International Journal of Behavioral Medicine最新文献

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Linking Autonomy-Supportive Parenting with Their Children's Autonomous Motivation Toward, and Participation in, Physical Activity.
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-19 DOI: 10.1007/s12529-025-10358-x
Daniel J Phipps, Weldon T Green, Taru Lintunen, Keegan Knittle, Martin S Hagger
{"title":"Linking Autonomy-Supportive Parenting with Their Children's Autonomous Motivation Toward, and Participation in, Physical Activity.","authors":"Daniel J Phipps, Weldon T Green, Taru Lintunen, Keegan Knittle, Martin S Hagger","doi":"10.1007/s12529-025-10358-x","DOIUrl":"https://doi.org/10.1007/s12529-025-10358-x","url":null,"abstract":"<p><strong>Background: </strong>Health behaviors and motives within family units are likely to be associated with the motives and behaviors of other family members. A potential mechanism for these relations is that parents citing autonomous motives toward physical activity are more likely to support their child's autonomous motivation to be active. The current study tested a model specifying relations between parent autonomous motivation and parent, child, and parent-and-child joint physical activity behavior with parent autonomy-supportive parenting, child-perceived autonomy support, and child autonomous motivation specified as mediators of the autonomous motivation-child physical activity relationship.</p><p><strong>Method: </strong>Data on autonomous motivation, autonomy-supportive parenting, perceived autonomy support, and physical activity, both alone and jointly between parents and children, were collected from a sample of 88 Finnish parent-child dyads and analyzed using a partial least squares structural equation modeling.</p><p><strong>Results: </strong>Findings indicated associations between parent autonomous motivation and parent and joint parent-child physical activity, and an indirect effect of autonomy-supportive parenting on child physical activity mediated by child-perceived autonomy support and autonomous motivation.</p><p><strong>Conclusion: </strong>Results provide a potential explanation for relations between parental motives and child physical activity as a function of supportive parenting and signpost potential targets for family-based behavior change interventions.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460677","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}
引用次数: 0
Comparing the Impact of GLP-1 Agonists vs. Lifestyle Interventions and Weight Controllability Information on Stigma and Weight-Related Cognitions.
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-11 DOI: 10.1007/s12529-025-10353-2
Stacy M Post, Michelle L Stock, Susan Persky
{"title":"Comparing the Impact of GLP-1 Agonists vs. Lifestyle Interventions and Weight Controllability Information on Stigma and Weight-Related Cognitions.","authors":"Stacy M Post, Michelle L Stock, Susan Persky","doi":"10.1007/s12529-025-10353-2","DOIUrl":"https://doi.org/10.1007/s12529-025-10353-2","url":null,"abstract":"<p><strong>Background: </strong>Individuals with obesity who use glucagon-like peptide 1 receptor agonists (GLP-1s) for weight loss are often judged for taking a \"shortcut\" rather than using \"optimal\" methods (i.e., diet/exercise). This is linked with beliefs that weight is highly controllable, which predict both anti-fat attitudes and maladaptive weight-related behaviors. This study tested how exposure to a woman whose weight was framed as highly controllable or largely uncontrollable and who was described as losing weight with a GLP-1 vs. diet/exercise affected weight stigma attitudes and maladaptive weight-related cognitions through social comparison processes.</p><p><strong>Method: </strong>Women with overweight and obesity (N = 163) were exposed to a woman with obesity who varied by described weight controllability and weight loss method. Participants reported the extent to which they engaged in global downward social comparison and weight and body size comparisons to the woman, as well as weight stigma attitudes and maladaptive weight-related cognitions (likelihood of engaging in binge eating, restrictive eating, and exercising hard to control weight).</p><p><strong>Results: </strong>When the woman lost weight with a GLP-1 (vs. diet/exercise) she was judged more negatively due, in part, to higher global downward social comparison. Reading about weight loss with diet/exercise (vs. GLP-1) led to more maladaptive weight-related cognitions through higher weight and body size comparisons. Emphasizing that weight is less controllable did not reduce stigmatizing attitudes towards a GLP-1 user and had a limited effect on weight-related cognitions.</p><p><strong>Conclusion: </strong>Further research is necessary to identify interventions to reduce weight stigma towards GLP-1 users and maladaptive weight-related cognitions.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400731","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}
引用次数: 0
The Impact of Depression on Bedtime Procrastination in High School Students in Pandemic era: The Mediating Roles of Conscientiousness and Emotional Stability.
