Health Psychology最新文献

{"title":"Informational versus interactive social media usage and sexual risk during early adolescence.","authors":"Eric M Anderman, Hyun Ji Lee, Yvonne Allsop, Yue Sheng, Mary Kay Irwin","doi":"10.1037/hea0001546","DOIUrl":"10.1037/hea0001546","url":null,"abstract":"<p><strong>Objective: </strong>Social media is a daily part of adolescent life. Although adolescents use social media primarily to interact with peers, they also use it to acquire information. This study examines the relations between adolescents' likelihood of using social media to obtain information about sexual health and changes in self-efficacy for refusing unwanted sex and for using condoms and intentions to have sex.</p><p><strong>Method: </strong>Early adolescents from 21 urban middle schools (Grades 7 and 8) received a medically accurate sexually transmitted infection/pregnancy prevention curriculum during the 2021-2022 and 2022-2023 academic years. Students completed surveys 5 times-before, during, and after implementation of the curriculum. The sample was ethnically diverse and representative of the urban population.</p><p><strong>Results: </strong>The likelihood of using interactive social media sites was related to increased intentions to have sex and lower condom negotiation efficacy and refusal self-efficacy. The likelihood of using informational social media was related to increased condom negotiation efficacy. The negative relation between refusal self-efficacy beliefs (i.e., perceived ability to refuse having sex with a partner) and the likelihood of using interactive social media was diminished when students also reported high levels of potential informational social media site usage.</p><p><strong>Conclusions: </strong>Findings demonstrate that the types of social media that early adolescents use to acquire information about sexual health are related to adaptive health outcomes in different ways. Our results suggest that the likelihood of using informational social media sources to acquire sexual health information may be more adaptive than the use of interactive sites. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"288-298"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066173","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":"Social, psychological, and cultural dimensions of cardiovascular health among Hispanic/Latino adults: A narrative review of findings from the Hispanic Community Health Study/Study of Latinos.","authors":"Linda C Gallo, Carlos E Rosas, Jessica L McCurley, Eduardo Hernandez Mozo, Frank J Penedo, Scott C Roesch, Maria M Llabre, Krista M Perreira, Daniela Sotres-Alvarez, Gregory A Talavera, Sylvia Wassertheil-Smoller, Amber Pirzada, Martha L Daviglus, Christina Cordero, Robert C Kaplan, Erik J Rodriquez, Eliseo J Pérez-Stable, John Kunz, Carmen R Isasi","doi":"10.1037/hea0001562","DOIUrl":"10.1037/hea0001562","url":null,"abstract":"<p><strong>Objectives: </strong>The landmark Hispanic Community Health Study/Study of Latinos (HCHS/SOL) enrolled <i>N</i> = 16,415 Hispanic/Latino adults (2008-2011) who have been followed for 12-16 years, through 2024. HCHS/SOL identified high rates of cardiovascular risk factors in the target population, with significant variability by Hispanic/Latino heritage (Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American). In the current study, we reviewed the evidence from HCHS/SOL concerning the social, psychological, and cultural dimensions of cardiovascular health (CVH).</p><p><strong>Method: </strong>Through a conceptual framework blending elements of the Reserve Capacity Model and Lifespan Biopsychosocial Model, we reviewed findings from 53 studies that have examined associations of broad socioeconomic (e.g., income) and immigration (e.g., place of birth) context, cognitive-emotional factors (e.g., depression symptoms), stress/adversity (e.g., chronic stress burden, discrimination stress), interpersonal (e.g., social support) and intrapersonal (e.g., optimism) resources, and cultural beliefs and values (e.g., fatalism, religiosity) with CVH and cardiovascular disease in HCHS/SOL.</p><p><strong>Results: </strong>The studies reveal a consistent pattern of associations of adverse social drivers of health, such as low income and high chronic stress, as well as U.S. birth or more years living in the United States, and of greater depression and anxiety symptoms with worse CVH. Studies concerning protective interpersonal resources have produced variable results, and few studies have examined intrapersonal resources or cultural beliefs and values. Most studies have applied a cross-sectional design.