Journal of Behavioral Medicine最新文献

{"title":"Social support, social constraint, and psychological adjustment in patients with colorectal cancer.","authors":"Nirvi B Ajmera, Brian D Doss, Youngmee Kim","doi":"10.1007/s10865-025-00565-y","DOIUrl":"10.1007/s10865-025-00565-y","url":null,"abstract":"<p><p>Cancer patients' social networks, particularly their spouses or romantic partners, can promote or undermine their psychological adjustment. This study examined the relative associations of partner social support and social constraint with patients' psychological adjustment and further tested gender's moderating role in these associations. Participants were 124 patients newly diagnosed with colorectal cancer (M age = 56.6 years, 34% female), who completed questionnaires on perceived spousal social support and social constraint, depressive symptoms, and life satisfaction. Findings revealed that greater social constraint was significantly associated with lower life satisfaction regardless of gender; however, greater social constraint was only associated with greater depressive symptoms in male patients. No significant associations or interactions with social support were found. Findings highlight the importance for patients-especially male patients-with cancer to feel able to disclose cancer-related thoughts and feelings to their partners and call for more consistent operationalization and measurement when studying patients' social functioning.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"414-429"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755134","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":"Worry about prostate cancer and risk perception among middle-aged men: results from the PROBASE trial.","authors":"Valentin H Meissner, Andreas Dinkel, Martina Kron, Stefan Schiele, Matthias Jahnen, Jale Lakes, Jan Philipp Radtke, Markus A Kuczyk, Nina N Harke, Jürgen Debus, Christoph A Fink, Gerald Antoch, Lars Schimmöller, Glen Kristiansen, Agne Krilaviciute, Petra Seibold, Sabine Behrens, Axel Benner, Christian Arsov, Boris Hadaschik, Nikolaus Becker, Rudolf Kaaks, Peter Albers, Jürgen E Gschwend, Kathleen Herkommer","doi":"10.1007/s10865-025-00559-w","DOIUrl":"10.1007/s10865-025-00559-w","url":null,"abstract":"<p><p>Cancer worry and risk perception are relevant psychological factors that influence preventive health behaviors. Therefore, a thorough understanding of the factors that impact their occurrence and manifestation is critical. The objective of this study was to assess prevalence and factors associated with worry about prostate cancer (PCa) and absolute/comparative risk perception in a community-based sample of 45-year-old men. Data were collected within the German PCa screening trial PROBASE. Variables were assessed by self-report questionnaires and a clinical interview. Worry about PCa and absolute/comparative risk perception were assessed each on a 5-point-Likert scale. Multivariable logistic regression was used to identify factors associated with the outcomes of interest. Data were available for 33,476 (72.0%) of 46,495 men at enrollment. 7.3% had sometimes/(very) often worry about PCa. 3.7% and 9.9% perceived their absolute risk and comparative risk as somewhat high/very high and somewhat higher/much higher, respectively. 18.8% reported a positive PCa family history. Important factors of worry about PCa, absolute risk perception, and comparative risk perception were lower urinary tract symptoms (LUTS) (OR 3.00, 95% CI 2.63-3.42; OR 2.09, CI 1.71-2.56; OR 2.41, CI 2.10-2.76) and a positive PCa family history (OR 2.35, CI 2.08-2.65; OR 15.13, CI 12.73-17.97; OR 9.69, CI 8.76-10.72). A positive history of urological (OR 3.85, CI 2.63-5.63) and non-urological cancers (OR 1.97, CI 1.52-2.54) were associated with a higher comparative risk perception. In conclusion, worry about PCa and risk perception are influenced by non-cancer-related symptoms as well as by a positive PCa family history. These findings need to be addressed in risk communication with patients.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"464-477"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558447","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":"Perceived and internalized smoking stigma among pregnant women: association with smoking reduction, reactance to smoking health warnings, and intention to discuss smoking with health professionals.","authors":"Jean-Charles David, N Rascle, M Auriacombe, F Serre, A-L Sutter-Dallay, D Loyal","doi":"10.1007/s10865-025-00556-z","DOIUrl":"10.1007/s10865-025-00556-z","url":null,"abstract":"<p><strong>Background: </strong>Tobacco is an addictive substance associated with numerous serious health effects during pregnancy. Pregnant women who smoke face considerable social disapproval, which could be a barrier to seeking healthcare and ultimately to smoking cessation. This study explored how perceived stigma (i.e., smokers' beliefs about negative judgments of them) and internalized stigma (i.e., internalization of stigmatizing attitudes toward them) may be associated with smoking reduction during pregnancy, reactions to smoking health warnings, and the intention to discuss smoking with health professionals.