Annals of behavioral medicine : a publication of the Society of Behavioral Medicine最新文献

{"title":"Usability, feasibility, and acceptability of a smartphone-supported behavioral activation intervention for patients with advanced cancer.","authors":"Carissa A Low, Christianna Bartel, Jennifer Fedor, Krina C Durica, Svea Cheng, David Lazris, Amalendu Bokil, Donna M Posluszny, Yael Schenker","doi":"10.1093/abm/kaaf100","DOIUrl":"10.1093/abm/kaaf100","url":null,"abstract":"<p><strong>Background: </strong>Advanced cancer can disrupt participation in meaningful daily activities. Sustaining or increasing these activities through behavioral activation may improve mood and quality of life for the growing population of people living with advanced cancer.</p><p><strong>Purpose: </strong>The goal of this study was to develop and evaluate the preliminary usability, feasibility, and acceptability of BALANCE (Behavioral Activation-Led Activity eNgagement for Cancer Empowerment), an 8-week smartphone-based intervention aimed at increasing engagement in meaningful daily activities in the context of advanced cancer.</p><p><strong>Methods: </strong>We first developed BALANCE in collaboration with a Community Patient Advisory Board. Second, we conducted usability testing of BALANCE with patients with advanced cancer. Finally, we conducted a single-arm pilot trial to evaluate the feasibility and acceptability of BALANCE. We also examined the preliminary effects of the intervention on patient-reported outcomes.</p><p><strong>Results: </strong>Usability testing participants (n = 7) rated the BALANCE app as easy (7.9/10), pleasant (8.6/10), and not burdensome to use (1.8/10). Results of the single-arm trial (n = 22) also suggest good usability (System Usability Scale score of 79.3/100), feasibility (indicated by 100% participant retention, average engagement with the application on 82% of days, and completion of 81% of planned meaningful activities), and acceptability (based on high [8.1/10] likelihood of recommending BALANCE to a friend with cancer). While the primary goal of this work was to assess feasibility and acceptability, we also observed a statistically significant decrease in patient-reported anxiety (F(2, 40) = 3.52, P = .039, ηg2 = 0.017).</p><p><strong>Conclusions: </strong>BALANCE is a feasible and acceptable smartphone-based intervention that may help patients with advanced cancer maintain and increase valued daily activities.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12776357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing helpful food labels: a randomized trial comparing effects of Physical Activity Calorie Equivalent and Health Star Rating labels on product perception and choice.","authors":"Charles Abraham, Claudia Gascoyne, Maree Scully, Zofia Szczuka, Michelle Z Yang, Paschal Sheeran, Helen Dixon","doi":"10.1093/abm/kaag032","DOIUrl":"10.1093/abm/kaag032","url":null,"abstract":"<p><strong>Background: </strong>Front-of-pack labelling could help consumers choose healthier options over energy-dense, nutrient-poor alternatives.</p><p><strong>Purpose: </strong>We assessed the effects of Health Star Rating (HSRs) and Physical Activity Calorie Equivalent (PACE) labels on adults' food and beverage choices and explored possible mechanisms by which these 2 labelling systems may have their effects.</p><p><strong>Methods: </strong>In an online experiment, 1268 Australian adults (18-59 years) were randomized to: no labels (control), PACE, or HSR labels. Participants were shown snack and drink options with varying energy content and nutritional profiles. Participants rated the healthiness and energy content of each product, completed a choice task, and rated both labelling systems in relation to their effects on motivation, emotional responses and perceived label credibility.</p><p><strong>Results: </strong>Compared to no labels, both HSR and PACE labels increased identification of unhealthy products, while only HSRs increased identification of healthy products. PACE labels prompted more accurate perceptions of energy content for high- and low-energy products compared to HSR labels and no labels. Both PACE and HSR labels prompted a greater proportion of healthy choices, but only PACE labels prompted a greater proportion of \"optimal\" that is, low-energy and healthy choices. Participants in the PACE condition were more motivated to reduce daily energy intake and take more exercise. Label-induced motivation mediated the effects of labels on optimal product choice.</p><p><strong>Conclusions: </strong>PACE labels were most effective in prompting accurate perceptions of the energy content of products and in facilitating optimal (healthy and low-energy) choices. Mediation analyses suggested that this may be due to greater behavior-change motivation generated by PACE labels.