Health Psychology最新文献

{"title":"Systematic review of interventions to promote colorectal cancer screening: Benchmarking effect sizes and screening rates.","authors":"Paschal Sheeran, Caroline Frisch, Olivia Listrom, Yifei Pei, Andrea Bermudez, Alexander J Rothman, Jennifer S Smith","doi":"10.1037/hea0001444","DOIUrl":"https://doi.org/10.1037/hea0001444","url":null,"abstract":"<p><strong>Objective: </strong>The effectiveness of behavioral interventions is typically evaluated relative to control conditions using null hypothesis significance testing (i.e., <i>p</i> < .05) or effect sizes. These criteria overlook comparisons with previous interventions and do little to promote a cumulative science of behavior change. We conducted a systematic review of the effectiveness of interventions to promote colorectal cancer screening (CCS) and generated benchmarks via the percentile distribution of <i>OR</i>s, screening rates for intervention and control arms, and differential screening rates (intervention minus control rate) in respective trials.</p><p><strong>Method: </strong>Literature searches identified 187 eligible tests (<i>N</i> = 371,018).</p><p><strong>Results: </strong>Random effects meta-analysis computed a sample-weighted <i>OR</i> = 1.69 (95% CI [1.55, 1.84]) and meta-regression showed that there was no improvement in the effectiveness of CCS interventions between 1996 and 2022. Benchmarking indicated that the median effect size was <i>OR</i> = 1.32, equivalent to a 35.7% screening rate in the intervention arm, and a 5.9% differential screening rate. Benchmarks were also generated for different types of screening (e.g., fecal immunochemical test, colonoscopy), sample characteristics (e.g., race, socioeconomic status), and methodological features (e.g., control conditions).</p><p><strong>Conclusions: </strong>Interventions to promote CCS have a small effect and effectiveness has not increased over time. The percentile values for effect sizes and screening rates reported here can be used to benchmark the effectiveness of future trials. Benchmarking offers a way to evaluate interventions that are grounded in accumulated evidence and can inform judgments about tradeoffs among effectiveness, reach, and cost. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830977","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":"Obliged to fight? Patient moral processes in the face of poor prognosis cancer.","authors":"Login S George, Biren Saraiya, Supriya Mohile, Emily Muha, Saba Sarwar, Paul R Duberstein","doi":"10.1037/hea0001438","DOIUrl":"10.1037/hea0001438","url":null,"abstract":"<p><strong>Objective: </strong>Theoretical work suggests that moral psychological processes-those pertaining to the interests or welfare of others-are a key driver of overtreatment at the end of life. We examined patient moral processes and their associations with distress and treatment decision-making.</p><p><strong>Method: </strong>During structured interviews with 116 patients with advanced cancer and a poor prognosis, Likert scale items were used to operationalize (a) moral emotions: feeling shame and guilt about cancer getting worse, (b) moral motives for cancer treatment: perceiving an obligation to family for continuing potentially nonbeneficial treatments, and (c) moral performance: putting up the appearance of feeling better than how one is really feeling (5-point response scale, <i>not at all to a great deal</i>). Several distress and end-of-life decision-making variables were also assessed.</p><p><strong>Results: </strong>Most patients reported moral motives for cancer treatments and engaging in moral performance (35%-88% responded \"a little\" or higher for each of the 10 items). The mean moral motives score was associated with a higher likelihood of choosing life-extending care over comfort care (<i>t</i> = -3.16, <i>p</i> = .002) and a lower likelihood of having an advance care planning discussion (<i>t</i> = 3.19, <i>p</i> = .002). Moral performance was associated with worse distress regarding prognosis (<i>r</i>_s = .32, <i>p</i> = .001), worse psychological symptoms (<i>r</i>_s = -.26, <i>p</i> = .004), and less peaceful acceptance of cancer (<i>r</i>_s = -.25, <i>p</i> = .006).</p><p><strong>Conclusions: </strong>For patients with advanced cancer, moral processes are prevalent and influential on how they behave and make treatment decisions. Attention must be paid to how these moral processes can result in more intensive treatments than warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830973","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":"Incremental versus saturation hypotheses for behavioral nudge in reducing sugar consumption.","authors":"Anna Undarwati, Felix Yong Peng Why","doi":"10.1037/hea0001450","DOIUrl":"https://doi.org/10.1037/hea0001450","url":null,"abstract":"<p><strong>Objective: </strong>This field experiment examined the efficacy of a behavioral nudge intervention towards lowering sugar intake in Indonesia. Specifically, two competing hypotheses were tested as to whether behavioral nudge played an additive role (i.e., the Incremental Hypothesis) or contributed to a ceiling effect (i.e., the Saturation Hypothesis) alongside social context and competition in a multimodal intervention program.</p><p><strong>Method: </strong>This field experiment used a three-factorial mixed design involving 403 Indonesian participants based on power statistical analysis: 2 (sugar content nudge: lower sugar tea vs. regular sugar tea default) × 2 (social context: individual vs. group) × 2 (competition: absent vs. present).