Health Psychology最新文献

{"title":"The interconnectedness of fear of cancer recurrence components: A network approach.","authors":"Melanie P J Schellekens, Yvonne L Luigjes-Huizer, Allan Ben Smith, José A E Custers, Sébastien Simard, Sophie Lebel, Marije L van der Lee","doi":"10.1037/hea0001528","DOIUrl":"10.1037/hea0001528","url":null,"abstract":"<p><strong>Objective: </strong>While nearly 60% of cancer survivors report a heightened fear of cancer recurrence (FCR), not all of them experience functional impairment and want professional psychological care. We applied the network approach to study how different components of FCR (symptoms, triggers, perceived risk, and coping strategies) are interconnected to both FCR severity and functional impairment to better understand which survivors are likely to require psychological care.</p><p><strong>Method: </strong>We applied network analysis to cross-sectional data from 3,370 cancer survivors from nine different countries, spanning Asia, Australia, Europe, and North America, from the international Fear of Cancer Recurrence Inventory database. The shortest path analysis was applied to study what components were directly connected to both FCR severity and functional impairment.</p><p><strong>Results: </strong>FCR severity was mainly connected to symptoms and triggers while functional impairment was mainly connected to coping strategies. The shortest paths indicated that worry and bodily triggers were directly connected to both higher FCR severity and more functional impairment.</p><p><strong>Conclusion: </strong>Worry and bodily triggers appear to be core components of FCR that are experienced as impairing in daily life. Our findings suggest that assessing functional impairment, worry, and bodily triggers, in addition to FCR severity, could be valuable when screening for clinical levels of FCR. To further improve our conceptual understanding of FCR, future studies should apply intensive longitudinal designs to explore how these components interact over time and within the individual. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287153","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 changes in parental psychosocial adjustment and burn-related outcomes in pediatric burn patients: The mediating role of family functioning.","authors":"Martim Santos, Susana Faria, Maria Garcia, M Graça Pereira","doi":"10.1037/hea0001519","DOIUrl":"10.1037/hea0001519","url":null,"abstract":"<p><strong>Objective: </strong>Burn injuries are a leading cause of preventable childhood trauma that threatens family functioning and well-being. This study aimed to analyze changes over time in parental psychosocial adjustment and child's burn-related outcomes, specifically burn scar quality and health-related quality of life (HRQoL), as well as the mediating role of family functioning.</p><p><strong>Method: </strong>Data were collected at four different assessment moments: during the hospital stay (T0), 1 month (T1), 3 months (T2), and 6 months (T3) postdischarge. Parental coping and distress symptoms (anxiety, depression, and traumatic stress), family functioning, the child's burn scar quality and HRQoL were assessed.</p><p><strong>Results: </strong>A total of 100 parents and their preschool-aged children were included. The results showed significant changes in all variables. In general, parental distress symptoms decreased over time, parental coping significantly increased from T1 to T2, and family functioning significantly decreased at all assessment moments compared to T0. The child's burn scar quality and HRQoL improved over time. In addition, family functioning fully mediated the relationship between parental distress and burn scar quality. The results suggested the importance of family functioning in the relationship between parental psychosocial adjustment and the child's physical recovery.</p><p><strong>Conclusion: </strong>Implementing an integrated care approach, including family-centered empowerment care and routine psychosocial screening for parents, is highly recommended. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled trial of a body image intervention for girl athletes.","authors":"Emily L Matheson, Jekaterina Schneider, Aline Tinoco, Paul White, Deirdre Toher, Nicole M LaVoi, Phillippa C Diedrichs","doi":"10.1037/hea0001522","DOIUrl":"10.1037/hea0001522","url":null,"abstract":"<p><strong>Objective: </strong>A two-arm cluster randomized controlled trial evaluated the impact of Body Confident Athletes (BCA) on girls' (<i>N</i> = 568, 11-17 years) body image, sports enjoyment, and affect.</p><p><strong>Method: </strong>Sports organizations were randomly allocated (1:1) into either an intervention (BCA; <i>k</i> = 29) or waitlist control condition (<i>k</i> = 33). Girls and coaches in the intervention condition completed three 60-min sessions over three consecutive weeks. Primary outcomes were the immediate and short-term changes in girls' body esteem, with secondary outcomes assessing changes in girls' body appreciation, self-objectification, attuned self-care, sports enjoyment, and affect.</p><p><strong>Results: </strong>Girls in the BCA condition reported significant small improvements in body esteem, body appreciation, attuned self-care, self-objectification, and negative affect at postintervention, with several effects either maintained (attuned self-care at 1-month follow-up [T3], but not at 3-month follow-up [T4]) or reemerging at later follow-up points (body esteem and self-objectification at T4, but not at T3). Effects were not maintained for body appreciation or negative affect, nor did effects emerge for sports enjoyment or positive affect. Coaches were effective interventionists (i.e., 80% accuracy), with most girls comprehending key intervention messages (85.1%).</p><p><strong>Conclusion: </strong>BCA is the first coach-led positive body image intervention designed for girls in sport. The findings of the current trial show that BCA is a scalable body image intervention accurately delivered by sport community members, resulting in immediate and short-term improvements in girls' body image. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200890","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":"Cumulative stress and epigenetic aging: Examining the role of psychological moderators.","authors":"Seung Eun Cha, Jieun Song, Steve Cole, Carol D Ryff","doi":"10.1037/hea0001524","DOIUrl":"10.1037/hea0001524","url":null,"abstract":"<p><strong>Objective: </strong>Cellular epigenetic aging has become an important marker of healthy or unhealthy aging. The current study examined whether lifelong cumulative stressors across multiple domains were linked with epigenetic age acceleration (EAA; i.e., epigenetic age greater than chronological age) and whether psychological factors moderated this association. Dimensions of psychological well-being were hypothesized as protective factors, while neuroticism was posited as a vulnerability factor.</p><p><strong>Method: </strong>Data from the Midlife in the United States (MIDUS) Genomics Project (<i>N</i> = 1,006) were used, which include deoxyribonucleic acid methylation data from a subset of participants in MIDUS Core Wave 2 and MIDUS Refresher Wave 1. Epigenetic aging values were calculated using the deoxyribonucleic acid methylation profiles at cytosine-phosphate-guanine sites. Cumulative stressors and psychological factors were assessed using the survey data at MIDUS Core Wave 2 and MIDUS Refresher Wave 1.</p><p><strong>Results: </strong>The results revealed that cumulative stressors were not directly associated with EAA but were contingent on the levels of psychological well-being and neuroticism. Specifically, higher levels of cumulative stressors were significantly linked to EAA, measured by GrimAge2, among those who had lower levels of psychological well-being (β = -.23 to -.36, <i>SE</i> = .12 to .13, <i>p</i> = .04 to < .01) or higher neuroticism (β = .26, <i>SE</i> = .12, <i>p</i> = .03). Conversely, EAA in individuals who had higher levels of psychological well-being or lower neuroticism was not impacted by the levels of cumulative stressors.</p><p><strong>Conclusions: </strong>The findings underscore the importance of considering individual psychological assets and vulnerabilities in the pathways linking cumulative stressors to epigenetic aging. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200891","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 dose-response relationship in physical activity interventions: Does greater duration, number of sessions, and contact time enhance behavior change?","authors":"Paschal Sheeran, Alexander Kenny, Hannah Evans, Olivia Listrom, Andrea Bermudez, Alexander J Rothman","doi":"10.1037/hea0001436","DOIUrl":"10.1037/hea0001436","url":null,"abstract":"<p><strong>Objectives: </strong>We tested whether an intervention's dosage influences health behavior change. Intervention dosage was indexed by the duration of the intervention, the number of sessions, and total contact time in treatment arms of trials to promote physical activity.</p><p><strong>Method: </strong>The research comprised two studies. In Study 1, we synthesized 161 meta-analyses of physical activity interventions to examine the relationship between intervention dosage and intervention impact on physical activity. Study 2 comprised a reanalysis of primary studies.</p><p><strong>Results: </strong>The relationship between the indices of dosage and intervention effect sizes was assessed in 23.6% of meta-analyses, and associations did not differ from zero in 70%-85% of tests (Study 1). In Study 2, we retrieved 838 tests for duration, 370 tests for the number of sessions, and 167 tests for contact time. Duration had a very small negative association with effect sizes (<i>b</i> = -.002, 95% confidence interval [-.003, -.001]); number of sessions and contact time were not related to intervention effectiveness. An exploratory study (<i>N</i> = 50) indicated that health psychology researchers overestimated the association between dosage and effect sizes (<i>r</i>_estimates > .25).</p><p><strong>Conclusions: </strong>Although physical activity interventions with a higher dosage are expected to be more effective, the findings showed no relationship between dosage and intervention impact. Intervention dosage may moderate the influence of intervention content rather than directly determine physical activity change. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"578-586"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717916","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":"Transforming health psychology and behavioral medicine to address the climate crisis: A call for strategic research and advocacy.","authors":"Elissa S Epel, Kristi E White, Kelly D Brownell, Judith Rodin, Adrienne L Hollis, Michael A Diefenbach, Katie E Alegria, Elena Fromer, Susan M Czajkowski, Simon L Bacon, Tracey A Revenson, John Ruiz, Edward Maibach","doi":"10.1037/hea0001431","DOIUrl":"10.1037/hea0001431","url":null,"abstract":"<p><strong>Objective: </strong>The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change.</p><p><strong>Method: </strong>We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adaptation.</p><p><strong>Results: </strong>To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advocacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role.</p><p><strong>Discussion: </strong>These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine professionals. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 6","pages":"563-577"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042089","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":"Why do even strong intenders sometimes fail to act? Evidence from protection, detection, and risk health behaviors.","authors":"Mark Conner, Paul Norman","doi":"10.1037/hea0001446","DOIUrl":"10.1037/hea0001446","url":null,"abstract":"<p><strong>Objective: </strong>Behavioral intentions are one of the strongest predictors of health behavior. The current research explored the factors predicting action in those with already strong intentions (i.e., those with the most extreme intention scores).</p><p><strong>Method: </strong>Across four studies on different types of health behavior (physical activity, bowel screening, smoking initiation, COVID-19 protection behaviors), attitudes, norms, perceived behavioral control and past behavior (plus habit in Study 4) were tested as prospective predictors of action in the subsample of participants with extreme (strong) intentions.