Rodman E Turpin, Aaron D Camp, C J Mandell, Rochelle R Davidson Mhonde, Typhanye V Dyer, Kenneth H Mayer, Hongjie Liu, Thomas Coates, Bradley Boekeloo
{"title":"Black Sexual Minority Men's Experiences in MPowerment Interventions: Implications for HIV Prevention.","authors":"Rodman E Turpin, Aaron D Camp, C J Mandell, Rochelle R Davidson Mhonde, Typhanye V Dyer, Kenneth H Mayer, Hongjie Liu, Thomas Coates, Bradley Boekeloo","doi":"10.1007/s12529-024-10275-5","DOIUrl":"10.1007/s12529-024-10275-5","url":null,"abstract":"<p><strong>Background: </strong>Black sexual minority men (BSMM) are disproportionately vulnerable to HIV acquisition; the MPowerment model is one community-based framework for preventing HIV in this population. It focuses on developing a supportive network of peers to promote health messaging, reduce stigma, and improve resilience. While these interventions have demonstrated general success, there are important challenges related to race, sexuality, and internalized stigma. Our study aimed to explore these experiences among BSMM in MPowerment models focused on HIV prevention.</p><p><strong>Method: </strong>We conducted 24 qualitative interviews of BSMM attending HIV prevention-related MPowerment events in the greater D.C. Metropolitan area. In-depth interviews were conducted via phone, and interviews were analyzed using thematic analysis.</p><p><strong>Results: </strong>We identified four themes from the transcript analysis process: Black queer intersectional social support and community, HIV-related information and destigmatization, social status, and sexuality. Within each of these themes, we identified relationships with overall HIV prevention messaging, including barriers to PrEP use. Barriers related to social status were especially prevalent and described as unique to the D.C. metropolitan area.</p><p><strong>Conclusion: </strong>Overall, MPowerment event spaces provide a forum for BSMM to feel safe and supported while gaining important HIV-related knowledge and prevention access. Challenges related to social status and destigmatization of sexuality are important considerations in designing and implementing this model, especially related to PrEP promotion.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"360-370"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159570","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}
{"title":"Positive Emotion Is Associated with Attentional Focus on Physical Activity and Eating in Adolescents: A Daily Diary Study.","authors":"Caroline Cummings, Amy Hughes Lansing","doi":"10.1007/s12529-024-10260-y","DOIUrl":"10.1007/s12529-024-10260-y","url":null,"abstract":"<p><strong>Background: </strong>There are emerging data linking positive emotion to health behaviors, yet the self-regulatory processes underlying this link are understudied. The purpose of the current study was to examine the associations between daily positive emotion and daily attentional focus on physical activity and overeating as well as the moderating role of trait positive emotion arousal recovery.</p><p><strong>Method: </strong>Adolescents (N = 47) aged 11 to 17 completed a baseline measure of their perceived positive emotion arousal regulation and a 7-day diary about their positive emotion and attentional focus.</p><p><strong>Results: </strong>Both within-person increases in and greater average daily approach-oriented positive emotion were associated with greater daily attentional focus on physical activity and overeating. Quicker perceived trait approach-oriented positive emotion arousal recovery dampened the association between within-person increases in daily approach-motivated positive emotion and daily attentional focus on overeating but not physical activity.</p><p><strong>Conclusion: </strong>Positive emotion can elicit a narrowing of attentional focus towards emotionally salient health behavior. Future studies should examine the full mechanistic pathway linking positive emotion to health behavior via attentional focus and arousal recovery.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"414-420"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520932","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}
Ciarán P Friel, Ashley M Goodwin, Patrick L Robles, Mark J Butler, Challace Pahlevan-Ibrekic, Joan Duer-Hefele, Frank Vicari, Samantha Gordon, Thevaa Chandereng, Ying Kuen Ken Cheung, Jerry Suls, Karina W Davidson
