Health Psychology最新文献

{"title":"Mechanisms linking childhood harsh fathering to adult sons' health.","authors":"Jieun Choi, Hyoun K Kim","doi":"10.1037/hea0001590","DOIUrl":"10.1037/hea0001590","url":null,"abstract":"<p><strong>Objective: </strong>Fathering is now recognized as influencing children's health, yet the physiological and behavioral pathways linking harsh fathering to men's health-particularly in the context of intergenerational fathering-remain less understood. This study examined the long-term effects of harsh parenting by Generation 1 (G1) fathers during Generation 2 (G2) men's childhood on physical and mental health problems in G2's adulthood, focusing on three potential processes: (a) G2 men's physiological stress regulation reflected in diurnal cortisol patterns, (b) the quality of the G2 men-G3 child relationship, and (c) the sequential mediation of these two processes.</p><p><strong>Method: </strong>Data from three waves of the Midlife Development in the U.S. survey (MIDUS) of 265 G2 men were analyzed using latent growth modeling and structural equation modeling.</p><p><strong>Results: </strong>Results revealed that G1's harsh fathering in childhood significantly increased the risk of G2 men's physical health problems in middle and old adulthood through dysregulated diurnal cortisol patterns, specifically flattened diurnal slopes in early to mid-adulthood, even while controlling for covariates. Neither the direct impact of harsh fathering nor the mediating mechanisms through the G2-G3 relationship were significant.</p><p><strong>Conclusions: </strong>The present findings suggest that the effects of harsh fathering during childhood on adult sons' health are long-lasting, and the stress regulation system may serve as a key underlying mechanism in this relationship. This study highlights the need for evidence-based fatherhood programs aimed at preventing harsh parenting practices. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"702-712"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328141","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 and sleep difficulties among first-year students: Mediation by daily sleep quality.","authors":"Tiffany Yip, Zhenqiang Zhao, Jiawei Wu, Jinjin Yan, Meng-Run Zhang, Kyle Lorenzo, Nidia Ruedas-Gracia, Heining Cham, David H Chae, Mona El-Sheikh","doi":"10.1037/hea0001575","DOIUrl":"10.1037/hea0001575","url":null,"abstract":"<p><strong>Objectives: </strong>The transition to college is associated with increased sleep difficulties. Everyday discrimination is an important social determinant of sleep difficulties, and this study examined associations between precollege exposures to everyday discrimination and sleep during the first year of college. The study also considers the mediating role of daily sleep quality.</p><p><strong>Method: </strong>Using a combination of longitudinal surveys and daily diaries, the extent to which precollege exposures to everyday discrimination collected in the fall semester predicted sleep difficulties in the spring semester of students' first year in college was investigated in a sample of 628 diverse college students (mean age = 18.54 years). Sleep difficulties included self-reported sleep onset-related disturbance and daytime dysfunction.</p><p><strong>Results: </strong>Precollege exposures to everyday discrimination were associated with higher levels of daytime dysfunction (but not with sleep disturbance) in the spring semester. Precollege exposures to everyday discrimination were also associated with lower mean levels of daily sleep quality across 14 days; in turn, lower daily sleep quality contributed to higher levels of daytime dysfunction in the spring. Although precollege exposures to everyday discrimination were associated with higher variability in daily sleep quality, variability in daily sleep quality was not associated with sleep difficulties in the spring.</p><p><strong>Conclusions: </strong>Precollege exposures to everyday discrimination were associated with sleep difficulties in the first year of college, and these sleep concerns are explained by daily-level sleep processes. Targeting daily sleep quality may be an important health lever to improve first-year college students' sleep problems and their transition to college. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"658-668"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088142","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":"Estimating the heterogeneous effect of life satisfaction on mortality: A causal machine-learning approach.","authors":"Eric S Kim, Toshiaki Komura, Koichiro Shiba","doi":"10.1037/hea0001569","DOIUrl":"10.1037/hea0001569","url":null,"abstract":"<p><strong>Objective: </strong>Life satisfaction has been linked to lower mortality risk, yet the extent to which this relationship varies across population subgroups remains poorly understood.</p><p><strong>Method: </strong>We used a machine-learning-based causal survival forest to evaluate how the association between life satisfaction and all-cause mortality over an 8-year follow-up differed across individuals and to characterize those who appeared to benefit most from life satisfaction. We leveraged data from the Health and Retirement Study (<i>N</i> = 13,674), a national cohort study of U.S. adults aged 50 and older.</p><p><strong>Results: </strong>On average, higher life satisfaction was linked to a 3.56-month increase in restricted mean survival time (95% confidence interval = [1.61, 5.52]). While we observed evidence of between-individual heterogeneity in this association, the estimated effect of life satisfaction appeared beneficial for most individuals in this study. Evidence of the protective effect of life satisfaction was more pronounced among those who identified as racial minorities and reported lower educational attainment, fewer economic resources, and poorer prebaseline health.