Health PsychologyPub Date : 2024-07-01Epub Date: 2024-04-04DOI: 10.1037/hea0001380
Francesca M Knudsen, Charlotte J Hagerman, Reena S Chabria, Hannah C McCausland, Marny M Ehmann, Leah M Schumacher, Meghan L Butryn
{"title":"Racial differences in physical activity engagement, barriers, and enjoyment during weight loss.","authors":"Francesca M Knudsen, Charlotte J Hagerman, Reena S Chabria, Hannah C McCausland, Marny M Ehmann, Leah M Schumacher, Meghan L Butryn","doi":"10.1037/hea0001380","DOIUrl":"10.1037/hea0001380","url":null,"abstract":"<p><strong>Objective: </strong>Aiming to identify potential intervention targets to achieve more equitable outcomes from behavioral weight loss (BWL) programs, the current study examined whether Black and White individuals experienced similar increases in physical activity (PA) engagement, perceived PA barriers, and PA enjoyment during an 18-month BWL program.</p><p><strong>Method: </strong>Adults (<i>N</i> = 290) enrolled in an 18-month BWL program from 2014 to 2016 completed accelerometer-based measurements of moderate-to-vigorous PA and self-reported measures of PA barriers and enjoyment at months 0, 6, 12, and 18.</p><p><strong>Results: </strong>Black participants had significantly fewer minutes of PA than White participants at baseline, 6, 12, and 18 months. Black participants reported fewer barriers to PA than White participants at 0 and 6 months but not at 12 or 18 months. They also reported higher PA enjoyment than White participants at 0 and 6 months but not at 12 or 18 months. Furthermore, whereas White participants had a significant reduction in PA barriers and an increase in PA behavior overtime, Black participants did not. There was no interaction between race and time on PA enjoyment.</p><p><strong>Conclusions: </strong>Traditional BWL interventions may be ineffective for promoting PA among Black participants and may not appropriately address the unique PA barriers that Black participants experience. An improved understanding of differences in PA behaviors during BWL among Black and White individuals could help delineate why Black participants do not appear to benefit as much as White participants from traditional BWL programs and inform intervention strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"477-487"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873526","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}
Health PsychologyPub Date : 2024-07-01Epub Date: 2024-03-21DOI: 10.1037/hea0001370
Sónia F Bernardes, Tânia Brandão, Marta Osório de Matos, Alexandra Ferreira-Valente
{"title":"Social support for functional dependence, activity patterns, and chronic pain outcomes: A cross-lagged mediation panel study.","authors":"Sónia F Bernardes, Tânia Brandão, Marta Osório de Matos, Alexandra Ferreira-Valente","doi":"10.1037/hea0001370","DOIUrl":"10.1037/hea0001370","url":null,"abstract":"<p><strong>Objective: </strong>Received social support undermining engagement in life activities of individuals with chronic pain (e.g., solicitousness, support for functional dependence) is consistently correlated with worse physical functioning, pain severity, and disability. Whether such responses lead to worse pain outcomes (operant model of pain) or the latter lead to more supportive responses undermining activity engagement (social communication and empathy models of pain) is unknown, given the lack of cross-lagged panel studies. Furthermore, the mediating role of activity patterns in such relationships over time is entirely unclear. This study aimed to bridge these gaps.</p><p><strong>Method: </strong>This was a 3-month prospective study with three waves of data collection (T1-T3; 6-week lag in-between), including 130 older adults (71% women; <i>M</i><sub>age</sub> = 78.26) with musculoskeletal chronic pain attending day-care centers. At every time point, participants filled out self-report measures of staff social support for functional dependence, activity patterns, physical functioning, pain severity, and interference. Scales showed good/very good test-retest reliability (ICC = .74-.96) and internal consistency (all α > .90).</p><p><strong>Results: </strong>Parsimonious cross-lagged panel mediation models showed the best fit (<i>χ</i>²/<i>df</i> < 2.44; CFI > .96; GFI > .93; RMSEA < .09). Bidirectional effects were found over time, but poorer pain outcomes at T1 (higher pain severity/interference, lower physical functioning) more consistently predicted higher social support for functional dependence than vice versa. Poorer pain outcomes (T1) predicted more avoidance/less overdoing (T3), via increased received support for functional dependence (T2).</p><p><strong>Conclusion: </strong>Further research on the cyclical relationships between the study variables across chronic pain trajectories is needed to harness the power of interpersonal relationships in future self-management interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"488-499"},"PeriodicalIF":4.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177821","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}
