Journal of Behavioral Medicine最新文献

{"title":"Moderators and short and long-term effects of a behavioral intervention on sedentary behavior among adults with depressive symptoms: results from a randomized clinical trial.","authors":"Cecília Bertuol, Gregore Iven Mielke, Deborah Kazimoto Alves, Anne Ribeiro Streb, Marcelo Baggio do Amaral, Marcus Vinicius Veber Lopes, Kelly Samara da Silva, Giovani Firpo Del Duca","doi":"10.1007/s10865-026-00636-8","DOIUrl":"10.1007/s10865-026-00636-8","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"571-587"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718511","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":"Mechanisms of maladaptive eating behavior among individuals with obesity and pain: exploring rumination.","authors":"Lindsay M Bevers, Andrew H Rogers, Michael J Zvolensky, Brooke Y Redmond","doi":"10.1007/s10865-026-00680-4","DOIUrl":"10.1007/s10865-026-00680-4","url":null,"abstract":"<p><p>Upwards of 40% of adults in the United States (US) meet criteria for obesity, highlighting obesity as a critical, ongoing public health crisis. Pain affects 33-40% of individuals with obesity, contributing to increased distress and added burden which necessitates a higher degree of coping resources. Individuals with obesity often manage distress through maladaptive eating behaviors, yet it is unclear what mechanisms may contribute to these individual differences in eating behaviors. One mechanism that is relevant to both obesity and pain is rumination, an aspect of repetitive negative thinking that is focused on past negative thoughts or problems and can influence behavioral responses. However, the role of rumination in terms of eating behavior among adults with obesity and pain is unexplored. The present study examined the role of rumination, including its sub-facets (brooding and reflection) in relation to emotional, external, and restrained eating behavior and related cognitions among individuals with comorbid obesity and pain. Participants were 137 adults with comorbid obesity and pain (M_age = 31.96 years, SD = 10.82, age range 18-75 years; 62.0% female). Results indicated that rumination was statistically significantly associated with emotional and external eating, such that higher levels of rumination were related to increased engagement in these specific eating behaviors and related cognitions. These findings indicate that rumination, and ruminative brooding specifically, may serve as a modifiable, clinically actionable mechanism, highlighting a novel opportunity to improve outcomes for maladaptive eating in individuals with comorbid obesity and pain.Trial Registration Number: NCT03917901. Registered 13 April 2019.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"695-705"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044296","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":"Problems in emotional control and dyadic coping in adults with type 1 diabetes.","authors":"Benjamin C Creer, Cynthia A Berg, Vicki S Helgeson","doi":"10.1007/s10865-026-00639-5","DOIUrl":"10.1007/s10865-026-00639-5","url":null,"abstract":"","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"741-747"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373348","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":"Built and socioeconomic environment: associations with cancer-risk health behaviors among healthy emerging adults.","authors":"Shannon Desbiens, Katie Darabos, Sean McHugh","doi":"10.1007/s10865-026-00692-0","DOIUrl":"10.1007/s10865-026-00692-0","url":null,"abstract":"<p><p>Health compromising behaviors such as tobacco use, binge drinking, physical inactivity, sedentary behavior, obesity, and inadequate sleep are associated with increased cancer risk. Emerging adults (age 18-29) may be especially vulnerable to engaging in health compromising behaviors due to the transitional nature and novel independence during this developmental period. The current study uses data from the 2022 Health Information Trends Survey Data Linkage Project to understand relationships between aspects of the built environment (i.e., the Food Environment and the Exercise Environment) and area-based socioeconomic status (i.e., Yost index) on health behavior profiles of healthy emerging adults in the United States. Latent class analysis identified two patterns of health behaviors, of which both were considerably unhealthy for engaging in different health behaviors pertinent to cancer risk. Binary logistic regression analyses revealed a significant association between emerging adults with lower access to exercise environments and a trend towards significance for those residing in median level socioeconomic status environment (SES) with emerging adults in health behavior Class 2. Analyses focused on identifying sociodemographic factors that increase cancer risk revealed that education level moderated the relationship between SES and health behavior class, and that education level and, separately, living in a rural area moderated the relationship between the exercise environment and health behavior class. Findings provide a greater understanding of emerging adults' built and socioeconomic environments that present barriers to engaging in healthy lifestyles. The findings present opportunities for future research and evidence-based interventions to be conducted with consideration to the role of the built and socioeconomic environment in mitigating cancer risk among the emerging adult population.