</p><p><strong>Results: </strong>Nudging was the most powerful intervention in reducing sugar intake, but its effectiveness might be attenuated by social loafing even within Indonesia's collectivist culture. Competition did not work synergistically with nudging but was effective under the nonnudge condition.</p><p><strong>Conclusion: </strong>Our results are consistent with those of previous research showing that behavioral nudging has a stronger impact on behavioral change than nonnudge strategies. Contrary to some previous research, people in collectivist Indonesia did engage in social loafing: achievement motivation is not necessarily enhanced in a team of people in a collectivist culture. The Nudge × Competition interaction supports the saturation hypothesis in favor of behavioral nudging: using more than one intervention, when a potent strategy such as nudging is present, might result in diminishing returns that could reduce the overall benefit-cost profile of such multimodal intervention programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787821","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":"Sex and gender disparities in health behaviors and adherence in patients recovering from percutaneous coronary intervention.","authors":"Sophie C M van den Houdt, Emma R Douma, Paula M C Mommersteeg, Jos Widdershoven, Nina Kupper","doi":"10.1037/hea0001441","DOIUrl":"https://doi.org/10.1037/hea0001441","url":null,"abstract":"<p><strong>Objective: </strong>Sex-related disparities impact adherence to essential health behaviors like a cardiac-healthy diet, exercise, and smoking cessation. However, the influence of gender on these behaviors remains unexplored. The current study examined heterogeneity in adherence to health behavior over time by studying the effects of sex and gender differences among patients who have undergone percutaneous coronary intervention (PCI).</p><p><strong>Method: </strong>A total of 512 participants (<i>M</i>_age = 64.37 ± 8.98; 84% male) responded to self-report questions concerning overall adherence, stress management, and dietary habits based on the Medical Outcomes Study. We added additional items to assess smoking status, medication adherence, and adequate physical activity. Assessments occurred following PCI (baseline) and 6- and 12-months post-PCI. A follow-up study also examined gender-related characteristics. Linear and logistic mixed models investigated the influence of sex, gender, their interaction, and various covariates on health behavior.</p><p><strong>Results: </strong>Dietary behavior and medication adherence improved initially but stabilized after the first month. Physical activity improved but then decreased over time. Women and feminine individuals adhered more to stress reduction and dietary guidelines, while men and gender-conforming women (i.e., women with feminine norms) were more compliant with physical activity.</p><p><strong>Conclusion: </strong>The current study demonstrated that cardiac rehabilitation interventions focused on diet, physical activity, and stress reduction may benefit from taking a sex- and gender-sensitive approach. However, more evidence is needed on whether sex- and gender-sensitive interventions are beneficial in terms of improving health behavior among PCI patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787822","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":"Shared human papillomavirus vaccine readiness within families: A psychometric analysis of parent-adolescent dyads in France.","authors":"Damien Oudin Doglioni, Aurélie Gauchet, Amandine Gagneux-Brunon, Sébastien Bruel, Anne-Sophie Banaszuk, Nathalie Thilly, Jonathan Sicsic, Jocelyn Raude, Judith E Mueller","doi":"10.1037/hea0001387","DOIUrl":"10.1037/hea0001387","url":null,"abstract":"<p><strong>Background: </strong>In France, uptake of the recommended human papillomavirus (HPV) vaccination remains low. The vaccine cannot be administered without parental consent, but studies have shown that adolescents can make informed decisions about their health. We aimed at understanding the weight of adolescents' vaccination intention in parents' vaccination decision, using data from parent-adolescent dyads collected at baseline of a randomized trial of vaccine promotion interventions.</p><p><strong>Method: </strong>About 649 parent-adolescent dyads from 61 middle schools in France independently completed an online questionnaire on their knowledge and attitudes toward HPV vaccination, structured around the seven psychological domains of vaccine readiness (VR). We used multivariate and path analyses to understand the family decision-making process.</p><p><strong>Results: </strong>HPV vaccination was reported by 50.1% of adolescents and 45.5% of parents. Individual antecedents of VR were poorly correlated within dyads (<i>r</i> = .14-.36). Vaccine intentionality among parents of girls depended both on their own VR (β = .53, <i>p</i> < .001) and on their daughters' vaccine intention (β = .25, <i>p</i> < .001). But among parents of boys, vaccine intention depended only on their own VR (β = .72, <i>p</i> < .001). Adolescents' VR depended more strongly on the social environment's attitude among boys than among girls (β = .54 vs. .34, <i>p</i> < .01).