International Journal of Behavioral Medicine最新文献

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A Longitudinal Study of Adherence among Cystic Fibrosis Patients: Associations with Gratitude Over the Course of One Year. 囊性纤维化患者坚持治疗的纵向研究:囊性纤维化患者坚持治疗的纵向研究:一年来与感恩的关系
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-06-24 DOI: 10.1007/s12529-024-10306-1
Allen C Sherman, Catherine E O'Brien, Stephanie Simonton-Atchley
{"title":"A Longitudinal Study of Adherence among Cystic Fibrosis Patients: Associations with Gratitude Over the Course of One Year.","authors":"Allen C Sherman, Catherine E O'Brien, Stephanie Simonton-Atchley","doi":"10.1007/s12529-024-10306-1","DOIUrl":"10.1007/s12529-024-10306-1","url":null,"abstract":"<p><strong>Background: </strong>Daily airway clearance therapy (ACT) is a critical aspect of treatment in cystic fibrosis (CF), but poor adherence is a prominent concern. Identifying factors that might enhance or diminish adherence is a priority for treatment centers. Gratitude, a generalized tendency to notice and appreciate positive facets of experience, is a psychosocial resource that has commanded growing research interest. This longitudinal study examined whether gratitude at baseline was associated with ongoing or persistent ACT adherence over the course of a year.</p><p><strong>Methods: </strong>Trait gratitude was evaluated at baseline using a validated measure, among adults receiving care at a regional CF treatment center. Self-reported adherence to ACT was assessed at baseline, 6 months, and 12 months using the Cystic Fibrosis Treatment Questionnaire. Average age of participants was 27.2 years, 45.5% were women, and 19.7% had severe disease.</p><p><strong>Results: </strong>In multivariable logistic regression models that accounted for disease severity (Forced Expiratory Volume<sub>1</sub>% predicted) and other clinical and demographic variables, individuals with higher baseline gratitude were significantly more likely to demonstrate persistent adherence over the course of the year. Gratitude remained predictive after additionally adjusting for other well-known psychosocial resource variables (social support and emotional well-being).</p><p><strong>Conclusion: </strong>This is among the first demonstrations that gratitude is associated with persistent self-reported adherence to treatment over time. Findings suggest that gratitude may be important psychosocial resource for adults with CF, as they contend with complex, highly burdensome treatment regimens. Further research is warranted to examine these relationships and their impact on downstream health outcomes.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"477-485"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447596","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
Alcohol-related Consequences: Factor Structure and Associations With Trait Mindfulness and Drinking Motivations. 酒精相关后果:因子结构以及与特质心智和饮酒动机的关联。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-06-04 DOI: 10.1007/s12529-024-10300-7
Lauren M Carney, Crystal L Park, Beth Russell
{"title":"Alcohol-related Consequences: Factor Structure and Associations With Trait Mindfulness and Drinking Motivations.","authors":"Lauren M Carney, Crystal L Park, Beth Russell","doi":"10.1007/s12529-024-10300-7","DOIUrl":"10.1007/s12529-024-10300-7","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to determine if motivations to use alcohol (coping and social motivations) mediate the relationship between trait mindfulness and a variety of alcohol-related consequences and to determine if the relationship between motivations to use alcohol and alcohol-related consequences is moderated by alcohol use. We determined the factor structure of positive and negative consequences of alcohol use and used this structure as outcomes across eight moderated mediation models.</p><p><strong>Methods: </strong>Data were obtained from 296 undergraduate students to confirm the alcohol-related consequences factor structure and to test eight moderated-mediation models.</p><p><strong>Results: </strong>Four alcohol-related consequences scales (romantic/sexual, positive, mild negative, and severe negative consequences) were confirmed. The motive of drinking to cope significantly mediated the relationship between trait mindfulness and all four of the alcohol-related consequences scales. Drinking to socialize did not significantly mediate the relationship between trait mindfulness and all of the alcohol-related consequences scales.</p><p><strong>Conclusions: </strong>The identified four-factor structure suggests that alcohol-related consequences should be assessed in a more specific manner. Additionally, different motivations for alcohol use relate differentially to trait mindfulness and different alcohol-related consequences; drinking to cope is particularly problematic for this population. Future research on the usefulness of promoting mindfulness to reduce problematic drinking appears warranted.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"550-560"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248990","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