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a digital weight management program on weight-bias internalization, self-compassion, quality of life, well-being, and body appreciation: secondary outcomes from a randomized controlled trial.","authors":"Ana M Palacios, Michelle I Cardel, Cullun Q Watts, Beate Henschel, Chelsie Parker, Stephanie L Dickinson, Jing X Kersey, Grace Anderson, David B Allison, Gary D Foster, Alexandra M Lee","doi":"10.1093/abm/kaag022","DOIUrl":"10.1093/abm/kaag022","url":null,"abstract":"<p><strong>Background: </strong>While evidence suggests psychosocial support benefits well-being, physical health, and weight management, the impact of psychosocial health within digital behavioral weight management programs (compared to traditional in-person models) remains underexplored.</p><p><strong>Purpose: </strong>To evaluate the effectiveness of a digital commercial program (DCP) compared to standard nutrition guidance (SNG) on some weight-related psychosocial outcomes: weight-bias internalization (WBI), self-compassion, weight-related quality of life (WQOL), well-being, and body appreciation (BA).</p><p><strong>Methods: </strong>A 6-month randomized controlled trial (NCT05648344) was conducted among 376 US adults living with overweight/obesity. n = 187 were randomized to a DCP (WeightWatchers®), and n = 189 received SNG. Intention-to-treat analyses using analysis of covariance (ANCOVA), adjusted for sex, age, race, ethnicity, education, body mass index (BMI), and baseline values, were completed to assess changes in outcomes.</p><p><strong>Results: </strong>Mean ± SD age was 47.7 ± 12.2 years; 7.4% self-identified as Asian; 13.8% Black; 6.4% Other; 9.6% Hispanic; 20.7% male; 17.8% experienced food insecurity; BMI = 33.6 ± 4.7 kg/m2. At 6 months, DCP relative to SNG, participants lowered their WBI by a mean difference ± SE of -0.3 ± 0.1; and increased their self-compassion by 0.2 ± 0.1; BA by 0.2 ± 0.1; well-being by 6.4 ± 1.7, and WQOL by 5.6 ± 1.2, all P<.01.</p><p><strong>Conclusions: </strong>Relative to SNG, participants in the DCP showed increased self-compassion, BA, well-being, and WQOL, and decreased WBI, highlighting that DCPs may deliver favorable changes in psychosocial outcomes. These findings should be interpreted with caution due to the short follow-up period and the question of whether the observed differences are clinically meaningful.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of 8-h time-restricted eating combined with aerobic or resistance training in older adults with prediabetes and obesity.","authors":"Julienne Sanchez Perez, Ola Czyzewski, Alyshia Hamm, Anisa Fought-Boudaia, Kate Cares, Robert W Motl, Kelsey Gabel","doi":"10.1093/abm/kaag060","DOIUrl":"10.1093/abm/kaag060","url":null,"abstract":"<p><strong>Background: </strong>Obesity and prediabetes in older adults are typically treated with weight management and exercise. Time-restricted eating (TRE), shortening the daily eating window, combined with aerobic training (AT) or resistance training (RT), may help reduce fat mass, preserve lean mass, and decrease cardiometabolic risk.</p><p><strong>Purpose: </strong>This pilot study was conducted to assess the feasibility and acceptability of 8-h TRE combined with AT or RT in older adults with prediabetes and obesity.</p><p><strong>Design: </strong>We implemented a 12-week two-arm randomized trial of a self-selected 8-h TRE window (10 AM-6 PM, 11 AM-7 PM, or 12-8 PM) combined with either AT or RT.</p><p><strong>Methods: </strong>Thirty-four participants were randomized to TRE-AT (n = 19) or TRE-RT (n = 15). Data on feasibility (recruitment rate), acceptability (study visit attendance, missing data, and attrition), and adherence (eating window, exercise days, and exercise prescription) were collected, and exploratory measures, including body weight, body composition, dietary intake, and biomarkers, were assessed.</p><p><strong>Results: </strong>Seventy-three percent of the TRE-AT group and 80% of the TRE-RT group completed the trial. Participants in both groups adhered to the 8-h TRE window ∼75% of the time (5.8 days/week) and attended ∼95% of weekly TRE intervention meetings. Participants exercised 81% (TRE-AT) and 88% (TRE-RT) of the days prescribed but adhered to the assigned protocol only 67%-68% of the time. No differences in feasibility or acceptability were found between groups. Only the TRE-AT group showed significant reductions in body weight and BMI from baseline.</p><p><strong>Conclusions: </strong>Eight-hour TRE with AT or RT is feasible and acceptable in older adults with prediabetes and obesity. Future trials should focus on enhancing participant engagement and adherence.