International Journal of Behavioral Medicine最新文献

{"title":"Facilitators and Barriers to Uptake of Genetic and Cascade Testing in Familial Hypercholesterolemia: a Systematic Review.","authors":"Chaitanyasre Lenin, Phoebe X H Lim, Ashna Nastar, Tavintharan Subramaniam, Sharon Pek, Magdalena Daccord, Elsie Evans, Emma Print, Frederick H F Chan, Konstadina Griva","doi":"10.1007/s12529-025-10357-y","DOIUrl":"https://doi.org/10.1007/s12529-025-10357-y","url":null,"abstract":"<p><strong>Background: </strong>Familial hypercholesterolemia (FH) is an underdiagnosed autosomal dominant genetic disorder that confers high but preventable risk for premature adverse cardiovascular events. Timely diagnosis is limited by low uptake of genetic testing (GT) and cascade testing (CT). This systematic review identifies barriers and facilitators for uptake of GT and CT in FH.</p><p><strong>Method: </strong>Following PRISMA guidelines, seven databases were searched for studies on GT/CT in FH. Data reporting standards for qualitative studies were evaluated with COREQ and thematic synthesis was conducted. Of the 387 studies identified, 15 were included (qualitative N = 9, quantitative N = 6). These involved 272,954 respondents (qualitative n = 243, quantitative n = 272,711). COREQ scores ranged from 11 to 21 out of 32.</p><p><strong>Results: </strong>Synthesis of qualitative data indicated family history of illness, being well informed, and value of GT as key facilitators of GT. Financial concerns, suboptimal clinical care, and no/low value of GT were identified as barriers. Facilitators of CT included responsibility to family, healthcare providers' support for CT, and gains of CT, while barriers included disconnect from family, emotional costs, and no value knowing FH status. Quantitative studies reflect emotional distress avoidance, limited opportunity for family disclosure to invite, lack of knowledge, low communication efficacy, and difficulties accessing testing services as predictors impacting CT.</p><p><strong>Conclusion: </strong>Beyond knowledge, perceptions about testing-especially perceived value of testing-emerged to be significantly affecting decisions for GT/CT. Disconnect from family is a maior predictor in CT, reducing the likelihood of probands extending an invitation to their family in support of CT. Future interventions should address barriers and facilitators at interpersonal, clinical and systemic levels to improve FH GT/CT uptake. Additionally, further research in diverse cultural contexts is required to bridge gaps in GT/CT services. Interventions should especially prioritize risk perception education and the development of health communication tools to supplement strong clinical guidance, driving a more patient-centered approach in decisions relating to GT/CT.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Impact of Reduction in Methamphetamine Use on Sexual Risk Behaviors Among Men Who Have Sex with Men and Women: Findings from the ADAPT- 2 Trial.","authors":"Chukwuemeka N Okafor, Jin H Yoon, Ducel Jean-Berluche, Taryn L Mayes, Steve Shoptaw, Madhukar H Trivedi, Jennifer S Potter, Joy Schmitz","doi":"10.1007/s12529-025-10364-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10364-z","url":null,"abstract":"<p><strong>Background: </strong>Methamphetamine (MA) use has been linked to engaging in sexual risk behaviors (SRBs) that are associated with HIV/STIs, particularly among men who have sex with men (MSM) and men who have sex with men and women (MSMW; hereafter MSM/W). The objectives of this analysis were to determine whether reduced MA is associated with decreases in SRBs in a sample of MSM/W.</p><p><strong>Method: </strong>Data came from the ADAPT- 2 trial, a randomized, double-blind, two-stage sequential parallel design trial evaluating extended-release injectable naltrexone (NTX) and oral bupropion (BUP) vs. placebo for MA use disorder. In the first 6 weeks of the trial (stage 1), participants were randomized to receive NTX-BUP or placebo. In the second 6 weeks, participants in the placebo group who did not have a treatment response were rerandomized (stage 2). For this secondary analysis, the independent variable was the number of MA-negative urine drug screens (UDS). The dependent variables included three different types of SRBs. Regression models of the independent and dependent variables were adjusted for age, race/ethnicity status, marital status, treatment assignment, and baseline SRBs.