Annals of Behavioral Medicine最新文献

{"title":"Systematic review of family-based interventions integrating cultural and family resilience components to improve Black adolescent health outcomes.","authors":"Mary Quattlebaum, Dawn K Wilson, Timothy Simmons, Pamela P Martin","doi":"10.1093/abm/kaae079","DOIUrl":"10.1093/abm/kaae079","url":null,"abstract":"<p><strong>Background: </strong>Past reviews have shown that culturally salient resilience interventions buffer the negative effects of racial discrimination on psychological and behavioral outcomes among Black youth. However, these prior reviews neglect to integrate trials targeting physical health and/or health-promoting outcomes, synthesize trials based on methodological rigor, or systematically assess efficacy or resilience intervention components.</p><p><strong>Purpose: </strong>This systematic review expands on past research by (1) providing an up to-date literature review on family-based cultural resilience interventions across a range of health-related outcomes (physical health, health behaviors, health risk-taking behaviors, and psychological), (2) evaluating the rigor of these interventions, (3) analyzing the efficacy of rigorous interventions, and (4) describing the resilience intervention components of rigorous interventions.</p><p><strong>Methods: </strong>Using the PRISMA guidelines, a systematic search was conducted from 1992 to 2022. Studies were included if they were family-based resilience interventions targeting health-related outcomes among Black adolescents ages 10-17 years.</p><p><strong>Results: </strong>Fifteen studies met inclusion criteria, 10 of which were not included in past reviews. Overall, 10 trials demonstrated high methodological rigor, 9 of which were efficacious. Most rigorous, efficacious trials targeted health risk-taking behaviors outcomes (~66%), whereas none targeted health promotion behaviors (physical activity, diet). Resilience components of rigorous efficacious interventions included racial socialization (racial coping, cultural pride) and family resilience (communication, routine), with fewer integrating racial identity (self-concept, role models) and cultural assets (spirituality, communalism).</p><p><strong>Conclusions: </strong>These findings suggest the need to replicate existing rigorous strengths-based resilience interventions and address broader outcomes, including health-promoting behaviors, in the future.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811780","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":"Daily hassle effects on daily cigarette and/or e-cigarette use: the moderating effect of daily uplifts.","authors":"Yitong Lin, Daryl B O'Connor, Mark Conner","doi":"10.1093/abm/kaaf016","DOIUrl":"10.1093/abm/kaaf016","url":null,"abstract":"<p><strong>Background: </strong>Daily hassles, as minor stressful events, are common in life. However, they have received less attention in previous studies on relationships between stressful events and nicotine product use. Meanwhile, daily uplifts have also been investigated less in research on nicotine use.</p><p><strong>Purpose: </strong>The current study was conducted to explore the relationships between daily measures of hassles, uplifts, and the use of nicotine products (ie, cigarettes, e-cigarettes).</p><p><strong>Methods: </strong>This was a daily diary study. Participants completed 1 diary each day for up to 7 days. One hundred and eighty-one adults who currently use cigarettes or e-cigarettes solely or co-use both completed a total of 886 daily diary entries. Multilevel modeling was used to predict the daily use of the above nicotine products from daily hassles, daily uplifts, and their interactions.</p><p><strong>Results: </strong>Daily hassles were positively associated with any daily nicotine use. There were no significant associations between daily hassles and daily cigarette use or between daily hassles and daily e-cigarette use. Daily uplifts were not directly associated with any behaviors, but daily hassles and daily uplifts showed a significant interaction in affecting any daily nicotine use, daily cigarette use, and daily e-cigarette use. In each use pattern, increasing levels of uplifts were associated with an attenuation of the relationship between hassles and the use of nicotine products.</p><p><strong>Conclusions: </strong>It may be worthwhile to explore further the effects of daily hassles and daily uplifts on nicotine product use through ecological momentary assessments.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456704","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":"Health-related social control in overweight romantic couples: daily associations with physical activity and affect for targets and agents.","authors":"Pascal Küng, Corina Berli, Patrick S Höhener, Robert Tobias, Urte Scholz","doi":"10.1093/abm/kaae093","DOIUrl":"10.1093/abm/kaae093","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is essential for health and wellbeing. However, many individuals fail to reach the recommended levels and obesity rates are increasing. Health-related social control refers to strategies employed by 1 person (agent) to influence another person's (target) health behavior. These strategies can be classified into persuasion (eg, encouraging or motivating) or pressure (eg, nagging or coercing). However, much of the existing research is cross-sectional and mostly focuses on the experiences of the targets.