</p><p><strong>Clinical trial registration number: </strong>Clinicaltrials.gov NCT05290233.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding lung cancer screening motivation: cognitive, affective, and thought-based predictors in a UK screening-eligible sample.","authors":"Andriana Theodoropoulou, Olayinka Farris, Isaac Chung, Sheina Orbell","doi":"10.1093/abm/kaag031","DOIUrl":"10.1093/abm/kaag031","url":null,"abstract":"<p><strong>Background: </strong>A nationwide targeted lung cancer screening program is underway in the United Kingdom, but uptake in recent trials remains modest, and little is known about the psychological processes that might influence uptake.</p><p><strong>Purpose: </strong>This study aimed to understand how individuals respond to a lung cancer screening invitation by identifying the key psychological, cognitive, and affective variables shaping screening intention and the thought processes underlying them.</p><p><strong>Methods: </strong>UK screening-eligible current and former smokers aged 55-74 years (N = 1106) read an online lung screening invitation before providing their unprompted thoughts and completing measures of cognitive and affective variables (attitude; descriptive, subjective, and moral norms; perceived behavioral control; fear; anticipated regret; and fatalism). Logistic regressions examined predictors of screening intention, with follow-up analyses linking thought content to significant cognitive and affective predictors.</p><p><strong>Results: </strong>Moral and descriptive norms, perceived behavioral control, and inaction regret were positively associated with intention, while fear and anticipated regret associated with taking part and receiving abnormal results were negatively associated. Thoughts reflecting NHS program doubts, stigma, and cancer worry were consistently negatively associated with cognitive and affective predictors, whereas perceived screening benefits of early detection and peace of mind, and personal/family cancer history were positively associated.</p><p><strong>Conclusion: </strong>Screening motivation was shaped by both cognitive and affective factors, underpinned by distinct thoughts. Findings suggest that health communication interventions may strengthen moral and descriptive norms, leverage inaction regret, and enhance self-efficacy by addressing feelings of stigma, embarrassment, and cancer worry to increase screening participation at this critical stage of national implementation.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disordered eating behavior and adolescent social health: evidence of interpersonal disruption across time and relationships.","authors":"Christopher D Otmar, Colbey Ricklefs, Jason M Nagata","doi":"10.1093/abm/kaag029","DOIUrl":"10.1093/abm/kaag029","url":null,"abstract":"<p><strong>Background: </strong>Disordered eating during adolescence is common and can interrupt daily participation in family, peer, and school life. However, prior studies typically treat social relationships as precursors to disordered eating rather than as health outcomes that may deteriorate once symptoms appear.</p><p><strong>Purpose: </strong>To test whether adolescents with disordered eating symptoms show poorer social health across multiple relational settings, and whether impairment is stronger for multi-symptom and more persistent symptoms and changes over time.</p><p><strong>Methods: </strong>Data came from 11 868 adolescents in the Adolescent Brain Cognitive Development Study, followed annually across 5 years. Parents reported 5 eating disorder-related symptoms each year; variables were created for any symptom, ≥2 symptoms, and the proportion of study years with symptoms (chronicity). Social health was measured with parent-reported social withdrawal and adolescent-reported prosocial behavior, peer victimization, family conflict, and school functioning (school disengagement, school environment, and school involvement). Generalized estimating equations with year fixed effects estimated population-averaged associations.</p><p><strong>Results: </strong>Across adolescence, 39.7% of adolescents were ever symptomatic (eg, binge eating, fear of gaining weight, or vomiting for weight control) and 7.0% had ≥2 symptoms. Any eating disorder symptom was associated with higher social withdrawal (β = 0.26, q < .001), more peer victimization (βs = 0.09-0.12, qs < .001), and greater family conflict (β = 0.12, q < .001); school environment and involvement were modestly lower. Associations were substantially stronger for multi-symptom and more persistent symptoms, such that adolescents symptomatic across multiple years showed the largest deficits across all layers of social health. Symptom-by-year tests indicated the social withdrawal gap widened modestly over time.