Investigating the Moderating Effect of HIV Status Disclosure on the Link Between Discrimination Experience and Psychological Distress Among People Living with HIV in Japan Infected Through Sexual Contact. 在日本通过性接触感染的艾滋病病毒感染者中,调查艾滋病病毒感染状况披露对歧视经历与心理压力之间联系的调节作用。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-06-28 DOI: 10.1007/s12529-024-10304-3
Takeshi Miwa, Chihiro Wakabayashi, Kanna Hayashi, Junko Tanuma, Kazuko Ikeda, Yoshiyuki Yokomaku, Yuzuru Ikushima
{"title":"Investigating the Moderating Effect of HIV Status Disclosure on the Link Between Discrimination Experience and Psychological Distress Among People Living with HIV in Japan Infected Through Sexual Contact.","authors":"Takeshi Miwa, Chihiro Wakabayashi, Kanna Hayashi, Junko Tanuma, Kazuko Ikeda, Yoshiyuki Yokomaku, Yuzuru Ikushima","doi":"10.1007/s12529-024-10304-3","DOIUrl":"10.1007/s12529-024-10304-3","url":null,"abstract":"<p><strong>Background: </strong>There is a scarcity of research on the potential impact of disclosing HIV status to friends and family in moderating the adverse effects of discrimination on the mental health of people living with HIV (PLWH). This study assessed the experiences of discrimination and HIV status disclosure among PLWH in Japan, and evaluated their potential associations with psychological distress.</p><p><strong>Method: </strong>Data were derived from a nationwide cross-sectional survey of PLWH conducted in Japan between 2019 and 2020. The interaction effects of HIV-related discrimination and HIV status disclosure on the psychological distress were examined using logistic and linear regression analyses.</p><p><strong>Results: </strong>The median age of the 804 respondents was 46 years old. Most respondents were male and 85.4% (687/804) identified as homosexuals or bisexuals. A total of 12.7% (102/804) of the respondents reported that they had recently experienced discrimination because of their HIV status. Experience of HIV-related discrimination was independently associated with high psychological distress (adjusted OR 2.02; 95% CI, 1.15-3.57), and HIV status disclosure to friends partially weakened the association between discrimination and the level of psychological distress (regression coefficient -3.115; p = 0.004).</p><p><strong>Conclusion: </strong>While measures that aim to end discrimination remain vital, increasing the opportunities of PLWH to communicate with friends they feel comfortable disclosing their HIV status may also be helpful in protecting their mental health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"608-618"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472583","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
Scrolling Your Sleep Away: The Effects of Bedtime Device Use on Sleep Among Young Adults with Poor Sleep. 滚动你的睡眠:睡眠不佳的年轻成年人睡前使用设备对睡眠的影响》。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-10-25 DOI: 10.1007/s12529-024-10326-x
Ana Chkhaidze, Brett M Millar, Tracey A Revenson, Irina Mindlis
{"title":"Scrolling Your Sleep Away: The Effects of Bedtime Device Use on Sleep Among Young Adults with Poor Sleep.","authors":"Ana Chkhaidze, Brett M Millar, Tracey A Revenson, Irina Mindlis","doi":"10.1007/s12529-024-10326-x","DOIUrl":"10.1007/s12529-024-10326-x","url":null,"abstract":"<p><strong>Background: </strong>Many young adults report sleep problems, including insufficient sleep and poor sleep quality. Young adults are heavily reliant on electronic devices, even using them during bedtime with adverse effects on sleep. Given the importance of adequate sleep, the present study examined the daily association between using electronic devices during bedtime and sleep in a diverse sample of young adults with poor sleep.</p><p><strong>Method: </strong>We analyzed data from a pilot randomized controlled trial in which young adults with poor sleep [n = 46; 84% female; mean age 19.3 (SD = 2.9); 30% Asian, 19% Black/African American, 9% multiracial; 34% Hispanic/Latino] wore an electronic sleep tracking device (Fitbit Charge 3) and completed daily sleep diaries including questions about sleep and bedtime routine for 4 weeks following a behavioral sleep intervention. The effect of bedtime device use on sleep latency-time needed to fall asleep-and sleep duration was estimated by generalized linear mixed models (GLMM), adjusting for weeknights/weekend nights.</p><p><strong>Results: </strong>Bedtime device use on a given night was significantly associated with shorter self-reported sleep duration (b =  - 19.80, p = .011), but not with sleep latency. Concordance between the self-reported and Fitbit-measured sleep variables was low, and bedtime device use was not associated and Fitbit-measured sleep variables.</p><p><strong>Conclusion: </strong>Using electronic devices before bed negatively affected self-reported sleep duration the following night. This finding highlights the importance of minimizing nightly device use among young adults with poor sleep and suggests that the inconsistency between self-reported sleep and device use warrants further investigation.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"634-639"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512849","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
