of preoccupation and failure to adapt in response to a clearly identifiable stressor. Disorder-specific instruments, including the self-report questionnaire Adjustment Disorder - New Module 20 (ADNM-20) and the Composite International Diagnostic Interview - Module Adjustment Disorder (CIDI-AD), have been developed to operationalize these core features. However, it remains unclear to how consistently triggering events are identified across different assessment approaches. The present study aimed to identify the most frequent triggering events associated with AjD symptoms in psychosomatic rehabilitation and to examine the concordance of stressor identification across assessment approaches.</p><p><strong>Method: </strong>The ADNM-20 was administered to a clinical sample of psychosomatic inpatients (N = 2063). The CIDI-AD interview was conducted with a random subsample (<i>n</i> = 373) on the same day or the following day. Stressor categories (work, own illness, family, illness/death in family, other) were coded to enable comparison of stressor categories across instruments.</p><p><strong>Results: </strong>Work-related problems were the most common triggers in both instruments, followed by own illness. Approximately half of the participants (≈ 49%) reported different primary stressors in the questionnaire and the interview. On average, participants reported nine stressors in the ADNM-20 (range 1-19 events) and five stressors in the CIDI-AD (range 1-19 events), indicating that many individuals in psychosomatic rehabilitation experience multiple concurrent stressors.</p><p><strong>Conclusion: </strong>The findings indicate that stressor identification varies substantially across assessment methods in psychosomatic rehabilitation settings. The frequent occurrence of multiple, overlapping stressors suggests that AjD-related symptoms may not always be attributable to a single dominant event. These results underscore the importance of considering cumulative stress exposure in AjD assessment and highlight the need for future research to clarify how the ICD-11 single-stressor assumption applies in populations with concurrent stressors.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2714623"},"PeriodicalIF":2.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal associations of depressive and burnout symptoms with eating behavior and physical activity in occupational health clients with obesity.","authors":"Siniriikka A Männistö, Joona Muotka, Laura-Unnukka Suojanen, Raimo Lappalainen, Kirsi H Pietiläinen, Riitta Korpela","doi":"10.1080/21642850.2026.2700076","DOIUrl":"10.1080/21642850.2026.2700076","url":null,"abstract":"<p><strong>Introduction: </strong>Depression and occupational burnout are prevalent mental health challenges in working-age populations and are linked to adverse health behaviors, with these concerns particularly relevant among individuals with obesity. Although prior research suggests associations with eating behaviors and physical activity, most studies rely on cross-sectional designs, leaving the temporal and potentially bidirectional relationships between mental health and health behaviors unclear.</p><p><strong>Methods: </strong>This longitudinal study examined bidirectional associations between depressive and burnout symptoms, eating behavior, and physical activity among occupational health clients with obesity (<i>N</i> = 110; BMI 30-40 kg/m²) participating in a 12-month behavioral intervention. At baseline, the mean age was 50.8 years and mean BMI 34.2 kg/m²; 17% were male and most were white-collar workers. Assessments at baseline, 6, and 12 months included depression (BDI-21), burnout (BBI-15), eating competence (ecSI 2.0), dietary behaviors (TFEQ-R18), and physical activity (BHPAQ). A random-intercept cross-lagged panel model (RI-CLPM) was used to examine within-person longitudinal associations.</p><p><strong>Results: </strong>Higher depressive symptoms predicted subsequent decreases in eating competence and increases in emotional eating, although the depression-emotional eating association was derived from a traditional CLPM rather than an RI-CLPM model due to convergence issues. Elevated burnout symptoms predicted subsequent increases in emotional eating and decreases in physical activity. In addition, emotional eating predicted later burnout symptoms. No longitudinal associations were observed between depression and physical activity, or between depression or burnout and uncontrolled eating.</p><p><strong>Discussion: </strong>Elevated depressive and burnout symptoms may predispose individuals to less healthy behaviors, potentially limiting the effectiveness of health interventions. These findings highlight the interplay between mental health, eating, and physical activity, suggesting that addressing psychological distress in behavior change programs may improve outcomes for individuals with elevated depression and burnout.