Journal of Behavioral Medicine最新文献

{"title":"Are technologies designed to support physical activity really helping young adults be active? A four-year longitudinal study.","authors":"Mathieu Bélanger, Pierre Philippe Wilson Registe, Pierre Faivre, Pamela Tanguay, Salma Jemaa, François Gallant, Marie-Andrée Giroux, Véronique Thibault, Jennifer Hakim, Jean-François Clément, Saïd Mekary","doi":"10.1007/s10865-025-00611-9","DOIUrl":"https://doi.org/10.1007/s10865-025-00611-9","url":null,"abstract":"<p><strong>Background: </strong>Healthy lifestyle technologies (HLT), including (i) exergaming systems; (ii) fitness trackers; (iii) fitness apps; (iv) interactive exercise equipment; (v) smart apparel; and (vi) heart rate monitors are highly commercialized, but it is unclear whether their volitional use promotes physical activity (PA). The first objective was to describe the average association between use of different types of HLT and PA levels. The second objective was to assess if changes in use of HLT predict changes in PA.</p><p><strong>Methods: </strong>We used four yearly cycles of data from the MATCH longitudinal study, when participants were 20, 21, 22 and 23 years on average, respectively. Participants self-reported their use of HLT and their PA level at every cycle. General estimating equations were used to estimate (1) the odds of reporting any PA, (2) the association between use of HLT and PA level of participants reporting PA, and (3) the association between change in use of HLT and change in PA.</p><p><strong>Results: </strong>Among the 522 participants retained, approximately 40% reported using HLT. The most used HLT were fitness trackers (30%), followed by fitness apps (9%), interactive equipment (9%), heart rate monitors (7%), smart apparel (5%), and exergaming (4%). Whereas HLT use was not associated with the odds of reporting some PA (OR 1.2, 95% CI 0.9 -1.7), participants using at least one HLT reported 21% (95% CI 7-36%) higher levels of PA than non-users. Over the years, the adoption of HLT was not related to a change in PA, but discontinuing the use of HLT was associated with a 40% reduction in PA.</p><p><strong>Conclusion: </strong>Although HLT users report higher PA than non-users, the use of HLT is not associated with a different likelihood of taking part in MVPA. The volitional use of HLT does not lead to an uptake in PA.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349427","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":"Illness mindsets in health and disease: development and validation of the Illness Mindset Inventory (IMI).","authors":"Sean R Zion, Alexandra K Zaleta, Shauna McManus, Melissa A Boswell, Lauren C Heathcote, Carol S Dweck, Alia J Crum","doi":"10.1007/s10865-025-00601-x","DOIUrl":"https://doi.org/10.1007/s10865-025-00601-x","url":null,"abstract":"<p><p>Being diagnosed with a chronic illness is a life-altering experience that can be shaped, for better or worse, by psychological factors. How patients think about their illness-their core beliefs about what it means and what it might bring such as whether it is catastrophic, manageable, or even an opportunity-can influence how they respond and adapt. This research introduces the concept of illness mindsets and presents the initial validation of the Illness Mindset Inventory (IMI), a new tool designed to assess these beliefs and their implications for health and well-being. Study 1 examines the factor structure, internal reliability, and discriminant validity of the 9-item IMI in N = 201 healthy participants and N = 200 participants with cancer, diabetes, cardiovascular disease, and/or chronic pain. Study 2 investigates cancer patients (N = 463) with different degrees of illness severity and tests the pre-registered hypothesis that the IMI will account for variability in functioning over and above measures of illness severity. In Study 1, illness mindsets were associated with between 5.7 and 12.1% additional variance in physical, social, and emotional functioning, above and beyond disease status. In Study 2, illness mindsets accounted for between 6.9 and 12.0% additional variance in physical functioning, social functioning, and emotional distress in people diagnosed with cancer above and beyond cancer stage, cancer status, trait optimism, and self-efficacy. Illness mindsets may help account for variance in individual functioning beyond disease status and disease severity. Future research can probe the IMI's utility in supporting patient care; in predicting functioning before, during, and after a diagnosis; and as a potential target for intervention.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303981","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":"Exploring the mediating role of active coping in reducing perceived stress among men with advanced prostate cancer: a randomized controlled trial of cognitive behavioral stress management.","authors":"Rui Gong, Patricia I Moreno, Betina Yanez, Frank J Penedo","doi":"10.1007/s10865-025-00612-8","DOIUrl":"https://doi.org/10.1007/s10865-025-00612-8","url":null,"abstract":"<p><p>Cognitive-behavioral stress management (CBSM), which integrates active coping strategies, has been shown to enhance psychological adaptation in cancer survivors, resulting in reduced emotional distress and better quality of life. However, research on the impact of active coping in advanced cancer survivorship remains underexplored. This study examined whether active coping mediated the effects of CBSM on perceived stress among men with advanced prostate cancer (APC). APC survivors (N = 189) who had received androgen deprivation therapy (ADT) were randomized to a 10-week CBSM or a health promotion (HP) intervention and followed for one year. Structural equation modeling was used to test whether active coping mediated the effect of CBSM on perceived stress adjusting for relevant sociodemographic and clinical covariates, and to determine whether