</p><p><strong>Conclusions: </strong>We conclude by discussing additional research needed to advance science regarding the social, psychological, and cultural dimensions of CVH among Hispanics/Latinos. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"259-277"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193894","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":"Skin-deep resilience in Black youth: Striving and sleep reactivity to daily stress.","authors":"Phoebe H Lam, Gregory E Miller, Jessica J Chiang, Rachel Y Chiu, Jayson Law, Vanessa Obi, Zidi Mu, Mona El-Sheikh, Daichi Shimbo, Edith Chen","doi":"10.1037/hea0001535","DOIUrl":"10.1037/hea0001535","url":null,"abstract":"<p><strong>Objective: </strong>Referred to as \"skin-deep resilience,\" previous studies have found that striving-characterized by high levels of self-control and perseverance-is linked with better psychological health, but worse physical health, particularly among youth of color who have low socioeconomic status. However, the underlying mechanisms are unclear. This study investigated the role of sleep reactivity (poorer sleep following daily stress) in skin-deep resilience by examining the associations among striving, sleep reactivity, psychological health, and a subclinical marker of cardiovascular disease.</p><p><strong>Method: </strong>Participants were 315 Black youth with low socioeconomic status, who completed self-reported measures of striving (self-control and grit) and psychological health (well-being and internalizing symptoms). Using an 8-day diary and actigraphy approach, sleep reactivity was operationalized as changes in sleep duration, efficiency, and awakenings on days youth reported more stress. Subclinical cardiovascular disease was assessed by measuring peripheral endothelium-dependent vasodilation, determined by measuring brachial artery flow-mediated dilation.</p><p><strong>Results: </strong>High strivers exhibited good psychological health (well-being: β = .46; internalizing symptoms: β = -.31) but had sleep systems that were more responsive to daily stress (i.e., striving was associated with shorter, β = .17, less efficient, β = .13, and less continuous, β = .11, sleep on days with more stress); in turn, sleep reactivity to daily stress was associated with poorer flow-mediated dilation (efficiency β = -.17, awakenings β = -.13).</p><p><strong>Conclusion: </strong>These findings highlight the sleep system's reactivity to daily stressors as a potential mechanism underlying skin-deep resilience. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"308-319"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994477","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":"Medication adherence, health outcomes, and perceived social performance in Black Americans receiving hemodialysis.","authors":"Marcus G Wild, Robert A Greevy, Kerri L Cavanaugh, Devika Nair, Rachel B Fissell, Jo-Anne Bachorowski, Ebele M Umeukeje","doi":"10.1037/hea0001543","DOIUrl":"10.1037/hea0001543","url":null,"abstract":"<p><strong>Objective: </strong>Social performance-the ability to successfully engage in social interactions-impacts outcomes in end-stage kidney disease (ESKD), including depressive symptoms and low self-efficacy, that are disproportionately experienced by Black Americans. However, the associations between social performance and health behaviors in ESKD are unknown. Social-emotional expertise (SEE) is a construct of individual differences in social performance that may be relevant to ESKD outcomes. Study goals are to establish the relation between SEE and health behaviors in Black American patients with ESKD by (a) examining the association of SEE with depressive symptoms, self-efficacy, and trust-in-physician and (b) the prediction of medication nonadherence and serum phosphorus by SEE.</p><p><strong>Method: </strong>Ninety-nine Black Americans receiving in-center hemodialysis completed surveys at baseline and two follow-up visits over 12 months. Bayesian regression captured relations among self-efficacy, depressive symptoms, medication nonadherence, serum phosphorus, and SEE scale scores.</p><p><strong>Results: </strong>SEE was positively associated with self-efficacy and negatively associated with depressive symptoms at baseline. Additionally, baseline SEE significantly predicted 12-month medication nonadherence (<i>R</i>² = .16, 95% credible interval = [.06, .26]) when accounting for self-efficacy and depressive symptoms. SEE at baseline did not predict 12-month serum phosphorus; however, a model with baseline SEE in combination with baseline depressive symptoms did predict 12-month serum phosphorus (<i>R</i>² = .10, 95% credible interval = [.02, .21]).