Journal of Behavioral Medicine最新文献

{"title":"How alexithymia impacts the association between interpersonal trauma and somatization.","authors":"Hannah F Dobbs, Michelle M Lilly","doi":"10.1007/s10865-026-00718-7","DOIUrl":"https://doi.org/10.1007/s10865-026-00718-7","url":null,"abstract":"<p><p>Exposure to traumatic events has many health-related sequalae, one of which is somatization. Somatization is the manifestation of psychological or emotional distress in bodily symptoms, often leading to distressing thoughts and behaviors related to the physical symptoms and unusual or persistent requests for medical assistance. Interpersonal trauma, which includes traumatic events that occur in the context of an interpersonal relationship (e.g., physical/emotional/sexual assault, intimate partner violence, childhood trauma) has been strongly linked to somatic symptoms. Another potential risk factor for somatization is alexithymia, such that individuals with alexithymia struggle to understand their emotional distress and thus confuse it with bodily distress. The current study utilized secondary data analysis to investigate these constructs using a subset of items from the Traumatic Life Events Questionnaire, the somatization subscale of the Symptom Checklist-90 Revised, and the Toronto Alexithymia Scale. It was hypothesized that higher ratings of interpersonal trauma would be associated with higher levels of somatization, and that this relationship would be moderated by levels of alexithymia. In a cross-sectional study of 531 young adults aged 18 to 29, interpersonal trauma and somatization demonstrated a small significant relationship (r = 0.178, p < 0.001), and the relationship between interpersonal trauma and somatization was moderated by alexithymia, β = 0.001, p = 0.027. The effect of interpersonal trauma on somatization was smaller when alexithymia was low (effect = 0.018) than the effect when alexithymia was high (effect = 0.043), showing that the relationship between trauma and somatization is stronger for individuals who have higher levels of alexithymia. Based on these findings, identification of alexithymia within trauma exposed individuals may be important in understanding one's risk for developing somatic symptoms. Further implications for understanding, identifying, and treating somatization in traumatized samples are discussed, such as considering alexithymia as a treatment target in psychosocial interventions.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197173","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":"The effectiveness of targeted visuals: Improving awareness of acral lentiginous melanoma among Hispanic and African American participants.","authors":"Manusheela Pokharel, Kevin K John, Yi Liao, Yelena P Wu, Jakob D Jensen","doi":"10.1007/s10865-026-00716-9","DOIUrl":"https://doi.org/10.1007/s10865-026-00716-9","url":null,"abstract":"<p><p>Acral lentiginous melanoma (ALM) is an aggressive type of melanoma that disproportionally impacts people of color, with rising incidence among Hispanic/Latino populations and the highest mortality rate among African Americans. Given these disparities, innovative strategies for communicating ALM risk are critically needed, especially to Hispanics/Latinos and African Americans. To address this need, the current study investigated the implications of targeted visuals to conveying ALM risk for Hispanic/Latino and African American participants through a 3 (Skin tone of models in patient education materials: white, light brown, or dark brown) × 2 (Race/Ethnicity of the participants: Hispanic/Latino vs. African American) message experiment. The findings revealed that Hispanic/Latino participants reported higher ALM knowledge when they were exposed to patient education materials depicting light or dark brown models, whereas African American participants performed better with either dark brown or white skin models. Additionally, there was an indirect effect of exposure to the patient education materials on ALM knowledge via memorability for Hispanic/Latino participants. The findings align with the theorizing on demographic targeting and memorable messages as both Hispanic/Latino and African American populations responded more positively to targeted models and memorability once again materialized as the key mechanism of effect.