</p><p><strong>Results: </strong>Of the 151 participants, median age was 40 years and majority were non-Hispanic white (52%) and completed more than high school education (82%). Each additional MA-negative UDS was associated with a 7% (adjusted rate ratio (aRR) = 0.93; 95% CI, 0.87, 0.99) reduction in total number of sex partners in stage 2 only. Each additional MA-negative UDS was associated with a 13% (aRR = 0.87 95%; confidence interval (CI), (0.76, 0.98)) and 9% (aRR = 0.91; 95% CI, 0.84, 0.99) reduction in number of condomless sexual encounters in stage 1 and stage 2, respectively. Lastly, each additional MA-negative UDS was associated with a 16% (aRR = 0.84; 95% (CI), 0.75, 0.94)) and 27% (aRR = 0.73; 95% CI, 0.64, 0.84) reduction in number of sexual encounters when high on MA.</p><p><strong>Conclusion: </strong>Our analysis showed that reductions in MA use was associated with reductions in several sexual risk behaviors associated with HIV/STI. These findings provide further support for exploring reductions in sexual risk behaviors as a clinical endpoint in future treatment interventions for MA use.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attentional Bias for Internet-Related Information and Emotional Information in Internet Addiction: Moderating Role of Sleep Quality.","authors":"Hideki Tsumura, Kentaro Kusunoki","doi":"10.1007/s12529-025-10363-0","DOIUrl":"https://doi.org/10.1007/s12529-025-10363-0","url":null,"abstract":"<p><strong>Background: </strong>Internet addiction (IA) has been reported to be related to attentional bias for addiction-related information and emotional information. Although IA is likely to involve poor sleep quality, no previous studies have examined the interaction between poor sleep quality and attentional bias, and its relevance to IA. The present study aimed to examine the relationship between IA and attentional bias for Internet-related information and emotional information, and tested the moderating role of poor sleep quality in the relationship between IA and attentional bias.</p><p><strong>Method: </strong>A total of 71 university students participated in the study (48 females and 23 males; mean age: 20.1 years, standard deviation: 4.2 years). The participants underwent the visual dot-probe task for measuring attentional bias for Internet-related, negative, and positive information, and completed self-reported questionnaires regarding IA and poor sleep quality.</p><p><strong>Results: </strong>The results revealed that attentional bias for negative information and the interaction between poor sleep quality and attentional bias for Internet-related information were significantly associated with IA. Simple slope analysis revealed that attentional bias for Internet-related information was associated with IA among individuals with poorer sleep quality.</p><p><strong>Conclusion: </strong>The study revealed that attentional bias for Internet-related information was associated with IA in cases of poor sleep quality. Attentional bias for negative, but not positive, information was associated with IA, and sleep quality did not moderate the relationship between IA and attentional bias for negative information.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Support and Depressive Symptoms in Mediating the Association Between Hearing Loss and Self-neglect Among Older Adults in China.","authors":"Teng-Fei Li, Guo-Qing Jiang, Ye-Ke He, Jian-Wei Li, Yu-Ting Liang, Qi-Rong Qin, Yuan-Yuan Zhao, Fen Huang, Ye-Huan Sun, Jie Li","doi":"10.1007/s12529-025-10361-2","DOIUrl":"https://doi.org/10.1007/s12529-025-10361-2","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is highly prevalent among the older population, and elder self-neglect will become a prominent issue worldwide as the population ages. The purpose of this study was to examine if hearing loss is associated with self-neglect in old adults.</p><p><strong>Method: </strong>Data are from the wave 3 (2494 participants) of the Ma'anshan Healthy Aging Cohort (MHAC) in China. Multiple linear regression models and structural equation models were adopted to examine the relationship between hearing loss, social support, depressive symptoms, and the self-neglect.</p><p><strong>Results: </strong>The results showed that hearing loss, social support, depression, and self-neglect were significantly correlated (P < 0.001). Hearing loss could not only have a direct positive impact on self-neglect older adults (β = 0.046; 95% CI, 0.036, 0.056), but also indirectly affect self-neglect through three pathways: an independent mediating effect of social support (β =  - 0.014; 95% CI, 009, 0.019), an independent mediating effect of depression (β = 0.029; 95% CI, 0.022, 0.037), and a chain mediating effect of social support and depression (β = 0.003; 95% CI, 0.002, 0.004).</p><p><strong>Conclusion: </strong>Hearing loss is associated with self-neglect, in which social support and depressive symptoms partly mediate the association. The findings suggest that the measures such as preventing and controlling hearing loss are crucial for reducing the severity of self-neglect in older adults.