Psychosocial Predictors of Maintained Weight Loss in Women: Informing Behavioral Obesity Treatment Foci. 女性持续减肥的社会心理预测因素:为肥胖症行为治疗重点提供依据。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-05-15 DOI: 10.1007/s12529-024-10294-2
James J Annesi, Sara M Powell
{"title":"Psychosocial Predictors of Maintained Weight Loss in Women: Informing Behavioral Obesity Treatment Foci.","authors":"James J Annesi, Sara M Powell","doi":"10.1007/s12529-024-10294-2","DOIUrl":"10.1007/s12529-024-10294-2","url":null,"abstract":"<p><strong>Background: </strong>Behavioral obesity treatments are typically unable to facilitate meaningful weight loss beyond the short term. Implications of malleable psychosocial factors are unclear, which limits behavioral intervention contents. The current aim was to inform obesity treatments to improve their foci on psychosocial factors leading to resilient behavioral changes and maintained weight loss.</p><p><strong>Method: </strong>Based on pre-planned analyses, women participating in a community-based obesity treatment emphasizing self-regulation and exercise, and who lost at least 3% of their initial weight (N = 89), were measured on eating-related self-efficacy, negative mood, emotional eating, body satisfaction, and self-regulating eating at baseline, Month 3, and Month 6; and on weight change over 12 months.</p><p><strong>Results: </strong>From baseline to Month 6, there was a significant overall improvement in each psychosocial variable. In separate multiple regression equations, scores at (1) Month 6, (2) change from baseline to Month 6, and (3) change from Month 3 to Month 6 were entered as predictors of maintained weight loss from Month 6 to Month 12. Using a backward elimination process, only negative mood was retained in the final Month 6 model, and significantly predicted maintained weight loss (R<sup>2</sup><sub>adjusted</sub> = .03, p = .050). Changes in self-efficacy, mood, emotional eating, and self-regulation were retained in the final baseline to Month 6 model, and significantly predicted weight loss maintained over 12 months (R<sup>2</sup><sub>adjusted</sub> = .30, p < .001).</p><p><strong>Conclusion: </strong>Findings add to research on obesity treatment development by suggesting an enhanced focus on facilitating changes in self-efficacy, mood, emotional eating, and self-regulation may enhance maintenance of lost weight (or increase weight loss).</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"541-549"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946428","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
How Shared Dietary Behaviors Within Asian American Families Are Influenced by Emotional Interaction Qualities: A Nationwide Cross-sectional Analysis. 美国亚裔家庭的共同饮食行为如何受到情感互动特质的影响:全国横截面分析。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-08-01 Epub Date: 2024-06-12 DOI: 10.1007/s12529-024-10303-4
Shahmir H Ali, Gabriella Meltzer, Ralph J DiClemente, Nadia S Islam, Stella S Yi, Lawrence H Yang, Supriya Misra
{"title":"How Shared Dietary Behaviors Within Asian American Families Are Influenced by Emotional Interaction Qualities: A Nationwide Cross-sectional Analysis.","authors":"Shahmir H Ali, Gabriella Meltzer, Ralph J DiClemente, Nadia S Islam, Stella S Yi, Lawrence H Yang, Supriya Misra","doi":"10.1007/s12529-024-10303-4","DOIUrl":"10.1007/s12529-024-10303-4","url":null,"abstract":"<p><strong>Background: </strong>Asian American (AA) young adults face a looming diet-related non-communicable disease crisis. Interactions with family members are pivotal in the lives of AA young adults and form the basis of family-based interventions; however, little is known on the role of these interactions in shared family food behaviors. Through an analysis of 2021 nationwide survey data of 18-35-year-old AAs, this study examines how the quality of family member interactions associates with changes in shared food purchasing, preparation, and consumption.</p><p><strong>Method: </strong>Interaction quality was assessed through 41 emotions experienced while interacting with family, and was categorized as positive (e.g., \"I look forward to it\"), negative (e.g., \"I feel annoyed\"), and appreciation-related (e.g., \"I feel respected\") interactions. Participants were also asked how frequently they ate meals, ate out, grocery shopped, and cooked with their family.</p><p><strong>Results: </strong>Among the 535 AAs surveyed (47.6% East Asian, 21.4% South Asian, 22.6% Southeast Asian), 842 unique family interactions were analyzed; 43.5% of interactions were with mothers, followed by siblings (27.1%), and fathers (18.5%). Participants most frequently ate meals with their family (at least daily for 33.5% of participants), followed by cooking (at least daily for 11.3%). In adjusted analyses, an increase in shared food behaviors was particularly associated with positive interactions, although most strongly with cooking together and least strongly with eating meals together; significant differences between ethnic subgroups were not observed.</p><p><strong>Conclusion: </strong>Findings revealed the importance of family interaction quality when leveraging family relationships to develop more tailored, impactful AA young adult dietary interventions.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"515-527"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312272","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
