Journal of Behavioral Medicine最新文献

{"title":"Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States combat veterans.","authors":"Marcus G Wild, Corina Mendoza, Matthew S Herbert, Suzannah K Creech","doi":"10.1007/s10865-026-00684-0","DOIUrl":"10.1007/s10865-026-00684-0","url":null,"abstract":"<p><p>U.S. veterans experience chronic pain and physical and emotional stressors at a high rate. To inform intervention targets for chronic pain it is vital to understand the longitudinal associations of protective factors (e.g., distress tolerance and social support) with pain-related functioning among this population. This study assessed the longitudinal associations among distress tolerance (physical and emotional), social support, pain intensity, and pain-related disability in a sample of 345 U.S. post-9/11 combat veterans. Baseline and one-year follow-up assessments of self-reported pain intensity (numeric rating scale), pain-related disability (Pain Disability Inventory), physical and emotional distress tolerance (Distress Tolerance Inventory), pre- and post-deployment social support (Deployment Risk and Resilience Inventory), age, and education (in years) were collected (68.3% male, average age = 38.94 years [SD = 9.83]). Bayesian linear regression was used to predict pain intensity and pain-related disability at one year by age, education, pain intensity, social support, and physical and emotional distress tolerance reported at baseline. Results indicated baseline pain intensity, emotional (but not physical) distress tolerance, post-deployment social support, and age predicted follow-up pain-related disability (total R² = 0.30, 95% CI: 0.21-0.39), while follow-up pain intensity was associated with baseline emotional distress tolerance only (R² = 0.10, 95% CI: 0.05-0.16). These results suggest that emotional distress tolerance may be a promising target for intervention for both pain intensity and pain-related disability. Further, pain-related disability is impacted by a broader range of factors, including social support, and may therefore require a greater array of interventions than pain intensity.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"754-763"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring needs and perceptions about telemental healthcare among Veterans with spinal cord injuries, a qualitative study.","authors":"Hilary N Touchett, Kelley Arredondo, Brenda Salgado, Trenton M Haltom, Stephanie C Day, Andreas Weyland, Larissa Grigoryan, Jan Lindsay, Drew A Helmer, Felicia Skelton","doi":"10.1007/s10865-026-00668-0","DOIUrl":"10.1007/s10865-026-00668-0","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"951-964"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730430","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":"Exploring dyspnea-related anxiety and physical activity in U.S. veterans with chronic obstructive pulmonary disease.","authors":"Brent R Schell, Marilyn L Moy, Jennifer Moye, Amy K Silberbogen, Grace A Rose, Patricia M Bamonti","doi":"10.1007/s10865-026-00660-8","DOIUrl":"10.1007/s10865-026-00660-8","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) occurs in 8-19% of United States (U.S.) Veterans and is a leading cause of morbidity and mortality. Dyspnea, the main symptom of COPD, has been linked to both activity restriction and psychological symptoms, such as dyspnea-related anxiety (e.g., fear of dyspnea or fear of dyspnea-inducing activities). To date, however, associations between dyspnea-related anxiety symptoms, dyspnea severity, and objectively measured PA have not been explored in one model. In the current study, we tested a cross-sectional mediation model in which dyspnea severity mediates the association between dyspnea-related anxiety and PA. We hypothesized that higher levels of dyspnea-related anxiety would be associated with lower PA, and that dyspnea severity would partially or fully mediate this relationship. We performed cross-sectional analyses (correlation and simple mediation) of data collected from U.S. Veterans with COPD who were enrolled in a mixed-methods study within the VA Boston Healthcare System. Participants completed self-report measures of dyspnea-related anxiety (Breathlessness Beliefs Questionnaire) and dyspnea severity (University of California, San Diego Shortness of Breath Questionnaire). Physical activity was measured with accelerometer-derived step counts averaged over 14 +/- 1 days (ActiGraph wGT3X-BT). The mediation model was conducted using the SPSS macro for Hayes PROCESS Model 