</p><p><strong>Purpose: </strong>This study investigates how persuasion and pressure within overweight romantic couples relate to outcomes in both agents and targets. Specifically, it examines same-day associations with positive and negative affect, as well as physical activity.</p><p><strong>Methods: </strong>This study is a secondary analysis of the 14-day follow-up period from a randomized controlled trial. Accelerometers and daily diaries tracked 99 overweight romantic couples. For each outcome and each partner, separate multilevel models were fitted.</p><p><strong>Results: </strong>Daily persuasion used by agents was associated with increased physical activity in targets and a more favorable affect in agents. Daily pressure was not associated with the physical activity of either partner but was linked to a more unfavorable affect in the agent. Both persuasion and pressure were unrelated to the targets' affect.</p><p><strong>Conclusions: </strong>Health-related social control in romantic relationships relates to same-day outcomes of both agents and targets. Our findings suggest that health behavior change interventions and weight loss programs could benefit from encouraging persuasion and limiting pressure.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943006","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":"Associations of nonoccupational sedentary behaviors with cardiometabolic outcomes: coronary artery risk development in young adults (CARDIA).","authors":"Gabriel Zieff, Michael P Bancks, Kelley Pettee Gabriel, Bethany Barone Gibbs, Justin B Moore, Jared P Reis, Keeron Stone, Lee Stoner","doi":"10.1093/abm/kaae074","DOIUrl":"10.1093/abm/kaae074","url":null,"abstract":"<p><strong>Background: </strong>The association between sedentary behavior (SB) and cardiometabolic risk may differ by SB domain and context. Nonoccupational SB is particularly important because it is discretionary and more amenable to change. This study estimated associations of nonoccupational SB contexts with hypertension (HTN) and diabetes mellitus (DM).</p><p><strong>Methods: </strong>A total of 3370 middle-aged adults (50.1 ± 3.6 years; 56% F) from the Coronary Artery Risk Development in Young Adults (CARDIA) study were included. Cross-sectional and 5-year prospective associations between self-report total SB and 6 context-specific SBs (television-TV, computer, transportation, phone, music, and paperwork) with HTN and DM were tested using logistic regression. Fully adjusted models controlled for sociodemographic variables, body mass index, and self-report moderate-vigorous intensity physical activity.</p><p><strong>Results: </strong>Prevalences of HTN and DM at baseline were 48% (1618 cases) and 10% (320 cases), respectively. Each hour per day of total-SB was cross-sectionally associated with HTN (OR: 1.03, 95% CI, 1.01-1.05) but not DM, with nonsignificant prospective associations for HTN and DM. Of the context-specific SBs, only TV-SB was significantly associated with HTN or DM. Each hour of TV-SB was cross-sectionally associated with HTN (OR: 1.09, 95% CI, 1.03-1.15) and DM (OR: 1.18, 95% CI, 1.09-1.29), and prospectively with HTN (OR: 1.14, 95% CI, 1.04-1.26) but not DM.</p><p><strong>Conclusion: </strong>When comparing total-SB and the 6 context-specific SBs, TV-SB was most robustly associated with HTN. The findings were less clear for DM. Behavior change strategies that target TV-SB reduction may be effective at reducing HTN risk in middle-aged adults.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821640","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":"Effectiveness of behavior change techniques to address barriers to follow-up colonoscopy: results from an online survey and randomized factorial experiment.","authors":"Robert S Kerrison, Natalie Gil, Sandro Stoffel, Yasemin Hirst, Katriina L Whitaker, Colin Rees, Stephen Duffy, Christian von Wagner","doi":"10.1093/abm/kaae083","DOIUrl":"10.1093/abm/kaae083","url":null,"abstract":"<p><strong>Background: </strong>Nonattendance at colonoscopy is associated with reduced colorectal cancer (CRC) survival.</p><p><strong>Purpose: </strong>The aim of this research was to quantify barriers to colonoscopy and test the effectiveness of behavior change techniques (BCTs) to address them.</p><p><strong>Methods: </strong>Two studies were conducted. In the first study, participants were asked to imagine their next CRC screening result was abnormal, and were presented with the standard abnormal result letter used in the English CRC Screening Programme. Participants then completed a short survey. Multivariate regression tested associations between perceived barriers and intentions. In the second study, participants were randomly presented with a modified version of the abnormal results letter, which incorporated one or more BCTs, designed to target barriers identified in study 1, using a 28 factorial design. Participants then completed the same survey used in study 1. Multivariate regression tested the effectiveness of the BCTs to modify target barriers and intentions.