Journal of Behavioral Medicine最新文献

{"title":"Patient health engagement as a moderator between perceived stress and treatment adherence among kidney failure patients undergoing hemodialysis: a cross-sectional analysis.","authors":"Dilara Usta, Marta Acampora, Guendalina Graffigna","doi":"10.1007/s10865-025-00591-w","DOIUrl":"10.1007/s10865-025-00591-w","url":null,"abstract":"<p><p>The present research examined the moderating effect of patient health engagement on the relationship between perceived stress and treatment adherence among patients with kidney failure undergoing hemodialysis. In this cross-sectional study, 184 patients from three hemodialysis outpatient clinics in Türkiye completed the Perceived Stress Scale, Patient Health Engagement Scale, and End-stage Renal Disease Adherence Questionnaire. Descriptive and inferential analyses preceded a moderation test using Hayes' PROCESS macro (Model 1) with age and weekly dialysis frequency as covariates. Results supported H1, showing that higher perceived stress was associated with lower adherence (b =- 25.90, SE = 6.38, p < 0.001), and in line with H2, the stress × engagement interaction was significant (b = 4.29, SE = 1.24, p = 0.001, ΔR² = 0.034), suggesting that engagement buffers the adverse impact of stress on adherence. Simple-slope analyses revealed that stress negatively predicted adherence at low (b = - 12.98, p = 0.001) and average engagement (b = - 7.09, p = 0.011), but not at high engagement (b = - 1.20, p = 0.697). These findings highlight patient health engagement as a protective resource that buffers stress-related non-adherence, suggesting that interventions to strengthen engagement may enhance adherence in hemodialysis care.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"848-859"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700125","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":"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":"745-755"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309626/pdf/","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":"OA","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":"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":"731-744"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","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":"Beyond size and structure: how social network quality influences diabetes management self-efficacy in black/African American men.","authors":"Tyler Prochnow, Meg Patterson, Jeong-Hui Park, Ledric D Sherman, Matthew Lee Smith","doi":"10.1007/s10865-025-00599-2","DOIUrl":"10.1007/s10865-025-00599-2","url":null,"abstract":"<p><p>The quality of social connections plays a vital role in chronic disease management, particularly for populations experiencing health disparities in Type 2 diabetes (T2D) outcomes. This study examined the influence of social network characteristics on diabetes management self-efficacy among Black/African American men with T2D, a population experiencing significant health disparities. Using a national sample of 1225 Black/African American men, we investigated how network composition, support patterns, and perceived health behaviors within networks relate to diabetes self-efficacy. Results revealed complex relationships between social network characteristics and self-efficacy. Having highly supportive network members emerged as the strongest positive predictor of diabetes self-efficacy (β = 0.27, p < 0.001), followed by network members' perceived engagement in healthy eating (β = 0.17, p < 0.001). Having a higher proportion of friends in one's network was positively associated with self-efficacy (β = 0.08, p =  0.005), while having a higher proportion of infrequent contacts showed a negative association (β = - 0.15, p =  0.001). Other network composition variables, including family relationships and healthcare provider presence, showed no significant associations with self-efficacy. Network structural characteristics, including size (β = - 0.01, p =  0.78) and relationship heterogeneity (β = 0.02, p =  0.49), also showed no significant associations. These findings suggest that the quality and nature of social relationships, particularly the presence of highly supportive friends and those modeling healthy behaviors, may be more important than network size or composition in promoting diabetes self-efficacy among Black/African American men. Results indicate a need for interventions that focus on fostering quality friendships and encouraging regular contact within networks, while also leveraging the positive influence of health behavior modeling among network members.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"873-883"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993971","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":"A qualitative analysis of family experiences across diabetes-specific family functioning types during a family-focused intervention for adults with type 2 diabetes.","authors":"McKenzie K Roddy, Erin M Bergner, Cynthia A Berg, Lindsay S Mayberry","doi":"10.1007/s10865-025-00594-7","DOIUrl":"10.1007/s10865-025-00594-7","url":null,"abstract":"<p><p>Numerous dimensions of family involvement are important for chronic illness management. A recently developed and validated typology of diabetes-specific family functioning organizes these dimensions into four meaningful types (Collaborative & Helpful, Critically Involved, Satisfied with Low Involvement, and Want More Involvement). These types represent patterns of associations across dimensions of family involvement and synthesize these multiple dimensions of functioning into usable categories. The current study had two primary aims: first, to use qualitative data to enhance the quantitative understanding of types; and second, to describe qualitatively participants' own experiences with their family during a 9 month