Health Psychology最新文献

{"title":"Communal coping in type 1 diabetes: Randomized trial of a couple-focused intervention.","authors":"Vicki S Helgeson","doi":"10.1037/hea0001614","DOIUrl":"10.1037/hea0001614","url":null,"abstract":"<p><strong>Objective: </strong>A great deal of observational research has demonstrated links of communal coping to good relationship and health outcomes among people with chronic disease and their partners. However, there has not been a strong empirical test of a communal coping intervention with the goal of affecting these outcomes. In this study, we developed a couples' intervention for adults with type 1 diabetes based on communal coping-adopting a shared appraisal of diabetes and collaborating with a partner to manage diabetes.</p><p><strong>Method: </strong>We recruited 80 persons (July 2023 to January 2025) with type 1 diabetes (PWD) and their partners and randomly assigned them to intervention or usual care control conditions. The intervention consisted of a single 2-hr session with 7-days of follow-up intervention reminders. There was a baseline assessment and a 6-week follow-up assessment in which primary outcomes (self-care behavior, diabetes distress) and secondary outcomes (relationship quality, life satisfaction, depressive symptoms, time in target glucose range, hemoglobin A1c) were assessed. In addition, abbreviated outcome measures were assessed at the end of the day during a 14-day daily diary session that immediately followed the baseline session.</p><p><strong>Results: </strong>The intervention enhanced perception of communal coping among both PWD and partners, as evidenced in both survey and daily diary reports. However, the intervention did not have significant effects on primary or secondary outcomes, with the exception of an increase in time in target glucose range and an increase in daily diary reports of relationship quality.</p><p><strong>Conclusions: </strong>Conceptual and methodological explanations for these findings are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1072-1085"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily-level associations between sleep hygiene, cannabis use, and sleep health outcomes.","authors":"Nicholas R Livingston, Alison Looby","doi":"10.1037/hea0001620","DOIUrl":"10.1037/hea0001620","url":null,"abstract":"<p><strong>Objective: </strong>Many use cannabis to promote sleep despite insufficient evidence to recommend cannabis as a sleep-aid. Sleep health may instead be promoted through sleep hygiene, though research among those using cannabis is nascent. This study evaluated daily within-person associations among aggregate and individual sleep hygiene behaviors, cannabis use, and sleep outcomes.</p><p><strong>Method: </strong>Adults with regular cannabis use (<i>N</i> = 85) completed baseline measures and up to 14 daily diaries (<i>n</i> = 1,021) on cannabis use and sleep.</p><p><strong>Results: </strong>Multilevel models indicated that aggregate sleep hygiene engagement was associated with greater same-night total sleep time, sleep efficiency, and sleep quality. Absence of pre-bedtime arousal was associated with greater same-night total sleep time, sleep efficiency, and sleep quality; only using the bed for sleep/sex was associated with greater same-night sleep efficiency and sleep quality; and greater sleep timing variability was associated with poorer sleep quality. There were significant interactions between cannabis and alcohol use on total sleep time and cannabis use and sleep timing variability on sleep quality. The effect of alcohol on same-night total sleep differed based on cannabis use; total sleep was shorter following alcohol-only use and longer following co-use. The negative association between sleep timing variability and sleep quality was attenuated on cannabis use nights.</p><p><strong>Conclusions: </strong>This study highlights associations between sleep hygiene behaviors and more favorable sleep health outcomes among those with frequent cannabis use, supporting sleep hygiene as a first-line approach for this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1112-1122"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social stigma and health care utilization among gender diverse adults.","authors":"Madelyn H Rosenthal, Mary S Himmelstein","doi":"10.1037/hea0001606","DOIUrl":"10.1037/hea0001606","url":null,"abstract":"<p><strong>Objective: </strong>The present study examines the relationships between different forms of stigma related to one's weight and gender identity on health care utilization within a gender diverse sample.