this mediating role was specific to the CBSM condition. CBSM predicted a decrease in perceived stress from baseline to 12 months post-baseline through active coping. As expected, this full mediating effect was observed only in patients who received CBSM. While active coping declined over time, CBSM appeared to have a buffer effect, helping to sustain coping compared to the control group. This may be particularly relevant for advanced cancer survivors, who often experience a general shift towards less coping over time, potentially due to psychological adaptation and increasing physical burdens. Findings suggest that sustaining active coping mechanisms through CBSM can contribute to reducing psychological stress and improving health-related quality of life in APC survivors. Future research should focus on optimizing interventions by tailoring coping strategies to the evolving needs of this population.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304022","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":"Using objective measures to evaluate the role of physical activity as a compensatory mechanism of emotion regulation.","authors":"Grace Kupka, Ashley Humphries, Emily Goldberg, Nicholas Harp, Timothy Nelson, Maital Neta","doi":"10.1007/s10865-025-00606-6","DOIUrl":"https://doi.org/10.1007/s10865-025-00606-6","url":null,"abstract":"<p><p>Both emotion regulation and physical activity are associated with improved emotional well-being, including high self-esteem. However, most prior work comparing this relationship is limited by either subjective bias or ecological validity. Using objective (i.e., accelerometer-derived) measures of physical activity, this study investigated the relationship between moderate-to-vigorous physical activity (MVPA) and two trait emotion regulation strategies. We predicted that trait reappraisal (i.e., the habitual use of cognitive reappraisal to regulate emotions in daily life), but not trait suppression (i.e., the habitual use of expressive suppression to regulate emotions in daily life), would be associated with higher engagement in MVPA. We also predicted that physical activity would buffer reliance on trait reappraisal, such that individuals who engaged in more MVPA would be less likely to report emotion regulation difficulties or low self-esteem. Participants (N = 251 adults, ages 17-88 years) filled out questionnaires assessing trait emotion regulation, emotion regulation difficulties, and self-esteem, and wore an ActiGraph® on their non-dominant wrist for one week (M(SD) = 7.46(2.32) days). Regression and moderation analyses were conducted on variables of interest. Neither trait reappraisal nor suppression were associated with MVPA. MVPA significantly moderated the negative relationship between trait reappraisal and emotion regulation difficulties, such that the relationship was stronger at lower levels of MVPA. Effects were not found with self-esteem or trait suppression. These results indicate that MVPA may be beneficial in maintaining emotional well-being, particularly in the face of emotion regulation difficulties.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233759","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":"Pain-related variables as contributing factors to physical activity after breast cancer surgery: a one-year follow-up study.","authors":"Sophie Van Dijck, An De Groef, Michel Mertens, Nele Devoogdt, Marthe Van Overbeke, Mira Meeus, Elien Van der Gucht, Lore Dams","doi":"10.1007/s10865-025-00607-5","DOIUrl":"https://doi.org/10.1007/s10865-025-00607-5","url":null,"abstract":"<p><p>Physical activity (PA) levels among breast cancer survivors following surgery are often low, with unclear roles played by pain-related factors. This study investigates the changes in PA and its contributing factors, including pain-related factors, in 184 breast cancer survivors throughout the acute post-operative stage of 1 week (T1), the sub-acute stage of 4 months (T4), and the long-term stage of 12 months (T12). A linear mixed model was utilized to evaluate PA changes in the first year post-surgery. Multivariate regression analyses explored associations between moderate-to-vigorous physical activity (MVPA) and patient characteristics, pain-related factors, emotional and physical functioning, and quality of life (QoL) at each timepoint separately and also explored factors in the acute and sub-acute stage contributing to MVPA at T12. Weekly minutes of MVPA and steps had a significant increase between T4 and T12. All models, adjusted for age and BMI, were significant (p < 0.01) but explained only small proportions of variance of MVPA at T1 (AdjR² :15%), at T4 (AdjR² :25%) and at T12 (AdjR² :26%). Pain-related factors, together with emotional and physical symptom burden, negatively impacted PA at various points in time. Despite these challenges, higher QoL and existential well-being were positive influences. Breast cancer survivors demonstrate increasing PA over the first year post-surgery. Contributing factors differ for each timepoint, highlighting the complex interplay of emotional and physical factors in promoting active lifestyles. Rehabilitation interventions need to hold the time-dependency of contributing factors into account and aim to address both immediate and long-term needs.