</p><p><strong>Results: </strong>In Studies 1 (<i>N</i> = 392) and 2 (<i>N</i> = 808) among strong intenders, norms and past behavior were consistent predictors of engaging in objectively assessed physical activity and bowel screening, respectively. In Studies 3 (<i>N</i> = 4,148) and 4 (<i>N</i> = 445) among strong intenders, affective attitudes (only Study 3), descriptive norms, capacity/autonomy, and past behavior were predictors of resisting smoking initiation and engaging in COVID-19 protection behaviors, respectively. Study 4 also showed habit to be a significant predictor of action in strong intenders.</p><p><strong>Conclusion: </strong>This research identifies factors that might be useful targets to promote engagement with health behaviors in those with already strong intentions to act. Future research could usefully test whether targeting these same variables translates into behavior change in those with already strong intentions to act. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"620-629"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A virtual community of practice to empower patients with recent ischemic heart disease: A randomized controlled trial.","authors":"Helena Vall-Roqué, Vanesa Ramos-García, Amado Rivero-Santana, Alezandra Torres-Castaño, Patricia Cifuentes, Débora Koatz, Javier García-García, Valeria Pacheco-Huergo, Pau Rello, Anthea Santos-Álvarez, Alba Campillejo García, Sofía Garrido Elustondo, Marcelo Sanmartín, Lilisbeth Perestelo-Pérez, Ana Isabel González-González, Carola Orrego","doi":"10.1037/hea0001439","DOIUrl":"10.1037/hea0001439","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a virtual community of practice (vCoP) in improving the activation of individuals with ischemic heart disease (IHD).</p><p><strong>Method: </strong>We conducted a randomized controlled trial. A total of 282 patients with IHD from Madrid, Catalonia, and the Canary Islands were randomly allocated to an intervention or a control group. Patients were anonymized and the statistician was blinded to group allocation. The intervention was a multicomponent-tailored vCoP built on the Web 2.0 concept and focused on skills toward patient empowerment. The primary outcome was the Patient Activation Measure score. Secondary outcomes were self-efficacy to manage the disease, adherence to the Mediterranean diet, level of physical activity, depression, anxiety, medication adherence, and health-related quality of life. A linear regression model of mixed effects was carried out to estimate the effect of participating in the vCoP.</p><p><strong>Results: </strong>Significant differences in adherence to the Mediterranean diet were found favoring the intervention at 6, 12, and 18 months, <i>B</i> = 0.86, 95% confidence interval (CI) [0.36, 1.35]. No significant changes among data collection points were found for the other variables.</p><p><strong>Conclusion: </strong>Our results suggest that vCoPs can be helpful for improving adherence to the Mediterranean diet in individuals with IHD, but not for improving their activation or quality of life. However, considerable uncertainty remains due to participants' high dropout rate. Further research is needed to identify the behavioral change mechanisms of such an intervention. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"630-642"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830960","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":"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) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"643-652"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","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":"Exploring predictors of clinical response to a transdiagnostic, internet-delivered psychological intervention for people with chronic health conditions.","authors":"Amelia J Scott, Jennie Walker, Eyal Karin, Milena Gandy, Joanne Dudeney, Andreea I Heriseanu, Madelyne A Bisby, Louise Sharpe, Shehzad Ali, Nickolai Titov, Blake F Dear","doi":"10.1037/hea0001454","DOIUrl":"10.1037/hea0001454","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to identify participant- and treatment-related characteristics associated with response and deterioration in an internet-delivered intervention for people with chronic health conditions. Understanding these factors is critical for the development and delivery of these treatments.</p><p><strong>Method: </strong>Data were drawn from a randomized controlled trial of a transdiagnostic, internet-delivered intervention for people with chronic health conditions (<i>N</i> = 590). Demographic (e.g., age, gender, employment, education), clinical (e.g., health condition, medication usage, multimorbidity), psychological (e.g., baseline symptom severity), and treatment-related variables were examined. Outcomes included clinically meaningful response (≥ 50% improvement in symptoms) and deterioration (≥ 30% increase in symptoms) in depression, anxiety, and self-reported disability. Multivariable regression models were built to identify significant predictor variables of response and deterioration. Additional indicators of model fit were reported, including the area under the curve and Negelkerke's <i>R</i>².</p><p><strong>Results: </strong>Several predictors of response and deterioration were identified within individual models; however, few predictors were significant across > 1 outcome, while none were consistent across all three outcomes. The final models predicting participant outcomes explained 7%-16% of the variance in the likelihood of response or deterioration.</p><p><strong>Conclusion: </strong>Results suggest that few predictors are meaningfully associated with participants' response or deterioration to treatment. Encouragingly, potentially prognostic variables (e.g., more severe baseline symptoms and multimorbidity) were also nonsignificant. The results support the broad applicability of this treatment approach and for the role of remotely delivered interventions within stepped care frameworks. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 6","pages":"653-663"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000221","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}