</p><p><strong>Methods: </strong>A total of 83 pregnant French women who smoke were recruited from maternity wards and online. Participants filled out self-administered online questionnaires assessing smoking dependance (Cigarette Dependance Scale, CDS-5), perceived and internalized smoking stigma (Pregnant Smoker Stigma Scale - Self Stigma, P3S-SS), depressive symptoms (Edinburgh Postnatal Depression Scale, EPDS), reactance to smoking health warnings (shortened version of the Reactance to Health Warnings Scale), and intention to discuss smoking with health professionals (dedicated questionnaire).</p><p><strong>Results: </strong>In multiple regression analyses that controlled for depressive symptoms and dependance scores, perceived stigma was associated with more reactance (β = 0.35) and less smoking reduction (β = -0.31), whereas internalized stigma was associated with less reactance (β = - 0.0.28). Finally, reactance was associated with less intention to discuss smoking with healthcare professionals (β = -0.26).</p><p><strong>Conclusions: </strong>These results suggest that perceived stigma may influence reactance to health warnings and smoking reduction during pregnancy, while also indicating that reactance could reduce the intention to consult healthcare professionals. Public health stakeholders should consider how to address the stigmatization of people who smoke, particularly pregnant women, in health communication strategies.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"442-454"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477191","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":"How does removing menthol tobacco product displays at point-of-sale affect adolescents' cigarette smoking intentions? The mediating effects of social norms.","authors":"Jody Chin Sing Wong, Claude Messan Setodji, Michael S Dunbar, Steven Martino, Grace van Valkenburg, Desmond Jenson, William G Shadel","doi":"10.1007/s10865-025-00551-4","DOIUrl":"10.1007/s10865-025-00551-4","url":null,"abstract":"<p><p>This study investigates the psychological mechanisms through which a removal of mentholated tobacco products from retail stores affects future smoking intentions among youth. Descriptive norms and injunctive norms were examined as candidate mediators. The study was conducted in the RAND StoreLab (RSL), a life-sized replica of a convenience store developed to evaluate how changing point-of-sale (POS) tobacco advertising influences tobacco use outcomes during simulated shopping experiences. Participants were assigned to shop randomly in the RSL under one of three experimental conditions that were (1) status quo condition in which all tobacco-, sweet-, and menthol-flavors were displayed; (2) tobacco/menthol condition in which only tobacco- and menthol-flavored tobacco products were displayed (sweet characterizing flavors other than tobacco or menthol/mint were removed from the display, effectively \"banned\"); and (3) tobacco-only condition in which only tobacco-flavored products were displayed (all sweet- and menthol-flavored products were removed). Results revealed that injunctive norms mediated the relationship between the removal of menthol cigarettes from the POS setting and increased intentions to smoke menthol-flavored cigarettes, whereas descriptive norms were not a significant mediator. These findings suggest that targeting injunctive smoking norms in public health communications may be a promising strategy to mitigate potential unintended consequences of a menthol ban on future smoking intentions for youth.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"455-463"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469552","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":"Giving support to close others increases affective risk perceptions: longitudinal and experimental studies.","authors":"Molly Gonenne, Rebecca A Ferrer, Tristen K Inagaki","doi":"10.1007/s10865-025-00552-3","DOIUrl":"10.1007/s10865-025-00552-3","url":null,"abstract":"<p><p>Risk perceptions are instrumental in predicting how people will process and react to threats. While social contexts have long been associated with changes in risk perception, whether and which social contexts alter risk perceptions is not well understood. This paper explores one such social context--support-giving--which has previous links to affect, cognition, and behavior, including how threats are processed. Using a tripartite model in which risk perceptions are split between deliberative (logical), affective (emotional), and experiential (lived) assessments, we used two studies, a longitudinal-correlational (Study 1) and experimental (Study 2), to explore whether support-giving relates to and impacts risk perceptions. Findings from Study 1 revealed that support-giving toward a close other at Time 1 was associated with an increase in affective risk perceptions at Time 2. Study 2 clarified the direction of this association, finding that there was an increase in affective and experiential risk perceptions for those randomly assigned to a support-giving condition, as compared to the control. Deliberative risk perceptions did not differ between conditions. Given that affective risk perceptions strongly predict behavior, support-giving may be a promising new avenue by which to inspire preventative behavior.