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample.","authors":"Ken Kurisu, Briana N DeAngelis, Kazuhiro Yoshiuchi, Mustafa al'Absi","doi":"10.1007/s12529-025-10354-1","DOIUrl":"https://doi.org/10.1007/s12529-025-10354-1","url":null,"abstract":"<p><strong>Background: </strong>The positive relationship between higher delay discounting, an indicator of increased impulsivity, and reduced engagement in diabetes care has been investigated. However, the association between delay discounting and diabetes onset, likely linked through unhealthy behaviors, has not been well investigated. Additionally, although depression has been linked to an increased risk of diabetes and greater delay discounting, studies examining associations among all three factors are scarce. The present study aimed to determine the association between depressive symptoms and the onset of diabetes, with delay discounting as a mediator of this relationship.</p><p><strong>Methods: </strong>Using data from a three-phase online prospective survey of a community sample, cross-sectional and longitudinal mediation analyses were conducted to examine diabetes prevalence from Phase 1 and incidence from Phases 2 and 3 as the outcomes, with depressive symptoms at Phase 1 as the independent variable and delay discounting at Phase 1 as the mediator.</p><p><strong>Results: </strong>Delay discounting was positively associated both with diabetes prevalence (coefficient = 0.170; 95% confidence interval [CI] = 0.066 to 0.278; P = 0.002) and incidence (coefficient = 0.306; 95% CI = 0.098 to 0.540; P = 0.006). Furthermore, through delay discounting, depressive symptoms were indirectly associated with diabetes prevalence (indirect coefficient = 0.091; 95% bootstrap CI = 0.034 to 0.149) and incidence (indirect coefficient = 0.138; 95% bootstrap CI = 0.037 to 0.256), respectively.</p><p><strong>Conclusions: </strong>Delay discounting may increase the risk of diabetes onset by mediating the positive association between depressive symptoms and diabetes onset.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"24-Hour Movement Behavior and Health-Related Physical Fitness in College Students: A Compositional Data Analysis.","authors":"Qiushi Yang, Junli Wang, Jianfei Bai","doi":"10.1007/s12529-025-10360-3","DOIUrl":"https://doi.org/10.1007/s12529-025-10360-3","url":null,"abstract":"<p><strong>Background: </strong>Sedentary behavior and physical inactivity are primary factors contributing to college students' continued decline in health-related physical fitness (HRPF). This study aims to examine the associations between 24-h movement behavior and HRPF, and explore the dose-response relationship between the reallocation of movement behavior time and HRPF.</p><p><strong>Method: </strong>In total, 1032 college students (649 males and 383 females) aged 19.5 years from China University of Mining and Technology were recruited to participate in the study in October 2023. The 24-h movement behavior was measured using reliable items from the 24-h Movement Behavior Questionnaire (reliability coefficients 0.68 to 0.97). HRPF was assessed using the Fitness Test Battery, which measures BMI, vital capacity, sit-and-reach, stand-long-jump, pull-up/crunches, 50-m sprint, and the 800/1000-m run. The isotemporal substitution model was applied to evaluate the health effects of different movement components.</p><p><strong>Results: </strong>The 24-h movement behavior significantly influenced HRPF (p < 0.01, R² = 0.16). A positive correlation was found between HRPF and the proportion of moderate-to-vigorous physical activity (MVPA) (β_MVPA = 1.03, p < 0.01) and learning sedentary (LSED) (β_LSED = 2.41, p < 0.05), while a negative correlation existed with sleep (β_SLP =  - 3.52, p < 0.01). Significant reallocations of 30 min from sleep to MVPA (+ 0.57, p < 0.05) and from screening sedentary (SSED) to MVPA (+ 0.39, p < 0.05) were observed. No significant associations were found between HRPF and reallocating from light-intensity physical activity to MVPA.</p><p><strong>Conclusion: </strong>In addition to MVPA, it is important to consider the health risks associated with SSED and excessive sleep and to maintain a balanced time structure of 24-h movement behavior to promote health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Type of Social Support for Smoking Cessation Among Low-Income Postpartum Women.","authors":"Erin K Tagai, Megan Bradley, Kuang-Yi Wen, Enrique Hernandez, Suzanne M Miller","doi":"10.1007/s12529-025-10359-w","DOIUrl":"https://doi.org/10.1007/s12529-025-10359-w","url":null,"abstract":"<p><strong>Background: </strong>Efficacious programs to sustain smoking cessation are limited for postpartum women, particularly for those who are low-income. Social support may help enhance cessation efforts. However, the specific types of support potentially associated with cessation success are not well evaluated. The purpose of this study was to assess the relationship between different types of social support and smoking relapse among low-income women in the postpartum phase.