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-07 DOI: 10.1007/s12529-025-10351-4
Taeyeop Lee, Eulah Cho, Oli Ahmed, Junseok Ahn, Young Rong Bang, Seockhoon Chung, Jangho Park
{"title":"The Impact of Depression on Bedtime Procrastination in High School Students in Pandemic era: The Mediating Roles of Conscientiousness and Emotional Stability.","authors":"Taeyeop Lee, Eulah Cho, Oli Ahmed, Junseok Ahn, Young Rong Bang, Seockhoon Chung, Jangho Park","doi":"10.1007/s12529-025-10351-4","DOIUrl":"https://doi.org/10.1007/s12529-025-10351-4","url":null,"abstract":"<p><strong>Background: </strong>Bedtime procrastination is a common sleep problem that adolescents encounter. This study aimed to investigate the association between bedtime procrastination and depression in Korean high schoolers, while accounting for possible mediators including viral anxiety, resilience, and personality traits.</p><p><strong>Method: </strong>A total of 300 high school students participated in the study. An online survey was conducted from October 18 to 24, 2021. The survey included the Bedtime Procrastination Scale, Patient Health Questionnaire-9 items, Stress and Anxiety to Viral Epidemics-6 items, Connor Davidson Resilience Scale 2-items, and Ten-Item Personality Inventory.</p><p><strong>Results: </strong>Bedtime procrastination was positively associated with depression (r = 0.31, p < 0.001) and negatively associated with resilience (r = -0.14, p = 0.020), extraversion (r = -0.14, p = 0.015), conscientiousness (r = -0.33, p < 0.001), and emotional stability (r = -0.30, p < 0.001). Linear regression revealed that higher levels of bedtime procrastination were significantly associated with increased depression (β = 0.21, p < 0.001) and personality traits such as lower conscientiousness (β = -0.22, p < 0.001) and lower emotional stability (β = -0.14, p = 0.022). Mediation analysis showed that depression had a direct effect on bedtime procrastination, and depression had an indirect effect on bedtime procrastination that was partially mediated by conscientiousness or emotional stability.</p><p><strong>Conclusion: </strong>In Korean high school students, more bedtime procrastination shows a significant association with higher levels of depression, which is in part mediated by personality traits.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371426","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}
引用次数: 0
Attitudes Toward and Beliefs in the Effectiveness of Biomedical HIV Prevention Strategies Among Emerging and Young Adult Sexual Minority Men. 性少数群体中的新兴男性和年轻成年男性对生物医学艾滋病预防策略有效性的态度和信念。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2023-12-19 DOI: 10.1007/s12529-023-10244-4
Junye Ma, Gregory E Chase, Ashley Black, Jonathan Klaphake, Kelly Garcia-Myers, Jason V Baker, Keith J Horvath
{"title":"Attitudes Toward and Beliefs in the Effectiveness of Biomedical HIV Prevention Strategies Among Emerging and Young Adult Sexual Minority Men.","authors":"Junye Ma, Gregory E Chase, Ashley Black, Jonathan Klaphake, Kelly Garcia-Myers, Jason V Baker, Keith J Horvath","doi":"10.1007/s12529-023-10244-4","DOIUrl":"10.1007/s12529-023-10244-4","url":null,"abstract":"<p><strong>Background: </strong>Pre-exposure prophylaxis (PrEP) and HIV treatment as prevention, which underlies the Undetectable = Untransmittable (U = U) campaign, are two effective biomedical approaches for HIV prevention among sexual minority men (SMM). Attitudes toward PrEP and U = U may differ between SMM emerging adults (EA: 18-24 years old) and young adults (YA: 25-29 years old) to drive differences in sexual behavior. However, to date, few studies assessed the degree to which YAs and EAs differ in their beliefs in the effectiveness of PrEP and U = U.</p><p><strong>Method: </strong>A national sample of 80 SMM in the USA (M<sub>age</sub> = 25.1 years; 53.7% racial/ethnic minority; 38.8% EA; 61.3% YA) participated in a 6-month mHealth intervention for PrEP adherence. Non-parametric tests assessed differences in sexual behaviors and attitudes toward the effectiveness of PrEP and U = U between EAs and YAs using baseline data.</p><p><strong>Results: </strong>Compared to EAs, higher proportions of YAs trusted PrEP's effectiveness and considered condom use unnecessary after taking PrEP. More YAs than EAs were willing to engage in sexual behaviors that they felt too risky before learning about U = U and were more comfortable having condomless sex with HIV-positive partners. Conversely, a greater proportion of EAs than YAs preferred to use condoms even when their partners are on anti-HIV medications.</p><p><strong>Conclusion: </strong>Overall, YAs trusted the effectiveness of U = U and PrEP more than EAs, underscoring developmental differences in SMM's perspectives on biomedical HIV prevention tools. Our findings underscore the importance of tailoring messages on biomedical HIV prevention options differently for EAs and YAs to optimize uptake.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"142-148"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection. 更正:面对大肠癌筛查的情感障碍。重新评估和情境选择的作用。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 DOI: 10.1007/s12529-024-10298-y