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"644-657"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284483","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":"Social and economic marginalization in the context of a public health emergency: HIV care disruptions experienced by black sexual minority men (BSMM).","authors":"Sarita D Lee, Daniel E Siconolfi, Lance M Pollack, Wilson Vincent, Chadwick K Campbell, Susan M Kegeles, Erik D Storholm","doi":"10.1007/s10865-026-00663-5","DOIUrl":"10.1007/s10865-026-00663-5","url":null,"abstract":"<p><strong>Background: </strong>HIV in the United States disproportionately affects Black sexual minority men (BSMM), including disparities in HIV care engagement and outcomes. During public health emergencies, such as the COVID-19 pandemic, marginalized populations such as BSMM may face additional barriers to HIV care engagement.</p><p><strong>Methods: </strong>We examined associations between HIV care engagement (current antiretroviral therapy use, healthcare visits for HIV, viral load testing, viral load suppression) and experiencing COVID-19-related disruptions to HIV care in a sample of BSMM living with HIV in 2022 (n = 172). We then examined correlates of having experienced a COVID-19-related disruption to HIV care, spanning multiple variable groups: socioeconomic, substance use, mental health, social and structural, and strength and resilience.</p><p><strong>Results: </strong>Social and structural variables, including transportation, intimate partner violence victimization, and experiences of discrimination showed the strongest associations with experiencing a COVID-19-related disruption to HIV care, followed closely by internalized HIV stigma, and strengths and resilience (treatment adherence self-efficacy, HIV social support). Socioeconomic variables and substance use variables, overall, had less robust associations with COVID-19-related care disruptions than these other variable groups.</p><p><strong>Conclusion: </strong>Lived experiences and resources that reflect social marginalization are associated with disruptions to HIV care during a period of intense social and economic upheaval. These findings point to important areas for future research, as well as considerations for building more robust, adaptable, accessible, and holistic HIV care systems that promote greater engagement and improved outcomes both during times of relative stability as well as during periods of significant upheaval.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"671-683"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785928","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":"Testing key pathways of the multi-process action control framework: factors associated with exercise identity in people living with and beyond cancer.","authors":"Hui Xiao, Ryan E Rhodes, Sarah O'Rourke, Deema Khalaf, Allyson Tabaczynski, Linda Trinh","doi":"10.1007/s10865-026-00699-7","DOIUrl":"https://doi.org/10.1007/s10865-026-00699-7","url":null,"abstract":"<p><p>Physical inactivity is a prevalent concern among people living with and beyond cancer (LWBC). Exercise identity, a construct thought to be important for exercise maintenance, has received limited attention in survivorship research. Within the Multi-Process Action Control (M-PAC) framework, identity and habit are key reflexive processes proposed to help sustain behavior. This study examined the applicability of the M-PAC framework in people LWBC and to identify how M-PAC, clinical, demographic, and behavioral variables are associated with exercise identity. In this cross-sectional survey, participants were recruited globally via cancer organizations, social media, and research platforms. Validated self-reported measures assessed exercise (Modified Godin Leisure-Time Exercise Questionnaire), reflective processes (affective attitude, instrumental attitude, perceived capability, and perceived opportunity), regulatory processes (regulatory behaviors including self-monitoring, goal-setting, and action planning), and reflexive processes (habit and exercise identity). Structural Equation Modeling (SEM) examined model fit and relationships; regression analyses examined factors associated with exercise identity. Participants (N = 477; Mage = 48.5 ± 15.4; 69.4% female) were on average 61 months post-diagnosis. Common cancer types were breast (29.1%), hematologic (12.0%), and gynecologic cancers (11.8%). SEM indicated good fit (CFI = 0.975, RMSEA = 0.064, SRMR = 0.038). Reflective processes were positively associated with both regulatory and reflexive processes, and regulatory processes were positively associated with reflexive processes (all p < 0.001). In the final regression model, exercise identity was positively associated with higher MVPA (β = 0.62, p < 0.001), stronger habit (β = 1.30, p < 0.001), greater regulatory behaviors (β = 0.28, p < 0.001), higher perceived capability (β = 0.39, p = 0.004), more positive affective attitude (β = 0.63, p < 0.001), and older age (β = 1.70, p = 0.006), and negatively associated with BMI (β = - 1.91, p = 0.015). Among people LWBC, exercise identity was associated with habit, regulatory behaviors, perceived capability, affective attitude, higher MVPA, older age, and lower BMI. These findings are broadly consistent with the M-PAC framework and suggest that future survivorship research may benefit from exploring strategies to support exercise identity.