{"title":"Feasibility Test of Personalized (N-of-1) Trials for Increasing Middle-Aged and Older Adults' Physical Activity.","authors":"Ciarán P Friel, Ashley M Goodwin, Patrick L Robles, Mark J Butler, Challace Pahlevan-Ibrekic, Joan Duer-Hefele, Frank Vicari, Samantha Gordon, Thevaa Chandereng, Ying Kuen Ken Cheung, Jerry Suls, Karina W Davidson","doi":"10.1007/s12529-024-10319-w","DOIUrl":"10.1007/s12529-024-10319-w","url":null,"abstract":"<p><strong>Purpose: </strong>To test the effectiveness and feasibility of a remotely delivered intervention to increase physical activity (walking) in middle-aged and older adults.</p><p><strong>Design: </strong>This study used a personalized (N-of-1) trial design.</p><p><strong>Setting: </strong>This study took place at a major healthcare system from November 2021 to February 2022.</p><p><strong>Subjects: </strong>Sixty adults (45-75 years, 92% female, 80% white) were recruited.</p><p><strong>Intervention: </strong>A 10-week study comprising a 2-week baseline, followed by four 2-week periods where four behavior change techniques (BCTs) - self-monitoring, goal setting, action planning, and feedback - were delivered one at a time in random order.</p><p><strong>Measures: </strong>Activity was measured by a Fitbit, and intervention components delivered by email/text. Average daily steps were compared between baseline and intervention. Participants completed satisfaction items derived from the System Usability Scale and reported attitudes and opinions about personalized trials.</p><p><strong>Results: </strong>Participants rated personalized trial components as feasible and acceptable. Changes in steps between baseline and intervention were not significant, but a large heterogeneity of treatment effects existed, suggesting some participants significantly increased walking while others significantly decreased.</p><p><strong>Conclusions: </strong>Our intervention was well-accepted but use of BCTs delivered individually did not result in a significant increase in steps. Feasibility and heterogeneity of treatment effects support adopting a personalized trial approach to optimize intervention results.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"394-404"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134419","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}
Sunny Liu, Timothy A Matthews, Megan Guardiano, Elizabeth Rose Mayeda, Jian Li
{"title":"Joint Effects of Workplace and Everyday Discrimination on Sleep Disturbances: A 9-Year Prospective Cohort Study in U.S. Employees.","authors":"Sunny Liu, Timothy A Matthews, Megan Guardiano, Elizabeth Rose Mayeda, Jian Li","doi":"10.1007/s12529-025-10370-1","DOIUrl":"https://doi.org/10.1007/s12529-025-10370-1","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep quality is linked to increased risk for cardiometabolic complications and mortality. Previous research suggested workplace and everyday discrimination are separately linked to adverse sleep outcomes. The aim of this study is to examine the joint effects of workplace and everyday discrimination on sleep quality among middle-aged adults.</p><p><strong>Methods: </strong>Data from the Midlife in the United States (MIDUS) study were used, with a 9-year follow-up of 1,333 individuals free from sleep disturbances at baseline. Baseline measures of workplace and everyday discrimination were collected, and the incidence of sleep disturbances was assessed at follow-up. Poisson regression was used to estimate risk ratios (RRs) and 95% confidence intervals (CIs). The synergy index was applied to evaluate whether the combined effect of both types of discrimination was greater than their individual effects.</p><p><strong>Results: </strong>Workplace discrimination was associated with a higher risk of sleep disturbances (adjusted RR = 1.50 [1.09, 2.06]). Everyday discrimination also increased the risk of sleep disturbances (adjusted RR= 1.38 [1.00, 1.93]). The joint effect of workplace and everyday discrimination was associated with a higher risk of sleep disturbances (adjusted RR = 1.78 [1.16, 2.72]), with synergy index suggesting an additive interaction.</p><p><strong>Conclusion: </strong>Both workplace and everyday discrimination independently affect sleep quality, with an additive interaction between the two. The double burden of workplace and everyday discrimination can significantly impact sleep disturbances. Further research is needed to explore the biological mechanisms linking discrimination and sleep disturbances.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183266","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}
Ricarda K Foxx, Danielle E Jake-Schoffman, Hannah Lavoie, Anne E Mathews, JeeWon Cheong, Ali M Yurasek
