Journal of Behavioral Medicine最新文献

{"title":"Social determinants of health associated with initiation of evidence-based psychotherapy for posttraumatic stress disorder in a national sample of veterans.","authors":"Rachel M Ranney, Ryan Holliday, Nicholas Holder, Paul A Bernhard, Dawne Vogt, John R Blosnich, Fatema Akhtar, Beth E Cohen, Aaron I Schneiderman, Shira Maguen","doi":"10.1007/s10865-026-00650-w","DOIUrl":"10.1007/s10865-026-00650-w","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"860-869"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500304","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":"Military veterans and behavioral medicine: introduction to the special issue.","authors":"M Bryant Howren, Mark W Vander Weg","doi":"10.1007/s10865-026-00706-x","DOIUrl":"10.1007/s10865-026-00706-x","url":null,"abstract":"<p><p>This special issue of the Journal of Behavioral Medicine highlights emerging research at the intersection of military veteran populations and behavioral medicine. Military service, while associated with numerous strengths and opportunities for growth, also exposes service members and veterans to a range of unique psychological, behavioral, social, and physical health challenges across the life course. Veterans may experience elevated rates of a variety of mental and behavioral health conditions, including posttraumatic stress disorder, chronic pain, sleep disturbances, substance use disorders, and suicide risk, as well as higher rates of common chronic health conditions such as asthma, cancer, chronic obstructive pulmonary disease, diabetes mellitus, and rheumatoid arthritis. The twenty articles included in this issue encompass empirical investigations, qualitative studies, intervention trials, systematic reviews, implementation studies, and expert consensus work involving diverse veteran populations and health care settings. Major themes include mental and behavioral health, suicide prevention, chronic illness self-management, chronic pain, telehealth and digital therapeutics, peer support, implementation science, and the transition from military to civilian life. Collectively, these contributions underscore the importance of addressing social and structural determinants of health, expanding access to evidence-based interventions, and leveraging innovative models of care to improve health outcomes among veterans and their families.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"749-753"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983924","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":"Reducing sleep medication via parallel delivery of clinical pharmacist-led deprescribing and clinician-supervised asynchronous CBT for insomnia: the SEDATIVE trial.","authors":"Adam D Bramoweth, Caroline E Hough, James J Lickel, Brittany L Spitznogle, Amanda D McQuillan, Jennifer L McCoy, Monique Y Boudreaux-Kelly, Megan E Hamm, Carolyn T Thorpe, Anne Germain","doi":"10.1007/s10865-026-00671-5","DOIUrl":"10.1007/s10865-026-00671-5","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"918-928"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785926","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":"Young adult veterans' readjustment patterns following military discharge: predictors and implications for early intervention.","authors":"Shelby Borowski, Shaina A Kumar, Eric D Caine, Elizabeth Karras, Stephanie Gamble, Dawne Vogt","doi":"10.1007/s10865-026-00657-3","DOIUrl":"10.1007/s10865-026-00657-3","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"821-832"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647040","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":"Gender, headache frequency, and headache intensity predict psychosocial functioning and quality of life in a sample of United States combat veterans.","authors":"Marcus G Wild, Emma Harris, Luke W Hammett, Alison Krauss, Corina Mendoza, Matthew S Herbert, Suzannah K Creech","doi":"10.1007/s10865-026-00655-5","DOIUrl":"10.1007/s10865-026-00655-5","url":null,"abstract":"<p><p>Headache disorders are common among United States (U.S.) military veterans, particularly women veterans, likely due to frequent exposure to stresses and injury. Headaches are often comorbid with psychopathology which can negatively impact quality of life and functioning. Yet there is limited evidence on the impact of headaches on quality of life. The purpose of this study was to investigate the associations among gender, headache frequency, headache intensity, and quality of life in combat-exposed U.S. veterans. Participants (n = 345, 68.3% male, 19.7% Hispanic/Latino, 33.5% Black/African American, average age = 38.46 years [SD = 9.73]) completed a baseline and one-year follow up where they self-reported headache frequency (number of days per week), headache intensity (0-10), combat exposure, quality of life, functional disability, and pain-related disability. Bayesian zero-one-inflated beta regression was used to assess prediction of quality of life, pain-related disability, and functional disability at one year follow-up by age, gender, education, headache frequency, headache intensity, and combat exposure reported at baseline. Both headache frequency and intensity predicted greater functional disability and pain-related disability at follow-up, while headache intensity alone predicted worse quality of life. Women veterans experienced greater functional disability and lower quality of life compared to men veterans. These findings suggest that headaches may lead to functional disability, pain-related disability, and lower quality of life, particularly among women veterans. Interventions for headache may have differential impact on quality of life and functional disability if focused on reducing intensity versus frequency of headache and across gender identity.