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649456","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 the role of chronic overlapping pain conditions on smoking dependence, cessation challenges, and internalizing psychopathology among individuals with irritable bowel syndrome who smoke.","authors":"Justin M Shepherd, Andrew H Rogers, Brooke Y Redmond, Lorra Garey, Tanya Smit, Kaila E Dietel, Jafar Bakhshaie, Jeffrey Lackner, Michael J Zvolensky","doi":"10.1007/s10865-026-00700-3","DOIUrl":"https://doi.org/10.1007/s10865-026-00700-3","url":null,"abstract":"<p><p>Individuals with persistent pain have disproportionately high cigarette smoking prevalence and poorer cessation outcomes. There has been a shift from examining single pain diagnoses to a focus on co-occurring pain disorders referred to as chronic overlapping pain conditions (COPCs). COPCs represent a cluster of 10 disorders (e.g., irritable bowel syndrome [IBS], fibromyalgia, chronic low back pain, chronic tension-type headache) characterized by central sensitization. Yet, the relevance of COPC burden on smoking-related processes and internalizing psychopathology remains unexplored. The purpose of the present study is to improve understanding of whether the total number of COPCs is associated with smoking-related processes, including cigarette dependence severity, perceived barriers for cessation, and severity of problems when trying to quit, as well as anxiety and depression severity. Participants were 263 adults (52.1% female; M_age = 44.1, SD_age = 12.71) recruited nationally with the COPC of IBS who smoked cigarettes daily and completed an online survey. Results indicated that the total number of COPCs was positively and statistically significantly associated with cigarette dependence severity, perceived barriers for cessation, and severity of problems when trying to quit, as well as depression symptom severity; a trending association with anxiety was also observed, though this did not survive Bonferroni correction. Findings suggest that greater COPC burden was associated with key smoking-related processes, thereby highlighting the potential clinical relevance of cumulative COPC comorbidity for cessation outcomes. The observed associations with depression and anxiety further underscore the role of internalizing symptoms as potential amplifiers of pain-smoking maintenance feedback loops.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580727","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":"Intraindividual sleep variability in young adult women with posttraumatic stress disorder symptoms and hazardous alcohol use after sexual assault.","authors":"Alexandra N Brockdorf, David DiLillo","doi":"10.1007/s10865-026-00695-x","DOIUrl":"10.1007/s10865-026-00695-x","url":null,"abstract":"<p><p>Although most research has focused on average indices of sleep, night-to-night variability in sleep (intraindividual variability; IIV) is prevalent and associated with negative health outcomes. This study examined predictors of IIV in sleep among young adult women with posttraumatic stress disorder (PTSD) symptoms and hazardous alcohol use following sexual assault, a population that may be at elevated risk for sleep variability. Specifically, PTSD symptoms, alcohol use problems, age at sexual assault, years since sexual assault, racial/ethnic identity, and sexual identity were tested as predictors of greater IIV in sleep duration, sleep efficiency, and wake after sleep onset (WASO). Participants (N = 82) completed baseline questionnaires and three weeks of naturalistic sleep assessment via actigraphy. Three latent random variability models examining each sleep outcome were estimated with multilevel structural equation modeling in Mplus. Less time since sexual assault predicted greater IIV in sleep duration, sleep efficiency, and WASO after controlling for all other predictors. Sexual minority women reported lower IIV in sleep duration than heterosexual women. No other predictors were significant. These findings that multiple dimensions of sleep are more irregular soon after a sexual assault highlight a potential window for early intervention. Specifically, interventions that target sleep consistency may support recovery during this time, particularly for heterosexual women who also showed greater variability in sleep duration.