</p><p><strong>Conclusions: </strong>The defined model showed shared decision processes between parents and adolescent girls, but not boys, which can be understood in the context of a recent expansion of HPV vaccination to boys. Beyond this, it suggests that promotion targeting adolescents and their social environment can have a positive influence on parental intentions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"893-903"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019637","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":"Discrimination, religious affiliation, and arterial stiffness in African American women and men.","authors":"Jason J Ashe, Peter H MacIver, Shuyan Sun, Antione D Taylor, Michele K Evans, Alan B Zonderman, Shari R Waldstein","doi":"10.1037/hea0001424","DOIUrl":"10.1037/hea0001424","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the interactive relations of experienced interpersonal discrimination, sex, and religious affiliation with pulse wave velocity (PWV), a noninvasive measure of arterial stiffness and indicator of subclinical cardiovascular disease (CVD) prognostic for clinical CVD.</p><p><strong>Method: </strong>We used multivariable linear regression analyses with cross-sectional data from 797 African American midlife adults in the Healthy Aging in Neighborhoods of Diversity Across the Life Span study in Baltimore, Maryland, to examine the interactive relations of both linear and quadratic discrimination, religious affiliation status, and sex with PWV in models adjusted for age and poverty status.</p><p><strong>Results: </strong>Findings revealed a significant three-way interaction of Discrimination² × Religious Affiliation Status × Sex with PWV (<i>B</i> = 0.004, <i>SE</i> = 0.001, <i>p</i> = .004). Simple effect analyses showed a <i>U</i>-shape relation for only religiously affiliated men (<i>B</i> = 0.001, <i>SE</i> = 0.001, <i>p</i> = .008). Both lower and higher levels of discrimination were related to higher PWV. No such relations emerged among unaffiliated men or women. Findings remained robust after sensitivity analyses adjusted for depressive symptoms, cigarette use, obesity, marital status, hypertension, Type 2 diabetes, CVD medical history, cholesterol, lipid-lowering medication use, systolic blood pressure, and heart rate.</p><p><strong>Conclusion: </strong>Religiously affiliated African American men who reported the lowest and highest experienced discrimination showed a heightened risk for subclinical CVD. Having a religious identity might either play a role in suppressing men's unwanted memories of discrimination or increase men's susceptibility to and salience of mistreatment, which might manifest in adverse cardiovascular health outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"853-862"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301372","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":"Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study.","authors":"Yoobin Park, Amie M Gordon, Aric A Prather, Wendy Berry Mendes","doi":"10.1037/hea0001423","DOIUrl":"10.1037/hea0001423","url":null,"abstract":"<p><strong>Objective: </strong>Previous cross-sectional studies have shown that more (vs. less) sexually active individuals tend to be mentally and physically healthier, but little is known about the proximal mechanisms underlying such associations.</p><p><strong>Method: </strong>We analyzed two experience sampling data sets (<i>N</i> = 8,452, 66,181 observations; 72% male, age <i>M</i> = 46.42, 76% White) to examine changes in sleep, cardiovascular responses, and affect in the morning following sex, putative processes implicated in long-term mental and physical health benefits of sex.</p><p><strong>Results: </strong>Consistent with previous findings, our results showed significant between-person associations, suggesting more positive daily health outcomes for more sexually active individuals. Further, we found significant within-person associations suggesting that when people reported having (vs. not having) sex the previous night, they experienced better sleep quality, fewer sleep disturbances and shorter wake after sleep onset, lower blood pressure, less stress, more positive affect, and better coping in the morning. None of these associations were moderated by gender or relationship status.</p><p><strong>Conclusions: </strong>Our findings provide novel evidence suggesting short-term psychological and physiological benefits of sex, which may accrue to create better health over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"904-912"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301392","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":"Couple communication in cancer: A tale of two conceptual models.","authors":"Shelby L Langer, Joan M Romano, Michael Todd, Francis J Keefe, Karen L Syrjala, Jonathan B Bricker, John Burns, Niall Bolger, Laura S Porter","doi":"10.1037/hea0001396","DOIUrl":"10.1037/hea0001396","url":null,"abstract":"<p><p>Cancer poses significant challenges for patients and caregiving partners. Avoidant communication has been linked to poorer psychosocial adjustment to cancer. Two conceptual models have been proposed to account for this linkage: the social-cognitive processing and relationship intimacy models.</p><p><strong>Objective: </strong>To examine the utility of these models in explaining patient and partner psychological and relationship adjustment on a day-to-day basis using ecological momentary assessment.</p><p><strong>Method: </strong>Patients with breast, colorectal, or lung cancer and their partners (286 dyads) were prompted twice daily for 14 days via smartphone to answer questions about communication with their partner, adjustment (psychological distress and relationship satisfaction), and hypothesized mediators (avoidant thoughts and intimacy). Data were collected from 2017 to 2020.