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"870-879"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500245","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":"Relational demand in the chronic pain experience of women veterans: a mixed methods analysis.","authors":"Mary A Driscoll, Jenna L Adamowicz, Marissa L Donahue, Eugenia Buta, Kimberly Selander, Katherine Hadlandsmyth, Robert D Kerns, Sally Haskell, Alicia A Heapy","doi":"10.1007/s10865-026-00669-z","DOIUrl":"10.1007/s10865-026-00669-z","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"764-778"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785922","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":"Problem-solving therapy for suicide prevention outcomes in the VA's suicide prevention 2.0 clinical telehealth program.","authors":"Jessica A Walker, Julie Lutz, Lisanne van Engelen, Sherry A Beaudreau, Kelly L Green, Viviana Padilla-Martinez, Gregory K Brown, Angelic D Chaison, Jennifer F George, Kathleen N Rekart, Shannon Sisco, Julie Loebach Wetherell, Nicole Bekman, Rani Hoff, Meaghan Stacy","doi":"10.1007/s10865-026-00651-9","DOIUrl":"10.1007/s10865-026-00651-9","url":null,"abstract":"<p><p>U.S. Veterans are at elevated risk for suicide, and suicide prevention is a top clinical priority of the Department of Veterans Affairs (VA). Problem-Solving Therapy for Suicide Prevention (PST-SP) is an evidence-based practice offered in the VA's national Suicide Prevention (SP 2.0) Clinical Telehealth Program, through a fully virtual model. This paper presents clinical outcomes from this program. PST-SP was delivered to 3754 VA-enrolled Veterans with suicidal self-directed violent behaviors in the past year, and 2269 completed a full course of PST-SP. Veterans completed a median of 7 and mode of 6 sessions of PST-SP. Suicide-related coping, suicide-relevant cognitions, negative problem-solving beliefs, and depressive symptoms significantly improved throughout treatment. Results indicated that providing PST-SP treatment via telehealth is feasible and acceptable to Veterans enrolled in VA with a recent history of suicidal self-directed violence behaviors. Veterans demonstrated clinical improvement in suicide and mental health-related outcomes with PST-SP treatment.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"929-940"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785870","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":"Examining the protective effect of motherhood status on alcohol use: comparing outcomes of US Army Reserve and National Guard Soldiers and Civilian Women.","authors":"Malaiikha N McCormick-Cisse, D Lynn Homish, Gregory G Homish","doi":"10.1007/s10865-026-00679-x","DOIUrl":"10.1007/s10865-026-00679-x","url":null,"abstract":"<p><p>Women are the fastest-growing demographic in the United States military and face increased risks for alcohol-related problems. Motherhood often protects against alcohol misuse in civilian populations; however, it is not known if the demands of multiple, competing intersecting roles of reserve soldiers can complicate this. We hypothesize that civilian mothers will endorse fewer alcohol problems than non-mothers, but that this protective effect will not extend to women in military roles. Data are drawn from women (N = 411) in Operation: SAFETY (Soldiers and Families Excelling Through the Years). The Alcohol Use Disorder Identification Test (AUDIT) was used to assess alcohol use (AUDIT Total, AUDIT ≥ 8, Consumption, Dependence, Alcohol-Related Harm), the Patient Health Questionnaire assessed depression, and the PTSD-Checklist for DSM-5 assessed PTSD. T-test and chi-square tests compared potential covariates. Logistic and negative binomial regressions examined alcohol use outcomes based on maternal status for civilian and military women separately. Adjusted models controlled for mothers' age, education, depression, and PTSD symptoms. Motherhood status significantly influenced alcohol use outcomes. Compared to non-mothers, civilian mothers reported significantly fewer alcohol-related problems in all unadjusted and adjusted models (ps < 0.05). However, among women in USAR/NG roles, there was no significant difference in any alcohol use outcome by maternal status. Motherhood status was associated with lower risk alcohol use among civilian women. However, this protective relationship was not observed among women in USAR/NG roles. Subsequent research is needed to help better understand the alcohol use of military mothers.