4. Complete data were available for 48/50 (96%) of enrolled participants. Six participants (12%) were excluded from analysis because their average daily step count exceeded the threshold for being active (≥ 10,000 steps/day). Forty-two Veterans were included in the analysis (88% White, 93% male) with a mean age of 69 +/- 6 years, mean forced expiratory volume in 1 s 67 +/- 21% predicted, and mean daily step count of 4,635 +/- 2,115 steps. Simple mediation analysis demonstrated a significant indirect effect of dyspnea-related anxiety on PA through dyspnea severity (point estimate = -0.26, 95% CI = [-0.43, -0.11]). After accounting for indirect effects, there was no significant main effect of dyspnea-related anxiety on PA (B = -27.62, p = .44), suggesting dyspnea levels completely mediated the relationship between dyspnea-related anxiety and PA. Greater dyspnea-related anxiety is associated with lower PA in U.S. Veterans with COPD, and this relationship may be influenced by Veterans' perception of dyspneic symptoms. Larger, longitudinal studies are needed to disentangle timing and direction of effects. Identifying subgroups of Veterans with COPD with elevated dyspnea-related anxiety may inform personalized exercise and behavioral interventions to improve dyspnea and PA.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"880-890"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634841","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":"Chronic pain and type 2 diabetes: associations between neuropathic and nociplastic pain conditions, health behaviors, and mental health in veterans.","authors":"Jennalee S Wooldridge, Armand Gerstenberger, Jessica L Morse, Marianna Gasperi","doi":"10.1007/s10865-026-00652-8","DOIUrl":"10.1007/s10865-026-00652-8","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"779-790"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533717","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":"Peer Support for Whole Health: R esults from a mixed methods two phase pilot study.","authors":"Emily M Johnson, Kyle Possemato, Gala True, E Jennifer Edelman, Michael Wade, Robyn Sedotto, Stephen A Maisto, Matthew Chinman","doi":"10.1007/s10865-026-00656-4","DOIUrl":"10.1007/s10865-026-00656-4","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"804-815"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647004","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 intuitive eating and health behaviors and physical health in U.S. adults.","authors":"C Blair Burnette, Katelyn M Tessier, Kellsey N Launius, Emma Crumby, Wesley R Barnhart, Samantha L Hahn","doi":"10.1007/s10865-026-00712-z","DOIUrl":"https://doi.org/10.1007/s10865-026-00712-z","url":null,"abstract":"<p><p>Intuitive eating is a non-diet approach that emphasizes eating in response to hunger and fullness cues that has potential as a sustainable health promotion framework. Although research demonstrates that intuitive eating is strongly associated with psychological health, less is known about its associations with health behaviors and physical health. We examined how intuitive eating related to lifestyle behaviors and chronic disease diagnosis in a large, diverse U.S. adult sample. Adults aged ≥ 18 years residing in the U.S. were recruited from CloudResearch's Connect platform to complete a cross-sectional online survey on self-reported stress, health behaviors, and current or previous chronic health conditions. Regression models adjusting for age, sex, and race/ethnicity were conducted. Our sample (N = 1057; M_age = 36 ± 11 years) was 52% female and diverse across race/ethnicity (13% Asian/Hawaiian/Pacific Islander, 21% Black, 18% Latine, 58% White) and socioeconomic status (e.g., 30% food insecure). Higher intuitive eating scores were associated with greater physical activity (p = .01), more sleep (p < .001), and self-reported health (p < .001) and lower self-reported stress (p < .001). Intuitive eating was not significantly associated with fruit/vegetable intake or substance use. However, it was associated with lower odds of current or previous hypertension (p < .001), hyperlipidemia (p < .001), and type 2 diabetes (p = .01), with small to moderate effects. Findings suggest that intuitive eating is not only associated with psychological health, but also health-promoting behaviors and reduced odds of cardiometabolic conditions. Although longitudinal and intervention studies are needed, results highlight intuitive eating as a promising framework for chronic disease prevention and health promotion.