Health PsychologyPub Date : 2024-07-01Epub Date: 2024-02-01DOI: 10.1037/hea0001365
Ilona Merikanto, Timo Partonen, Noora Berg, Olli Kiviruusu
{"title":"Stability of morningness/eveningness and changes in sleep and mental health during mid-adulthood.","authors":"Ilona Merikanto, Timo Partonen, Noora Berg, Olli Kiviruusu","doi":"10.1037/hea0001365","DOIUrl":"10.1037/hea0001365","url":null,"abstract":"<p><p><i>Objective</i>: A change toward Eveningness in circadian sleep-wake behavior is generally seen from childhood to adolescence, but less is known about circadian changes during adulthood. Circadian changes during mid-adulthood are of high interest, since Eveningness associates with a range of health-related problems, including psychological symptoms and mental disorders. In this study, we examined the circadian stability across 10 years, from 42 to 52 years of age, and how it is associated with sleep and mental health in a Finnish general population cohort follow-up-based (<i>n</i> = 976). <i>Method</i>: Circadian type was assessed at both ages with a widely used item for self-estimated Morningness/Eveningness from the original Horne-Östberg Morningness-Eveningness Questionnaire. Generalized estimating equations were used for analyzing how a change in Morningness/Eveningness was associated with sleep and mental health longitudinally. <i>Results</i>: Our findings indicate that the circadian type is a highly stable trait during mid-adulthood with mainly moderate changes occurring in 42.2% of adults and no circadian change among 57.8% of adults. Most changes occurred within the same circadian type (23.9%), second to changes between moderate circadian types (13.3%). Changes between the Definite Evening-types and Morning-types were very rare (0.5%). Stable Evening-types reported more insufficient sleep, discrepancy between sleep duration on workdays and free days, and depression as compared to stable Morning-types. Moderate changes toward Morningness, comprising mostly those within Morning-types, were associated with reduced distress and psychological symptoms. <i>Conclusions</i>: In conclusion, our findings show high stability of mid-adulthood circadian type. However, changes toward Morningness seem to be associated with improved mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"515-527"},"PeriodicalIF":4.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652257","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}
Health PsychologyPub Date : 2024-07-01Epub Date: 2024-04-04DOI: 10.1037/hea0001367
Mitchell A M Matthijssen, Florian van Leeuwen, Mariëlle Cloin, Ien van de Goor, Peter Achterberg
{"title":"The dimensionality of vaccination intentions: One strain or multiple strains?","authors":"Mitchell A M Matthijssen, Florian van Leeuwen, Mariëlle Cloin, Ien van de Goor, Peter Achterberg","doi":"10.1037/hea0001367","DOIUrl":"10.1037/hea0001367","url":null,"abstract":"<p><strong>Objective: </strong>People likely have different attitudes toward different vaccines (e.g., they may hold a positive attitude toward the measles, mumps, and rubella-vaccine while simultaneously hold a neutral attitude toward the flu shot). To examine the dimensionality of vaccination intentions, we measured vaccination intentions toward 16 different diseases. We hypothesized that people differentiate between child-directed vaccination intentions and self-directed vaccination intentions. Furthermore, we hypothesized that some commonly studied factors (e.g., trust in authorities and fear of needles) might have different associations with the two subtypes of vaccination intentions.</p><p><strong>Method: </strong>We used data from a nationally representative sample of the Netherlands collected in 2021. We used exploratory (<i>N</i> = 865) and confirmatory factor analysis (<i>N</i> = 865) to evaluate the dimensionality hypothesis and used linear hypothesis tests (<i>N</i> = 1,779) to test whether the commonly studied factors had different associations with the different subtypes of vaccination intentions.</p><p><strong>Results: </strong>The analysis showed two distinct factors of vaccination intentions: intentions toward childhood diseases and intentions toward nonchildhood diseases. Additionally, spiritual beliefs, trust in authorities, and belief in conspiracy theories had stronger associations with nonchildhood diseases than with childhood diseases. Fear of needles, prosocial personality, and religious orthodox beliefs did not have different associations with both types of vaccination intentions.</p><p><strong>Conclusions: </strong>These findings suggest that vaccination intentions is a multidimensional construct and that interventions may benefit from being tailored to the factors relevant for each specific type of vaccine. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"539-549"},"PeriodicalIF":4.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859161","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}