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171380","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":"Sleep trajectories in pregnancy: associations with trauma exposure, PTSD, and postpartum depression.","authors":"Jessilyn M Froelich, Samantha N Stucchi, Jordan L Thomas, Nina Cesare, Ann M Rasmusson, Suzanne L Pineles, Yael I Nillni","doi":"10.1007/s10865-026-00715-w","DOIUrl":"https://doi.org/10.1007/s10865-026-00715-w","url":null,"abstract":"<p><p>Sleep during the perinatal period is often highly disrupted due to maternal biopsychosocial changes that accompany pregnancy. Poor sleep quality is a symptom of PTSD, while insomnia often emerges after a traumatic event and commonly co-occurs with PTSD. Trauma exposure as well as insomnia have been linked to increased risk for postpartum depression (PPD). The current study examined sleep trajectories across pregnancy and into the postpartum period, the impact of trauma exposure and PTSD on these sleep trajectories, and associations between these sleep trajectories and PPD. Participants completed psychiatric diagnostic evaluations for PTSD and other mental health conditions, as well as validated self-ratings of insomnia and depressive symptoms at four time points across pregnancy and at 6 weeks postpartum. Participants were categorized into one of four groups: (a) trauma exposure with PTSD, (b) trauma exposure with another mental health condition, (c) trauma exposure with no mental health conditions, or (d) no reported trauma exposure or current mental health conditions. Longitudinal growth mixture modeling revealed two distinct sleep trajectories across pregnancy: poor sleep (28.5%) and normative sleep (71.5%). Trauma-exposed participants with PTSD or other mental health conditions were more likely to have poor sleep profiles. Participants with poor sleep profiles had significantly higher depressive symptoms. These findings support the need for targeted interventions addressing insomnia in trauma-exposed pregnant women with psychiatric sequelae to improve outcomes during and after pregnancy.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168436","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":"Associations between PTSD symptom clusters and multi-region pain in young adults with chronic pain.","authors":"Laura E Laumann, Katherine E Gnall, Mariel Emrich, Sinead M Sinnott, Jessica M Powers, Laura R Stroud, Dean G Cruess","doi":"10.1007/s10865-026-00714-x","DOIUrl":"https://doi.org/10.1007/s10865-026-00714-x","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) symptoms are positively associated with multi-region pain, which is linked to greater disease burden than localized pain. Little is known about these relationships in young adults nor the role of specific PTSD symptom clusters. We examined whether pain symptoms differed by multi-region pain status and whether PTSD symptom clusters were associated with increased odds of multi-region (vs. more localized) pain among young adults with chronic pain. Young adults with chronic pain (N = 123; M_age = 19.0, 71.5% White, 70.7% female) completed baseline measures as part of a larger study. Multi-region pain (≥ five regions) was assessed using the Michigan Body Map. Mann-Whitney U and independent t-tests were used to compare pain severity and pain interference by multi-region pain status. Separate logistic regressions adjusting for gender examined whether PTSD symptoms (total and clusters) were associated with odds of multi-region pain. Participants with multi-region pain reported significantly greater pain severity (M = 5.6 vs. 4.8) and pain interference (Mdn = 57 vs. 32.5) than those with more localized pain (ps < .05). Total PTSD symptoms and all four symptom clusters were each significantly, positively associated with odds of experiencing multi-region pain. When all clusters were entered simultaneously with gender as a covariate, only hyperarousal symptoms were significantly associated with odds of multi-region pain, OR = 1.13, 95% CI [1.01, 1.27]. These results implicate hyperarousal as a potential intervention target for treatment of multi-region pain. Future longitudinal research is warranted to identify mechanisms and elucidate the directionality of these relationships.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116988","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":"Graduated exposure to traumatic events decreases distress during prolonged exposure therapy for posttraumatic stress disorder.","authors":"Kiara H Buccellato, Hailey N Brown, William A Price, Casey L Straud, Tabatha H Blount, Edna B Foa, Lily A Brown, Carmen P McLean, Richard P Schobitz, Bryann B DeBeer, Joseph Mignogna, Brooke A Fina, Wyatt R Evans, Brittany N Hall-Clark, Timothy O Rentz, Christian C Schrader, Jeffrey S Yarvis, Hunter Hansen, Vanessa M Jacoby, Jose Lara-Ruiz, Willie J Hale, Lauren M Koch, Kelsi M Gerwell, Stacey Young-McCaughan, Brett T Litz, Eric C Meyer, Douglas E Williamson, John D Roache, Allah-Fard M Sharrieff, Barbara L Niles, Terence M Keane, Alan L Peterson","doi":"10.1007/s10865-026-00666-2","DOIUrl":"10.1007/s10865-026-00666-2","url":null,"abstract":"<p><p>Prolonged exposure (PE) is an evidence-based treatment for PTSD. However, the imaginal exposure portion of PE can be distressing for patients, and despite many service members reporting multiple traumatic events, traditional PE focuses solely on the most distressing event. This