Journal of Behavioral Medicine最新文献

{"title":"Engagement in and correlates of total cutaneous exams and skin self-exams among young melanoma survivors and their family.","authors":"Sharon L Manne, Deborah A Kashy, Sherry Pagoto, Susan K Peterson, Carolyn J Heckman, Joseph Gallo, Adam Berger, David B Buller, Alexandria Kulik, Sara Frederick, Morgan Pesanelli","doi":"10.1007/s10865-025-00589-4","DOIUrl":"https://doi.org/10.1007/s10865-025-00589-4","url":null,"abstract":"<p><p>Young adult melanoma survivors and their close family (first degree relatives/FDRs) are at increased risk for developing a melanoma, but little is known about engagement in and correlates of their clinical skin exam (CSE) and skin self-examination (SSE) behaviors. Five hundred and seventy-four YA survivors and their FDRs completed an online survey assessing engagement in CSE and SSE, as well as measures of background factors, cognitive and psychosocial factors, CSE and SSE planning, and family influences. Approximately 90% of YAs had a CSE and 90% performed SSE in the last year, but engagement in CSE among FDRs was lower (63.2%, CSE; 64.9%, SSE). For CSE, females, a physician recommendation, fewer barriers, and more planning were associated with CSE. Family influences were not associated with CSE. For SSE, a physician recommendation and greater self-efficacy were associated with engagement, and more comprehensive SSE was associated with a physician recommendation, lower education, greater self-efficacy, and more planning. Stronger family normative influences were associated with more comprehensive SSEs among males. Findings suggest FDRs may benefit from interventions to improve CSE and SSE and indicate that physician recommendation may be a key intervention target to foster CSE and SSE.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Within-person, prospective relations between sleep duration and efficiency and next-day physical activity among behavioral weight loss participants.","authors":"Rebecca J Crochiere, Avery G Freund, Zhuoran Huang, Jaclyn P Maher, Evan M Forman","doi":"10.1007/s10865-025-00581-y","DOIUrl":"https://doi.org/10.1007/s10865-025-00581-y","url":null,"abstract":"<p><strong>Objective: </strong>Behavioral weight loss programs (BWL) prescribe moderate-to-vigorous physical activity (MVPA) to promote weight control and overall health. However, adherence to the MVPA prescription is low. One factor that may be associated with poor MVPA adherence, both theoretically and as demonstrated by between-subject studies, is suboptimal sleep. Nevertheless, no study to date has examined the within-subject relations between sleep and MVPA among BWL participants, which could better account for between-subject third variables that may confound the relation between sleep and MVPA (e.g., socioeconomic status). This secondary analysis is the first to investigate the within-subject, prospective relations between sleep duration (controlling for time in bed) and sleep quality (operationalized as sleep efficiency, approximately minutes asleep divided by time in bed) with next-day MVPA among BWL participants.</p><p><strong>Method: </strong>Participants (N = 104) were adults with overweight/obesity engaging in a year-long BWL program. Sleep variables and MVPA bouts were measured using accelerometers at mid-treatment. Predictor variables were standardized, and analyses were conducted using multilevel models, controlling for weekday/weekend status, condition, gender, and body mass index (BMI).</p><p><strong>Results: </strong>Results indicated within-subject sleep duration (b = 15.48, SE = 6.30, p =.014), but not sleep efficiency (b = 2.16, SE = 1.22, p =.08), was positively associated with next-day minutes of MVPA.</p><p><strong>Conclusion: </strong>Findings may support modifications of BWL programs to include sleep hygiene education or strategies from cognitive behavioral therapy for insomnia to target sleep duration, which in turn may improve MVPA engagement.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent personal and vicarious experience with COVID-19 affects personal, but not comparative optimism: a large longitudinal study.","authors":"Margaux Delporte, Dries De Witte, Stefaan Demarest, Geert Verbeke, Geert Molenberghs, Vera Hoorens","doi":"10.1007/s10865-025-00587-6","DOIUrl":"https://doi.org/10.1007/s10865-025-00587-6","url":null,"abstract":"<p><p>We examined whether personal and vicarious experience with COVID-19 entails change in personal and comparative optimism (the belief that one is less at risk for hazards than others, also known as unrealistic optimism, optimistic bias, or illusion of unique invulnerability) in a large (N ≈ 5000) 5-Wave longitudinal study conducted in Belgium in December 2020-May 2021. Participants reported their experience with COVID-19 as well as their expectations concerning the likelihood that they and