</p><p><strong>Clinical trials: </strong>gov NCT04785586; RR2-10.1016/j.conctc.2020.100638.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2700076"},"PeriodicalIF":2.7,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Further validation of the patient roles and responsibilities scale.","authors":"Valerie Shilling, Rebecca Foster, Lynn Calman, Claire Foster","doi":"10.1080/21642850.2026.2711472","DOIUrl":"10.1080/21642850.2026.2711472","url":null,"abstract":"<p><strong>Background: </strong>The Patient Roles and Responsibilities Scale (PRRS) measures the impact of cancer and treatment on 'real world' functioning such as caregiving and financial responsibilities. It was developed and validated in advanced cancer but with the intention to be sufficiently generic and appropriate for use in all cancers and stages. Here we further investigate the psychometric performance of the PPRS when completed by people three years after cancer diagnosis, treated with curative intent.</p><p><strong>Methods: </strong>This is a secondary analysis of data collected during the HORIZONS Programme, a prospective longitudinal cohort study of the impact of cancer and treatment on everyday life. Data analysed were from the 36-month timepoint and included the PRRS alongside the Work and Social Adjustment Scale, the Quality of Life in Adult Cancer Survivors and the EORTC QLQ-C30. Internal consistency was assessed using Cronbach's alpha, criterion and convergent validity through correlation with other quality-of-life measures, and construct validity using confirmatory factor analysis (CFA).</p><p><strong>Results: </strong>Data from 1077 participants (453 breast, 388 gynaecological, 236 non-Hodgkin lymphoma) were included in the analysis. Cronbach's alpha was 0.91 for the PRRS-16 and 0.69-0.92 for the subscales. The measure showed the predicted pattern of correlation with validation measures r = |0.58-0.82|. All CFA goodness-of-fit criteria were met, indicating an acceptable fit for the three-factor model, though correlations between factors were stronger than expected.</p><p><strong>Conclusion: </strong>This study provides further evidence of the reliability and validity of the PRRS and its performance and appropriateness for use in cancer groups other than those previously validated.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2711472"},"PeriodicalIF":2.7,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13431006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining physical activity and menstrual cycle experiences among insufficiently active women: Project PACE protocol.","authors":"Gabrielle M Salvatore, Giada Benasi, Raj Harsora, Meghan L Butryn, Jacqueline A Mogle, Danielle Arigo","doi":"10.1080/21642850.2026.2706211","DOIUrl":"10.1080/21642850.2026.2706211","url":null,"abstract":"<p><strong>Introduction: </strong>Physical activity (PA) is known to mitigate risk for cardiovascular disease (CVD) and improve overall well-being, though many women do not meet national PA guidelines. Menstrual-related symptoms and related biopsychosocial fluctuations may be a key, but often overlooked, determinant of daily PA behavior. Traditional methods of assessment are limited in their ability to capture such dynamic experiences within-person.</p><p><strong>Methods: </strong>Using a 45-day intensive assessment protocol, Project PACE is designed to overcome the limitations of existing approaches, to examine temporal associations between menstrual symptoms, PA, and related experiences (e.g. sleep) among insufficiently active women with at least one CVD risk marker. Participants (<i>N</i> = 60) will self-report menstrual symptoms, PA, PA-related cognitions, and other daily health behaviors twice per day via electronic surveys, and wear a Fitbit Inspire device for continuous assessment of PA and sleep. Primary analyses will use multilevel models to examine within-person associations between daily menstrual cycle symptoms and PA behavior, while exploratory analyses will examine potential mechanisms and sources of heterogeneity in these associations.</p><p><strong>Results: </strong>We hypothesize that (1) PA behavior, menstrual experiences, and cognitive PA determinants (e.g. motivation, intentions, self-efficacy) will be highly variable within-person, reflecting low stability across days, and (2) on days when participants experience more intense symptoms relative to their typical levels, they will report lower motivation, intentions, and self-efficacy for PA.</p><p><strong>Discussion: </strong>The goal of this study is to clarify these associations among women ages 18-50. This information will be useful for informing improvements to personalized and adaptive PA interventions for women.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2706211"},"PeriodicalIF":2.7,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13425538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}