Giulia Scaglioni, Miriam Capasso, Marcella Bianchi, Daniela Caso, Nicoletta Cavazza
{"title":"Correction: Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.","authors":"Giulia Scaglioni, Miriam Capasso, Marcella Bianchi, Daniela Caso, Nicoletta Cavazza","doi":"10.1007/s12529-024-10298-y","DOIUrl":"10.1007/s12529-024-10298-y","url":null,"abstract":"","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"155"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Sleep Enhancement Educational Program on Maternal Sleep Quality for Nulliparous Pregnant Women: A Randomized-Controlled Trial. 提高睡眠质量教育计划对无阴道孕妇睡眠质量的影响:随机对照试验。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1007/s12529-024-10261-x
Habibe Bay Ozcalik, Neriman Sogukpinar
{"title":"The Effect of Sleep Enhancement Educational Program on Maternal Sleep Quality for Nulliparous Pregnant Women: A Randomized-Controlled Trial.","authors":"Habibe Bay Ozcalik, Neriman Sogukpinar","doi":"10.1007/s12529-024-10261-x","DOIUrl":"10.1007/s12529-024-10261-x","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy is a critical period during which women usually do not prefer taking medication. Therefore, non-pharmacological and safe methods are needed to improve sleep quality during pregnancy. This study aims to identify whether an educational program on sleep enhancement for pregnant women has any effect on maternal sleep quality.</p><p><strong>Method: </strong>This was a randomized-controlled trial. Pregnant women (N = 181) were divided into two groups, an intervention group (n = 90) and a control group (n = 91). A two-session educational program for the enhancement of sleep quality was provided to the intervention group, whereas solely the routine practices of the hospital were put in place for the control group.</p><p><strong>Results: </strong>The intervention group had a significantly lower mean Pittsburgh Sleep Quality Index score, and accordingly, better sleep quality than the control group. Participation in the education program was significantly related to sleep quality and accounted for 6% of the total variance in sleep quality (R<sup>2</sup> = 0.055) (p < 0.001).</p><p><strong>Conclusion: </strong>It was concluded that the educational program on sleep enhancement implemented to improve the sleep quality of pregnant women enhanced maternal sleep quality.</p><p><strong>Trial registration: </strong>URL:  clinicaltrials.gov .</p><p><strong>Registration number: </strong>NCT04262349.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"11-20"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139577026","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}
引用次数: 0
A Systematic Review of Interventions for Demoralization in Patients with Chronic Diseases. 慢性病患者士气低落干预措施的系统性回顾。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-02-05 DOI: 10.1007/s12529-024-10262-w
Li Dong, Li Li, Yunlian Wu, Xiaoling Zhao, Hui Zhong, Xi Cheng, Lixia Liu, Changxia Cheng, Mingqiu Ouyang, Liande Tao
{"title":"A Systematic Review of Interventions for Demoralization in Patients with Chronic Diseases.","authors":"Li Dong, Li Li, Yunlian Wu, Xiaoling Zhao, Hui Zhong, Xi Cheng, Lixia Liu, Changxia Cheng, Mingqiu Ouyang, Liande Tao","doi":"10.1007/s12529-024-10262-w","DOIUrl":"10.1007/s12529-024-10262-w","url":null,"abstract":"<p><strong>Background: </strong>Demoralization, a significant mental health concern in patients with chronic diseases, can have a large impact on physical symptom burden and quality of life. The present review aimed to evaluate the effectiveness of interventions for demoralization among patients with chronic diseases.</p><p><strong>Method: </strong>PubMed, Scopus, Embase, and Web of Science were systematically searched. Research on providing interventions to patients with chronic diseases that included quantitative data on demoralization was then systematically reviewed.