Behavioral Medicine最新文献

{"title":"Structural and Behavioral Determinants of Influenza Vaccination Uptake Among Healthcare Students in Greece: A Post-Pandemic Cross-Sectional Study.","authors":"Sofia Lathouraki, Eirini Christaki, Ekaterini Siomou, Fani Ladomenou","doi":"10.1080/08964289.2026.2742202","DOIUrl":"https://doi.org/10.1080/08964289.2026.2742202","url":null,"abstract":"<p><p>The estimation of influenza vaccination coverage among healthcare students in Greece and the identification of traditional Knowledge-Attitudes-Practices and behavioral determinants of uptake in the post-pandemic context was the objective of this study. A cross-sectional study was conducted among undergraduate medical and nursing students at the University of Ioannina (February-April 2026). Participants completed a 38-item questionnaire assessing demographics, knowledge, attitudes, practices, habitual vaccination behavior, and awareness of access pathways. Univariable and multivariable binary logistic regression analyses were performed to identify factors associated with influenza vaccination during the 2025-2026 season, with knowledge and attitude scores analyzed as continuous variables. Among 416 participants, vaccination coverage was 20.7%. In adjusted analyses, nursing students had lower odds of vaccination than medical students, while more positive attitudes were associated with higher odds of vaccination. Students not vaccinated in the previous season and those unaware of free pharmacy-based vaccination had lower odds of current-season vaccination. Knowledge was associated with vaccination in univariable analysis but not after adjustment. In conclusion, influenza vaccination uptake among healthcare students remains low despite relatively high knowledge and generally positive attitudes. Vaccination uptake was independently associated with attitudes, field of study, previous-season vaccination, and awareness of access pathways. Interventions that strengthen positive vaccination attitudes, reinforce continuity of seasonal vaccination, and improve awareness of convenient vaccination pathways within clinical training may enhance coverage.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autistic Traits and Probability of Suicide in Adolescents with Major Depressive Disorder: A Comparison with Psychiatrically Healthy Controls.","authors":"Çağla Çelikkol Sadiç, Betül Kezban Çetin","doi":"10.1080/08964289.2026.2723834","DOIUrl":"https://doi.org/10.1080/08964289.2026.2723834","url":null,"abstract":"<p><p>This study aimed to compare the autistic traits and probability of suicide in adolescents diagnosed with major depressive disorder (MDD) aged 12-17 years with psychiatrically healthy controls. The study was conducted with a total of 128 adolescents, including 64 patients with MDD and 64 psychiatrically healthy controls, recruited from an outpatient child and adolescent psychiatry clinic in Turkey. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) was administered to all subjects. Additionally, sociodemographic data were collected from each participant. The Suicide Probability Scale (SPS) and the Children's Depression Inventory (CDI) were completed by the participants, while parents filled out the Autism Spectrum Quotient-Adolescent (AQ-Adolescent) for their children. In the MDD group, the total scores of CDI, SPS, and AQ-Adolescent were found to be statistically significantly higher compared to the psychiatrically healthy controls. Additionally, a significant positive correlation was observed between the total CDI score and both the total SPS and the AQ-Adolescent scores in the MDD group. The log-transformed CDI total score, after controlling for age and gender, was found to be significantly higher in adolescents with MDD who had elevated autistic traits than in those who did not have elevated autistic traits. Our study's findings indicate that in comparison to controls, adolescents with MDD have a higher probability of suicide and autistic traits. Furthermore, adolescents with MDD and elevated autistic traits had significantly greater depressive symptom severity than those without elevated autistic traits.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing Adverse Marijuana Use Among Young Women in a Community Setting: Secondary Analysis of a Randomized Clinical Trial.","authors":"Mia Ann Xu, Janet Rosenbaum, Shu Xu, Ralph J DiClemente","doi":"10.1080/08964289.2026.2716221","DOIUrl":"https://doi.org/10.1080/08964289.2026.2716221","url":null,"abstract":"<p><p>Marijuana use among older adolescents, particularly African American women, is associated with adverse health outcomes and frequently co-occurs with alcohol use and sexual risk behaviors. Evidence-based interventions targeting alcohol and sexual risk rarely evaluate their impact on marijuana use, leaving a critical gap for this underserved population. The present study examined whether the benefits of Horizons + GMET, an intervention combining an evidence-based STI/HIV risk-reduction program (Horizons) with Group Motivational Enhancement Therapy (GMET), extend to marijuana use frequency and problem