</p><p><strong>Method: </strong>A secondary data analysis was completed using data from a single-arm pilot study assessing a smoking cessation intervention for low-income postpartum women. Women were recruited from Philadelphia Women, Infants, and Children clinics (N = 106) and completed a baseline and 1-month follow-up survey. Multivariable logistic regression analyses assessed the relationship between types of social support and smoking relapse, specifically cessation-specific support (Ways of Quitting social support subscale) as well as general (non-smoking focused) social support and its subdomains (i.e., emotional/informational, tangible, affectionate, social positive support (Medical Outcomes Study Social Support Survey)).</p><p><strong>Results: </strong>Participants were predominantly non-Hispanic Black (64%), 33% lived with their significant other, and 71% had a household income below $15,000. Most participants had relapsed by the 1-month postpartum assessment (77%). In the final regression models, cessation-specific support was significantly associated with staying smoke free at 1 month postpartum. However, neither general social support nor its subdomains were associated with staying smoke free.</p><p><strong>Conclusion: </strong>Cessation-specific support may bolster women's cessation attempts during the stressful postpartum period. Smoking cessation interventions should consider integrating cessation-specific support to decrease relapse rates among low-income postpartum women.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antiretroviral Therapy Adherence and Clinic Attendance Over Time Among People in Argentina Living with HIV and Lost to Care.","authors":"Omar Sued, Violeta J Rodriguez, Stephen M Weiss, Maria Luisa Alcaide, Diego Cecchini, Pedro Cahn, Isabel Cassetti, Chloe J Kaminsky, Deborah L Jones","doi":"10.1007/s12529-025-10356-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10356-z","url":null,"abstract":"<p><strong>Background: </strong>Although Argentina provides access to no cost HIV care, treatment adherence and retention in care remain suboptimal. This study aimed to explore factors associated with self-reported adherence and appointment attendance over time.</p><p><strong>Method: </strong>Participants (N = 360) were people living with HIV (PLWH) that were lost to care (i.e., three missed pharmacy pickups in the last 6 months, or had not attended a physician visit in the last 12 months). Participants were recruited from seven HIV clinics in four urban centers in Argentina and re-engaged in care. Demographic variables, predictors, i.e., alcohol use, self-efficacy, motivation, patient-provider communication, insurance type (private/public), and outcomes, i.e., missed infectious disease (ID) specialist appointments, other missed clinic and lab appointments, and self-reported adherence were assessed over 2 years. A logistic regression and Poisson regression model within a generalized linear mixed model framework was used to analyze the association between predictors, treatment adherence outcomes, and interactions with time.</p><p><strong>Results: </strong>Following re-engagement in care, increased alcohol use was associated with lower odds of antiretroviral therapy adherence over time, increased odds of missing ID specialist appointments, and missed clinic/lab appointments. Self-efficacy was associated with better medication adherence and fewer missed ID specialist appointments over time. Similarly, both motivation and patient/provider communication were associated with fewer missed ID specialist and clinic/lab appointments over time. Having private health insurance was also associated with less missed clinic/lab appointments.</p><p><strong>Conclusion: </strong>Findings suggest alcohol use reduction interventions could improve treatment outcomes in this population. Additionally, interventions targeting patient-provider communication and patient self-efficacy and motivation may enhance retention following re-engagement in care.