</p><p><strong>Conclusions: </strong>Higher perceived social performance-as measured by the SEE scale-predicted self-efficacy, depressive symptoms, and medication nonadherence, but not serum phosphorus control, in a cohort of Black Americans with ESKD. Socially focused interventions may have a positive impact on health behaviors among Black patients with ESKD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"331-342"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762393","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":"Reciprocal within-person relations between pandemic fatigue and protective behavior: A 20-wave longitudinal study during the COVID-19 pandemic.","authors":"Maie Stein, Hannes Zacher, Cort W Rudolph, Robert Böhm","doi":"10.1037/hea0001551","DOIUrl":"10.1037/hea0001551","url":null,"abstract":"<p><strong>Objective: </strong>During the COVID-19 pandemic, concerns emerged that pandemic fatigue might undermine people's adherence to recommended protective behaviors, such as mask wearing and physical distancing. Consistent with psychological resource theories, empirical evidence has partly supported this, suggesting that pandemic fatigue is negatively related to protective behaviors. However, most findings are based on cross-sectional research designs, leaving open the possibility for reverse causality, such that engaging in protective behaviors reduces pandemic fatigue. Indeed, such negative effects of protective behavior on pandemic fatigue are consistent with arguments based on self-perception theory. This study aims to advance the understanding of how pandemic fatigue and protective behavior are related to one another over time by examining reciprocal within-person associations between these variables.</p><p><strong>Method: </strong>Data were collected from <i>n</i> = 1,488 employed adults in Germany across 20 monthly measurement waves during the COVID-19 pandemic (May 2021-December 2022).</p><p><strong>Results: </strong>A random intercept cross-lagged panel model revealed that pandemic fatigue negatively predicted protective behavior in the subsequent month at the within-person level-and, notably, the reverse effect was also observed, such that protective behavior negatively predicted pandemic fatigue in the subsequent month.</p><p><strong>Conclusions: </strong>Our findings highlight the reciprocal nature of relations between pandemic fatigue and protective behavior and challenge the assumption that adherence to protective behaviors inevitably results in increasing pandemic fatigue over time. These insights can inform the design of more effective interventions to sustain adherence to protective measures and mitigate the risk of pandemic fatigue in future public health crises. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"241-250"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138960","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":"Personality change before and after diagnosis of chronic respiratory diseases.","authors":"Sébastien Kuss, Yannick Stephan, Antonio Terracciano, Angelina R Sutin, Nelly Heraud, Brice Canada","doi":"10.1037/hea0001542","DOIUrl":"10.1037/hea0001542","url":null,"abstract":"<p><strong>Objective: </strong>Chronic respiratory diseases (CRD) can impact functioning and multiple physical and mental health outcomes, but their impact on psychological traits is less understood. This study investigated personality trajectories before and after the diagnosis of CRD.</p><p><strong>Method: </strong>Data were from the Health and Retirement Study. Personality and chronic respiratory conditions were assessed between 2006 and 2020 (<i>N</i> = 17,078, <i>n</i> = 1,044 with CRD, 40,971 personality assessments). Multilevel models evaluated personality changes before and after CRD diagnosis, accounting for sociodemographic, clinical, and behavioral factors and normative age-related trajectories.</p><p><strong>Results: </strong>Before the diagnosis of CRD, small effects were detected for declines in extraversion, openness, agreeableness, and conscientiousness (effect sizes ranging from -0.10 for conscientiousness to -0.16 for openness, in standard deviations per decade). After the diagnosis of the disease, there was a steeper increase in neuroticism and steeper declines in extraversion, agreeableness, and conscientiousness compared to participants who never developed a chronic respiratory disease during the follow-up (effect sizes ranging from -0.29 for conscientiousness to 0.24 for neuroticism, in standard deviations per decade).