severity. In this secondary analysis of a randomized controlled trial, 560 African American women aged 18-24, recruited from community venues in Atlanta, Georgia, were randomly assigned to Horizons + GMET, Horizons-only, or an enhanced standard-of-care control condition, with assessments every 3 months through 12 months. Zero-inflated negative binomial models with multiple imputation estimated intervention effects on past-month days of marijuana use and marijuana-related problem severity. Over 12 months, relative to the Horizons-only condition, Horizons + GMET participants reported 22% fewer days of marijuana use in the past month and 39% lower marijuana-related problem severity. Reductions in marijuana use were not accompanied by compensatory increases in alcohol misuse, suggesting no behavioral substitution. Findings indicate that motivational and behavioral self-regulation skills developed in the context of alcohol and sexual risk reduction may generalize to marijuana use, even when not an explicit intervention target. The study highlights the potential of integrated, community-delivered interventions to address co-occurring health risks among young African American women.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tiny is Mighty? Investigating the Effect of Micro Goals on Physical Activity.","authors":"Joanna Szypula, Rebecca Dawson, Honglin Dong, Katy Tapper","doi":"10.1080/08964289.2026.2726309","DOIUrl":"https://doi.org/10.1080/08964289.2026.2726309","url":null,"abstract":"<p><p>While \"micro\" goals (small, frequent actions aimed at building lasting habits) have gained widespread popularity, their effectiveness in increasing physical activity remains underexplored. This study tested whether a daily, short-duration exercise goal increased physical activity more effectively than a standard goal of less frequent, longer workouts. Participants (<i>n</i> = 142) were randomly assigned to a micro goal group (3 min daily plus two 20-minute sessions weekly) or a standard goal group (two 30-minute sessions weekly). Participants tracked their daily exercise duration, enjoyment, and ease of adherence over 3 wk. The micro goal group exercised significantly more time overall than the standard goal group, with ease of adherence mediating this effect. The evidence supports using micro goals to increase physical activity and highlights their potential for habit formation and public health interventions.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol Use Severity Among Hispanic Emerging Adult College Students: Examining Acculturation Stress, Self-Esteem, and Resilience in a Stress and Coping Framework.","authors":"Miguel Ángel Cano, Michael J Zvolensky, Jessica K Perrotte, Marcel A de Dios, Frank R Dillon, Christopher P Fagundes, Jim P Stimpson, George L Jackson, Sandi L Pruitt, Changwei Li","doi":"10.1080/08964289.2026.2717740","DOIUrl":"https://doi.org/10.1080/08964289.2026.2717740","url":null,"abstract":"<p><p>Research on acculturation stress and its effects on alcohol-related outcomes among Hispanics has been the subject of many studies. However, these studies are limited because they generally use a single measure of acculturation stress to account for this complex construct, and most studies do not examine demographic factors or coping resources that may moderate the link between acculturation stress and alcohol-related outcomes. Our study examined two distinct components of acculturation stress-the pressure to acculturate and the pressure against acculturation-and their respective associations with alcohol use severity and the extent to which nativity status, self-esteem, and resilience moderate those associations. Participants were obtained from a convenience sample of 628 Hispanic emerging adult college students (aged 18-25 years) who completed a cross-sectional online survey. Data were analyzed using hierarchical multiple regression and moderation analyses. Results indicated that pressure to acculturate was not associated with alcohol use severity; however, higher levels of pressure against acculturation were associated with greater alcohol use severity. Moderation analyses indicated that nativity status, self-esteem, and resilience functioned as moderators. Our findings suggest that this line of research warrants a more nuanced approach to understand whether and how the components of acculturation stress are associated with alcohol use severity. Nativity status is likely an important variable when considering these components and their respective associations with alcohol use. Self-esteem and resilience may be relevant coping resources that help mitigate the harmful link between acculturation stress and alcohol use.