the average peer would get infected and, after an infection, would suffer severe disease or rather register a good outcome. Neither personal nor vicarious experience entailed change in comparative optimism, but both entailed reduced personal optimism about the likelihood of an infection and enhanced personal optimism concerning a good outcome. Personal and vicarious experience entailed reduced perceived control over the likelihood of infection and the likelihood of severe disease, and vicarious experience also reduced perceived control over a good outcome. However, changes in optimism were not mediated by effects on perceived control. We discuss methodological implications for research on determinants of risk perception as well as the implications of our findings for public health communication appealing to people's personal and vicarious experiences.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological flexibility as a mechanism of change in online ACT among adults living with chronic health conditions.","authors":"Francesca M Knudsen, Marissa L Donahue, Korena S Klimczak, Ty B Aller, Michael E Levin","doi":"10.1007/s10865-025-00585-8","DOIUrl":"https://doi.org/10.1007/s10865-025-00585-8","url":null,"abstract":"<p><p>Living with a chronic health condition (CHC) can negatively impact quality of life (QoL) through a complex interaction of mental health challenges, functional limitations, and disease management demands. Acceptance and Commitment Therapy (ACT) is a transdiagnostic approach that shows promise in addressing shared challenges across various CHCs by fostering psychological flexibility (PF). PF has been associated with improved QoL and functional outcomes and reduced psychological symptoms in individuals living with specific CHCs; yet its mediating role in these outcomes remains underexplored. This secondary analysis examined whether changes in PF mediated improvements in QoL, psychological symptoms, and functional impairment among individuals with various CHCs. Participants (n = 100) were randomized to a six-session self-guided, online ACT program or a waitlist control group. Outcomes were assessed at baseline, post-treatment, and four-week follow-up. Results revealed that increases in PF significantly mediated improvements in QoL, with indirect effects indicating that higher PF at post-treatment predicted better QoL at follow-up. The ACT group demonstrated significant reductions in functional impairment at follow-up compared to the waitlist group, though this effect was not mediated by changes in PF. Improvements in psychological symptoms were not statistically significant and were not mediated by PF. These findings suggest that ACT effectively enhances PF, which subsequently improves QoL in individuals with CHCs. This supports the transdiagnostic applicability of ACT for improving mental health and QoL across diverse chronic conditions. Future research should explore additional mechanisms underlying ACT's effects and investigate ways to optimize its impact on functional and psychological outcomes within CHCs.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-Intervention Predictors of Meeting a 12-Month Walking Goal in Aging Latino/a Adults: A Signal Detection Analysis Approach.","authors":"Astrid N Zamora, Michele L Patel, Maria I Campero, Dulce M Garcia, Abby C King","doi":"10.1007/s10865-025-00579-6","DOIUrl":"https://doi.org/10.1007/s10865-025-00579-6","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A phase II pilot randomized controlled trial of an integrated stepped collaborative care intervention for patients awaiting kidney transplantation (CARES-transplant).","authors":"Cramer J Kallem, Amit A Tevar, Tyler Bradley, Heather Jackson, Denise Haggerty, Hannah Cheng, Ritambhara Pathak, Yisi Wang, Maureen Carney, Shelby Gardner, Athrva Deshpande, Manisha Jhamb, Jennifer L Steel","doi":"10.1007/s10865-025-00574-x","DOIUrl":"https://doi.org/10.1007/s10865-025-00574-x","url":null,"abstract":"<p><p>Patients awaiting kidney transplant carry a high symptom burden which has been associated with waitlist inactivation, mortality, and poorer post-transplant outcomes. However, few studies have tested the effects of symptom management interventions in this population. This Phase II study aimed to (1) test the feasibility and preliminary efficacy of an integrated stepped collaborative care intervention (CARES-Transplant) on patient-reported outcomes and unplanned healthcare utilization, and (2) explore treatment effects on family caregiver outcomes. The study was a randomized controlled trial designed to test the efficacy of CARES-Transplant versus standard of care (SC). Patients completed a battery of questionnaires at baseline and 3-months including the Center for Epidemiological Studies-Depression (CES-D) scale, Brief Pain Inventory, and Functional Assessment of Chronic Illness