</p><p><strong>Conclusions: </strong>Adolescent disordered eating symptoms were associated with poorer social health across family, peer, and school settings, particularly when symptoms are recurrent or multifaceted. These findings suggest that social participation warrants assessment alongside eating disorder screening in pediatric and school contexts.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A biopsychosocial path model linking tobacco smoking to the Native American chronic pain disparity: findings from the Oklahoma Study of Native American Pain Risk.","authors":"Jamie L Rhudy, Michelle R vanDellen, Joseph W Ditre, Brandon W Jones, Taylor V Brown, Claudia N Vore, Kayla N Trevino, Aleiyah M Fields, Travis S Lowe, Joanna O Shadlow","doi":"10.1093/abm/kaag035","DOIUrl":"10.1093/abm/kaag035","url":null,"abstract":"<p><strong>Background: </strong>Among US groups, Native Americans (NAs) have the highest rates of smoking and chronic pain. No study has examined whether smoking contributes to NA chronic pain disparities.</p><p><strong>Purpose: </strong>We tested a biopsychosocial model linking smoking with chronic pain among NAs.</p><p><strong>Methods: </strong>Social, psychological, and biological variables associated with chronic pain risk and smoking were assessed in healthy, pain-free NAs and non-Hispanic Whites (NHWs). Participants were followed for 5 years to assess who did (N = 49) and did not (N = 151) develop chronic pain (pain rated ≥3/10 on most days lasting ≥3 months).</p><p><strong>Results: </strong>Native Americans had higher odds of smoking and developing chronic pain than NHWs, and smoking predicted chronic pain at 5 years (OR = 3.86, 95% CI, 1.59-9.35), even after controlling for age, sex, income, and education, but NA ethnicity did not confer greater chronic pain risk among those that smoke. A path analysis suggested that smoking contributed to the NA chronic pain disparity via 4 indirect paths. One linked NA ethnicity to chronic pain via smoking. Others suggested that the higher smoking rate in NAs was partially explained by interpersonal discrimination, and that cardiometabolic load (stress-related wear-and-tear on cardiovascular/metabolic systems) and impaired physiological pain inhibition (assessed by quantitative sensory testing) linked smoking to NA chronic pain.</p><p><strong>Conclusions: </strong>Smoking fits within a biopsychosocial model of NA chronic pain risk. Discrimination is linked to higher rates of smoking among NAs; smoking is associated with the NA chronic pain disparity; and higher cardiometabolic load and impaired pain inhibition link smoking to NA pain disparities.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13265374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing generative artificial intelligence prompts to engage urges for physical activity in middle-aged and older adults.","authors":"Yingjia Liu, Allyson Tabaczynski, Saeed Abdullah, Lizbeth Benson, David E Conroy","doi":"10.1093/abm/kaag028","DOIUrl":"10.1093/abm/kaag028","url":null,"abstract":"<p><strong>Background: </strong>Most middle-aged and older adults do not engage in sufficient physical activity. Text messages have proven effective for promoting physical activity, but little is known about how message content can engage motivational mechanisms.</p><p><strong>Purpose: </strong>This study aimed to examine how generative artificial intelligence (AI) prompts could be engineered to create messages that engage physical activity urges.</p><p><strong>Methods: </strong>Study 1 involved iterative prompt development and expert evaluations of messages, varying by physical activity behavioral context (preparation vs. execution), benefit horizon (short-term vs. long-term), temporal focus (recalled past vs. imagined future), and behavioral target (physical activity vs. sedentary behavior). Study 2 involved a web-based factorial experiment to assess how these factors affected urges among middle-aged and older adults.</p><p><strong>Results: </strong>In Study 1, ratings of confidence that text messages (nMessages = 16) would evoke urges were moderate yet heterogenous across the experts (nExperts = 15). Themes including physical activity cues and affective appeal emerged as key factors. In Study 2, 639 adults (aged 40-85 years, M = 57; 52% female) rated 80 messages. Men reported stronger urges than women, and participants with stronger baseline urges reported stronger urges after reading the messages. Age moderated the effect of context, such that the execution (vs. preparation) prompt advantage increased with age. Two significant 3-way interactions showed that execution-based prompts outperformed preparation prompts, except when prompts targeted (1) long-term future benefits and (2) future physical activity experiences.