Prediction of Depression and Anxiety Symptoms in Older Adults from Objectively Measured Physical Activity. 从客观测量的身体活动预测老年人抑郁和焦虑症状
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-07-15 DOI: 10.1007/s12529-025-10385-8
Ken Kurisu, Sungjin Park, Kazuhiro Yoshiuchi, Yukitoshi Aoyagi
{"title":"Prediction of Depression and Anxiety Symptoms in Older Adults from Objectively Measured Physical Activity.","authors":"Ken Kurisu, Sungjin Park, Kazuhiro Yoshiuchi, Yukitoshi Aoyagi","doi":"10.1007/s12529-025-10385-8","DOIUrl":"https://doi.org/10.1007/s12529-025-10385-8","url":null,"abstract":"<p><strong>Background: </strong>In the context of global population aging, research on physical activity and mental health in older adults is increasingly warranted. While previous studies revealed cross-sectional associations between objectively measured physical activity and depression in older adults, the longitudinal relationship remains unexplored. This longitudinal study aimed to examine the effects of objectively measured physical activity on future depression and anxiety.</p><p><strong>Methods: </strong>Data were obtained from 477 residents of Nakanojo town who were able to walk independently. Physical activity was measured using an electronic accelerometer, and participants completed the Hospital Anxiety and Depression Scale (HADS) annually. Using these repeated measurements, a longitudinal dataset was constructed by pairing physical activity data with HADS scores measured the following year. Multilevel models were used to predict HADS depression and anxiety scores measured one year after physical activity data collection.</p><p><strong>Results: </strong>For the depression model, based on 1,963 records from 454 participants, longer durations of moderate to vigorous physical activity (MVPA) were associated with lower depression scores the following year (coefficient = -0.44; 95% confidence interval [CI] = -0.59 to -0.28; p < 0.001). Similarly, in the anxiety model, which included 1,938 records from 452 participants, longer MVPA durations were linked to lower anxiety scores in the subsequent year (coefficient = -0.27; 95% CI = -0.41 to -0.13; p < 0.001).</p><p><strong>Conclusions: </strong>These findings suggest that higher levels of physical activity may be associated with reduced future symptoms of depression and anxiety in community-dwelling older adults capable of walking.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644128","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
Intention Setting to Improve Sleep Practices: The Impact on Sleep and Theory of Planned Behaviour Variables; a Randomised Control Trial in Undergraduate Students. 改善睡眠习惯的意向设置:对睡眠的影响和计划行为变量理论一项本科生随机对照试验
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-07-07 DOI: 10.1007/s12529-025-10381-y
Jayne Spiller
{"title":"Intention Setting to Improve Sleep Practices: The Impact on Sleep and Theory of Planned Behaviour Variables; a Randomised Control Trial in Undergraduate Students.","authors":"Jayne Spiller","doi":"10.1007/s12529-025-10381-y","DOIUrl":"https://doi.org/10.1007/s12529-025-10381-y","url":null,"abstract":"<p><strong>Background: </strong>This study investigated whether providing sleep hygiene advice combined with intention setting to improve sleep increased sleep hygiene, sleep period, and advanced bedtime compared with a wellbeing intervention.</p><p><strong>Method: </strong>The intervention for this randomised control trial was delivered in a single online session to undergraduate students. Participants were randomised to either the sleep intervention, an intervention for mental wellbeing, or a control condition. Participants in the sleep and wellbeing conditions watched a video about healthy sleep habits and healthy mental wellbeing, respectively, and set three intentions to improve this outcome. Theory of planned behaviour variables were assessed pre- and post-intervention, and sleep variables were assessed pre-intervention and at 1-week follow-up (n = 128 included at the follow-up).</p><p><strong>Results: </strong>Sleep hygiene scores were significantly lower for the sleep intention setting group compared with the control group post-intervention, reflecting a small effect size (Cohen's d .45). Following the sleep intervention, there was no difference in sleep period or bedtime relative to the control group. Setting intentions did significantly increase participants' intention to use strategies to improve their sleep, but change in intention score was not associated with post-intervention attitude, control belief strength, or power in relation to sleep.