family-focused intervention (and 6 month follow-up) based on their diabetes-specific family functioning type at enrollment. Adults with type 2 diabetes (T2D) who participated in Family/Friend Activation to Motivate Self-care (FAMS), a family-focused self-care support intervention, were eligible. We recruited 77 participants across types to participate in semi-structured interviews at the completion of the follow-up. We found consistencies across types and differences between types. Regardless of type, harmful family involvement was described, but adults with T2D were hesitant to label it as such. Communication about diabetes and health increased during FAMS, but topics varied across types. Adults with T2D received more support from their families across time, though preference for emotional or instrumental support varied across types. This study qualitatively validated the typology tool paving the way for future use in intervention tailoring.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"823-833"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856786","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":"Associations between self-reported and actigraphy measured sleep duration with metabolic syndrome: evidence from NHANES 2011-2014.","authors":"Isamar M Almeida, Renee Kessler, Gabrielle Murillo, Danica C Slavish","doi":"10.1007/s10865-025-00593-8","DOIUrl":"10.1007/s10865-025-00593-8","url":null,"abstract":"<p><p>We used a nationally representative dataset to examine the associations between self-reported and actigraphy-measured sleep duration and a continuous metabolic syndrome (MetS) severity score in the United States population. We analyzed cross-sectional data from the national and nutrition examination survey (NHANES) 2011-2014 cycles. Our sample included adults (≥ 20 years) with complete data on sleep, sociodemographic, and MetS-related variables (N = 3245). A composite MetS severity score (MetSSS) was created using measures of waist circumference, fasting glucose, blood pressure, HDL cholesterol, and triglycerides. Actigraphy-measured sleep duration was obtained from accelerometer data collected across 7 days. Self-reported sleep duration was obtained using a one-time single question. The association between sleep duration and MetSSS was examined using linear regression models adjusting for relevant confounders. Self-reported short sleep duration (but not long), and actigraphy-measured long sleep duration (but not short) predicted greater MetSSS (b = 0.21, p < .001 and b = 0.33, p < .001, respectively), when adjusting for sociodemographic factors (age, sex, race/ethnicity, education, income, food insecurity, and health insurance status). However, after covarying for depression, sedentary behavior, sleep disturbances, and diet, only actigraphy measured long sleep duration remained significantly associated with MetS. Both short and long sleep duration may increase the severity of metabolic syndrome. However, the association between short sleep duration and metabolic syndrome may be confounded by other variables (e.g., health behaviors, sleep quality, mood). Research and clinical implications of these results are discussed.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"799-812"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884036","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":"Positive emotional well-being and glucose control in a nationwide sample.","authors":"Yasmin Shemali, Tasneem Khambaty, Zachary Goodman, Gail Ironson","doi":"10.1007/s10865-025-00588-5","DOIUrl":"10.1007/s10865-025-00588-5","url":null,"abstract":"<p><p>To investigate the link between HbA1c, a marker of glucose control, and positive emotional well-being (PEWB). Data were from a nationwide survey (N = 1933) which included an older, chronically ill subgroup (N = 905). Two aspects of PEWB were assessed via cross-sectional regression analyses predicting HbA1c from positive affect and life satisfaction individually, controlling for demographic variables. HbA1c was analyzed via blood-spot from a finger-prick. The mediating role of health behaviors (smoking, alcohol, BMI, and moderate exercise) were also examined. Higher positive affect and life satisfaction were significantly related to lower HbA1c in the overall and older, chronically ill samples controlling for demographics, as well as health behaviors and depression. Individuals with lower positive affect and lower life satisfaction were at increased odds of having clinically elevated HbA1c (> 6.5), indicative of diabetes, in both the overall sample (OR = 1.37; and OR = 1.13) and the chronically ill, older sample (OR = 1.59; and OR = 1.14). Two health behaviors emerged as mediators in the overall sample: BMI and exercise. These findings suggest that PEWB factors such as positive affect and life satisfaction are associated with HbA1c in both the general population and older, chronically ill individuals. Health factors such as BMI and moderate exercise mediate this relationship.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"785-798"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856787","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":"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":"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":"891-899"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","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":"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":"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":"834-847"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474582/pdf/","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":"OA","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":"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":"884-890"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","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}