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lonely Deaths in Korea, 2017-2023: Records of Social Disconnection.","authors":"Agnus M Kim, Doojin Ryu","doi":"10.1080/08964289.2026.2716214","DOIUrl":"10.1080/08964289.2026.2716214","url":null,"abstract":"<p><p>This study analyzed trends and patterns of lonely deaths relative to total deaths and suicides in Korea and compared the characteristics of lonely death cases with those of the general population. We used the Lonely Death Statistics derived from on-site unattended death investigation data from the Korean National Police Agency. The lonely death rate increased from 4.7 to 7.2 per 100,000 people from 2017 to 2023. The rate among males was approximately five times that among females, and those in their 60s showed the highest rate. While both lonely death rates and suicide rates were higher among males, the lonely death rate showed an inverted U-shaped pattern with the highest rate among those in their 50s and 60s, in contrast to the suicide rate, which tended to increase with age, peaking among those aged 80 and over. Housing types associated with single-person living, particularly nonresidential dwellings, were markedly more common among lonely death cases than in the general population. Lonely deaths were increasingly discovered by non-family members; in 2023, only one-fourth were discovered by family, with the rest found by landlords, neighbors, acquaintances, and welfare service workers. Those who died a lonely death had substantially lower incomes than the general population. Our findings suggest that lonely death is not simply a consequence of population aging and increasing single-person households, but rather reflects the growing number of individuals who are disconnected from social networks and support systems.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Household Vaccination Status and Attitudes toward Pediatric COVID-19 Vaccination: A Survey at Four New Jersey Clinic-Based Pediatric Practices.","authors":"Bozena J Katic, Aspasia Katragkou, Uzma N Hasan, Jessica Alvitres, Manisha Gurumurthy, Charles Li, Joseph V Schwab, Sunanda Gaur, Alan S Weller, Cecilia DiPentima, Mary Kennedy, Claudia Rohan, Benjamin Richlin, Dorothy Chu, Isaura Otero, Christian Suarez, Akhil Patel, Pauline Thomas, Stephen Friedman","doi":"10.1080/08964289.2026.2702949","DOIUrl":"https://doi.org/10.1080/08964289.2026.2702949","url":null,"abstract":"<p><p>Despite the documented safety and efficacy of the COVID-19 vaccination, parental pediatric vaccine hesitancy is common. Little is known about the concerns and beliefs held by caregivers that impact COVID vaccination decision-making on behalf of their minor children, as underlying attitudes toward pediatric COVID-19 vaccination have not been well described. Unvaccinated children and their caregivers underwent antibody testing and completed an electronic survey at four clinic-based practices in Northern and Central New Jersey from August 2022 to June 2023. Caregivers were grouped into four attitudinal classes based on how safe, effective, useful, and necessary they believed COVID-19 vaccination were. Caregivers in the lowest vaccine acceptance classes (1 and 2) were significantly less likely to plan to vaccinate their children compared to those in the higher classes (3 and 4) (8.9% and 5.6% vs. 30.4% and 61%). Those in Class 2 were significantly less likely to have at least one adult household member fully vaccinated or boosted against COVID-19 than those in higher classes and marginally more likely to be from households where at least one adult had been diagnosed with COVID-19 in the past year than those in Class 3 (52% vs. 40%). The majority of caregivers viewed their pediatrician as a trusted source of information (89%). Caregiver attitudes toward vaccination are associated with household vaccination status and family COVID-19 infection history. Pediatricians play an important role in aiding vaccine uptake among children. Educational efforts should target differing caregiver profiles to address vaccine hesitancy and make future pediatric vaccine programming more successful.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal Distress, Pregnancy Perception, Fetal Health Locus of Control, and Anxiety and Depression in High-Risk Pregnancies.","authors":"Beyza Nur Aslantaş, Seyhan Çankaya","doi":"10.1080/08964289.2026.2702951","DOIUrl":"https://doi.org/10.1080/08964289.2026.2702951","url":null,"abstract":"<p><p>This study examined the relationships among prenatal distress, negative pregnancy perception, fetal health locus of control, and anxiety and depression in women with high-risk pregnancies. A descriptive correlational design was used. The study was conducted between January and May 2025 and included 327 high-risk pregnant women hospitalized in the perinatology unit of a tertiary hospital in Central Anatolia, Turkey. Data were collected using standardized self-report instruments. Elevated anxiety symptoms were observed in 43.7% of participants, and 57.8% reported elevated depressive symptoms. Prenatal distress was significantly associated with perceived income, education level, pregnancy intention, diagnostic knowledge, social support, fear during pregnancy, and anxiety and depressive symptoms, with psychological symptoms emerging as the strongest predictors in a hierarchical regression analysis. Negative pregnancy perception was significantly related to perceived income, pregnancy intention, social support, and anxiety and depressive symptoms and was independently