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406437","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":"Goal disturbance and emotional symptoms in patients with cancer.","authors":"G Elise Doppenberg-Smit, Myra E van Linde, Femke Lamers, Annemarie M J Braamse, Rutger Koornstra, Evelien J M Kuip, Mariette Labots, Rune A W van de Wetering, Henk M W Verheul, Joost Dekker, Adriaan W Hoogendoorn, Aartjan T F Beekman","doi":"10.1007/s10865-026-00683-1","DOIUrl":"https://doi.org/10.1007/s10865-026-00683-1","url":null,"abstract":"<p><strong>Background: </strong>Cancer is a major stressor leading to a wide range of emotions. Emotions, also negative emotions, are essentially adaptive, in the sense that they help patients cope with cancer. Emotions can also be maladaptive, if they are disproportionately severe or persistent, or interfere with functioning. Our overall goal was to explore whether disturbance of life goals provides a fruitful framework for developing indicators that can distinguish between adaptive and maladaptive emotions.</p><p><strong>Objective: </strong>To test the hypotheses that (1) goal disturbance and emotional symptoms are reciprocally and positively associated to each other; and (2) the association between goal disturbance and emotional symptoms is stronger in patients with maladaptive emotions as compared to patients with adaptive emotions.</p><p><strong>Methods: </strong>Patients with (non)metastasized disease who recently started systemic treatment (n = 132) filled out Ecological Momentary Assessments 5 times per day for 14 consecutive days in which emotional symptoms and activities related to life goals were documented. The importance of life goals in six domains was assessed with an interview (work/study, disease-related health, lifestyle health, social activities, religious, spiritual and intellectual activities, and leisure). Patients were grouped as having adaptive or maladaptive emotions based on a reference standard (a psychiatric diagnostic assessment, or the subjective need for professional mental healthcare). Linear mixed models were built in R, with either goal disturbance or negative emotional symptoms as dependent variable.</p><p><strong>Results: </strong>Goal disturbance for social activities and leisure activities was significantly associated with more emotional symptoms. Goal disturbance for disease-related health activities was significantly associated with less emotional symptoms. No significant association was found for other activities (with one exception). With negative emotions as outcome variable, goal disturbance was more strongly associated with more emotional symptoms in patients with maladaptive emotions than patients with adaptive emotions for social, leisure and lifestyle health activities.</p><p><strong>Conclusion: </strong>Further research is warranted to develop an indicator of maladaptive emotions in patients with cancer based on the extent of goal disturbance of social, leisure and lifestyle health activities.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406405","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":"Depression risk among college student witnesses to on-campus potentially traumatic events: the roles of bystanding, upstanding, and prosocial campus climate.","authors":"G Alice Woolverton, Ritika Rastogi, Chang Zhao, Tiffany Yip, Karestan C Koenen, Cindy H Liu","doi":"10.1007/s10865-026-00693-z","DOIUrl":"https://doi.org/10.1007/s10865-026-00693-z","url":null,"abstract":"<p><p>Witnessing traumatic events is a community-level exposure linked to poor mental health. Among college students, witnessing events such as assault on campus is common yet understudied as a public health concern. This study examines how witnessing potentially traumatic events (PTEs) and students' behavioral responses-bystanding (not intervening) and upstanding (intervening)-relate to depression risk, and whether prosocial campus climate mitigates this risk. Data were drawn from the 2022-2023 cohort of the Healthy Minds Study, a national sample of U.S. college students (N = 66,474; M_age=21.14 years). Measures included past-year witnessing of on-campus PTEs, past-year bystanding and upstanding, prosocial campus climate, and depression symptoms (PHQ-9), which were dichotomized into elevated risk for at least moderate major depressive disorder (PHQ-9 ≥ 10) versus no elevated risk. Logistic regressions estimated associations among witnessing, behavioral responses, prosocial climate, and depression risk. Nearly 25% of students witnessed one or more past-year on-campus PTEs. Each additional witnessed event was associated with 13% increased odds of elevated depression risk. Bystanding was not significantly associated with depression risk, while each upstanding behavior was linked to 8% increased odds. Each one-point increase in perceived prosocial campus climate was linked to 25% decreased odds of elevated depression risk, regardless of past-year upstanding. Findings highlight the complex mental health correlates of witnessing and responding to campus-level trauma. Prosocial campus climate appears protective at the community level, underscoring the value of community-based strategies to support student mental health in the context of shared traumatic exposures.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406410","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}