International Journal of Behavioral Medicine最新文献

{"title":"Independent and Joint Associations of Physical Activity and Sleep on Mental Health Among a Global Sample of 200,743 Adults.","authors":"Denver M Y Brown, Itamar Lerner, John Cairney, Matthew Y Kwan","doi":"10.1007/s12529-024-10280-8","DOIUrl":"10.1007/s12529-024-10280-8","url":null,"abstract":"<p><strong>Background: </strong>Previous research has demonstrated that both sleep and physical activity (PA) are independently associated with various indicators of mental health among adults. However, their joint contribution to mental health has received limited attention. The present study used cross-sectional data from the Mental Health Million Project to examine the independent and joint effects of sleep and PA on mental health among a global sample of adults, and whether these effects differ among individuals receiving mental health treatment.</p><p><strong>Method: </strong>The sample included 200,743 participants (33.1% young adults, 45.6% middle-aged adults, 21.3% older adults; 57.6% females, 0.9% other) from 213 countries, territories, and archipelagos worldwide that completed a comprehensive 47-item assessment of mental health including both problems (i.e., ill-being) and assets (i.e., well-being): the Mental Health Quotient. Participants also reported their weekly frequency of PA and adequate sleep, and mental health treatment status. A series of generalized linear mixed models were computed.</p><p><strong>Results: </strong>Independent dose-response associations were observed, whereby greater amounts of PA and adequate sleep were each associated with better mental health. In addition, a synergistic interaction was observed in which the positive correlation of PA with mental health was strengthened with greater frequency of adequate sleep. These benefits were less pronounced among adults receiving mental health treatment.</p><p><strong>Conclusion: </strong>While findings suggest sleep can help to offset the negative influence of a physically inactive lifestyle (and vice versa), our results point to a \"more is better\" approach for both behaviors when it comes to promoting mental health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"180-194"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295305","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":"Males Have Lower Anal Pap Smear Screening in a Miami Safety-Net HIV Clinic.","authors":"Corinne B Ferrari, Emily J Ross, Maria Vermejo, Allan E Rodriguez, Amy Otto, Samantha E Dilworth, Isabella Rosa Cunha, Frank J Penedo, Michael H Antoni, Adam W Carrico","doi":"10.1007/s12529-024-10325-y","DOIUrl":"10.1007/s12529-024-10325-y","url":null,"abstract":"<p><strong>Background: </strong>Although people with HIV have a markedly higher risk of anal squamous cell carcinoma (ASCC), there are few evaluations of anal Pap screening determinants within safety-net HIV clinics.</p><p><strong>Method: </strong>We conducted an evaluation of anal Pap screening correlates within a safety-net HIV clinic in Miami. Medical records were reviewed for 298 people ages 45 and older receiving HIV primary care. Demographic information and the prevalence of anal Pap screening over 1 year (i.e., 2018-2019) were extracted.</p><p><strong>Results: </strong>Between 2018 and 2019, approximately half (46%) of patients completed anal Pap screening although this varied by sex assigned at birth. More than three-fourths of females (77%) compared to one-fourth (23%) of males were screened between 2018 and 2019 (p < 0.0001).</p><p><strong>Conclusion: </strong>Findings underscore the need for multi-level intervention approaches to optimize anal Pap screening among males with HIV within the Miami-based safety-net clinic.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"288-292"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512848","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":"Can In-Task Affect During Interval and Continuous Exercise Predict 12-Month Physical Activity Behavior? Findings from a Randomized Trial.","authors":"Matthew J Stork, Alexandre Santos, Sean R Locke, Jonathan P Little, Mary E Jung","doi":"10.1007/s12529-023-10224-8","DOIUrl":"10.1007/s12529-023-10224-8","url":null,"abstract":"<p><strong>Background: </strong>In-task affective responses to moderate-intensity continuous exercise training (MICT) have been shown to predict future physical activity behavior. However, limited research has investigated whether this affect-behavior relationship is similar for high-intensity interval training (HIIT) and whether it holds true over the longer term. This study aims to determine (1) if in-task affect during 2 weeks of supervised MICT and HIIT predicted changes to unsupervised moderate-to-vigorous physical activity (MVPA) behavior 12 months post-intervention and (2) if this predictive relationship was moderated by exercise type (MICT vs. HIIT).</p><p><strong>Method: </strong>Ninety-nine adults (69.7% female; 50.9 ± 9.4 years) who were low active and overweight were randomized to 2 weeks of exercise training of MICT (n = 52) or HIIT (n = 47), followed by 12 months of accelerometry-assessed free-living MVPA.</p><p><strong>Results: </strong>The pooled moderation model was not significant, F(3, 94) = 2.54, p = .07 (R² = 0.085), with a non-significant group by affect interaction (p = .06). The conditional effect for MICT was significant (B = 17.27, t = 2.17, p = .03), suggesting that 12-month change in MVPA increased by 17.27 min/week for every one-point increase in in-task affect. The conditional effect for HIIT was not significant (p = .85), suggesting that in-task affect was not predictive of 12-month change in MVPA.</p><p><strong>Conclusion: </strong>The current findings raise important questions about whether the affect-behavior relationship may vary depending on exercise type. For HIIT-based exercise in particular, additional psychological constructs beyond in-task affect should be considered when attempting to predict future physical activity behavior.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"157-167"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220042","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":"Pain-Related Smoking Expectancies and Smoking Behavior Among U.S. Adult Cigarette Smokers with Chronic Pain.","authors":"Romano Endrighi, Belinda Borrelli","doi":"10.1007/s12529-023-10239-1","DOIUrl":"10.1007/s12529-023-10239-1","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the factor structure of a measure of pain-smoking interrelations and expectancies (pain and smoking inventory (PSI)) and examined associations with risk factors for smoking maintenance among smokers with chronic pain (CP).</p><p><strong>Method: </strong>Participants (n = 504; M age = 46 ± 13 years; 58% female) completed an online survey about health-related factors and smoking characteristics. Data were analyzed using Horn's parallel analysis (PA) and multiple linear regression.</p><p><strong>Results: </strong>PA indicated that a single-dimension structure was the best fit for the PSI. Our regression model accounted for 34% of the variance in PSI score. The PSI was associated with younger age, higher education, poorer physical functioning, greater pain severity and pain intensity, higher psychological distress, greater nicotine dependence, lower self-efficacy and greater perceived difficulty quitting, and lifetime use of behavioral treatment for quitting smoking.</p><p><strong>Conclusion: </strong>This research is the first step in identifying potential targets for smoking cessation approaches tailored to smokers with CP.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"238-247"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488890","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":"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}