Therapy-Fatigue, and Rand Short Form-36. Caregivers were administered the CES-D, Perceived Stress Scale, and Pittsburgh Sleep Quality Index at baseline and 3-months. Patient unplanned health care utilization was assessed over the course of one-year post-randomization. Nineteen patients (mean age = 65 ± 6 years, 74% male, 90% White) and 8 caregivers (mean age = 61.3 ± 8.1 years, 100% female and white) were randomized. Reductions in pain intensity and interference were observed for CARES (- 0.2) while patients in the SC arm had increases in pain intensity and interference (+ 1.3, ES = 0.30). Similar trends were observed for fatigue (CARES = - 0.4 versus SC = - 7.7, ES = 0.41) and depressive symptoms (CARES = - 2.0 versus SC =  + 2.33, ES = 0.56). Lower rates of transplant-related complications (CARES mean = 1 versus SC = 3), fewer emergency room visits (CARES = 1.0 versus SC = 2.67) and 90-day readmissions (CARES = 0% versus SC = 28.6%) were also observed. A moderate to large effect size was observed for changes on caregiver reported depressive symptoms (CARES =  + 0.5 versus SC =  + 3.3, ES = 0.55) and sleep quality (CARES = - 1.5 versus SC =  + 0.07, ES = 0.34). The findings of this pilot study warrant a Phase III trial to test the efficacy of CARES-Transplant.Clinical trials registration number ClinicalTrials.gov NCT02938351.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superwoman schema and metabolic syndrome in Black adolescent girls.","authors":"Edith Chen, Jungwon Kim, Jayson Law, Vanessa Obi, Shanti U Gallivan, Robin Hayen","doi":"10.1007/s10865-025-00584-9","DOIUrl":"10.1007/s10865-025-00584-9","url":null,"abstract":"<p><p>This study investigated associations between the Superwoman schema (socialized expectations to project strength and exhibit a determination to succeed, while at the same time helping others and suppressing one's emotions) and metabolic syndrome (MetS, a cluster of risk factors for diabetes, heart disease, and stroke detectable in childhood) across the period of adolescence. A sample of 256 Black adolescent girls (ages 14-19), all from lower-income households (≤ 2 × poverty threshold) was recruited for a cross-sectional study. Adolescents completed the Superwoman schema questionnaire, and MetS was measured using International Diabetes Federation criteria. Analyses posed a developmental question of whether associations varied by age across the period of adolescence. Age by Superwoman schema interactions were found, such that in younger adolescent girls, higher scores on the Superwoman schema questionnaire were associated with better cardiometabolic health (lower levels of MetS); however, by older adolescence, higher Superwoman schema scores were associated with worse cardiometabolic health (higher MetS). Psychologically, at older ages, a higher Superwoman schema score also was associated with experiencing greater conflict across life domains and with lower levels of perceived control. Overall these patterns suggest that a critical switch from the Superwoman schema being beneficial to being detrimental may occur some time during late adolescence. These findings suggest the importance of developing ways to cultivate and sustain the early beneficial aspects of a Superwoman schema as Black girls transition into adulthood.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief coaching intervention to reverse weight regain during weight loss maintenance: a preliminary randomized controlled trial.","authors":"Jacqueline F Hayes, Kathryn M Ross, Christine Pellegrini, Rena R Wing, Jennifer Webster, Annabelle Derrick, Selene Y Tobin, Jessica L Unick","doi":"10.1007/s10865-025-00582-x","DOIUrl":"https://doi.org/10.1007/s10865-025-00582-x","url":null,"abstract":"<p><strong>Objective: </strong>Most individuals who complete a behavioral weight loss intervention (BWLI) regain weight. The current study is a preliminary investigation into the efficacy of a telephone coaching intervention to aid recovery from weight regain during weight loss maintenance.</p><p><strong>Methods: </strong>Participants (n = 77) who had recently completed a BWLI and had lost ≥ 5% of their initial body weight were instructed to engage in daily weighing using a \"smart\" scale. Participants were randomized to receive four consecutive weeks of brief coaching phone calls or no intervention. Randomization was activated when individuals regained > 1.5% of their baseline weight. Assessments were completed at baseline and 12 months.</p><p><strong>Results: </strong>Sixty-six participants (M ± SD age = 54.2 ± 9.9 years, 68% female) regained > 1.5% and were included in analyses. Individuals who received coaching completed 3.9 ± 0.5 calls and showed statistically-significant improvements in weight compared to the control group in the short-term (i.e., from randomization activation to 40 days later; M±SE Coaching: -1.05%±0.30 vs. Control: 0.37%±0.31, p < 0.001). However, there were not significant differences in weight regain by group at the 12-month study end (Coaching: 5.18%±0.72 vs. Control: 5.71%±0.76, p = 0.62).