{"title":"Feasibility and Acceptability of a Novel Behavioral Economic Coaching Session to Address Physical Activity and TV Watching: An Open Pilot Trial.","authors":"Ricarda K Foxx, Danielle E Jake-Schoffman, Hannah Lavoie, Anne E Mathews, JeeWon Cheong, Ali M Yurasek","doi":"10.1007/s12529-025-10368-9","DOIUrl":"https://doi.org/10.1007/s12529-025-10368-9","url":null,"abstract":"<p><strong>Background: </strong>Behavioral economics (BE) suggests that adults are more likely to engage in enjoyable behaviors that are easily available and accessible (e.g., TV watching) compared to less enjoyable and available alternatives (physical activity). This feasibility trial of a 4-week telehealth program aimed to increase physical activity and reduce TV watching.</p><p><strong>Method: </strong>Healthy but insufficiently active adults who watched TV for at least 15 h/week (N = 33) were recruited via ResearchMatch and completed a baseline coaching session (~ 30 min), a booster session (week 2, ~ 15 min), and an exit interview via video conference (~ 15 min), as well as online questionnaires. The coaching session included common physical activity promotion strategies and two novel BE components to (1) increase the availability and enjoyment of physical activity, and (2) use TV watching as a reward for physical activity (i.e., contingent TV).</p><p><strong>Results: </strong>Most participants who attended the follow-up (87.5% out of n = 24) rated component 1 as \"useful\" or \"very useful\" and 45.8% rated contingent TV (component 2) as such. Four weeks post coaching session, participants reported an increase in vigorous physical activity (+ 13.9 min/day) and walking (+ 12.1 min/day), and a decrease in sedentary behavior other than TV watching (- 3.5 h/day).</p><p><strong>Conclusion: </strong>This feasibility trial suggests that an individualized discussion on enjoyable physical activity and contingent TV watching are two behavioral economic approaches that may support behavior change in adults. Future research is needed to replicate these findings in a larger sample using a randomized controlled trial.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183341","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":"Partner Smoking/Drinking Is Associated with Increased Risk of Gestational Diabetes Mellitus and Perinatal Outcomes.","authors":"Shanshan Mei, Yaogang Huang, Hongmei Jin, Yan Long, Xueqin Zhao, Yisheng Chen, Xuexia Yun, Xiaoyan Zhang, Xiaoli Gao, Chunyan Zhu","doi":"10.1007/s12529-025-10369-8","DOIUrl":"https://doi.org/10.1007/s12529-025-10369-8","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is a common pregnancy complication associated with adverse fetal-maternal outcomes. This research investigated the association of partner smoking/drinking with GDM and adverse pregnancy outcomes.</p><p><strong>Method: </strong>A prospective cohort study was conducted, involving 1005 pregnant women in Guangzhou from July 2015 to December 2016. Participants were recruited at their first antenatal visit and followed until delivery. A 1:2 nested case-control study was used to assess the association between GDM and partner smoking/drinking, while a cohort study evaluated pregnancy outcomes.</p><p><strong>Results: </strong>Among 1005 participants, 324 involved partner smoking/drinking, with 335 GDM cases matched to 670 non-GDM controls. Partner smoking/drinking was a significant independent risk factor for GDM (adjusted odds ratios (OR), 2.0; 95% confidence interval (CI), 1.3-3.0). Compared to non-GDM women without partner smoking/drinking, the relative risk (RR) of cervical ripening scores < 6 was 2.4 (1.4-4.2) for women with GDM alone and 2.7 (1.5-4.9) for those with both GDM and partner smoking/drinking; high-risk pregnancy scores for GDM alone were 8.9 (5.4-14.6) and 11.3 (6.4-19.8) for both; for turbid amniotic fluid and hospitalization before delivery (< 37 weeks) for GDM alone 2.5 (1.1-6.0) and 1.7 (1.1-2.6), respectively; for cesarean delivery for partner smoking/drinking alone 1.5 (1.0-2.1); for caput succedaneum for both 1.8 (1.1-3.0); for intensive neonatal care GDM alone 19.0 (9.7-37.2) and 28.3 (12.4-64.9) for both. RRs were similar to GDM alone and the both for 5-min Apgar scores < 10.</p><p><strong>Conclusion: </strong>Partner smoking/drinking is associated with an increased risk of GDM and adverse pregnancy outcomes. When combined with GDM, the risk has a stronger effect than either one alone.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129273","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}