</p><p><strong>Method: </strong>Gender diverse individuals across the weight spectrum were recruited from an online panel via Prolific. Participants completed questionnaires regarding health care experiences, health behaviors, health beliefs, and gender identity. Data were collected between September and November 2023.</p><p><strong>Results: </strong>The final sample was 343 transgender and nonbinary participants. Adding weight stigma (enacted, internalized), transgender stigma, and intersectional stigma to the models accounted for 49.8% of the variance in weight-based health care avoidance, Δ<i>R</i>² = .217, Δ<i>F</i>(4, 331) = 35.80, <i>p</i> < .001, and 13.1% of the variance in general avoidance of health care, Δ<i>R</i>² = .071, Δ<i>F</i>(4, 331) = 6.72, <i>p</i> < .001. Adding the stigma variables to the model predicting health care delay accounted for 13% of the variance, Δ<i>R</i>² = .08, Δ<i>F</i>(4, 331) = 7.60, <i>p</i> < .001. However, adding stigma did not uniquely contribute to the variance in hormonal gender affirming care interest, Δ<i>R</i>² = .014, Δ<i>F</i>(4, 331) = 1.68, <i>p</i> = .155, gender affirming care typical for those assigned male at birth, Δ<i>R</i>² = .050, Δ<i>F</i>(4, 76) = 1.18, <i>p</i> = .325, and gender affirming care typical for those assigned female at birth, Δ<i>R</i>² = .029, Δ<i>F</i>(4, 197) = 1.80, <i>p</i> = .131.</p><p><strong>Conclusions: </strong>Results partially supported our hypotheses, suggesting both enacted weight/transgender stigma and internalized weight stigma are significantly associated with utilization of health care services in a gender diverse sample. Future research is needed to understand the relationships between coping strategies and health care utilization. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1086-1099"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective social status and mortality risk in the United States: Asymmetry and subgroup variation.","authors":"Alexi Gugushvili, Grzegorz Michal Bulczak","doi":"10.1037/hea0001608","DOIUrl":"10.1037/hea0001608","url":null,"abstract":"<p><strong>Objective: </strong>Subjective social status (SSS), people's comparative appraisal of their standing, including perceived respect, control, and future security, may influence survival beyond education, income, or occupation. We tested whether SSS predicts long-term all-cause mortality in the United States, whether this association is independent of objective socioeconomic status and baseline health, whether it is nonlinear/asymmetric, and whether it varies by gender and race/ethnicity.</p><p><strong>Method: </strong>Data come from the National Longitudinal Study of Adolescent to Adult Health (over 12,000 participants), followed from early adulthood into midlife for 160 months. SSS was measured with the MacArthur ladder. Survey-weighted Cox models estimated mortality hazards by SSS, adjusting for age, gender, race/ethnicity, self-rated health, health insurance, income, education, and occupation. We compared continuous and categorical SSS and ran stratified models.</p><p><strong>Results: </strong>SSS was a consistent predictor of mortality. Each one-step increase on the ladder was associated with an 11% lower hazard in fully adjusted models. In categorical analyses, those in the upper part of the ladder had 40% lower risk than those at the midpoint, indicating concentration of benefit at high SSS once covariates were included. Protective associations were clearest among men and non-White respondents.</p><p><strong>Conclusions: </strong>Beyond objective socioeconomic status, SSS provides nonredundant psychosocial information relevant to midlife survival. Findings support integrating SSS into research on the social determinants of mortality and into strategies that address both material resources and status-related stress and control. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1100-1111"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinically effective child change in family-based behavioral treatment for pediatric obesity: An individual participant mega-analysis.","authors":"Leonard H Epstein, Nicholas V Neuwald, Rocco A Paluch, Molly D Moore, Denise E Wilfley","doi":"10.1037/hea0001612","DOIUrl":"10.1037/hea0001612","url":null,"abstract":"<p><strong>Objective: </strong>Family-based behavioral treatment (FBT) is an evidence-based treatment that has shown statistically significant short- and long-term outcomes for children. However, statistical and clinical significance are different ways to study the impact of a treatment, and recent data have indicated the degree of body mass index z-score (zBMI) change that prevents the development of cardiometabolic disease.