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031671","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":"Perceived social support and antenatal blood pressure in pregnant women at risk for hypertensive disorders.","authors":"Sasha Aronson, Elena Salmoirago-Blotcher, Ghada Bourjeily, Nina K Ayala, Nicole R Nugent, Amanda N Desmarattes, Margaret H Bublitz","doi":"10.1007/s10865-026-00713-y","DOIUrl":"https://doi.org/10.1007/s10865-026-00713-y","url":null,"abstract":"<p><p>Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal and morbidity and mortality. Social support has been linked to improved cardiovascular health but its relationship to maternal blood pressure (BP) remains unexplored. We sought to assess the relationship between social support and ambulatory BP among pregnant individuals at risk for HDP. Participants were 150 pregnant people < 20 weeks' gestation and at-risk for HDP who completed the Prenatal Social Support Instrument - Revised and underwent 24-h ambulatory BP monitoring. Linear regression analyses examined associations between social support and BP. Higher satisfaction with overall social support was associated with lower 24-h DBP (B = -0.33, p = 0.001), daytime SBP (B = -0.24, p = 0.02), daytime DBP (B = -0.40, p < 0.001), and nighttime DBP (B = -0.26, p = 0.02). Greater social support may be related to lower antenatal BP in pregnant individuals at risk for HDP. Psychosocial interventions to promote cardiovascular health in pregnancy may be warranted.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031686","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 social cues: the normative influence of social referents on COVID-19 vaccine compliance among Latino day laborers.","authors":"Nanjun Chen, Karen Del Rio, Vahed Maroufy, Maria Eugenia Fernández-Esquer","doi":"10.1007/s10865-026-00709-8","DOIUrl":"https://doi.org/10.1007/s10865-026-00709-8","url":null,"abstract":"<p><p>Pandemic uncertainty led Latino day laborers (jornaleros) to rely on their close networks for direction. Social-norms research distinguishes descriptive norms (what trusted others do), injunctive norms (what they say one should do), and normative beliefs (how much they care about compliance); yet the relative weight of family, friends, coworkers, and neighbors in shaping vaccine choices remains unknown. To compare the influence of descriptive and injunctive norms from each referent group on COVID-19 vaccination among Latino day laborers in Houston, Texas. Two cross-sectional surveys (Phase 1 N = 199; Phase 2 N = 359) were conducted at 14 hiring corners in 2021-2023. Three distinct multivariable logistic regression models were constructed to assess the associations between vaccination compliance status and (1) individual norm items, (2) overall norm scores across referents, and (3) referent-specific norm scores, adjusting for demographic characteristics. In Phase 1, family descriptive norms were significantly associated with vaccination compliance (aOR = 1.976, 95% CI [1.297-3.011], p = 0.002). Additionally, the cumulative descriptive norm score across referents was significantly associated with vaccine compliance (aOR = 2.443, 95% CI [1.213, 4.918], p = 0.012). In Phase 2, the cumulative normative beliefs score across referents was significantly associated with vaccination compliance (aOR = 1.347, 95% CI [1.004, 1.807], p = 0.047). A subsequent referent-specific analysis confirmed this effect was driven exclusively by family norms (aOR = 1.677, 95% CI [1.141, 2.466], p = 0.009). In the absence of clear institutional guidance, family remained the decisive normative referent for jornaleros, surpassing physically co-present referents such as coworkers and fellow day laborers, even when family members were likely geographically distant or located outside the United States. Interventions must leverage these kin-based norms, and sustained funding is critical to expand culturally grounded research and strengthen the Latino public-health workforce. Identify how distinct social referent groups influence vaccination behavior among Latino day laborers and assess how family-centered norms can inform and potentially transform future public health interventions.