</p><p><strong>Conclusions: </strong>These findings indicate that population-level strategies to foster higher life satisfaction could improve the health of older adults on average, while decreasing existing disparities in longevity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"647-657"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656291","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":"Longitudinal associations between father- and mother-child interactions, coparenting, and child cardiometabolic health.","authors":"Alp Aytuglu, Jennifer E Graham-Engeland, Mark E Feinberg, Samantha A Murray-Perdue, C Andrew Conway, Hannah M C Schreier","doi":"10.1037/hea0001567","DOIUrl":"10.1037/hea0001567","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the longitudinal connections between early observed parenting and coparenting relationship quality and children's later cardiometabolic health outcomes.</p><p><strong>Method: </strong>Structural equation modeling was used to examine (a) the associations between fathers' and mothers' sensitive engagement with their children and competitive-withdrawn coparenting during infancy (10 months) and toddlerhood (24 months); (b) the extent to which these parenting and coparenting factors predicted four markers of children's cardiometabolic health in middle childhood (∼7 years); and (c) indirect pathways from parenting and coparenting at 10 months to cardiometabolic markers (C-reactive protein [CRP], interleukin-6, total cholesterol, and glycated hemoglobin [HbA1c]) at 7 years, via parenting and coparenting at 24 months, within a longitudinal, cross-lagged framework. The sample comprised 292 child-father-mother triads from a randomized trial of Family Foundations, a preventive intervention focused on enhancing coparenting interactions between first-time parents.</p><p><strong>Results: </strong>Fathers' sensitive engagement at 10 months was negatively associated with their competitive-withdrawn coparenting at 24 months, which subsequently predicted lower levels of child CRP and HbA1c. Furthermore, fathers' competitive-withdrawn coparenting at 24 months explained the association between their sensitive engagement at 10 months and later child CRP and HbA1c. These associations were not significant in a parallel model for mothers.</p><p><strong>Conclusion: </strong>These findings highlight the influence of child-father interactions and coparenting dynamics on long-term child health. Promoting supportive coparenting and positive paternal involvement may represent valuable preventive strategies for reducing child cardiometabolic risk. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"603-615"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656423","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 potential association among fatigue, resilience, and depression in stroke patients: A prospective longitudinal study.","authors":"Fengzhen Li, Yuenv Wang, Shitong Jin, Qianying Deng, Tingting Lin, Yingjie Fu, Yun Li, Jufang Li","doi":"10.1037/hea0001583","DOIUrl":"10.1037/hea0001583","url":null,"abstract":"<p><strong>Objectives: </strong>Poststroke depression (PSD) is an important clinical issue affecting patients' functional recovery and health outcomes, which is related to poststroke fatigue (PSF) and resilience. However, there are limited longitudinal studies exploring the potential association among PSF, resilience, and PSD. This study aimed to explore the potential longitudinal association among PSF, resilience, and PSD.</p><p><strong>Method: </strong>Purposive sampling was used to collect data from 339 stroke patients in the Neurology Department of a hospital in China between September 2022 and October 2023. Data were collected using the General Information Questionnaire, the Fatigue Severity Scale, the 10-item Connor-Davidson Resilience Scale, and the Center for Epidemiologic Studies Depression Scale during acute hospitalization (T1), 3 months after discharge (T2), and 6 months after discharge (T3).</p><p><strong>Results: </strong>PSF at T1 was negatively associated with resilience at T2; resilience at T2 was negatively associated with PSD at T3, and PSD at T2 was negatively associated with resilience at T3; PSF at T1 was positively associated with PSD at T2. Furthermore, resilience at T2 played a partial longitudinal mediating role between PSF at T1 and PSD at T3.</p><p><strong>Conclusion: </strong>Reducing PSF during acute hospitalization and improving resilience at 3 months after discharge might be effective ways by which PSD at 6 months after discharge could be improved. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"678-688"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215009","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":"Nonscientific mindsets and the gap between past vaccine behaviors and future intentions.","authors":"Justin Sulik, Candelaria Krick, Zeynep Burçe Gümüşlü, Joaquín Navajas, Ophelia Deroy","doi":"10.1037/hea0001560","DOIUrl":"10.1037/hea0001560","url":null,"abstract":"<p><strong>Objective: </strong>Use of complementary and alternative medicines (CAM) is often associated with vaccine hesitancy. However, the nature of-and reasons for-this association are obscure as CAM and vaccine hesitancy are both complex, heterogeneous phenomena. This study aims to identify which aspects of CAM are associated with vaccine hesitancy and to probe the psychological roots of that association.