</p><p><strong>Method: </strong>We conducted a mega-analysis using an individual participant database extracted from 16 randomized controlled studies (<i>N</i> = 1,098) on FBT for 6-12-year-old children with overweight or obesity and a participating parent with overweight and obesity that had at least 1-year follow-up. These data were used to evaluate clinical effectiveness based on -0.25 zBMI change and what percentage of children showed reversal of obesity at 6-, 12-, 24-, 60-, and 120-month follow-up. Analyses also examined whether age and sex were predictors of zBMI change.</p><p><strong>Results: </strong>Across the combined databases, 70%, 61%, 52%, 54%, and 68% met the -0.25 zBMI criteria, and 29%, 27%, 23%, 46%, and 48% reversed their obesity status at 6, 12, 24, 60, and 120 months, respectively. Age was a reliable predictor of change, with younger children showing greater change up to the 24-month follow-up.</p><p><strong>Conclusions: </strong>These results suggest FBT is associated with clinical effectiveness, with long-term effects stable or improving over time. These data support the utility of FBT, and providing data on the clinical effectiveness of pediatric obesity treatment complements traditional reporting of statistical significance of FBT to support the clinical utility of FBT. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1059-1071"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capturing wear in wear and tear: The negative-affect reactivity linked to discrimination is associated with biological age across two national samples of adults in the United States.","authors":"Juan Del Toro, Connor Martz, Sauro Civitillo, Katerina M Marcoulides","doi":"10.1037/hea0001618","DOIUrl":"10.1037/hea0001618","url":null,"abstract":"<p><strong>Objective: </strong>Chronic psychological stress responses to discrimination may be associated with more accelerated paces of biological aging at a particular window of time through epigenetic changes in DNA methylation, including in third-generation epigenetic clocks (i.e., the DunedinPACE and GrimAge2). Although discrimination is often measured by frequency, fewer studies examine how its cumulative psychological toll is associated with biological age acceleration, which is a theoretical proposition aligned with the weathering hypothesis.</p><p><strong>Methods: </strong>The present study analyzed data from two national longitudinal studies: 397 adults completing eight daily diaries in the Midlife in the United States study and 2,059 adults completing five biennial surveys in the Health and Retirement Study. We modeled the within-person associations (i.e., slopes) between discrimination and negative affect as correlates of biological aging captured by the DunedinPACE and GrimAge2 clocks.</p><p><strong>Results: </strong>Across both studies, adults who experienced more discrimination, on average, reported more negative affect. Stronger positive slopes between discrimination and negative affect were associated with faster paces of biological aging at the time of assessment in only the DunedinPACE clock in the Midlife in the United States study and in the DunedinPACE and GrimAge2 clocks in the Health and Retirement Study. These associations persisted after adjusting for the frequency of discrimination, highlighting the importance of modeling stress reactivity rather than exposure alone.</p><p><strong>Conclusions: </strong>Findings support the weathering hypothesis, suggesting cumulative negative emotions linked to discrimination relate to accelerated biological aging. Future research could leverage longitudinal approaches to identify vulnerable populations and inform interventions to reduce the biological embedding of discrimination. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1041-1053"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"How is volunteering associated with reduced mortality? A mediator-wide approach\" by Nakamura et al. (2025).","authors":"","doi":"10.1037/hea0001658","DOIUrl":"https://doi.org/10.1037/hea0001658","url":null,"abstract":"<p><p>Reports an error in \"How is volunteering associated with reduced mortality? A mediator-wide approach\" by Julia S. Nakamura, Koichiro Shiba, Baoyi Shi, Rachel S. Leong, Tyler J. VanderWeele and Eric S. Kim (<i>Health Psychology</i>, 2025[May], Vol 44[5], 518-527; see record 2026-04127-012). In the original article, there were errors in the abstracts and in Figure 1. In the first sentence of the 'Method' section of the abstracts (both English and Spanish), the sample size should read 9,662 participants instead of 9,962 participants. In Figure 1, the number excluded in the bottom right box should read 2,499 instead of 2,449. The revised Figure is present in the erratum. (The following abstract of the original article appeared in record 2026-04127-012).