</p><p><strong>Conclusion: </strong>Setting intentions to improve sleep results in improved sleep hygiene compared to setting no intentions. However, improved sleep hygiene does not transfer to an increased sleep period or earlier bedtimes, nor does it change attitude and perceived behavioural control. Future studies should consider the moderating role of environmental barriers to intention setting.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585619","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 Personal-Level Social Networks on Treatment Adherence, Depression, Anxiety, and Perceived Stigma Among Adults with Cystic Fibrosis: An Egocentric Network Analysis. 个人层面的社会网络对囊性纤维化成人治疗依从性、抑郁、焦虑和感知耻辱的影响:自我中心网络分析。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-07-02 DOI: 10.1007/s12529-025-10382-x
Haosen Sun, Heather M Francis, Jennifer Polo, Christine Esposito, Katherine Papia, Jana Yeley, Meagan Brant, Alison Huenger, Janice Wang, Cynthia Brown, Erin Pullen, Melissa J Basile
{"title":"The Impact of Personal-Level Social Networks on Treatment Adherence, Depression, Anxiety, and Perceived Stigma Among Adults with Cystic Fibrosis: An Egocentric Network Analysis.","authors":"Haosen Sun, Heather M Francis, Jennifer Polo, Christine Esposito, Katherine Papia, Jana Yeley, Meagan Brant, Alison Huenger, Janice Wang, Cynthia Brown, Erin Pullen, Melissa J Basile","doi":"10.1007/s12529-025-10382-x","DOIUrl":"https://doi.org/10.1007/s12529-025-10382-x","url":null,"abstract":"<p><strong>Background: </strong>Among people with cystic fibrosis (CF), health behaviors and mental health have been associated with general social support. We used egocentric network analysis to assess the specific impact of social network variables on treatment adherence, depression, anxiety, and perceived stigma among adults with CF. Our goal is to identify the social network factors which may be driving adherence, anxiety, depression, and perceived stigma among adults with CF toward developing targeted network-based interventions.</p><p><strong>Method: </strong>Our primary outcome, adherence to individual-level treatment regimens, was assessed using composite prescription refill history (cMPR), self-reported airway clearance therapy (ACT), and consumption of all prescriptions. Secondary outcomes were assessed via patient completion of the Patient Health Questionnaire-9 (PHQ-9) for depression, the General Anxiety Disorder-7 (GAD-7) for anxiety, and the CF Stigma Scale for perceived stigma. Participants also completed a social network interview to collect data on personal-level networks. Controlling for participant age, sex, race, relationship status, work status, and CF disease severity, we explored the impact of network variables on our primary and secondary outcomes using regression analysis. All models were run twice to assess both core and strong network ties.</p><p><strong>Results: </strong>Regression analysis of 104 participants showed that strong network ties serving as health discussants and health regulators were positively associated with stronger adherence, while financial dependence and network density were associated with decreased adherence. Network alters having higher education levels, strong trust in doctors, and support for daily activities were associated with lower depression, anxiety, and perceived stigma. Participants having a higher proportion of network members who hassled them and had lower trust and/or greater variability in trust in doctors experienced higher depression, anxiety, and perceived stigma.</p><p><strong>Conclusion: </strong>Findings show that network-based variables including close ties to health discussants, network members' education levels, and health beliefs, as well as having network members providing support for daily activities may be driving specific aspects of adherence, symptoms of depression and anxiety, and perceived stigma among adults with CF. These findings may thus allow us to leverage social networks in the development of novel interventions to improve adherence and mental health and reduce perceived stigma for people with CF.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555715","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
18th Congress of Behavioral Medicine: Advancing Global Health Equity through Science, Education and Advocacy. 第十八届行为医学大会:通过科学、教育和宣传促进全球健康公平。
IF 1.7 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-07-01 DOI: 10.1007/s12529-025-10383-w
{"title":"18th Congress of Behavioral Medicine: Advancing Global Health Equity through Science, Education and Advocacy.","authors":"","doi":"10.1007/s12529-025-10383-w","DOIUrl":"10.1007/s12529-025-10383-w","url":null,"abstract":"","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"1-176"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785918","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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