</p><p><strong>Conclusions: </strong>This study identified how specific generative AI prompt features can evoke physical activity urges in middle-aged and older adults, supporting the development of motivationally targeted interventions.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The physiological cost of coping: a systematic review and meta-analysis on discrimination and heart rate variability.","authors":"Giuseppe Salvo, Daniele Bomarsi, Fiorenzo Laghi, Gianluca Esposito, Julian F Thayer, Roberto Baiocco, Cristina Ottaviani","doi":"10.1093/abm/kaag058","DOIUrl":"10.1093/abm/kaag058","url":null,"abstract":"<p><strong>Background: </strong>Heart rate variability (HRV) reflects parasympathetic regulation and is typically associated with better health outcomes. However, minoritized populations, particularly African Americans, show a paradoxical pattern of higher resting HRV despite greater cardiovascular risk, a phenomenon known as the Cardiovascular Conundrum. Discrimination has been proposed as a key mechanism, but evidence remains fragmented.</p><p><strong>Methods: </strong>The present meta-analysis quantified HRV in relation to discrimination across 3 domains: (1) resting HRV differences between minoritized and majority groups, (2) HRV reactivity to discrimination-related tasks, and (3) the association between perceived discrimination and resting HRV. A systematic search yielded 40 articles comprising 52 independent studies.</p><p><strong>Results: </strong>Minoritized groups showed higher resting HRV than majority groups (g = .22, P < .001), as well as acute HRV reductions during discrimination-related tasks (g = -.17, P = .04), and lower resting HRV associated with greater perceived discrimination (g = -.19, P = .006). Evidence of publication bias emerged only for the latter meta-analysis. No significant moderators emerged to explain the substantial heterogeneity, with the exception of the type of HRV measure used.</p><p><strong>Conclusions: </strong>These findings are consistent with the hypothesis that discrimination may become biologically embedded through acute vagal withdrawal during discriminatory events, a cumulative reduction in HRV associated with perceived discrimination, and a paradoxical elevation of resting HRV indicative of chronic compensatory regulation.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity and symptoms of anxiety and depression among Latinas at risk for type 2 diabetes: disaggregating between- and within-person associations using a micro-longitudinal design.","authors":"Angela Bermúdez-Millán, Hanako Agresta, Rafael Pérez-Escamilla, Sofia Segura-Pérez, Richard Feinn, Julie A Wagner","doi":"10.1093/abm/kaag034","DOIUrl":"10.1093/abm/kaag034","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity (FI), depression and anxiety are known risk factors for type 2 diabetes. FI can be transient, but short-term relationships between FI and symptoms of depression and anxiety are not described.</p><p><strong>Purpose: </strong>We used a micro-longitudinal design to investigate the between- and within-person relationships between FI and symptoms of depression and anxiety.</p><p><strong>Methods: </strong>Participants were n = 76 Latinas living in Hartford, CT, United States, who had high risk for type 2 diabetes, utilized SNAP benefits and screened positive for FI. Recruitment and data collection were from April 2021 to June 2023. Data were collected at 6 time points over 3 consecutive months. FI was measured over the phone by trained bilingual interviewers with the 15-item US Household Food Security Survey Module. FI scores across timepoints were categorized as food secure, intermittent food insecure, or persistent food insecure. Depressive symptoms were measured with the 8-item Personal Health Questionnaire and anxiety symptoms with the 8-item PROMIS anxiety scale. A multilevel regression model was used to predict FI from between- and within-person depression and anxiety predictors.</p><p><strong>Results: </strong>Compared to those experiencing persistent food security or intermittent FI, those experiencing persistent FI reported higher symptoms of depression and anxiety overall. Within persons, when FI score was higher than an individual's own average, symptoms of anxiety and depression were also higher. Between-person associations were approximately twice the magnitude of within-person associations.</p><p><strong>Conclusions: </strong>Food insecurity is associated with symptoms of depression and anxiety at the between- and within-person levels. Overall levels of depression and anxiety differ by persistence of FI. Repeated and/or prolonged exposures to FI and associated distress should be examined as risk factors for incident type 2 diabetes.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}