Yen Sin Koh, Rajeswari Sambasivam, P V AshaRani, Edimansyah Abdin, Tan Chin Wee Bernard, Saleha Shafie, Stefan Ma, Wai Leng Chow, Siow Ann Chong, Yvette van der Eijk, Mythily Subramaniam
{"title":"Harm Perception of Electronic Nicotine Delivery System Versus Regular Cigarettes in Singapore: Findings from a Nationwide Study.","authors":"Yen Sin Koh, Rajeswari Sambasivam, P V AshaRani, Edimansyah Abdin, Tan Chin Wee Bernard, Saleha Shafie, Stefan Ma, Wai Leng Chow, Siow Ann Chong, Yvette van der Eijk, Mythily Subramaniam","doi":"10.1007/s12529-025-10367-w","DOIUrl":"https://doi.org/10.1007/s12529-025-10367-w","url":null,"abstract":"<p><strong>Background: </strong>Singapore has strict regulations for electronic nicotine delivery system (ENDS). Hence, its residents may have different risk perceptions of ENDS compared to countries with more liberal measures. This study examined the prevalence of perceived risk of harm for ENDS versus cigarettes, their correlates, and the moderating effect of smoking status on significant associations in Singapore.</p><p><strong>Method: </strong>This cross-sectional study utilized data from the Health and Lifestyle survey. The outcome was perceived risk of harm for ENDS versus regular cigarettes, categorized into \"less harmful\" and \"about the same level of harm/more harmful.\" The correlates of interest were sociodemographic characteristics, depressive symptoms, anxiety symptoms, and smoking status. Correlates were examined using multivariable logistic regression. The moderating effect of smoking status was examined using interaction terms.</p><p><strong>Results: </strong>A total of 6508 participants completed the question on perceived harm. Approximately 10.4% of them perceived ENDS to be less harmful than regular cigarettes. Moreover, 15.0% of never-smokers, 16.6% of former smokers, and 9.2% of ever-smokers reported that ENDS was less harmful than regular cigarettes. The following groups were more likely to perceive ENDS as less harmful than regular cigarettes: younger individuals, males, former smokers, current smokers, and those with higher depressive symptoms. Smoking status moderated the association between age group and perceived risk of harm.</p><p><strong>Conclusion: </strong>The harm perception of ENDS versus regular cigarettes is lower than in other countries. Future studies can examine the mediating role of harm perception of ENDS versus regular cigarettes on the association between depression and ENDS usage.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040512","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":"Relationship Between Sarcopenia and the Trajectories of Depressive Symptoms Among Chinese Older Adults: The Mediating Effect of Social Participation.","authors":"Yixuan Liu, Wenjun Li, Ziqiang Chen, Minfu He, Wenjing Zhang, Yachen Wei, Yibing Chen, Ranran Li, Xinyu Gao, Hongjian Liu, Xiumin Zhang","doi":"10.1007/s12529-025-10366-x","DOIUrl":"https://doi.org/10.1007/s12529-025-10366-x","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the relationship between sarcopenia and the trajectories of depressive symptoms among Chinese older adults and verified the mediating role of social participation.</p><p><strong>Method: </strong>The sample included 1832 participants aged ≥ 60 years from five waves of the China Health and Retirement Longitudinal Study (CHARLS). The optimal trajectory class of depressive symptoms was identified using the latent growth mixture model (LGMM). The association between sarcopenia and the trajectories of depressive symptoms was assessed by multinomial logistic regression. The potential mediating effect of social participation was evaluated through mediation analysis. Subgroup and interaction analyses were also carried out.</p><p><strong>Results: </strong>The results showed that the depressive symptom score trajectory of the sarcopenia group was higher than that of the normal group. The depressive symptoms of the general participants had three trajectories: \"Anterior high level,\" \"Posterior high level,\" and \"Stable low level\". Sarcopenia was related to the increased odds of adverse trajectory of depressive symptoms (\"Anterior high level\" trajectory) (adjusted OR = 1.53, 95% CI: 1.02-2.30). Social participation mediated 10.69% of the association between sarcopenia and adverse trajectory of depressive symptoms. Sex, education, marital status, chronic disease, self-rated health status, and self-rated standard of living were modifiable factors affecting the relationship of sarcopenia and adverse trajectory of depressive symptoms.</p><p><strong>Conclusion: </strong>Comprehensive measures including early screening and treatment for sarcopenia, the strengthening of social participation levels, and formulating targeted intervention strategies are recommended to alleviate depressive symptoms and enhance mental health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042992","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}