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"891-901"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057561","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":"Veterans' views on alcohol use and experience of alcohol withdrawal syndrome treatment and subsequent alcohol use disorder care at two highly rural-serving VA hospitals: a qualitative study.","authors":"Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C Willey","doi":"10.1007/s10865-026-00687-x","DOIUrl":"10.1007/s10865-026-00687-x","url":null,"abstract":"<p><p>Alcohol use disorder (AUD) is a significant cause of morbidity that disproportionately affects veterans and rural-serving hospitals. As part of a larger quality improvement project to improve care for veterans with AUD admitted to rural-serving Veterans Affairs (VA) hospitals, we conducted a qualitative study using a phenomenological research approach to incorporate the veteran perspective. Participants were n = 16 veterans with AUD and recent admissions to two highly rural-serving hospitals. Veteran views and experience were elicited by conducting 30-60 min sessions of semi-structured interviews and assessed using thematic content analysis. Two themes relating to participants' views on alcohol use were identified: perceived unmet need, resulting in the use of alcohol to treat pain and cope with trauma and co-occurring mental health symptoms, often related to military service, and factors influencing hospital admission and need for additional treatment services. Themes relating to participants' experience of AWS treatment and subsequent AUD care were identified and divided into barriers and facilitators. Barriers included: limited, uneven distribution of hospitals; perceived premature discharge from inpatient AWS treatment; perceived discriminatory treatment and stigma about AUD; and a shortage of VA residential rehabilitation treatment programs. Veterans' geographic location and the uneven distribution of RRTPs within large catchment areas restricted access and increased travel burden. Preference and excess demand for VA RRTPs and limited service capacity contributed to long wait times. Facilitators included clinician support and spousal/family and veteran/peer support. Our findings suggest that a non-judgmental treatment environment and improved access to specialized services are essential to receiving effective AUD treatment, particularly for veterans in rural areas who have been repeatedly admitted for AWS. The VA should examine options to reduce stigma, align treatment with patient goals, leverage peer-led programs, and promote comprehensive care that addresses co-occurring conditions and underlying causes of alcohol misuse.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"902-917"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424615","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":"Guidance for simultaneous treatment of chronic pain and PTSD: a Delphi study.","authors":"Belle Zaccari, Steffany Moonaz, Summer Newell, Tiona Wu, Miles Evanisko, Travis I Lovejoy","doi":"10.1007/s10865-026-00654-6","DOIUrl":"10.1007/s10865-026-00654-6","url":null,"abstract":"<p><p>Despite the high co-prevalence of chronic pain and PTSD (CP + PTSD) among Veterans, there are no established guidelines for simultaneous treatment. This Delphi study provides guidance on simultaneous treatment for CP + PTSD. We used snowball sampling to recruit experts in CP + PTSD from nationwide VA facilities to participate in qualitative interviews and four rounds of a Delphi survey. The initial list of experts was compiled based on our previous work. Qualitative interviews were recorded, transcribed, and analyzed using the Framework Method. This approach identified Delphi survey items for quantitative rating. Individual items were rated using a Likert scale and items not reaching consensus were forwarded to subsequent rounds. A priori termination criteria determined the completion of Delphi survey rounds. Twenty-three experts from 13 VA facilities completed interviews and 15 (65%) completed four rounds of the Delphi survey. Interviews yielded 5 domains (61 items) for the first consensus-building survey round. Feedback from rounds 1 and 2 resulted in an additional 10 items. Of the 71 items, a priori group consensus for a final item list was reached on 48 items. Expert consensus identified guidance (Main Considerations, Key Intervention Components, Care Delivery Options, Facilitators, and Barriers) for the simultaneous treatment of CP + PTSD within the VA healthcare system. Future research that reports on the application of this guidance will facilitate improvements in healthcare and advance the field of integrative care for common comorbidities.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"791-803"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482006","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}