Health PsychologyPub Date : 2024-07-01Epub Date: 2024-03-21DOI: 10.1037/hea0001374
Juan Carlos Pacho-Hernández, José Luis González-Gutiérrez, Laura Yunta-Rua, Ricardo Pocinho, Almudena López-López
{"title":"Effectiveness of cognitive reappraisal and distraction for induced acute pain: A laboratory study.","authors":"Juan Carlos Pacho-Hernández, José Luis González-Gutiérrez, Laura Yunta-Rua, Ricardo Pocinho, Almudena López-López","doi":"10.1037/hea0001374","DOIUrl":"10.1037/hea0001374","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive reappraisal and distraction modulate pain; however, little is known about their effectiveness at different levels of pain intensity. Thus, the aim of this study has been to analyze the differential efficacy of both strategies to reduce perceived pain intensity and pain unpleasantness in low and moderate pain levels.</p><p><strong>Method: </strong>3 (emotion regulation strategy: cognitive reappraisal, distraction, and control) × 2 (intensity of the painful stimuli: low and moderate intensity) × 2 (time: pretest and posttest) mixed factorial design. Ninety healthy adults were randomly assigned to one of six experimental conditions. Pain-heat stimuli were administered with an advanced thermal stimulator. All participants completed the experimental pretest and posttest phases; in each phase, 12 pain stimuli were administered. Participants received brief training on how to apply cognitive reappraisal, distraction, and the control condition for the posttest phase. Data were collected from May 2022 to November 2022.</p><p><strong>Results: </strong>Analyses of repeated-measure analysis of variance showed that at posttest cognitive reappraisal and distraction were equally effective in reducing perceived pain intensity in low pain levels, while distraction was more effective than cognitive reappraisal in decreasing perceived pain intensity in moderate pain levels. Both distraction and cognitive reappraisal were effective in decreasing pain unpleasantness regardless of the intensity of the painful stimuli.</p><p><strong>Conclusion: </strong>These findings highlighted the beneficial use of both strategies in the short term for pain relief, distraction being more effective in moderate pain levels. Applying both strategies to everyday situations that may cause short-term acute pain could be of great clinical relevance. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"500-514"},"PeriodicalIF":4.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177819","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}
Health PsychologyPub Date : 2024-06-01Epub Date: 2024-04-15DOI: 10.1037/hea0001371
Aaron J Blashill, Kelsey Nogg, Rosa A Cobian Aguilar, Scott Roesch, John Brady, Heather L Corliss, Sherry Pagoto, Kristen J Wells
{"title":"Skin cancer risk behaviors in sexual minority men: A mixed methods approach.","authors":"Aaron J Blashill, Kelsey Nogg, Rosa A Cobian Aguilar, Scott Roesch, John Brady, Heather L Corliss, Sherry Pagoto, Kristen J Wells","doi":"10.1037/hea0001371","DOIUrl":"10.1037/hea0001371","url":null,"abstract":"<p><strong>Objective: </strong>Sexual minority men experience disproportionately elevated rates of skin cancers, likely driven by excess ultraviolet radiation exposure-namely through tanning behaviors. However, limited integrated theoretical models exist to explain sexual minority men's elevated skin cancer risk. The aim of the current study is to further test and refine an integrated theory of skin cancer risk behaviors among sexual minority men by incorporating minority stress into the integrated health behavior model of tanning.</p><p><strong>Method: </strong>The study employed a parallel mixed methods design, with a Phase 1 qualitative stage (<i>N</i> = 30) and a Phase 2 quantitative stage (Model 1: <i>N</i> = 320; Model 2: <i>N</i> = 319). In both phases, participants were sexual minority men, equally stratified as those with versus without recent tanning exposure and were recruited from across the United States.</p><p><strong>Results: </strong>Qualitative and quantitative data supported the overall integrated model, with some quantitative paths varying depending on the tanning behavior outcome. Overall, appearance-related motives to tan and beliefs that tanning regulates affect emerged as the most consistent proximal predictors. Minority stress significantly predicted holding more positive attitudes toward tanning as an effective affect regulation strategy.</p><p><strong>Conclusions: </strong>The results from this mixed methods study support the inclusion of minority stressors into the adapted integrative health behavior model of tanning. Replication within prospective designs would strengthen the evidence for this model, which may be helpful in guiding future skin cancer prevention programs tailored to sexual minority men. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"462-475"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866301","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}