</p><p><strong>Conclusion: </strong>CRD are associated with maladaptive personality changes, mainly following diagnosis. These findings highlight the importance of developing interventions to counter maladaptive personality trajectories in people with chronic respiratory conditions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"278-287"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776963","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":"Co-occurring pediatric chronic pain and mental health: A genetically informed study.","authors":"Veronica Oro, Mary C Davis, Kathryn Lemery-Chalfant","doi":"10.1037/hea0001545","DOIUrl":"10.1037/hea0001545","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric chronic pain is pervasive and associated with myriad adverse consequences, yet due consideration has not been given to the mental health disturbances that often present alongside chronic pain and the etiological mechanisms that potentially underlie both. The current study examined the genetic and environmental etiology underlying chronic pain and internalizing symptomology in middle childhood, considering both independent and co-occurring symptom presentations.</p><p><strong>Method: </strong>The sample comprised 795 children (399 families; <i>M</i>_age = 9.7 years; <i>SD</i> = 0.92) drawn from the Arizona Twin Project. The sample was 51.2% female and was racially/ethnically diverse (59.8% non-Hispanic White, 28.0% Hispanic/Latinx, 3.4% Asian, 3.9% Black, and 4.9% mixed race/other); 31% of twins were monozygotic, 35% same-sex dizygotic, and 34% other-sex dizygotic. Families were socioeconomically diverse based on income to needs ratios (7.3% below the poverty line, 22.9% at or near the poverty line, 15.9% in lower middle class, and 53.9% in middle to upper class).</p><p><strong>Results: </strong>The results indicated that chronic pain was highly heritable (78%). Internalizing symptomology was modestly heritable (32%) and further subject to moderate shared environmental influence (50%). Moreover, 9% of the variance in chronic pain was explained by additive genetic factors shared with internalizing symptomology.</p><p><strong>Conclusions: </strong>In middle childhood, chronic pain and internalizing symptoms are largely distinct, with shared genetic influences accounting for their co-occurrence, supporting the idea that comorbidity increases with age via transactional influences. Results provide novel insight into common liabilities underlying pediatric chronic pain and internalizing symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"299-307"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979544","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":"The social ambivalence and disease model: Childhood trauma as an antecedent factor linking spousal ambivalence to inflammation.","authors":"Bert N Uchino, Tracey Tacana, Joshua Landvatter, Brian W Baucom, Timothy W Smith, Samantha Joel, Christopher Fagundes","doi":"10.1037/hea0001532","DOIUrl":"10.1037/hea0001532","url":null,"abstract":"<p><strong>Objective: </strong>Ambivalence in relationships is related to health-relevant biological outcomes. However, the antecedent processes that contribute to this association are unknown. The primary aim of this study was to test the prediction of the social ambivalence and disease model, which highlights the potential role of childhood trauma as an antecedent factor linking spousal ambivalence to inflammation.</p><p><strong>Method: </strong>A sample of 107 heterosexual couples who had been married for at least 10 years was recruited. Participants completed the social relationship index to assess spousal ambivalence and the Childhood Trauma Questionnaire. Blood was drawn to determine levels of high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 as measures of inflammation.</p><p><strong>Results: </strong>Consistent with the social ambivalence and disease model, there was a significant indirect effect in which childhood trauma was related to greater spousal ambivalence which in turn was associated with higher hs-CRP levels. No evidence for the statistical mediational model was found for interleukin-6.</p><p><strong>Conclusions: </strong>These results highlight the potential role of childhood trauma as an antecedent factor linking spousal ambivalence to hs-CRP. It also highlights potential pathways that might be targeted for interventions pending further work. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"231-240"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651284","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":"Brief video interventions increase screening intentions in people who avoid colorectal cancer information.","authors":"Heather Orom, Natasha C Allard, Jennifer L Hay, Amy McQueen, Erika A Waters, Marc T Kiviniemi","doi":"10.1037/hea0001521","DOIUrl":"10.1037/hea0001521","url":null,"abstract":"<p><strong>Objective: </strong>Health information avoidance is a critical barrier to reaching people with health messaging and, ultimately, decreases population-level uptake of life-saving prevention behaviors such as colorectal cancer (CRC) screening. We conducted a preregistered double-blinded experiment testing the efficacy of brief narrative video interventions designed to promote CRC screening by mitigating either of two known causes of health information avoidance: low self-efficacy and low perceived control over health outcomes.</p><p><strong>Method: </strong>Participants (<i>N</i> = 776, 45-75 years, not adherent to CRC screening, no history of CRC) recruited from Prolific, an online participant pool, were randomly assigned to view an intervention video (perceived control promoting colonoscopy, self-efficacy promoting colonoscopy, self-efficacy promoting fecal immunochemical test) or control video (food safety attentional control video, CRC informational video). Afterward, participants completed assessments of CRC information seeking, screening attitudes, and screening intentions.</p><p><strong>Results: </strong>Compared to an attentional control video, all three intervention videos improved all four outcomes; they were effective for people high in CRC information avoidance and those who were not. Effects for self-efficacy videos were mediated through increased self-efficacy. Effects for perceived control videos were not mediated through increased health locus of control. Interactions between video condition and avoidance were not significant. Intervention videos were not more effective than the informational CRC video.</p><p><strong>Conclusions: </strong>Only 58% of the U.S. adult population is CRC screening adherent, and the rate is lower for people who avoid CRC information. By increasing CRC information seeking, positive CRC screening attitudes, and CRC screening intentions, these publicly available videos could have widespread public health impact. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"206-217"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310839","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":"Racial disparities in the efficacy of traditional versus acceptance-based behavioral weight loss.","authors":"Reena Chabria, Charlotte J Hagerman, Nikki Crane, Marny Ehmann, Francesca M Knudsen, Kristal Lyn Brown, Evan Forman, Meghan L Butryn","doi":"10.1037/hea0001537","DOIUrl":"10.1037/hea0001537","url":null,"abstract":"<p><strong>Objective: </strong>Standard behavioral weight loss (SBT) is a first-line intervention for obesity, but its efficacy with Black adults is limited. Some preliminary work suggests that acceptance-based behavioral therapy (ABT), which integrates mindful decision making, experiential acceptance, and reflection on values, may be a better fit for the needs of Black adults. In this fully powered secondary data analysis, we compared the efficacy of SBT and ABT for Black adults.</p><p><strong>Method: </strong>Black and non-Hispanic White adults (<i>N</i> = 737) with overweight or obesity (body mass index = 27-50 kg/m²) were enrolled in one of the five randomized controlled trials investigating the effectiveness of ABT versus SBT. Analyses assessed the impact of race, treatment condition, and their interaction on percent weight loss at posttreatment and first follow-up assessment while controlling for clinical trial.</p><p><strong>Results: </strong>The interaction effects between race and treatment condition on weight loss were trending toward significance (<i>p</i> < .05) at posttreatment, <i>F</i>(1, 729) = 2.74, <i>p</i> = .089, but not at follow-up, <i>F</i>(1, 729) = .003, <i>p</i> = .957. Pairwise comparisons revealed that the disparity in posttreatment weight loss between Black and White participants in the SBT condition (<i>M</i> = 3.5%, <i>p</i> = .001) was attenuated in the ABT condition (<i>M</i> = 1.5%, <i>p</i> = .05).</p><p><strong>Conclusions: </strong>ABT has promise for supporting Black adults in weight loss attempts, although weight regain after treatment remains persistent for Black and White adults alike. Future research is warranted to continue developing this treatment approach as a tool to reduce health disparities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"197-205"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709973","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}