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233784","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 cognitive behavioral therapy for smoking cessation: A systematic review and meta-analysis.","authors":"Jinyoung Chang, Jimin Kim, Eon Sook Lee, Yu Jin Paek, Hyeon-Jeong Lee, Miyoung Choi, Jin-Kyoung Oh, Eun-Jung Bae, Sang Hwa Shin, Yun Hee Kim, Kyung-Hyun Suh","doi":"10.1007/s10865-025-00609-3","DOIUrl":"https://doi.org/10.1007/s10865-025-00609-3","url":null,"abstract":"<p><p>Cognitive Behavioral Therapy (CBT) is a commonly used intervention for smoking cessation. This PROSPERO-registered systematic review and meta-analysis (CRD42024581823) evaluated the long-term effectiveness of CBT in achieving abstinence for six months or longer. Sixteen randomized controlled trials (RCTs) involving 2,531 adults were included. Studies comparing CBT to minimal care and published in English or Korean were selected; those focusing on Acceptance and Commitment Therapy (ACT) or mindfulness were excluded. Results indicate that CBT significantly improves long-term cessation rates. Subgroup analyses showed that both CBT alone and CBT with pharmacotherapy were effective compared with minimal care. In particular, CBT demonstrated greater effectiveness among patients with smoking-related conditions such as COPD and cardiovascular disease. Risk of bias was generally rated as \"some concerns,\" and the certainty of evidence was moderate. These findings support CBT's clinical utility, especially when integrated with pharmacological treatments or tailored to high-risk populations.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233816","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":"Romantic partner undermining in a behavioral weight loss intervention.","authors":"Marny M Ehmann, Nicole T Crane, Reena S Chabria, Danielle Arigo, Meghan L Butryn","doi":"10.1007/s10865-025-00597-4","DOIUrl":"10.1007/s10865-025-00597-4","url":null,"abstract":"<p><p>Romantic partner undermining is a type of negative social influence that has the potential to make weight loss more challenging and consists of two components: (1) undermining behaviors, or overt romantic partner behaviors including criticism/complaint of weight control or interference behaviors (e.g., offering up high calorie foods), and (2) undermining attitudes, including negative beliefs that a romantic partner has about their significant other's weight loss attempts. The present study was the first to the authors' knowledge to investigate romantic partner undermining attitudes and behaviors reported by participants enrolled in in a behavioral weight loss (BWL) intervention, a first line treatment for weight loss. The study also examined whether partner undermining attitudes and behaviors differed by relationship quality and between those who did and did not choose their romantic partner to serve in a support role in the intervention. Participants (N = 128) enrolled in a group-based BWL intervention reported on perceived romantic partner undermining attitudes and behaviors at baseline and 3 months (end of the intensive period of BWL intervention). Results showed that participants perceived minimal romantic partner undermining at baseline (attitudes M = 2.2 ± 0.7, behaviors M = 2.3 ± 1.2) and 3 months (attitudes M = 2.0 ± 0.6, behaviors M = 1.9 ± 1.1). However, participants reported a significant reduction in total undermining attitudes (M change = - 0.2 points) and behaviors (M change = - 0.4 points) from baseline to 3 months (ps <.05), highlighting the potential of group-based BWL interventions to mitigate romantic partner undermining without explicit content focused on undermining. Future research should examine romantic partner undermining across time in varying weight control and relationship conditions and measure undermining at the daily or weekly level to reduce recall bias and improve ecological validity.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"813-822"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800648","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":"I'm all over the place: complex symptom variability and within-day patterns among youth with chronic pain.","authors":"Emily Scholand, Anne Arewasikporn, Eric Scott, Elizaveta Bourchtein, Ashley Pogue, John A Sturgeon","doi":"10.1007/s10865-025-00592-9","DOIUrl":"10.1007/s10865-025-00592-9","url":null,"abstract":"<p><p>Youth living with chronic pain experience a complex symptom burden, with multiple symptoms that may fluctuate throughout their daily lives. We aimed to explore the daily variability of multiple symptoms including pain, fatigue, cognitive dysfunction, mood, stress, and sleep, in a sample of youth with mixed chronic pain diagnoses. Youth ages 10-17 living with heterogeneous diagnoses of chronic pain lasting 3 or more months with associated functional disability (N = 25) wore wristworn ecological momentary assessment (EMA) monitors for seven days. Three times daily, they provided ratings regarding intensity of pain, fatigue, cognitive dysfunction (perceived clarity and speed of thought), mood, and stress. They also rated sleep daily. Youth also completed a series of standard recall questionnaires corresponding to domains assessed in the EMA ratings. Descriptive statistics, intra-class correlation coefficients, and multilevel models were used to describe the EMA ratings, assess within- and between-person variability, and explore diurnal patterns of ratings. Both trait-like and state-like patterns were observed in the EMA ratings. Diurnal patterns were also observed, with less fatigue (B_EVENING = -0.85, p = .003) reported at day's end. At the within-person level, higher daily pain intensity was associated with worse same-day fatigue (B = 0.34, p < .001) and mood (B = 0.41, p < .001). Conclusions: Findings highlight the complex symptom burden and nuanced daily experiences of youth living with chronic pain, and may lead toward more precise, time-sensitive interventions.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"860-872"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974588","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":"10.1007/s10865-025-00579-6","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"756-769"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","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":"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":"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":"770-784"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","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}