Behavioral Medicine最新文献

{"title":"Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.","authors":"Gabrielle M Salvatore, Iris Bercovitz, Sofia Gular, Danielle Arigo","doi":"10.1080/08964289.2025.2513319","DOIUrl":"10.1080/08964289.2025.2513319","url":null,"abstract":"<p><p>Women in midlife (ages 40-60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m²) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), <i>on days when sleep was poorer</i>. Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"94-103"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity, Sedentary Behavior, and Cardiometabolic Risk Factors in People Living with HIV.","authors":"Raymond Jones, Michael J Hankes, Nicole D Armstrong, Kelley Pettee Gabriel, Thomas W Buford, Erin E Dooley","doi":"10.1080/08964289.2025.2543263","DOIUrl":"10.1080/08964289.2025.2543263","url":null,"abstract":"<p><p>Studies estimating the associations of physical activity (PA) and sedentary behavior (SB) with cardiometabolic risk factors and related conditions among people living with HIV (PWH) are limited. Data from the National Health and Nutrition Examination Survey (NHANES) (2007-08 through 2017-18 cycles) (<i>N</i> = 23,810) includes 125 PWH (representing 742,174 PWH). Adults were classified based on life epoch: emerging (18-29 yrs), early (30-44 yrs) and middle (45-59 yrs) adulthood. Achieving aerobic <i>PA Guidelines</i> (≥150 min/wk of moderate-vigorous intensity PA [MVPA]) was quantified from self-report data collected across three domains (transportation, occupation/household, and leisure-time). SB was self-reported time sitting (min/day), regardless of domain. Cardiometabolic conditions included blood pressure, body mass index (BMI), weight status, hypertension, and chronic kidney disease. Regression models estimated the differences in PA and SB by HIV status and among PWH we estimated the association of achieving <i>PA Guidelines</i> with cardiometabolic conditions. We also investigated whether age modified these relations and explored differences in domain-specific PA across life epochs. These analyses indicate that not meeting the <i>PA Guidelines</i> resulted in greater odds of obesity and higher diastolic blood pressure, which increases risk for poor health among PWH-an already high-risk group for cardiovascular disease. Future longitudinal studies are needed to establish temporality.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"125-134"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Mistrust and SARS-CoV-2 Antibody Testing Among African Americans and White Americans.","authors":"Olivia Aspiras, Todd Lucas, Ahnalee M Brincks, Anurag Dawadi, Leah Maschino, Lindsey Rose, Monicia Summers, Kent Key","doi":"10.1080/08964289.2025.2565823","DOIUrl":"10.1080/08964289.2025.2565823","url":null,"abstract":"<p><p>Recent research suggests that in addition to structural barriers (e.g., access), psychosocial factors like medical mistrust can influence uptake of COVID-19 tools and treatments. However, less is known about racial differences in how medical mistrust affects SARS-CoV-2 antibody testing. We evaluated whether medical mistrust alters receptivity to SARS-CoV-2 antibody testing, and whether this influence differs across race. African American (<i>N</i> = 298) and White American (<i>N</i> = 205) participants were recruited from a Midwest urban community for an online study about COVID-19 and SARS-CoV-2 antibody testing. Participants completed the Group-Based Medical Mistrust Scale and then viewed educational videos about the SARS-CoV-2 virus, antibodies, and antibody testing. Participants reported their receptivity to antibody testing using Theory of Planned Behavior (TPB) measures (attitudes, normative beliefs, perceived behavioral control, and intentions). Medical mistrust was significantly higher among African Americans than White Americans, although there were no race differences in receptivity to antibody testing. Multiple regression analyses showed that higher medical mistrust was associated with lower receptivity to antibody testing across all TPB measures. A significant race x medical mistrust interaction revealed that medical mistrust was more strongly associated with less favorable antibody testing attitudes among White Americans than African Americans. Results suggest that medical mistrust may be a psychosocial barrier to antibody testing. However, despite being higher among African Americans, mistrust may exert a stronger influence on receptivity toward antibody testing among White Americans, highlighting a need to consider medical mistrust as a barrier to health behavior responses across racial groups.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"75-80"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12580984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey.","authors":"Rafaela Cavalheiro do Espírito Santo, Leonardo Peterson Dos Santos, Debora Tornquist, Felipe Barreto Schuch, Cesar Agostinis-Sobrinho","doi":"10.1080/08964289.2025.2517627","DOIUrl":"10.1080/08964289.2025.2517627","url":null,"abstract":"<p><p>Previous studies have shown associations between individual health behaviors and mental health outcomes. However, the impact of the accumulation of such behaviors on mental health remains unclear. This study aimed to examine the association between an index of accumulated health behaviors and mental health in adolescents, using data from the Brazilian National School Health Survey (PeNSE), which included 4,361 schools and a sample of 124,898 students. Health behaviors were assessed across five domains: healthy diet, alcohol consumption, smoking, physical activity, and sedentary behavior, with scores ranging from 0 to 5. Mental health outcomes (anxiety, sadness, social isolation, stress, and depression) and self-rated health were evaluated based on students' responses about their feelings over the previous 30 days. Regression models were applied, adjusting for key sociodemographic variables. The majority of participants were female, aged 13-15 years, and from the Southeast region. The results showed that a higher accumulation of healthy behaviors was associated with better mental health and more favorable self-rated health. These associations remained consistent after controlling for potential confounders. The findings underscore the importance of promoting multiple healthy behaviors to support mental well-being and self-perceived health among Brazilian adolescents.