</p><p><strong>Results: </strong>In study 1, 5 items were associated with intentions, namely \"Lack of understanding that CRC can be asymptomatic,\" \"Perceived importance of screening,\" \"Transport/travel,\" \"Shared decision making and family influenced participation,\" and \"Fear of pain and discomfort\" (all P's < .05). In study 2, the inclusion of a social support message, targeting \"shared decision-making and family influenced participation,\" facilitated independent decision making and increased intentions (both P's < .05). There was no evidence to support the remaining 7 BCTs to modify barriers or intentions (all P's < .05).</p><p><strong>Conclusions: </strong>Inclusion of a social support message facilitated independent decision-making and improved intentions.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909073","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":"Open science? Responsiveness to requests for data in a review of smoking cessation interventions.","authors":"Yifei Pei, Mayla Gilliam, Olivia Listrom, Andrea Bermudez, Alexander Kenny, Marijn de Bruin, Seth M Noar, Adam O Goldstein, Paschal Sheeran","doi":"10.1093/abm/kaaf029","DOIUrl":"10.1093/abm/kaaf029","url":null,"abstract":"<p><strong>Objective: </strong>Little research has examined rates or correlates of adherence to Open Science practices such as data sharing. We investigated how often researchers share data for inclusion in a meta-analysis and their reasons for not sharing data, and tested factors that could be associated with data sharing.</p><p><strong>Methods: </strong>We requested data for 189 studies (167 authors) as part of a National Cancer Institute-funded meta-analysis of quit intentions and smoking cessation. Authors were contacted via email up to 4 times. We tracked responses, reasons for not sharing data, and coded 23 features of the author team (eg, number of authors and h-index), the request (eg, amount of information requested), and the study (eg, year of publication and preregistration).</p><p><strong>Results: </strong>Thirty-five percent of authors provided the requested data, 21% responded but did not provide data, and 44% never responded to our request. Of the 37 reasons offered for not sharing data, the most common were loss of access to data (76%) and lack of time (11%). More recent trials, fewer citations, publication in medical (vs. behavioral) journals, and study preregistration were each associated with providing the requested data (Ps < .05).</p><p><strong>Conclusions: </strong>Contacting authors for unpublished data resulted in a moderate response rate (56%) and modest provision of data (35%). Barriers to data sharing such as access and time constraints highlight challenges faced by behavioral health researchers in promoting transparency. The factors associated with responsiveness underscore the importance of journal policies and Open Science practices in enhancing data sharing.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969798","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":"App-based mindfulness meditation reduces stress in novice meditators: a randomized controlled trial of headspace using ecological momentary assessment.","authors":"Matthew J Zawadzki, Zoltan A Torok, Mercedes Peña, Larisa Gavrilova","doi":"10.1093/abm/kaaf025","DOIUrl":"10.1093/abm/kaaf025","url":null,"abstract":"<p><strong>Background: </strong>App-based mindfulness meditation programs have shown mixed effects in reducing stress levels. These studies have typically relied on limited assessments of dimensions of stress and on pre-post designs to detect effects.</p><p><strong>Purpose: </strong>This randomized controlled trial examined the effect of the mindfulness meditation app Headspace on reducing subjective stress, stressor appraisals, perceived coping, and perseverative cognitions. It tested stress-reducing effects in everyday life throughout an eight-week intervention period.</p><p><strong>Method: </strong>Non-faculty employees (n = 138; age M = 38.19; 75.36% female; 54.5% White, 27.54% Hispanic; 51.45% with a professional degree) from a university in California's Central Valley were randomized into either the Headspace condition (instructed to complete 10 minutes of meditation daily) or wait-list (inactive) control group. Participants completed ecological momentary assessments of stress five times a day for four consecutive days at baseline, at two and five weeks after randomization (mid-intervention), and at eight weeks post-randomization (post-intervention), resulting in 6260 observations of stress dimensions.</p><p><strong>Results: </strong>Hierarchical linear models were used to test the interaction of condition by time, revealing significant effects for subjective stress, perceived coping, and perseverative cognitions. By week 2, compared to the baseline, participants in the Headspace condition reported less subjective stress and perseverative cognitions, and by week 5 reported more perceived coping. These effects persisted through week 8. No changes were observed for stressor appraisal. Participants in the control condition reported increases in subjective stress and perseverative cognitions, and decreases in coping, throughout the intervention period.</p><p><strong>Discussion: </strong>Headspace was effective at reducing stress in a high-stress environment. Findings suggest the potential for relatively quick and sustained gains in stress benefits from meditation practice that may help practitioners develop their future programs.