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"488-499"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477183","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":"Association of sexual pain and psychological factors among gynecologic and breast cancer patients: application of components of the fear-avoidance model of chronic pain.","authors":"Lora L Black, Katherine Conroy, Maryam Lustberg, Ritu Salani, Barbara L Andersen, Kristen M Carpenter","doi":"10.1007/s10865-025-00560-3","DOIUrl":"10.1007/s10865-025-00560-3","url":null,"abstract":"<p><p>A significant number of gynecologic and breast cancer survivors report chronic issues with pain during sexual activity. The fear-avoidance (FA) model of chronic pain provides a potential framework for addressing chronic sexual pain. The purpose of this study is to investigate the relationships among components of the FA model (acute pain, anxiety, avoidance, and distress) among gynecologic and breast cancer survivors to help identify those who may be at risk for chronic sexual pain. Gynecologic and breast cancer patients (n = 97) completed baseline questionnaires as part of a psychosexual intervention. Linear regression model was used to test components of the FA model. Overall, 17-34% of female cancer survivors experienced pain related to sexual activity in the month prior to enrolling in a psychosexual intervention trial. Further, 51% of participants reported clinically significant levels of sexual distress. Results of a multiple linear regression show that sexual distress was significantly associated with acute sexual pain (Standardized β = 0.34, p <.01), anxiety (Standardized β = 0.28, p <.05), and avoidance of sexual activity (Standardized β = 0.28, p <.01) when controlling for sexual activity. Survivors of breast and gynecologic cancer entering a sexuality treatment study reported pain with sexual activity. Further, sexual distress was significantly associated with acute sexual pain, anxiety, and avoidance of sexual activity, pointing to contributions each of these FA model components have on sexual distress in this population. These findings point to the need for interventions to explicitly address anxiety and avoidance of chronic sexual pain among female cancer survivors.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"536-543"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626592","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":"Predicting antiretroviral medication adherence among substance-using people with HIV: test and extension of the information-motivation-behavioral skills model.","authors":"Archana Krishnan, Yerina S Ranjit, Xin Zhou, Frederick L Altice","doi":"10.1007/s10865-025-00557-y","DOIUrl":"10.1007/s10865-025-00557-y","url":null,"abstract":"<p><p>Antiretroviral therapy (ART) is effective in reducing HIV transmission and mortality, yet daily adherence remains a challenge for many people with HIV (PWH). Suboptimal adherence can lead to virological failure and increased mortality, particularly among those with substance use disorders, such as cocaine use disorder (CUD). The Information-Motivation-Behavioral (IMB) skills model offers a framework to understand and enhance ART adherence by addressing individual and social barriers. In this study, we tested the IMB skills model among 80 cocaine-using PWH currently on ART, and found that behavioral skills significantly predicted adherence. In the extension of the IMB skills model, the addition of practical barriers altered the relationship by showing that motivational barriers such as treatment fatigue and practical barriers significantly affected ART adherence. The findings suggest that for PWH with substance use disorders, addressing practical barriers and motivational factors may be crucial for improving ART adherence, in addition to building behavioral skills.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"403-413"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383288","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":"Gastrointestinal-specific anxiety and smoking abstinence expectancies among persons with irritable bowel syndrome.","authors":"Michael J Zvolensky, Tanya Smit, Perel Y Wein, Jafar Bakhshaie, Brooke Y Redmond, Lorra Garey, Jessica M Thai, Jeffrey M Lackner","doi":"10.1007/s10865-025-00576-9","DOIUrl":"https://doi.org/10.1007/s10865-025-00576-9","url":null,"abstract":"<p><p>Irritable bowel syndrome (IBS), a chronic disorder of gut-brain interaction, is associated with significant life impairment. Smoking has been associated with gastrointestinal problems, but research focused on IBS and smoking is highly limited. The current work sought to evaluate gastrointestinal anxiety (hereafter GI-specific anxiety), an individual difference factor linked to IBS symptom severity and smoking, in terms of smoking abstinence expectancies (i.e., beliefs about the consequences of not smoking) among adults with IBS who smoke. The sample consisted of 263 adults who met criteria for IBS and endorsed smoking 5 or more cigarettes per day (52.1% female; M_age = 44.1 years, SD = 12.71). Hierarchical regression results indicated that greater GI-specific anxiety was associated with higher negative mood, somatic symptoms, and harmful and positive consequences abstinence expectancies; effects ranged from small to medium (4% unique variance for positive consequences to 15% for harmful consequences for somatic symptoms) and were evident after accounting for a wide range of covariates (e.g., depressive symptoms). Overall, the current investigation found that GI-specific anxiety was associated with negative and positive abstinence expectancies among adults with IBS who smoke. Such data are the first to identify individual differences in GI-specific anxiety for abstinence expectancies among a sample of individuals with IBS.