article evaluates a modified version of PE that considers the need for distress-reduction in trauma-focused treatments. We compared distress during two methods of imaginal exposure: (1) standard exposure, where participants focused on their most distressing event; and (2) graduated exposure, where participants focused on their top three most distressing events, from third most distressing to most distressing. Mean peak subjective units of distress scores (SUDS) were compared across groups. Participants were 199 active duty personnel and veterans (79.9% men; mean age 38.5 years). There was a significant overall effect of group on peak SUDS, F(3,359) = 12.46, p < .001. Participants receiving standard exposure reported an average peak SUDS of 88.1/100 (SD = 13.4), compared to 75.2 (SD = 22.5) for graduated imaginal exposure participant's most distressing event. Participants in the graduated group also reported significantly lower peak SUDS for their second (M = 72.23, SD = 20.6; t(183) = 5.49, p < .001, d = .81) and third most distressing events (M = 74.63, SD = 21.1; t(183) = 466, p < .001, d = .69) compared to mean SUDS rating for the standard exposure group. Incorporating a graduated approach appears to mitigate average peak distress from participating in the imaginal exposure component of PE.Trial registration These data were collected as part of a larger, randomized clinical trial that was registered with ClinicalTrials.gov (Identifier NCT03529435).</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"965-974"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes for implementation of virtual mental health care for rural native veterans.","authors":"Marcela Weber, Amber Amspoker, Kathy Marchant-Miros, Giselle Day, Jay Shore","doi":"10.1007/s10865-026-00676-0","DOIUrl":"10.1007/s10865-026-00676-0","url":null,"abstract":"<p><p>Native Veterans experience disproportionately high rates of PTSD and suicide compared to other Veteran populations and face significant barriers to accessing mental healthcare, particularly in rural areas where many reside. This study aimed to support the delivery of Personalized Implementation of Video Telehealth for Rural Native Veterans (PIVOT-RNV) and examine the longitudinal impact on mental health engagement. PIVOT-RNV involves Implementation Facilitation strategies at the partnering VAMCs focused on technology adoption, cultural considerations, and outreach strategies for RNV communities. For this project, we engaged eight partner VAMCs in fiscal years 2023-2024. Using VA health records data, we conducted linear growth curve models to examine the effects of PIVOT-RNV on overall mental health care encounters and telemental health care specifically and whether this changed over time. Across all sites, telemental health encounters for rural Native Veterans significantly increased over time. Importantly, PIVOT-RNV sites experienced a significantly greater increase in telemental health encounters for RNVs over time compared to control sites. Sites with PIVOT-RNV also demonstrated a marginally significant greater increase in overall mental health encounters over time. These findings indicate PIVOT-RNV shows promise for improving RNV's access to VA healthcare by increasing both access to and engagement in video-based mental health. There is a need to further test and implement PIVOT-RNV across other health systems and to examine additional clinical and access outcomes.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"975-984"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934743","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":"Parental well-being predicts post-9/11 veterans' suicidal ideation during the transition from military service to civilian life.","authors":"Claire A Hoffmire, Shelby Borowski, Julie A Kittel, Alexandra L Ballinger, Lindsey L Monteith, Dawne Vogt","doi":"10.1007/s10865-026-00667-1","DOIUrl":"10.1007/s10865-026-00667-1","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"833-845"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785885","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":"\"Balanced Brain\": development, implementation, and acceptability of an acceptance and commitment therapy-based pilot intervention to promote brain health in older veterans.","authors":"Carter H Davis, Jas Chok, Namasvi Jariwala, Lynsay M Paiko, Lawrence Ma, Marika B Humber, Sherry A Beaudreau, Christine E Gould","doi":"10.1007/s10865-026-00677-z","DOIUrl":"10.1007/s10865-026-00677-z","url":null,"abstract":"<p><p>Brain health encompasses a multitude of health and lifestyle factors that can reduce the occurrence and severity of dementia. Older Veterans face unique risk factors for dementia, which makes promoting brain health a priority for the Veteran Health Administration (VHA). However, Veterans encounter barriers to implementing these recommendations, such