Journal of Behavioral Medicine最新文献

{"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":"https://doi.org/10.1007/s10865-025-00579-6","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","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":"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":"https://doi.org/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":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","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":"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":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial predictors of diabetes self-efficacy in young adults with youth-onset type 2 diabetes.","authors":"Paula M Trief, Hui Wen, Barbara J Anderson, Brian Burke, Jane Bulger, Ruth S Weinstock","doi":"10.1007/s10865-025-00554-1","DOIUrl":"10.1007/s10865-025-00554-1","url":null,"abstract":"<p><p>The aim of this study was to identify psychosocial factors associated with, and predictive of, diabetes self-efficacy (DSE) in young adults with youth-onset type 2 diabetes (T2D), a vulnerable, understudied group. In this observational, longitudinal study (T1 = baseline, T2 = 1 year later), 348 participants in the TODAY2 multi-center study of youth-onset T2D, completed valid measures of: diabetes self-efficacy, beliefs about medicines, depression and anxiety symptoms, diabetes distress, attitudes, self-management support, and need insecurities. Multivariable logistic regression models evaluated independent associations of each psychosocial factor with the likelihood of being in the high/low DSE tertile groups. Multivariable linear regression models assessed associations with DSE as a continuous variable. Participants' mean age was 26 years, 67.9% were women, mean diabetes duration was 12.4 years, with mean of 2.5 diabetes-related complications. Greater self-care support increased the odds of high DSE at T2. Beliefs that medicines are overused, moderate-to-severe depressive or anxiety symptoms, and unmet material needs, decreased the odds of high DSE at T2. More support, fewer depressive and anxiety symptoms, and fewer unmet material needs at T1 predicted T2 DSE scores. Cognitions (beliefs that medicines are overused), emotions (depressive/anxiety symptoms), and social factors (self-management support, unmet material needs), were significant longitudinal predictors of DSE in young adults with youth-onset T2D. These potentially modifiable factors should be considered when screening for, and designing, interventions to enhance DSE, to improve health behaviors and forestall the development of complications in this at-risk group.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"500-512"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558446","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 role of the working alliance in improving outcomes among veterans with Gulf War Illness: a longitudinal study.","authors":"Anna M Gentile, Caroline O Rogers, Laura M Lesnewich, Shou-En Lu, Wilfred R Pigeon, Drew A Helmer, Lisa M McAndrew","doi":"10.1007/s10865-024-00540-z","DOIUrl":"10.1007/s10865-024-00540-z","url":null,"abstract":"<p><p>Military Veterans with Gulf War Illness (GWI), a \"medically unexplained\" persistent physical syndrome (PPS), have difficult experiences of care, in part, due to non-concordant relationships with their healthcare providers. A critical factor in improving care for this population may be the working alliance, which is the extent to which patients and providers agree on the goals and tasks of treatment and have a shared bond. The present study examined if, for Veterans with GWI, perceptions of the working alliance over time predicted better experiences of care (i.e., patient satisfaction and treatment adherence) and improved health outcomes (i.e., reduced disability, depression symptoms, and physical symptoms). Positive Veteran perceptions of the working alliance at 4 weeks were related to better patient satisfaction and treatment adherence at 12 weeks. Veteran perceptions of the working alliance were not consistently related to reductions in disability, depression symptoms, or physical symptoms. The results of this study suggest that the working alliance is important for improving patient experiences of care but may not be sufficient to consistently impact health outcomes.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"478-487"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between sleep health and familial social support, intragroup marginalization, and conflict among Hispanic adults.","authors":"Miguel A Garcia, Ashley M Lindquist, Joshua I Torres, Anna D Drozdova, Theodore V Cooper","doi":"10.1007/s10865-025-00563-0","DOIUrl":"10.1007/s10865-025-00563-0","url":null,"abstract":"<p><p>Sleep is vital for health and well-being, and familial relationships may impact sleep health. This study investigated the associations between sleep health and familial social support, familial intragroup marginalization, familial conflict, and living environment (i.e., living with parent(s) or legal guardian(s)) among Hispanic adults. Hispanic adult college students (n = 455) completed a survey assessing demographics, sleep quality, and familial social support, intragroup marginalization, and conflict. One hierarchical multiple linear regression model assessed the associations between these familial factors, living environment, and sleep quality. Results indicated that poorer sleep quality was associated with greater familial conflict in the full hierarchical regression model (i.e., Step 6). In Step 2 though, poorer sleep quality was inversely associated with familial social support, yet this association disappeared once familial intragroup marginalization was entered. Post-hoc mediation analysis revealed that familial social support was inversely indirectly associated with sleep quality through familial intragroup marginalization and conflict serially. Living environment did not moderate any relationships between familial factors and sleep quality. That familial social support was initially associated with enhanced sleep quality until familial intragroup marginalization was considered suggests that familial negativity may have a greater impact on sleep health than familial social support. Further, familial social support may influence sleep quality through familial negativity. Familial conflict may be particularly detrimental for sleep health. Clinical implications are discussed. Longitudinal studies are warranted to assess temporality.