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983950","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":"Dimensions of early life adversity and accelerated biological aging in adolescents: an examination of fear-related mechanisms.","authors":"Leah Cha, Craig K Enders, Shiloh Cleveland, Katie A McLaughlin, Jennifer A Sumner","doi":"10.1007/s10865-026-00708-9","DOIUrl":"10.1007/s10865-026-00708-9","url":null,"abstract":"<p><p>Early life adversity (ELA), characterized by threat (experiences involving threat of harm), and not deprivation (absence of expected environmental inputs), has been associated with accelerated biological aging in youth. Although understanding of underlying processes is limited, heightened fear responding is a candidate. In 168 youth, we tested whether threat- and deprivation-related ELA were associated with fear responses across multiple levels of analysis and whether fear responses explained links of threat with accelerated biological aging (advanced pubertal stage and epigenetic age). Youth and caregivers reported on youths' lifetime ELA experiences to compute threat and deprivation composites. Youth reported their pubertal maturation and provided saliva samples for epigenetic age estimation. Fear responses (indexed by skin conductance response [SCR], self-reported fear, and amygdala activation) were collected during a fear conditioning and extinction task (SCR, self-reported fear) and emotional stimulus viewing task (amygdala activation). Multilevel models revealed that greater threat was associated with impaired discrimination between danger and safety cues during conditioning based on self-report and during early extinction based on SCR. Greater deprivation related to enhanced danger-safety discrimination during late conditioning based on SCR. Additionally, only threat was associated with greater left amygdala activation to negative (vs. neutral) stimuli. No evidence of indirect effects was found linking threat with accelerated biological aging. Results suggest that threat-related ELA may correspond to heightened neural sensitivity to danger and reduced danger-safety discrimination, whereas deprivation-related ELA may enhance learning of danger vs. safety cues. Findings indicate potential differential associations between threat- and deprivation-related ELA and fear-related processes.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921438","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":"Maladaptive coping strategies mediate the relationship between perceived differential treatment and sleep health among women.","authors":"Rupsha Singh, Symielle A Gaston, Dale P Sandler, Chandra L Jackson","doi":"10.1007/s10865-026-00710-1","DOIUrl":"10.1007/s10865-026-00710-1","url":null,"abstract":"<p><p>To investigate whether associations between perceived differential treatment based on race-ethnicity and sleep are mediated by coping strategies. We used data from the nationwide Sister Study. In 2008-2012, participants self-reported perceived lifetime differential treatment and completed adapted Coping Orientation to Problems Experienced Inventory (COPE)/Brief COPE questionnaires which assessed healthy/adaptive (e.g., using emotional support) and maladaptive (e.g., self-blame) coping. Sleep duration, poor sleep quality, and insomnia symptoms were self-reported in 2017-2019. Adjusting for sociodemographic and health characteristics, mediation analysis was performed using the Hayes PROCESS macro. Among 31,443 eligible women (mean ± SD age 55.5 ± 8.6 years), the prevalence of everyday (79% among non-Hispanic [NH]-Black, 30% Latina, and 4% NH-White participants) and major (57% NH-Black, 14% Latina, and 2% NH-White) perceived differential treatment varied by race-ethnicity. Among NH-Black women, only maladaptive coping mediated associations between everyday differential treatment and poor sleep quality (indirect effect b = 0.01, 95% confidence interval [CI] = 0.00, 0.03) and insomnia symptoms (indirect effect b = 0.04, 95% CI = 0.01, 0.07). Neither adaptive nor maladaptive coping mediated (1) associations with major differential treatment among NH-Black women nor (2) associations with differential treatment among Latina women. Among NH-White women, maladaptive coping mediated associations between both everyday and major differential treatment and both poor sleep quality and insomnia symptoms. Associations between everyday differential treatment based on race-ethnicity and insomnia symptoms along with poor sleep quality were stronger among women who reported maladaptive, but not healthy/adaptive, coping strategies. Interventions that address maladaptive coping may mitigate the impact of perceived differential treatment on sleep disturbances.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907780","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}