</p><p><strong>Conclusions: </strong>Brief telephone coaching is a promising intervention for reversing short-term weight regain. Future research should focus on improving the coaching intervention to promote long-term weight loss maintenance, including exploration into offering multiple rounds of coaching.</p><p><strong>Clinical trial registration: </strong>NCT04293055.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lost and not found: randomized controlled trial of cognitive behavioral therapy for weight-loss in patients with chronic kidney disease.","authors":"Katja Kurnik Mesarič, Jana Kodrič, Špela Bogataj, Andreja Marn Pernat, Aljoša Kuzmanovski, Bernarda Logar Zakrajšek, Jernej Pajek","doi":"10.1007/s10865-025-00583-w","DOIUrl":"10.1007/s10865-025-00583-w","url":null,"abstract":"<p><strong>Introduction: </strong>Managing obesity in patients with chronic kidney disease is crucial for managing disease progression. Psychological interventions, particularly cognitive behavioral therapy, can support lifestyle changes. This study aimed to evaluate the efficacy of a cognitive behavioral therapy intervention for obesity management in patients with chronic kidney disease.</p><p><strong>Methods: </strong>Forty patients with chronic kidney disease (stages 2-4) were randomized to either an intervention group (nutritional and physical activity counseling and 16-week cognitive behavioral therapy) or a control group (nutritional and physical activity counseling only). Primary outcomes were body mass index (BMI) and proteinuria.</p><p><strong>Results: </strong>The intervention group lost an average of 5.42 kg (BMI decrease: 1.82 kg/m²), compared to 1.53 kg (BMI decrease: 0.53 kg/m²) in the control group. A significant group-by-time interaction was observed for BMI (F(1,36) = 32.24, p = 0.004, ŋ²=0.21), favoring the intervention group. Effects remained significant at three-month follow-up, with an average weight loss of 4.63 kg (BMI decrease: 1.59 kg/m²) in the intervention group and 2.51 kg (BMI decrease: 0.87 kg/m²) in control group (F(2,70) = 5.54, p = 0.026, ŋ²=0.12). Changes in proteinuria did not differ between groups.</p><p><strong>Conclusion: </strong>Cognitive behavioral therapy was effective and well-tolerated for promoting weight loss with most of the lost weight maintained at the three-month follow-up. This intervention may offer a valuable non-pharmacological treatment option for weight management in patients with chronic kidney disease.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive fatigue did not significantly influence youth's total energy intake or snack food consumption during a randomized trial.","authors":"Megan N Parker, Nichole R Kelly, Alexa Moore, Lucy K Loch, Jennifer Te Vazquez, Bess F Bloomer, Ejike E Nwosu, Julia Lazareva, Shanna B Yang, Amber B Courville, Nasreen A Moursi, Sheila M Brady, Cara H Olsen, Lisa M Shank, Marian Tanofsky-Kraff, Jack A Yanovski","doi":"10.1007/s10865-025-00577-8","DOIUrl":"https://doi.org/10.1007/s10865-025-00577-8","url":null,"abstract":"<p><p>Resource-based models of self-regulation propose that fatigue-induced depletion of cognitive resources is an impetus for overeating. Data provide preliminary support for resource-based models for eating in adults, but the relevance of this pathway for youth is unknown. The aim of this study was to test a resource-based model of eating behavior in youth. It was hypothesized that energy intake would be greater following the completion of a cognitive fatigue (versus control) condition. Using a randomized crossover design, each participant completed two, 2-h experimental paradigms (cognitive fatigue [an attention demanding computer task], control [watching movies]), on separate days. Immediately following the conditions, participants were presented with a buffet-style meal from which their energy intake (kcal) and proportion of intake from palatable snack foods (e.g., cookies, chips) were measured. Participants (N = 90) had an average age of 12.5 years (SD = 2.5y) and were 50% female, 50% non-Hispanic White, 20% non-Hispanic Black, and 13% Asian. Participants did not differ in total energy intake (p = 0.72) or palatable food intake (p = 0.40) across the two conditions. Our findings do not provide support for resource-based models of eating behavior. More comprehensive investigations of resource-based models of eating behavior among youth are needed, including tests of potential moderators, to determine the relevance of these models for pediatric eating behavior. The aims of this study were retrospectively registered on 12/07/2024 ( https://clinicaltrials.gov/study/NCT02390765 ).</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}