Benjamin J Smith, A Janet Tomiyama, Deborah H John, Bryan Mantell, Elliot T Berkman
{"title":"Income, Healthy Food Availability, and Consumption Mediate Rural-Urban Health Disparities.","authors":"Benjamin J Smith, A Janet Tomiyama, Deborah H John, Bryan Mantell, Elliot T Berkman","doi":"10.1007/s12529-025-10362-1","DOIUrl":"10.1007/s12529-025-10362-1","url":null,"abstract":"<p><strong>Background: </strong>Examine the role of income, perceived healthy foods availability, and consumption as mediators of rural-urban health disparities.</p><p><strong>Method: </strong>Pre-registered simple mediation models with post hoc multi-mediator models were tested using national- and state-level survey data. Oregon data was collected in an online Qualtrics survey between October 8 and November 9, 2021 using CloudResearch; Health Information National Trends Survey (HINTS) 5, a nationally representative dataset, was collected over 4 cycles from 2017 to 2020. Oregon residents (n = 771; rural = 313, urban = 458) self-reported online: income, perceived fruits and vegetable (FV) availability, FV consumption, and BMI measures (height, weight). HINTS respondents (rural n = 1235; urban n = 13,912) self-reported the same variables of interest without FV availability, and with an additional self-rated health variable detailed below. RESULTS: The effect of rurality on BMI (b = 0.012, SE = 0.005, p = 0.01) and self-rated health (b = 0.003, SE = 0.001, p = 0.008) when combining datasets was mediated by a series of income, perceived FV availability, and FV consumption.</p><p><strong>Conclusion: </strong>To address rural-urban health disparities, individual (cognition, behavior), social (household income), and community (healthy food availability) factors should be targeted together.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028468","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}
Jonna Hybelius, Amanda Kosic, Sigrid Salomonsson, Caroline Wachtler, John Wallert, Steven Nordin, Erland Axelsson
{"title":"Understanding General Somatic Symptom Burden: Insights from a Systematic Review of Factor Analyses Pertaining to the Patient Health Questionnaire 15 (PHQ-15) and Somatic Symptom Scale 8 (SSS-8).","authors":"Jonna Hybelius, Amanda Kosic, Sigrid Salomonsson, Caroline Wachtler, John Wallert, Steven Nordin, Erland Axelsson","doi":"10.1007/s12529-025-10365-y","DOIUrl":"https://doi.org/10.1007/s12529-025-10365-y","url":null,"abstract":"<p><strong>Background: </strong>Factor analyses have indicated that somatic symptom burden can be separated into local symptom domain factors (e.g., cardiopulmonary, fatigue, gastrointestinal, pain) and a general propensity toward being symptomatic. This study aimed to determine what specific physical symptoms, and correlates, that are most strongly associated with this general factor.</p><p><strong>Method: </strong>A systematic review was based on factor analyses of the Patient Health Questionnaire 15 (PHQ-15) and Somatic Symptom Scale 8 (SSS-8).</p><p><strong>Results: </strong>There was heterogeneity in the included studies, in terms of the exact specification of the factor structure, and to some extent regarding item inclusion for factor analysis. Among 11 analyses of the PHQ-15, the highest mean and median factor loadings on the general symptom burden factor were seen for fatigue (M = 0.65) followed by dizziness (0.63). Among three analyses of the SSS-8, the mean was highest for chest pain and shortness of breath (0.69), followed by fatigue (0.62). The PHQ-15 general factor exhibited variable, but usually moderate to strong, associations with anxiety and depression symptoms, health anxiety, somatosensory amplification, and functional somatic syndromes.</p><p><strong>Conclusions: </strong>Cardiopulmonary symptoms and fatigue appear to be especially closely associated with general somatic symptom burden. The close associations between this general factor and indicators of poor mental health and functional somatic syndromes allow for numerous interpretations; both causal and due to overlapping definitions.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057841","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}