</p><p><strong>Results: </strong>Fourteen studies were included, most of which considered demoralization as a secondary outcome. Interventions included evidence-based meaning-centered psychotherapy, dignity therapy, psilocybin-assisted psychotherapy, and others. Ten studies used randomized controlled designs. Six of these investigated evidence-based meaning-centered therapy, and four investigated dignity therapy, showing the best empirical support for these intervention types. Most studies showed significant impacts on demoralization in patients with chronic diseases.</p><p><strong>Conclusion: </strong>This systematic review provides insights into potential psychological interventions for reducing demoralization in patients with chronic diseases. Randomized controlled designs and adequately powered samples, with demoralization as the primary outcome, are needed to more clearly evaluate its effectiveness.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infectious Illness Symptoms Are Associated with Elevated Anxiety in a Sample of Sexual and Gender Minority Young Adults During the COVID-19 Pandemic. 在 COVID-19 大流行期间,性少数群体和性别少数群体青年样本中的传染病症状与焦虑升高有关。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-01-19 DOI: 10.1007/s12529-023-10251-5
Chitra S Iyer, Joshua M Schrock, Anthony Johnson, Pamina M Gorbach, Sue Siminski, Michael E Newcomb, Thomas W McDade, Brian Mustanski
{"title":"Infectious Illness Symptoms Are Associated with Elevated Anxiety in a Sample of Sexual and Gender Minority Young Adults During the COVID-19 Pandemic.","authors":"Chitra S Iyer, Joshua M Schrock, Anthony Johnson, Pamina M Gorbach, Sue Siminski, Michael E Newcomb, Thomas W McDade, Brian Mustanski","doi":"10.1007/s12529-023-10251-5","DOIUrl":"10.1007/s12529-023-10251-5","url":null,"abstract":"<p><strong>Background: </strong>To evaluate whether infectious illness symptoms (IIS) are associated with generalized anxiety symptoms during the COVID-19 pandemic in sexual/gender (SGM) minority young adults assigned male at birth (AMAB).</p><p><strong>Method: </strong>Four hundred eighteen participants (median age = 25; range, 20-40) were recruited through RADAR, an ongoing Chicago-based cohort study of SGM-AMAB between September 2020 and February 2021. Participants completed online surveys. A subset (n = 145) provided dried blood spot samples to assess SARS-CoV-2 serostatus.</p><p><strong>Results: </strong>One hundred twenty participants (28.7%) had GAD-7 scores of 10 or greater, which indicates generalized anxiety symptoms that may be clinically significant. In a binomial logistic regression model adjusting age, gender identity, race/ethnicity, substance use, and HIV status, the authors found that having a higher IIS count since March 1, 2020, was associated with greater odds of having a GAD-7 score of 10 or greater (OR = 1.14; 95% CI, 1.04, 1.25; P = 0.007). This effect was more pronounced in a binomial logistic regression model adjusting for the same covariates but using current IIS count as the independent variable (OR = 1.39; 95% CI, 1.13, 1.74; P = 0.002).</p><p><strong>Conclusion: </strong>Among SGM-AMAB young adults, those who experienced ISS reported higher scores on the GAD-7, a widely used and validated screening measure for generalized anxiety symptoms. These findings highlight the importance of screening for anxiety disorders when patients present with IIS in clinical settings and psychobehavioral health follow-ups when indicated.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"102-110"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moderators of a Diet and Physical Activity Intervention: who Responds Best to Sequential vs. Simultaneous Approaches. 饮食和体育活动干预的主持人:谁对顺序与同时方法反应最好。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2023-10-10 DOI: 10.1007/s12529-023-10223-9
Michele L Patel, Patricia Rodriguez Espinosa, Abby C King
{"title":"Moderators of a Diet and Physical Activity Intervention: who Responds Best to Sequential vs. Simultaneous Approaches.","authors":"Michele L Patel, Patricia Rodriguez Espinosa, Abby C King","doi":"10.1007/s12529-023-10223-9","DOIUrl":"10.1007/s12529-023-10223-9","url":null,"abstract":"<p><strong>Background: </strong>Given that low physical activity levels and poor dietary intake are co-occurring risk factors for chronic disease, there is a need for interventions that target both health behaviors, either sequentially or simultaneously. Little is known about participant characteristics that are associated with better or worse response to sequential and simultaneous interventions.