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"81-93"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651304","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":"24-Hour Physical Activity Intensity and Energy Intake Trajectories and Their Associations with All-Cause Mortality: A Population-Based Cohort Study.","authors":"Zibo Wu, Xiaotong Li, Ruirui Guo, Xiaoyi Yuan, Fengdan Wang, Yan Liu, Sizhe Wang, Yibo Dong, Bo Li, Mengzi Sun","doi":"10.1080/08964289.2025.2535320","DOIUrl":"10.1080/08964289.2025.2535320","url":null,"abstract":"<p><p>Diet and physical activity together affect health as important components of energy intake and energy expenditure, but few studies have considered the temporal interaction effect between them. Therefore, this study aimed to identify real-world 24-h physical activity intensity and energy intake trajectories and explore their associations with all-cause mortality. A total of 6389 participants from the 2003-2006 annual survey of the National Health and Nutrition Examination Survey (NHANES) were involved as baseline data in this study. Physical activity data was obtained from the physical activity monitor ActiGraph AM-7164. Energy intake data was collected by the Mobile Examination Center and telephone 3 to 10 days later. All-cause mortality data were obtained in 2019. The group-based trajectory model (GBTM) was used to identify trajectories of 24-h physical activity intensity and 24-h energy intake. Weighted Cox proportional hazard regressions were used to estimate the association between 24-h trajectory groups and all-cause mortality. The 24-h energy intake-physical activity intensity dual trajectories were divided into four groups, including group1 (46.9%): three meals and low active, group2 (36.2%): three meals and moderately active, group3 (8.8%): night eating and moderately active, and group4 (8.1%): three meals and highly active. The dual trajectories were associated with all-cause mortality. Compared to participants with three meals and low activity levels, participants with three meals and moderate activity had a reduced risk of all-cause mortality. In summary, this study found that participants with three meals and moderately active had a lower risk of all-cause mortality.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"104-114"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700428","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":"How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time.","authors":"Nicolle A Mode, Dharsy Rodriguez, Jason Ashe, Michele K Evans, Alan B Zonderman","doi":"10.1080/08964289.2025.2535327","DOIUrl":"10.1080/08964289.2025.2535327","url":null,"abstract":"<p><p>Mistrust of the health care system is associated with underutilization of medical services and poor self-reported health, which itself is an important indicator for future morbidity and mortality. This study examines how several factors influence the association between medical mistrust and self-rated health in a middle-aged socioeconomically diverse cohort over 16 years. Participants (<i>n</i> = 1673) from the Health Aging in Neighborhoods of Diversity over the Life Span Study formed the sample. Information was gathered on race (African American/White), sex, poverty status, health literacy, and two measures of perceived discrimination. Linear mixed model regression was used for several models to examine the independent and combined influence of these factors on how medical mistrust is related to self-rated health over time. Poverty status exhibited the greatest influence on longitudinal self-rated health. Poverty status and health literacy did not influence the association between medical mistrust and self-rated health but perceived discrimination did. Stratified analyses by race found that White participants exhibited greater influence from medical mistrust and perceived discrimination on self-rated health than African American participants. Increasing trust, improving communication, and reducing unfair treatment across vulnerable groups is likely to improve health in middle-aged adults, but reducing overall poverty is likely to have the greatest effect.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"115-124"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735539","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":"Implementation of Non-Armed First Responder Programs; Optimization by Centering Program Perspectives.","authors":"Zaire Cullins, Margaret Roach, Melanie Mayfield, Tonia Poteat, Lauren Brinkley-Rubinstein","doi":"10.1080/08964289.2025.2560319","DOIUrl":"10.1080/08964289.2025.2560319","url":null,"abstract":"<p><p>Factors such as structural racism and disinvestment in community mental health and social services have resulted in harmful interactions between law enforcement and individuals experiencing mental health crises. These harms are even more prevalent among racial and ethnic minorities, sexual and gender minorities, and individuals with a mental illness. Nationwide, municipalities are exploring ways to ameliorate the harms experienced during these interactions, with some implementing alternative crisis response units. In Durham, North Carolina, we conducted interviews with staff of one such program to better understand what aids and prevents successful program implementation. Participants reported that buy-in from program partners such as other first responders as well as from the broader community facilitated program operations. Barriers disclosed included inadequate funding of local social services and changing policies and procedures.