predicted by greater psychological symptoms, unintended pregnancy, lower income, and inadequate social support. An internal health locus of control was associated with education level, pre-pregnancy chronic disease status, and diagnostic knowledge, whereas chance-oriented beliefs were related primarily to chronic disease status. A powerful others health locus of control was significantly associated with education level and adequacy of diagnostic information. Overall, the findings indicate that prenatal distress and negative pregnancy perception in high-risk pregnancies are closely linked to psychological symptoms and selected sociodemographic and obstetric factors. These results emphasize the importance of routine mental health screening, targeted patient education, and integrated psychosocial support to promote adaptive pregnancy perceptions and health-related control beliefs in high-risk pregnancy care.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Minority Stress Outcomes Following Receipt of Motivational Interviewing Among Sexual Minority Men with Histories of Sexual Trauma.","authors":"Elizabeth N Collazo, Kelly L Harper, Donovan Edward, Vanessa Simiola, Amy E Ellis, Joan M Cook, Nicholas A Livingston","doi":"10.1080/08964289.2026.2696914","DOIUrl":"https://doi.org/10.1080/08964289.2026.2696914","url":null,"abstract":"<p><p>Minority stress contributes to worse mental health among sexual minority men (SMM). However, minority stress measurement is absent from most clinical trials and rarely examined as a treatment outcome. For this study, we analyzed data from an existing comparative effectiveness trial of group-based, peer-delivered Motivational Interviewing (MI) using the standard protocol versus MI plus affirmative care for trauma and minority stress (MI+AC). Participants (<i>N</i> = 354) were sexual trauma-exposed SMM who screened positive for depression at baseline, randomized 1:1 MI (<i>n</i> = 178) or MI+AC (<i>n</i> = 176). Minority stress was assessed at baseline, posttreatment, and two- and four-month follow-up. We did not observe any significant time by treatment condition interactions, suggesting similar effects between treatment conditions. However, significant main effects of time suggest significant decreases in expected discrimination and expected rejection from family as well as increases in internalized homophobia toward others in both treatment conditions. Peer-delivered MI may contribute to reductions in certain proximal minority stress processes among SMM with sexual trauma. Future research should assess minority stress as a primary outcome, and as a potential mechanism of change regarding other primary psychiatric outcomes.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Psychological, Socioeconomic, and Physical Experiences of Pulmonary Tuberculosis Patients During Illness and Treatment in Northern Ethiopia: A Reflexive Thematic Analysis.","authors":"Gebrhud Berihu Haile, Jinjin Gu, Panpan Wang, Shujing Suo, Kalam Abul, Kiros Belay, Peng Wang","doi":"10.1080/08964289.2026.2702955","DOIUrl":"https://doi.org/10.1080/08964289.2026.2702955","url":null,"abstract":"<p><p>Pulmonary Tuberculosis (TB) continues to impose a significant multidimensional burden on patients. Despite considerable research on pulmonary TB in Ethiopia, the subjective experiences of patients remain insufficiently explored. Therefore, this study aimed to explore the psychological, socioeconomic, and physical experiences of pulmonary TB patients in Northern Ethiopia. A qualitative study design was utilized among pulmonary TB patients. Participants were selected using a purposive sampling technique. The sample size was determined based on information saturation. Data were collected using an interview guide through in-depth interviews (IDIs) and focused group discussions (FGDs). Data were analyzed using Reflexive Thematic Analysis (RTA) and supported by NVivo 12.0 software for data management. A total of 27 participants were involved in the study. The study generated three overarching themes. First theme: Psychological experiences as loss of self and future perspective encompassed depressive and anxiety symptoms, fear, and hopelessness that disrupted identity and treatment motivation. Second theme: Socioeconomic experiences as disruption of social standing and survival, indicated stigma, social isolation, and economic hardship challenges in maintaining family roles, while emphasizing the importance of family and social support. Third theme: Physical experiences as an obstacle to daily life and treatment adherence demonstrated that fatigue, medication side effects, transportation challenges, and anti-TB medication issues create compound barriers to daily functioning and treatment adherence. This study revealed that pulmonary TB patients experienced interconnected psychological, socioeconomic, and physical burdens extending beyond medical disease. Integrating psychosocial support, stigma-reduction, and patient-centered care into TB service may improve patient well-being and treatment outcomes.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}