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Snacktivity™ to Promote Physical Activity in Primary Care, Community Health and Public Health Settings: A Feasibility Randomised Controlled Trial.","authors":"Amanda J Daley, Ryan A Griffin, James P Sanders, Kajal Gokal, Natalie Ives, Magdalena Skrybant, Helen M Parretti, Charlotte L Edwardson, Stuart J H Biddle, Kate Jolly, Colin J Greaves, Sheila M Greenfield, Ralph Maddison, Dale W Esliger, Lauren B Sherar, Emma Frew, Nanette Mutrie, Ben Maylor, Tom Yates, Sarah Tearne, Catherine A Moakes","doi":"10.1007/s12529-025-10352-3","DOIUrl":"https://doi.org/10.1007/s12529-025-10352-3","url":null,"abstract":"<p><strong>Background: </strong>A novel 'whole day' approach that could motivate the public to be more physically active is Snacktivity™. The Snacktivity™ approach encourages individuals to accumulate 150 min of physical activity in short 2-5-min 'snacks' of moderate-vigorous intensity physical activity (MVPA) throughout the day/week.</p><p><strong>Method: </strong>A randomised controlled trial to assess the feasibility/acceptability of a Snacktivity™ intervention and trial processes was conducted. The trial aimed to recruit 80 physically inactive adults from healthcare services and via social media. Participants were randomised to the Snacktivity™ intervention or usual care and followed up at 12 weeks. The intervention was predominately delivered by health professionals within consultations. Assessment of whether the Snacktivity™ intervention and trial methods were acceptable to participants, adherence to Snacktivity™ (assessed by Fitbit) and physical activity (assessed by accelerometer), and retention were considered according to traffic light stop-go progression criteria (green-amber-red).</p><p><strong>Results: </strong>Seventy-two participants (n = 37 Snacktivity™ intervention; n = 35 usual care) were recruited across 14 months (72/80, 90%, (green) 95% CI: 83% to 97%). Snacktivity™ adherence was achieved in 12/37 participants (32%, (red) 95% CI: 17% to 48%). Physical activity adherence was achieved in 17/37 participants (46%, (amber) 95% CI: 30% to 62%). Seven participants (10%, (green) 95% CI: 3% to 17%) withdrew from follow-up and 25/72 (35%, (amber) 95% CI: 24% to 46%) had no accelerometer data at follow-up (retention).</p><p><strong>Conclusion: </strong>The Snacktivity™ intervention may be feasible and acceptable to implement. Findings can inform subsequent research that seeks to investigate whether Snacktivity™ based approaches are effective in promoting physical activity in the population.</p><p><strong>Trial registration: </strong>ISRCTN: 64851242. Registration date: 31/01/21.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Trauma Exposure, PTSD Symptoms, and Gastrointestinal Symptoms.","authors":"Jillian B Heymann, Kamila S White, Steven E Bruce","doi":"10.1007/s12529-025-10355-0","DOIUrl":"https://doi.org/10.1007/s12529-025-10355-0","url":null,"abstract":"<p><strong>Background: </strong>Extant literature has linked gastrointestinal distress and trauma exposure in clinical populations. This is especially salient for irritable bowel syndrome (IBS) and physical and sexual assault.</p><p><strong>Methods: </strong>The present study of a sample of 1,432 students from a large public Midwestern university further investigates the relationship between gastrointestinal symptoms and trauma exposure. Specifically, broad categories of trauma exposure, disorders of gut-brain interaction (i.e., IBS and functional dyspepsia), and posttraumatic stress disorder (PTSD) were examined.</p><p><strong>Results: </strong>Trauma exposure and specific trauma characteristics (i.e., interpersonal trauma history, number of unique trauma types) were significantly associated with higher gastrointestinal symptoms. Likewise, posttraumatic stress (PTS) symptom severity, probable PTSD, and cluster E symptom severity were also significantly related to higher gastrointestinal symptoms. Gender and race were significantly related to gastrointestinal symptoms in participants with trauma histories. Specifically, females reported greater gastrointestinal symptoms than males and White participants reported higher gastrointestinal symptoms than Black participants. In participants with probable PTSD, race remained significantly associated with gastrointestinal symptoms while gender was significant for functional dyspepsia symptoms only. Black participants reported greater gastrointestinal symptoms than White participants and females reported greater functional dyspepsia symptoms than males.</p><p><strong>Conclusions: </strong>Findings shed light on factors associated with differential experiences of gastrointestinal symptoms. Additionally, this study is the first to examine the experiences of functional dyspepsia in people with probable PTSD. Future research on disorders of gut-brain interaction and trauma should not continue to overlook functional dyspepsia.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}