</p><p><strong>Method: </strong>Over two recruitment stages (<i>N</i>₁ = 1,905, <i>N</i>₂ = 1,443), participants from Argentina, Germany, and the United States reported vaccine/CAM behaviors, intentions, and beliefs. They also responded to scales probing nonscientific mindsets, including negative attitudes to expertise and anomalous belief formation.</p><p><strong>Results: </strong>An item response theory model of vaccine responses revealed that, outside of total acceptance or outright refusal, vaccine hesitancy reflected a gap between past vaccination behaviors and future behavioral intentions. Vaccine hesitancy was weakly predicted by CAM use but was better predicted by certain CAM beliefs, particularly an oppositional view of natural versus biomedical care. Nonscientific mindsets showed similar patterns of association with vaccine hesitancy and with aspects of CAM beliefs.</p><p><strong>Conclusions: </strong>Observed associations between CAM and vaccine hesitancy are primarily a matter of health-relevant beliefs centered on natural versus scientific medicine. This relationship-and in particular, the gap between past vaccine behaviors and future behavioral intentions-reflects nonscientific mindsets. Thus, a key challenge in addressing this form of vaccine hesitancy is one of perspective taking: Scientists must find persuasive reasons to vaccinate which still appeal to some who do not see science as the main route to medical knowledge. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"616-630"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082450","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":"Age-related differences in social ecosystems of physical activity in African American women.","authors":"Allison M Sweeney, Dawn K Wilson, Robert M Kaplan","doi":"10.1037/hea0001580","DOIUrl":"10.1037/hea0001580","url":null,"abstract":"<p><strong>Objective: </strong>The present study examined how social ecosystems affect health behaviors among African American women during middle to older adulthood. Specifically, this study compared the effects of social support from friends, social support from family, and neighborhood social life on accelerometry-assessed moderate to vigorous physical activity (MVPA) across 24-months and whether effects were moderated by age among African American women (> 40 years).</p><p><strong>Method: </strong>Data were analyzed from a sub-set of African American women (<i>N</i> = 213, Age = 58.97 ± 11.26, Body Mass Index = 32.8 ± 8.1) enrolled in the Positive Action for Today's Health trial. MVPA was assessed using 7-day accelerometry-estimates and psychosocial data related to social ecosystems were collected at baseline, 12-, 18-, and 24-months.</p><p><strong>Results: </strong>Multilevel modeling revealed a significant interaction between neighborhood social life and age on MVPA (Estimate = .003, <i>p</i> = .024), such that among older adults a more positive social life was positively associated with MVPA (Estimate = .076, <i>p</i> < .001). There was a marginal interaction between social support from friends and age on MVPA (Estimate = -.016, <i>p</i> = .080), such that among middle-age adults greater social support from friends was positively associated with MVPA (Estimate = .477, <i>p</i> = .015). There was a significant main effect of social support from family on MVPA (Estimate = 0.417, <i>p</i> = .003), which was not moderated by age.</p><p><strong>Conclusion: </strong>These results suggest the importance of considering a lifespan approach when developing interventions for African American women that address changes in the social ecosystems from middle to older age. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"669-677"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229852","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":"Dyadic patterns of abstinence from smoking in dual-smoking couples enrolled in a pilot randomized clinical trial.","authors":"Fernanda C Andrade, Ye Shen, James M MacKillop, Steven R H Beach, Michelle R vanDellen","doi":"10.1037/hea0001573","DOIUrl":"10.1037/hea0001573","url":null,"abstract":"<p><strong>Objective: </strong>Despite the positive role of social relationships in behavior change, dyadic interventions for smoking have not been consistently successful. This owes, in part, to the fact that dual-smoking cohabiting couples share similar routines, environments, and relational dynamics that can undermine quitting efforts. We adopted an exploratory and descriptive approach to identify distinct profiles of smoking abstinence within dyads, how relationship dynamics relate to these patterns, and whether these patterns predict smoking status at follow-up.</p><p><strong>Method: </strong>We utilized preexisting data from a pilot RCT examining the effects of partner-involved financial incentives on dyadic abstinence. Both members of 95 dual-smoking couples (52% female, 73% White, <i>M</i>_age = 42.39, <i>SD</i> = 10.57) recruited between 2021 and 2022 provided baseline information about their relational and motivational dynamics, followed by 10 weeks of daily reports of smoking behavior, and biochemically verified quit status at follow-up.</p><p><strong>Results: </strong>Latent growth mixture models suggested four patterns of dyadic abstinence: Concordant abstainers, Discordant abstainers, Discordant nonabstainers, and Concordant nonabstainers. Treatment arm and motivational and relational dynamics predicted the probability of following specific dyadic patterns of behavior change, and dyadic patterns of change predicted individual and couple quitting status at follow-up.