</p><p><strong>Method: </strong>The 12-month Counseling Advice for Lifestyle Management (CALM) randomized trial (N = 150; M<sub>age</sub> = 55.3 years) targeted these two behaviors either via a sequential approach - dietary advice first then exercise advice added (\"Diet-First\") or exercise advice first then dietary advice added (\"Exercise-First\") - or via a simultaneous approach. The objective was to examine demographic, clinical, and psychosocial moderators of intervention effects on 12-month change in (1) moderate-to-vigorous physical activity (MVPA), (2) fruit/vegetable intake, (3) caloric intake from saturated fat, and (4) weight. Hierarchical regressions first compared Diet-First to Exercise-First, followed by comparisons of these arms combined (\"sequential\") to the simultaneous arm.</p><p><strong>Results: </strong>Older age, higher baseline BMI, and lower social support were associated with higher MVPA in Exercise-First vs. Diet-First, while lower tangible support was associated with higher fruit/vegetable intake in Exercise-First but not in Diet-First. Poor sleep was associated with higher levels of MVPA in the sequential arm than in the simultaneous arm. Lower vitality was associated with greater weight loss in the sequential arm than in the simultaneous arm, while the opposite was true for those who were not married.</p><p><strong>Conclusion: </strong>Identifying moderators of treatment response can allow the behavioral medicine field to enhance intervention efficacy by matching participant subgroups to their best-fitting interventions.</p><p><strong>Trial registration: </strong>NCT00131105.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"80-91"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11004089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Migraine and Blood Pressure-Does Obesity Severity Have a Moderating Role? 偏头痛和血压的关系——肥胖严重程度有调节作用吗?
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2023-11-16 DOI: 10.1007/s12529-023-10241-7
Siddhartha S Kalala, Leah M Schumacher, J Graham Thomas, Richard B Lipton, Jelena Pavlovic, Dale S Bond
{"title":"Association of Migraine and Blood Pressure-Does Obesity Severity Have a Moderating Role?","authors":"Siddhartha S Kalala, Leah M Schumacher, J Graham Thomas, Richard B Lipton, Jelena Pavlovic, Dale S Bond","doi":"10.1007/s12529-023-10241-7","DOIUrl":"10.1007/s12529-023-10241-7","url":null,"abstract":"<p><strong>Background: </strong>The relationship between migraine and blood pressure (BP) is equivocal, warranting exploration of potential moderators. Obesity associates with both migraine and BP in a dose-dependent fashion, although its role as a moderator has not been evaluated. We examined the relation between migraine and BP in women with comorbid migraine and obesity, and whether this relation was influenced by obesity severity.</p><p><strong>Methods: </strong>Women with migraine and obesity (n = 134) completed a 28-day headache diary before randomization to lifestyle intervention or migraine education. BP (systolic (SBP)/diastolic (DBP)), body mass index (BMI), and waist circumference (WC) were measured before diary completion. Hierarchical linear regression assessed associations between BP and migraine characteristics (headache frequency, duration, and pain intensity), and obesity severity (both total (BMI) and abdominal (WC)) as moderators of these associations.</p><p><strong>Results: </strong>Participants (BMI = 35.4 ± 6.5 kg/m<sup>2</sup>; WC = 105.4 ± 15.6 cm, SBP = 113.1 ± 12.1/DPB = 68.1 ± 8.0 mmHg) reported 8.4 ± 4.5 migraine days that lasted 20.2 ± 15.9 h with mean pain intensity of 5.9 ± 1.6 on a 10-point scale. DBP inversely related to migraine days in both total (β =  - 0.226, p = .010) and abdominal (β = 0.214, p = .015) obesity severity models. SBP and obesity severity did not relate to migraine characteristics. Obesity severity did not moderate relations between migraine characteristics and BP (p's > .05).</p><p><strong>Conclusion: </strong>Among women with comorbid migraine and obesity, DBP inversely related to migraine frequency; however, obesity severity did not affect the strength of this or other examined associations. Future studies including healthy weight controls and men and women with continuous BP measures are needed to confirm these findings and identify mechanisms and moderators.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"135-141"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400229","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}
引用次数: 0
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