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"544-551"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626593","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 effect of attribute framing on beliefs and attitudes toward branded and generic medications.","authors":"Emily K Spotts, Kelly S Clemens, Kate Faasse, Andrew L Geers","doi":"10.1007/s10865-025-00562-1","DOIUrl":"10.1007/s10865-025-00562-1","url":null,"abstract":"<p><p>Generic medications are developed to match brand-name medications in terms of active ingredients, quality, safety, and strength. Because generic medications cost less than their brand-name counterparts, they present an opportunity to reduce financial burden for patients and social institutions. Studies show, however, that patients often possess negative beliefs and evaluations of generic medications, thereby undermining use and effectiveness. In two pre-registered online experiments with community adults (Total N = 750), we tested the effect of attribute framing on attitudes, attitude certainty, and effectiveness beliefs regarding generic and brand-name medications. In both experiments, framing (positive vs. negative) and brand status (generic vs. brand name) of an allergy medication were manipulated in a 2 × 2 between-participant design. The results of both experiments produced strong effects of the framing and brand status manipulations. Specifically, allergy medicines were rated more favorably with a positive frame as compared to a negative frame. Also, branded allergy medicines were rated more positively than generic allergy medicines. In contrast with the pre-registered hypotheses, the two manipulated variables did not reliably interact to predict outcomes. These results held constant across multiple sets of stimuli and dependent measures. The findings support the position that positive framing can be employed to improve positive evaluations and effectiveness beliefs for both over-the-counter generic and branded medications.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"523-535"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626594","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":"Racialized economic segregation and youth firearm carriage: community violence as a mediator.","authors":"Daniel B Lee, Zainab Hans, Samantha L Aprill, Philip Stallworth, Marc A Zimmerman, Maureen A Walton, Patrick M Carter","doi":"10.1007/s10865-025-00564-z","DOIUrl":"10.1007/s10865-025-00564-z","url":null,"abstract":"<p><p>Firearm carriage poses a significant public health challenge, especially for youth (ages 14-24) living in predominantly Black communities that endured racial and economic segregation. Structural racism is a determinant of fatal and nonfatal firearm assaults, but the influence of structural racism on youth firearm carriage has received limited attention. Our study examines whether community violence exposure mediates the association between racialized economic segregation and youth firearm carriage. We analyzed data among 599 youths who sought emergency care and reported drug use within the past six months. Our mediation analysis revealed that increased racialized economic segregation was associated with higher perceived community violence. In turn, a heightened perception of community violence was associated with youth firearm carriage. Our findings advocate for upstream interventions that address the systemic marginalization of Black communities from economic isolation to mitigate community violence and, ultimately, reduce risk for youth firearm carriage.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"513-522"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597941","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":"Self-control, food choices, and affective well-being in daily life: an experience sampling study.","authors":"Patrycja Sleboda, Michael Sobolev, Frederick Muench, Sarah-Jeanne Salvy, Geetanjali D Datta","doi":"10.1007/s10865-025-00549-y","DOIUrl":"10.1007/s10865-025-00549-y","url":null,"abstract":"<p><p>Food-related decisions are one of the most frequently subject to self-control failure and play a significant role in regulating mood and emotions. Failure to exercise self-control itself is associated with negative outcomes, including poor mental health and happiness. As such, prior research examined the link between food related lack of self-control as a personality trait or experiences of loss of control in food choices with emotional states, general affect and mood, referred to as affective well-being. However, these studies often focused on either trait or state self-control. This study examines how individual differences in eating-related lack of self-control and daily experiences of loss control in food choices are jointly related to affective well-being, captured daily as feelings and dimensional affect. In a 21-day study among a non-clinical sample of adults (N = 97), baseline individual differences in lack of self-control over eating was positively associated with the proportion of days participants reported experiencing loss of self-control in food choices. These individual differences in lack of self-control were positively associated with daily feeling of distraction, boredom, shame, tiredness, loneliness, aimlessness, and negatively associated with positive affect averaged across 21-days. Daily experiences of loss of self-control in food choices were associated with feeling more distracted, ashamed, tired, and experiencing less positive affect on the next day. This study provides preliminary evidence of the complementary associations of trait self-control, daily experiences of loss of control around food selection and affective well-being in daily life.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"430-441"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459906","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":"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}