</p><p><strong>Conclusions: </strong>Our findings underscore the importance of considering that treatment will facilitate coordinated dyadic behavior change for some couples but not all and emphasize the need to better understand when and how mechanisms support long-term abstinence. More work is needed to investigate whether these patterns generalize across samples with more diverse sociodemographic and health characteristics. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"528-538"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088168","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 identity processes affect objectively measured physical health: A systematic review and meta-analyses.","authors":"Tegan Cruwys, Mark Stevens, Niklas K Steffens, Jan A Häusser, Samantha M Pang, Miranda Cody-Osborne, Ella Edwards-Smith, Eoin Garton, Yuang Cheng, Taylah McCluskey","doi":"10.1037/hea0001552","DOIUrl":"10.1037/hea0001552","url":null,"abstract":"<p><strong>Objective: </strong>A systematic review (CRD42023422237) examined the effect of social identity processes on objectively measured physical health.</p><p><strong>Method: </strong>Eligible studies (a) quantitatively manipulated or measured social identity strength, salience, or threat, or multiple group membership, and (b) objectively measured (i.e., nonself-report) health behavior, physical health, or health-relevant biomarker. PsychINFO, PubMed, and SPORTDiscus were searched (24 September 2024). We conducted narrative synthesis, meta-analysis for sufficiently homogenous subclusters, and risk of bias assessment.</p><p><strong>Results: </strong>The 106 studies (<i>N</i>_total = 290,816; 20 countries; published 1982-2024) were highly diverse in design and dependent variables and were grouped into five discrete clusters. First, 46 studies assessed whether threats to social identities increased acute cardiovascular reactivity, <i>g</i> = 0.40, 95% confidence interval (CI) = [.179, .617] (42 effects, <i>N</i> = 1,432). Second, 21 studies assessed whether social identity salience reduced stress biomarkers, <i>g</i> = -0.28, 95% CI = [-.544, -.006] (20 effects, <i>N</i> = 487). Third, 16 studies (too heterogenous for meta-analysis) found evidence of ingroup normative influence on health behaviors. Fourth, six studies (too heterogenous for meta-analysis) assessed social identification in health interventions; five found benefits for disease-related outcomes. Finally, 17 studies examined the protective effect of subjective (multiple) group membership on long-term health (e.g., mortality), <i>OR</i> = .59, 95% CI = [.385, .891] (eight effects, <i>N</i> = 27,985). Studies were high quality on average, although there was some evidence of publication bias.</p><p><strong>Conclusion: </strong>Results provide evidence for both social cure and social curse predictions of the social identity approach to health. We identified five distinct ways in which social identity processes affect physical health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"497-527"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379967","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":"Situational awareness predicts self-management of type I diabetes in adolescents and young adults.","authors":"Paul F Cook, Emily Jost, Gregory Forlenza, Laurel H Messer, Solus Thompson, Evan Peck, Stephen Voida","doi":"10.1037/hea0001547","DOIUrl":"10.1037/hea0001547","url":null,"abstract":"<p><strong>Objective: </strong>Using a hybrid closed-loop system predicts higher time in target glucose range (TIR) for adolescents and young adults with type I diabetes (T1D). However, patients do not always use these systems effectively for self-management. Based on Two Minds Theory, we hypothesized that more automatic and proactive ways of interacting with the system would be associated with higher TIR, whereas more reactive responses to system prompts would not.</p><p><strong>Method: </strong>We recruited 20 patients with T1D from a diabetes clinic. Participants used the Tandem t:slim X2 with Control-IQ technology (Control-IQ) hybrid closed-loop system. For 2 weeks, they also completed daily surveys about T1D self-management, plus triggered surveys each time they interacted with Control-IQ about their reasons and perceived automaticity.</p><p><strong>Results: </strong>Proactive reasons for interacting with Control-IQ, such as planning to eat, predicted higher TIR. Reactive interactions, for example, responding to system alerts, did not. In fact, participants had higher TIR when they interacted less often with Control-IQ and administered fewer manual boluses. Self-reported automaticity did not predict TIR, but perceived self-management did. Suspecting high glucose was associated with higher TIR regardless of accuracy.</p><p><strong>Conclusions: </strong>Adolescents who interacted less intensively and more proactively with a hybrid closed-loop system had better glucose control. Accurate perception of glucose mattered less than believing one's glucose might be too high; it is possible that situationally aware participants detected increases before their glucose went out of range. Better measures of automaticity are needed. Hybrid closed-loop systems help adolescents and young adults self-manage T1D when used in a situationally aware way. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"578-589"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12822998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013407","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}