</p><p><strong>Objective: </strong>Volunteering has been repeatedly associated with reduced mortality in older adults, yet research examining the mechanisms explaining this association remains limited. We evaluated potentially modifiable mediators, and combinations of mediators, that may underlie the volunteering-mortality association.</p><p><strong>Method: </strong>We used prospective data from 9,962 participants in the Health and Retirement Study (2006-2018), a national, diverse, and longitudinal cohort of U.S. adults aged >50. We evaluated associations between volunteering at baseline (2008/2010), mediators at Wave 2 (2010/2012), and mortality between Waves 3 and 4 (2010-2016 for Cohort A, 2012-2018 for Cohort B).</p><p><strong>Results: </strong>After adjusting for demographic confounders and mediators in the prebaseline wave (2006/2008), we observed evidence of mediation for those who volunteered ≥100 hr/year (vs. 0 hr/year) through combined physical health factors (proportion mediated [PM] = 49.56%, p = .004) and social factors (PM = 90.76%, p = .017) as well as through increased contact with friends (PM = 25.34%, p = .015) and helping friends/neighbors/relatives (PM = 25.12%, p = .018). However, there was less evidence of mediation through other proposed mediators.</p><p><strong>Conclusions: </strong>With further research, these results inform basic science, interventions, and policies by identifying potential mechanisms, which might become modifiable features of the volunteering experience, to promote longevity in our rapidly aging population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An extended knowledge intervention addressing vaccine hesitancy in the field: Results from two representative surveys.","authors":"Dorothee Heinemeier, Sarah Eitze, Winja Weber, Anne Reinhardt, Philipp Schmid, Nora Katharina Schmid-Küpke, Constanze Rossmann, Cornelia Betsch","doi":"10.1037/hea0001634","DOIUrl":"10.1037/hea0001634","url":null,"abstract":"<p><strong>Objective: </strong>Older adults may fail to demand influenza and pneumococcal vaccinations due to limited knowledge of its role in preventing initial influenza infections, secondary complications such as pneumonia, and serious late consequences such as sepsis. We evaluated the extended health knowledge approach during the field intervention \"Vaccination60+\" to determine whether providing this additional information could improve vaccination among older adults.</p><p><strong>Method: </strong>The intervention was implemented in a model region in Germany during two influenza seasons. Two quota-sampled telephone surveys targeting adults 60+ were conducted to evaluate the extended health knowledge approach in an intervention (<i>N</i> = 700 each). Quasi-experimental groups were defined based on whether participants recalled the intervention (intervention-exposed vs. nonexposed). Knowledge (influenza, pneumococci, and sepsis), the 5 °C antecedents of vaccination, and vaccination intention and behavior were assessed.</p><p><strong>Results: </strong>Intervention exposure was associated with higher knowledge about influenza (η² = .009), pneumococci (η2 = .012), and sepsis (η² = .004). It was also associated with higher risk-benefit calculation regarding influenza vaccination (η² = .003) and increased confidence in the safety of pneumococcal vaccination (η² = .020). Vaccination intentions for both diseases did not differ according to exposure. Vaccination behavior increased over time, (influenza: <i>OR</i> = 1.88; pneumococci: <i>OR</i> = 2.08), potentially due to external factors that are discussed.