Health PsychologyPub Date : 2024-06-01Epub Date: 2024-03-04DOI: 10.1037/hea0001354
Dawn Holford, Philipp Schmid, Angelo Fasce, Stephan Lewandowsky
{"title":"The empathetic refutational interview to tackle vaccine misconceptions: Four randomized experiments.","authors":"Dawn Holford, Philipp Schmid, Angelo Fasce, Stephan Lewandowsky","doi":"10.1037/hea0001354","DOIUrl":"10.1037/hea0001354","url":null,"abstract":"<p><strong>Objective: </strong>We introduce and report early stage testing of a novel, multicomponent intervention that can be used by healthcare professionals (HCPs) to address false or misleading antivaccination arguments while maintaining empathy for and understanding of people's motivations to believe misinformation: the \"Empathetic Refutational Interview\" (ERI).</p><p><strong>Method: </strong>We conducted four experiments in 2022 with participants who were predominantly negative or on the fence about vaccination (total <i>n</i> = 2,545) to test four steps for tailoring an HCP's response to a vaccine-hesitant individual: (a) elicit their concerns, (b) affirm their values and beliefs to the extent possible, (c) refute the misinformed beliefs in their reasoning in a way that is tailored to their psychological motivations, and (d) provide factual information about vaccines. Each of the steps was tested against active control conditions, with participants randomized to conditions.</p><p><strong>Results: </strong>Overall, compared to controls, we found that observing steps of the ERI produced small effects on increasing vaccine acceptance and lowering support for antivaccination arguments. Critically, an HCP who affirmed participants' concerns generated significantly more support for their refutations and subsequent information, with large effects compared to controls. In addition, participants found tailored refutations (compared to control responses) more compelling, and displayed more trust and openness toward the HCP giving them.</p><p><strong>Conclusions: </strong>The ERI can potentially be leveraged and tested further as a tailored communication tool for HCPs to refute antivaccination misconceptions while maintaining trust and rapport with patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"426-437"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023370","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}
Health PsychologyPub Date : 2024-06-01Epub Date: 2024-02-08DOI: 10.1037/hea0001363
Ariel R Hart, Steven R H Beach, Chantelle N Hart, Jessica J Smith, Brian K Stansfield, Justin A Lavner
{"title":"Responsive parenting and Black mothers' postpartum sleep: Secondary analysis of a randomized controlled trial.","authors":"Ariel R Hart, Steven R H Beach, Chantelle N Hart, Jessica J Smith, Brian K Stansfield, Justin A Lavner","doi":"10.1037/hea0001363","DOIUrl":"10.1037/hea0001363","url":null,"abstract":"<p><strong>Objective: </strong>To determine if an intervention designed to enhance early responsive parenting (RP) practices (e.g., reading infant cues, establishing bedtime routines) and promote infant sleep and soothing among Black families has secondary benefits for mothers' postpartum sleep.</p><p><strong>Method: </strong>This preregistered secondary analysis of the Sleep Strong African American Families randomized controlled trial investigated effects of an RP intervention versus a safety control condition on self-reported maternal sleep difficulties at 8 and 16 weeks postpartum and on actigraph-measured maternal sleep at 8 weeks postpartum.</p><p><strong>Results: </strong>The 212 randomized mothers were Black/African American (100%) and non-Hispanic (98.6%) and averaged 22.7 years (<i>SD</i> = 4.5) of age. Among 138 mothers with useable actigraph data, RP mothers had a mean 20 [95% CI: 2, 37] minutes longer actigraph-measured total sleep time than controls at 8 weeks postpartum, after adjusting for age and other covariates likely to influence mothers' sleep (<i>p</i> = .04). Participation in the RP intervention did not significantly impact self-reported sleep difficulties or other actigraph-measured sleep parameters (e.g., efficiency) in either unadjusted or adjusted models, although RP effects on sleep difficulties and sleep efficiency were in the hypothesized directions.</p><p><strong>Conclusions: </strong>Interventions supporting responsive sleep parenting practices to increase infant sleep may also help first-time Black mothers get more sleep themselves during the postpartum period, even without an explicit focus on maternal sleep strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"438-447"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708513","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}