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956515","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":"Stress across the lifecourse and adult mental and physical health outcomes.","authors":"Shakira F Suglia, Rachel C Shelton, Pam Factor-Litvak, Katrina Kezios, Brian Batayeh, Piera Cirillo, Barbara Cohn, Bruce Link","doi":"10.1093/abm/kaaf001","DOIUrl":"10.1093/abm/kaaf001","url":null,"abstract":"<p><strong>Introduction: </strong>Economic, social, and traumatic stressors have been shown to impact mental and physical health. Few studies have considered whether different domains of stressors have a differential effect on health outcomes or have considered stressors across the lifecourse. We characterize stress cumulatively (life stress) and across different domains and examine their relation to adult mental and physical health using prospectively collected data from the DISPAR study.</p><p><strong>Methods: </strong>At 4 timepoints (birth, age 9, 15, and 50), economic, relational, and traumatic stressors were assessed, and interviews were conducted between 1959 and 2012. Experiences of major discrimination were assessed at age 50. Life stress scores and domain-specific stress scores, (occurring in either childhood or adulthood), were created. The Kessler distress scale, self-reported health, and objective measured allostatic load (AL) were assessed at age 50.</p><p><strong>Results: </strong>Adjusting for race and sex, life stress was associated with all 3 outcomes. Domain-specific analysis showed that only SES stressors impacted all outcomes (poorer self-rated health, higher distress, and higher AL). Relational stress was associated with distress only; experiences of discrimination were associated with poor self-rated health and distress.</p><p><strong>Conclusion: </strong>Stressors across the lifecourse have been proposed to affect wear and tear on multiple bodily systems and to affect multiple health outcomes. Our empirical test supported this hypothesis in a 50-year old cohort and in particular the impact of economic stress across physical and mental health outcomes.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373749","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":"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":"10.1093/abm/kaae088","DOIUrl":"10.1093/abm/kaae088","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) adap- tation.</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/advo- cacy. 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 profession- als. 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.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971546","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":"A blended mindfulness-based stress reduction program to improve diabetes self-management among people with type 2 diabetes mellitus: a mediation effect analysis.","authors":"Hongjuan Wang, Lin Ge, Jojo Yan Yan Kwok, Zhuo Zhang, James Wiley, Jia Guo","doi":"10.1093/abm/kaae075","DOIUrl":"10.1093/abm/kaae075","url":null,"abstract":"<p><strong>Background: </strong>The mechanisms through which the blended mindfulness-based stress reduction (MBSR) program improves diabetes self-management among individuals with Type 2 diabetes mellitus (T2DM) remain unclear.</p><p><strong>Purpose: </strong>This study aims to evaluate the effectiveness of blended MBSR on perceived stress, anxiety, and depressive symptoms, while also exploring the potential mechanisms underlying its effects on improving diabetes self-management.</p><p><strong>Methods: </strong>One hundred individuals with T2DM were recruited and randomly assigned to two groups (50 participants each) from March 2020 to July 2020. A randomized clinical trial, combined with generalized estimating equations for repeated measures, was employed to assess the intervention effects of the blended MBSR on perceived stress, anxiety, and depressive symptoms compared to standard care. Mediation analyses using Model 4 in SPSS PROCESS were conducted to evaluate the contributions of the blended MBSR to diabetes self-management.</p><p><strong>Results: </strong>Participants in the blended MBSR group showed a significant reduction in perceived stress, anxiety, and depressive symptoms compared to the control group over 12 weeks. Bootstrap mediation analyses indicated that changes in perceived stress and anxiety fully mediated the effect of the blended MBSR on diabetes self-efficacy. In contrast, depressive symptoms were not associated with diabetes self-efficacy and therefore did not qualify as mediators. Additionally, diabetes distress was found to be an insignificant mediator. Furthermore, changes in diabetes self-efficacy served as a partial mediator of the positive effects of the blended MBSR on diabetes self-management.</p><p><strong>Conclusions: </strong>The blended MBSR program effectively reduced perceived stress, anxiety, and depressive symptoms in individuals with T2DM. The intervention's impact on perceived stress and anxiety contributed to an increase in diabetes self-efficacy, subsequently enhancing diabetes self-management. Interventions that aim to reduce perceived stress and anxiety, while also increasing diabetes self-efficacy, are recommended to develop diabetes self-management strategies with clearly defined mechanistic pathways.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806060","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}