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144002","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":"Daily patterns of loneliness and binge eating and food addiction using ecological momentary assessment.","authors":"Lilia Margaryan, Kathryn E Smith, Tyler B Mason","doi":"10.1007/s10865-025-00575-w","DOIUrl":"https://doi.org/10.1007/s10865-025-00575-w","url":null,"abstract":"<p><strong>Objective: </strong>Binge-spectrum eating disorders (BSEDs) are characterized by recurrent binge-eating episodes and have grown vastly in prevalence. Many individuals with BSEDs also report elevated food addiction (FA), which is described as a strong, irresistible urge to consume highly palatable processed food. Many studies have found individuals with BSEDs and/or FA often use food to soothe negative emotions-including loneliness, yet loneliness as a specific emotion associated with disordered eating is understudied. This study investigated trajectories of loneliness across the day and how loneliness trajectories were associated with daily binge-eating and FA symptoms using ecological momentary assessment (EMA).</p><p><strong>Methods: </strong>Adults with BSEDs and/or FA (N = 49; M_age=34.9 ± 12.1; 77.1% cisgender female) completed an 11-day EMA protocol, which assessed loneliness, binge eating, and FA. Multilevel latent growth mixture models were used to empirically derive daily loneliness trajectories and evaluate associations with binge eating and FA.</p><p><strong>Results: </strong>Six daily trajectories of loneliness were found, which differed in intercept and slope of loneliness across the day. Compared to \"stable low loneliness\" days, \"elevated early loneliness, decreasing then increasing\" and \"elevated early loneliness, decreasing\" days showed higher daily FA symptoms. There were no significant differences between trajectories on daily binge-eating symptoms.</p><p><strong>Conclusions: </strong>The results support daily loneliness, particularly days with elevated early loneliness, as a salient factor associated with elevated daily FA symptoms. Thus, interventions targeting morning loneliness should be considered for FA intervention. There were several study limitations, such as inability to make causal conclusions, moderate between-subjects sample size, and lack of clinical interview assessment.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121342","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":"Weight bias: relationships with physical activity and sedentary behaviour.","authors":"Vida Forouhar, Iyoma Y Edache, Angela S Alberga","doi":"10.1007/s10865-025-00570-1","DOIUrl":"https://doi.org/10.1007/s10865-025-00570-1","url":null,"abstract":"<p><p>The majority of Canadian adults are not meeting the recommended physical activity and sedentary behaviour guidelines. Previous studies have highlighted experiences of weight bias as a potential barrier to physical activity and an enabler of sedentary behaviours. Few studies have examined whether endorsing or internalizing weight bias is associated with these health behaviours. A secondary analysis was conducted on a sample of Canadian adults (N = 891, 52% female, mean age group = 45-54 years; mean body mass index [BMI] = 27.04 ± 6 kg/m²). Participants completed the International Physical Activity Questionnaire, the Sedentary Behaviour Questionnaire, the Modified Weight Bias Internalization Scale, and the Anti-Fat Attitudes Questionnaire (explicit weight bias). Linear regressions were conducted to determine the relationships between weight bias internalization (WBI), explicit weight bias, physical activity and sedentary behaviours. WBI predicted more weekly hours spent engaging in sedentary behaviours (F(6,897) = 14.73, p <.001, R² = 0.09) and anti-fat attitudes (AFA) predicted more weekly minutes of vigorous physical activity (F(6,891) = 5.42, p <.001, adj. R² = 0.03). WBI was not significantly associated with physical activity at any intensity. AFA was not significantly associated with sedentary behaviour, or moderate and mild physical activity. Findings suggest that some elements of weight bias may be related to certain health behaviours like sedentary behaviours and physical activity. Our results warrant further study on other factors that may play a role in the relationships between weight bias and health behaviours. Future research should include longitudinal studies and interventions that investigate the impact of weight bias on health behaviours.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081391","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}