as uncertainty about where to start, minimal personal investment, lack of social support, or negative emotional reactions to cognitive changes. We explain how principles from acceptance and commitment therapy (ACT) can address these barriers and facilitate personal engagement with brain health, and describe a group ACT intervention called Balanced Brain. We used a mixed-method, multiphase approach using clinician interviews to develop and refine the intervention, followed by pilot testing to determine feasibility and acceptability with older Veterans. Six VHA clinicians described barriers and facilitators to brain health promotion and suggested content to include in an intervention. We then recruited 21 Veterans into two group cohorts, collected data on feasibility and attrition, and assessed program satisfaction using the Client Satisfaction Questionnaire-8. Over three-quarters of Veterans attended 75% or more of group sessions, although telehealth connectivity issues were common. Veterans indicated high overall satisfaction with Balanced Brain, suggesting it as a feasible and acceptable intervention for teaching brain health principles alongside ACT coping skills to address psychosocial barriers to health behavior change.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"846-859"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital interventions targeting the impact of stress on stress-related mental health outcomes in military personnel and veterans: a systematic review.","authors":"Allison Metts, Emma Harris, Nevaeh Martinez, Rahel Pearson, Suzannah K Creech","doi":"10.1007/s10865-026-00653-7","DOIUrl":"10.1007/s10865-026-00653-7","url":null,"abstract":"<p><p>Stressors are prevalent throughout and following military careers and dispose military personnel and veterans to stress-related psychopathology. Most available interventions primarily focus on symptoms, overlooking the predisposing risk factor of stress, and are subject to access barriers. Digital interventions targeting stress can increase access and reduce the incidence of stress-related psychopathology. This systematic review evaluated available research on digital interventions targeting the impact of stress on stress-related mental health outcomes among military personnel and veterans. This systematic review is registered in PROSPERO (ID#masked) and funded by the U.S. Department of Veterans Affairs. Following PRISMA guidelines, three databases (APA PsycInfo, PubMed, PTSDPubs) were systematically searched until September 30, 2025. Inclusion criteria were: samples containing military personnel or veterans; quantitative measures of stress, depression, anxiety, trauma-related distress, or mood as primary measures; digital interventions targeting stress; and peer-reviewed research. Critical appraisal checklists were used to assess the risk of bias. Data were synthesized according to the Joanna Briggs Institute Manual for Systematic Reviews. Of the 15 studies that met inclusion criteria, 13 had acceptable data quality (at least 70% on critical appraisal checklists). Samples were predominantly White (100%), male (86.7%), and veteran-only (66.7%). Posttraumatic stress disorder was the most common type of mental health disorder characterizing samples (40%). Digital interventions were delivered in app (60%), web-based (33.3%), and task-based (6.7%) formats. Two studies examined only feasibility and acceptability of the interventions. Of the 13 studies that examined the clinical impact of digital interventions on stress-related mental health outcomes, only six reduced stress-related mental health outcomes compared to a control condition. Monitoring stress was the most common feature of digital interventions, followed by a variety of skills-based content (e.g., breathing techniques). Only two studies examined just-in-time interventions that prompted an intervention in response to stress detection. Digital interventions targeting stress among veterans and miliary personnel are limited in number, diverse in approach, and offer limited evidence for efficacy across stress-related mental health outcomes. Nevertheless, existing research provides a strong foundation for future stress intervention development, including just-in-time interventions, to facilitate a more adaptive response to stressors and increase resilience.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"941-950"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco and nicotine cessation in military service members and veterans: implications for area health education centers.","authors":"Susan LaJoie, Rebecca Carter, Chenikka Usher, M Bryant Howren","doi":"10.1007/s10865-026-00649-3","DOIUrl":"10.1007/s10865-026-00649-3","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"816-820"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481980","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}