</p><p><strong>Results: </strong>Participants responded to 92% of prompts and completed 91%. Results supported the relationship intimacy but not the social-cognitive processing model. On afternoons when participants (both patients and caregivers) held back or perceived avoidance or criticism from their partner, they reported less intimacy, as did their partners; this lowered intimacy, in turn, led to participants' (both patients' and caregivers') own lowered relationship satisfaction that evening and to patients' lowered relationship satisfaction through caregivers' lowered intimacy (one-tailed Bayesian <i>p</i>s < .025). When distress was the criterion, patients' holding back or perceived avoidance/criticism led to their own increased distress through their own decreased intimacy, and caregivers' holding back or perceived avoidance/criticism led to patients' increased distress through patients' lowered intimacy (one-tailed Bayesian <i>p</i>s < .005).</p><p><strong>Conclusions: </strong>Findings offer implications for interventions designed to improve communication and enhance closeness. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"875-885"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301396","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":"Implicit attitudes toward obesity-related cues and their relation to body mass index, psychosocial functioning, and health behavior.","authors":"Caroline Cummings, Tyler N Livingston","doi":"10.1037/hea0001404","DOIUrl":"10.1037/hea0001404","url":null,"abstract":"<p><strong>Objective: </strong>Differences in automatic cognitive processes exist among individuals with overweight and obesity, thus there is a need to expand our conceptualization of overweight and obesity to emphasize the predictive utility of these automatic processes, rather than focusing solely on behavioral outputs. Implicit association tests (IATs) may afford a noninvasive method of examining automatic preferences that might contribute to overweight and obesity; namely, preferences for unhealthy foods and sedentary behavior versus healthy foods and physical activity. The purpose of the current study was to examine whether implicit attitudes toward foods and physical activity differed based on body mass index (BMI) status. The relationships between implicit attitudes and key psychosocial factors and health behaviors were also examined.</p><p><strong>Method: </strong>Participants (<i>N</i> = 127) included undergraduate students with an average age of 19.05 years old (<i>SD</i> = 1.52). Average BMI of the sample was 24.20 (<i>SD</i> = 4.93); 33.8% met criteria for overweight or obesity. Participants completed an IAT and questionnaires.</p><p><strong>Results: </strong>There were no differences in implicit preferences based on BMI or BMI status. Overall, the sample demonstrated implicit preferences for healthy foods and active words, and preferences were not linked to the corresponding behavioral outputs, though preferences were linked to various indices of emotion and emotion regulation.</p><p><strong>Conclusions: </strong>Future research should explore an extended model to examine how implicit preferences might impact intentions to engage in protective versus risky obesity-related health behaviors, and the various psychosocial factors that might impact the translation of those preferences and intentions in actual behavioral outputs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"886-892"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989589","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":"Lung cancer patients' illness perceptions: Prognostic for psychological and physical health trajectories.","authors":"Thomas R Valentine, Kylie R Park, Carolyn J Presley, Peter G Shields, Barbara L Andersen","doi":"10.1037/hea0001416","DOIUrl":"10.1037/hea0001416","url":null,"abstract":"<p><strong>Objective: </strong>Advanced nonsmall cell lung cancer (NSCLC) is associated with the highest burden of mental and physical symptoms. Across illnesses, patients' subjective illness beliefs (i.e., illness perceptions [IPs]) correlate with psychological and physical health status. Despite this, IPs in NSCLC patients are understudied. To address this gap, previous research identified three profiles characterizing IPs of newly diagnosed NSCLC patients: \"coping\" (those more positive perceptions of NSCLC); \"coping but concerned\" (similar positive perceptions but high concern); and \"struggling\" (uniformly negative perceptions; Valentine et al., 2022). This extension seeks to determine if IPs are predictive. Would patients' psychological and physical health trajectories differ by IP profile?</p><p><strong>Method: </strong>Patients with Stage IV NSCLC (<i>N</i> = 186) from a prospective cohort (2017-2019; NCT03199651) enrolled at diagnosis participated and completed an IP measure and anxiety, depression, physical symptom, and health status outcome measures monthly for 8 months. Linear mixed models tested profile membership (see above) as predictive of outcome trajectories, with those \"struggling\" having the poorest outcomes.</p><p><strong>Results: </strong>Eight-month trajectories for anxiety and some physical symptoms showed significant improvement, whereas depression, dyspnea, pain, and self-rated health did not. As anticipated, profile membership was predictive: \"struggling\" profile patients reported significantly worse anxiety and depression symptoms, physical symptoms, and health compared to \"coping\" patients. There were no interactions between profile and time. Generalization to samples from U.S. states with greater racial/ethnic diversity is unknown.</p><p><strong>Conclusion: </strong>Novel data show \"struggling\" profile patients to have uniformly negative outcomes and specify IP content relevant for inclusion in cognitive behavioral therapies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"913-923"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332742","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}