Health PsychologyPub Date : 2024-06-01Epub Date: 2024-02-26DOI: 10.1037/hea0001340
Jenalee R Doom, LillyBelle K Deer, Trudy Mickel, Andrea Infante, Kenia M Rivera
{"title":"Eating behaviors as pathways from early childhood adversity to adolescent cardiometabolic risk.","authors":"Jenalee R Doom, LillyBelle K Deer, Trudy Mickel, Andrea Infante, Kenia M Rivera","doi":"10.1037/hea0001340","DOIUrl":"10.1037/hea0001340","url":null,"abstract":"<p><strong>Objective: </strong>To identify specific eating behavior pathways that mediate associations between financial difficulties, negative life events, and maternal depressive symptoms from 0 to 5 years and cardiometabolic risk in adolescence.</p><p><strong>Method: </strong>Hypotheses were tested with data from birth to age 15 years using the Avon Longitudinal Study of Parents and Children, a birth cohort in the United Kingdom (<i>n</i> = 3,887 for current analyses). Mothers reported on financial difficulties, negative life events, and maternal depressive symptoms at multiple points from 0 to 5 years and reported on worry about child overeating at 8 years. Youth self-reported restrained, emotional, and external eating at age 14. Youth completed a cardiometabolic health assessment at age 15 where waist circumference, triglycerides, high-density lipoprotein, and insulin resistance were measured. Longitudinal structural equation modeling with bootstrapping was used to test mediation models.</p><p><strong>Results: </strong>Greater negative life events and maternal depressive symptoms predicted greater parental worry about child overeating at age 8, which directly predicted greater restrained and emotional eating at 14 and cardiometabolic risk at 15. Restrained and emotional eating at 14 directly predicted greater cardiometabolic risk at age 15.</p><p><strong>Conclusions: </strong>Negative life events and maternal depressive symptoms in infancy/early childhood are associated with cardiometabolic risk in adolescence through pathways of parental worry about child overeating in middle childhood and youth-reported restrained and emotional eating in adolescence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"448-461"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11263003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974717","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}
Health PsychologyPub Date : 2024-06-01Epub Date: 2024-02-08DOI: 10.1037/hea0001364
Michael A Hoyt, Karen Llave, Ashley Wei-Ting Wang, Katie Darabos, Karina G Diaz, Megan Hoch, James J MacDonald, Annette L Stanton
{"title":"The utility of coping through emotional approach: A meta-analysis.","authors":"Michael A Hoyt, Karen Llave, Ashley Wei-Ting Wang, Katie Darabos, Karina G Diaz, Megan Hoch, James J MacDonald, Annette L Stanton","doi":"10.1037/hea0001364","DOIUrl":"10.1037/hea0001364","url":null,"abstract":"<p><strong>Objective: </strong>A systematic review and meta-analysis was conducted to examine associations between attempts to cope with stressors through the two facets of emotional approach coping (EAC; i.e., processing and expressing stressor-related emotions) and indicators of physical and mental health.</p><p><strong>Method: </strong>EBSCO databases including MEDLINE, PsycINFO, and Cochrane Collections were searched from inception to November 2022. In all, 86 studies were included in a meta-analytic evaluation using a random-effects model and meta-regression analysis.</p><p><strong>Results: </strong>EAC was associated with better overall health (<i>r</i> = .05; <i>p</i> = .04; 95% confidence interval = [.003, .10]). Emotional expression (EE) and emotional processing (EP) also were positively associated with better overall health, although these relationships were not statistically significant. In meta-regressions examining specific health domains, EAC was linked to better health in biological/physiological, physical, and resilience-related psychological adjustment domains, as well as to worse outcomes in the risk-related psychological adjustment and mental/emotional distress domains. Results for EE and EP mirrored this pattern; however, only EP was associated with more engagement in health-promoting behaviors.</p><p><strong>Conclusions: </strong>Coping with stressors through emotional approach appears to be associated with better mental and physical health, with some observed differences for EE and EP. The literature on EAC and health is marked by heterogeneity across study methodologies and measures. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"397-417"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708514","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}