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"150-161"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071194","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":"Factors Shaping Dietary Choices of Black African Immigrant Women with Overweight and Obesity from West Africa Living in the UK.","authors":"Itse Olaoye, Kyriaki Myrissa, Fotini Tsofliou, Eirini Kelaiditi, Nicola Brown","doi":"10.1080/08964289.2025.2571112","DOIUrl":"10.1080/08964289.2025.2571112","url":null,"abstract":"<p><p>Obesity is a major global health issue, increasing morbidity and mortality through its association with noncommunicable diseases. Black African women experience disproportionately high obesity rates, reaching 37% in the UK, reflecting complex genetic, sociocultural, and environmental factors, with migration influencing dietary changes. This study explored factors shaping the dietary choices of Black African immigrant women with overweight and obesity in the UK, focusing on individual, sociocultural, and environmental influences. A qualitative design was employed, using semi-structured online interviews with 15 participants, analyzed thematically through reflexive thematic analysis. Participants were African immigrant women from sub-Saharan Africa, ages ≥18 years, first- or second-generation immigrants, with a BMI >25 kg/m². Recruitment and interviews occurred between March and May 2024. Findings revealed tensions between sociocultural food preferences and children's Westernized tastes. Cultural identity, food-related shame, and ambivalence about traditional diets in public or work settings shaped practices. Work demands and limited time constrained preparation of traditional meals, while economic pressures and high costs of culturally appropriate foods restricted choices. Psychological stress and reliance on convenience foods emerged as coping strategies, often undermining health intentions. These findings highlight the need for culturally tailored, community-based interventions addressing barriers of cost, access, and time as well as potential strategies to support dietary autonomy and cultural retention. Future research should adopt longitudinal approaches to examine how these dynamics evolve, informing sustainable interventions.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"162-175"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423523","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":"Game, Set, and Match: A Scoping Review of Matching Characteristics for Control and Intervention Groups in Adaptive Behavioral Interventions for Physical Activity or Healthy Eating Designs for Populations with Overweight and Obesity.","authors":"Jamie Whitney, Victoria A Suhy, Abigail M Pauley, Danying Shao, Owais Khan, Amy M Moore, Sy-Miin Chow, Daniel E Rivera, Danielle Symons Downs","doi":"10.1080/08964289.2026.2641440","DOIUrl":"10.1080/08964289.2026.2641440","url":null,"abstract":"<p><p>Behavioral interventions targeting physical activity and/or healthy eating are often used for weight regulation, and adaptive intervention designs that personalize the dosage based on individuals' responses to the intervention components may optimize impact. However, little research has examined how best to design/optimize non-pharmacological adaptive weight regulation trials, and decisions regarding selection/use of control groups in these trials are less clear. This scoping review aimed to identify and describe study and participant characteristics reported and/or used to match intervention and control groups within non-pharmacological, adaptive behavioral weight regulation interventions. Systematic search of adaptive interventions targeting physical activity/healthy eating for weight regulation was conducted following PRISMA-ScR guidelines. Study and participant characteristics reported and/or matched between groups were independently extracted and coded. Of 1,431 articles screened, 4.4% met the inclusion criteria. Study designs were protocol/rationale/design papers (43%), randomized control trials (40%), and pilot/feasibility trials (17%). Most (73%) had a control/comparison condition; 100% matched measurement protocols and dosage exposure. Many (51%) reported participant characteristics (e.g., age, body mass index [BMI]), but only 35% of studies used these as matching factors. Some studies (35%) matched groups on content. These findings illustrate that most adaptive weight control interventions matched the groups based on study characteristics (e.g., measures) but few used participant characteristics (e.g., BMI) despite potential moderating influences on weight regulation. This is an important gap in the literature, and future research is needed to explore the extent to which individual participant characteristics in non-pharmacological adaptive weight control interventions impact dosage efficacy/effectiveness.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Yoga Practice on Inflammatory Markers and Stress Levels.","authors":"Dhananjaya Jambur Rajanna, Sudhanva Shivanna, Bharathi Gunjahalli, Yallappa B Saunshi, Madhan Srinivasamurthy","doi":"10.1080/08964289.2026.2615239","DOIUrl":"https://doi.org/10.1080/08964289.2026.2615239","url":null,"abstract":"<p><p>Yoga is increasingly incorporated into clinical practice for managing a wide range of mental and physical health conditions, especially those related to stress, and has shown beneficial effects on inflammatory processes and neuroendocrine regulation. Its influence on cytokines such as interleukin-6 and tumor necrosis factor-α, as well as its modulatory action on the hypothalamic pituitary adrenal axis, suggests a potential role in reducing systemic inflammation and improving stress resilience. Despite these promising indications, there is limited scientific evidence from India evaluating yoga's impact on biological markers of stress and inflammation. The present study was undertaken to assess the effects of a structured yoga program on selected biomarkers in 60 adult volunteers who underwent evaluations before and after 3 months of practice. The intervention consisted of a daily 1-h yoga session conducted 6 days a week and included postures, breathing practices, and relaxation techniques. Assessments focused on brain-derived neurotrophic factor, interleukin-6, tumor necrosis factor-α, high-sensitivity C-reactive protein, cortisol, and perceived stress levels. Findings indicated an increase in brain-derived neurotrophic factor and reductions in inflammatory markers, cortisol, and perceived stress. These outcomes suggest that regular yoga practice can positively influence neurotrophic activity, reduce inflammation, and lower stress, supporting its value as a complementary approach to improving overall health and well-being.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272787","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}