</p><p><strong>Conclusions: </strong>Providing information can support health decisions and relate to higher risk awareness but may not alter actual behavior. Further recommendations regarding vaccination interventions (e.g., provider endorsement, tailoring to prior knowledge) that could decrease hesitancy are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five-Factor personality traits and dietary guidelines: A multilevel meta-analysis.","authors":"Paula Harrison, Tim Bogg","doi":"10.1037/hea0001610","DOIUrl":"10.1037/hea0001610","url":null,"abstract":"<p><strong>Objective: </strong>Past research and conceptualizations of dietary behavior have included many candidate correlates and causes, including personality traits (Lunn et al., 2014). The present research, informed by cybernetic big five theory, clarifies associations between Five-Factor personality traits and dietary behaviors defined by government guidelines (U.S. Department of Agriculture and National Institutes of Health, 2020; World Health Organization, 2020).</p><p><strong>Methods: </strong>Preregistered meta-analyses were conducted across the Big Five traits and seven dietary categories using correlated and hierarchical effects models and robust variance estimation. Metaregression was used to test the moderating effects of age, sex, and obesity of sample nations.</p><p><strong>Results: </strong>Agreeableness, conscientiousness, extraversion, and openness were positively associated with healthy eating and the consumption of fruits and vegetables, whereas neuroticism was negatively associated. Agreeableness and openness were positively associated with the consumption of whole grains and fiber. Agreeableness and conscientiousness were negatively associated with the consumption of sodium. Metaregression results showed the association between openness and healthy eating was stronger for samples with mean ages greater than 30 years.</p><p><strong>Conclusions: </strong>The results provide clarity regarding small but reliable associations between Big Five traits and dietary behaviors aligned with formal guidelines. To improve precision for integrative disposition-belief-motivation investigations (cf. Vo & Bogg, 2015), future research should test associations between lower order traits and assessments of diet that are less subject to the biases of retrospective self-reports. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"1014-1027"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A theory-driven structural equation modeling approach to the behavioral inhibition and behavioral activation systems model of chronic pain: Evaluating the mediating role of self-regulatory and volitional abilities.","authors":"Anne Kästner, Dörthe Malzahn, Frank Petzke, York Hagmayer","doi":"10.1037/hea0001605","DOIUrl":"10.1037/hea0001605","url":null,"abstract":"<p><p><i><b>Objective:</b></i> Gray's reinforcement sensitivity, describing elementary motivational systems that mediate cognitive-affective and behavioral responses to punishing (behavioral inhibition system [BIS]) and Rewarding (behavioral activation system [BAS]) stimuli, has been most widely applied in the study of the motivational underpinnings of pain-related responses. Empirical findings regarding the associations of BIS and BAS with pain-relevant clinical outcomes are inconsistent, however. Drawing on personality systems interaction theory, the present cross-sectional study aimed at evaluating the mediating role of self-regulatory and volitional abilities in the relationship between BIS and BAS-Reward sensitivity and pain-related activity patterns. <i><b>Method:</b></i> Our data analyses were based on 579 patients (74.8% women) with musculoskeletal pain who filled in self-report questionnaires operationalizing the constructs of interest. The projected relations among three levels of observed variables (level of temperament, self-regulation as mediating level, and behavioral dimensions as outcome level) were statistically tested by mediation analysis based on structural equation modeling. <b><i>Results:</i></b> Consistent with our predictions, we found the facilitating effects of BIS sensitivity on activity avoidance, and maladaptive dimensions of persistence and pacing behavioral dimensions to be mediated by self-regulation and volitional facilitation. Full mediation was also observed for the negative associations of BAS-Reward with pain avoidance, activity avoidance, and excessive persistence. <b><i>Conclusions:</i></b> Our study complements previous work by emphasizing the importance of emotional self-regulation and volition in behavioral responses to pain. New perspectives on the role of BAS-Reward in chronic pain are opened up. Our findings indicate that multimodal interventions fostering emotional self-regulation should be increasingly incorporated into existing pain management programs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"990-1001"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}