Annals of Behavioral Medicine最新文献

{"title":"Behavioral medicine in the GLP-1 era.","authors":"A Janet Tomiyama","doi":"10.1093/abm/kaae069","DOIUrl":"10.1093/abm/kaae069","url":null,"abstract":"<p><p>Glucagon-like peptide-1 (GLP-1) agonist medications are receiving high levels of attention because of their dramatic efficacy in causing weight loss. This commentary discusses several ways that those in behavioral medicine and health psychology might think about these medications-whether they should be fully in support of them or whether they pose a risk. The positive aspects of GLP-1s include their great promise in improving health independent of weight loss and the perspective that their efficacy frees individuals from the difficulties of behavioral weight maintenance and the associated stigma of \"failing\" to lose weight. However, GLP-1 agonist medications also risk medicalizing weight and increasing weight stigma (in addition to those on GLP-1 medications being stigmatized for taking the \"easy way out\"). From a social identity perspective, GLP-1 medications could even be perceived as a tool to eradicate an entire social group-those that identify as higher weight. In terms of clinical care, a patient-centered, weight-inclusive approach will allow for individuals to receive the treatment that fits with their own social and health context. In terms of research, behavioral medicine should shift away from weight loss interventions simply to lower body mass index, and instead intervene on actual health markers, disease endpoints, or healthy behaviors. Doing so will improve health regardless of a person's weight or whether they are on GLP-1 agonist medications.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827220","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 pilot study of device-assessed physical activity and ecological momentary assessment among adolescent and young adult survivors of childhood cancer.","authors":"Sara King-Dowling, Sheereen Harris, Lauren C Daniel, Matthew Y W Kwan, Jill P Ginsberg, Elizabeth Goldmuntz, Dava Szalda, Lisa A Schwartz","doi":"10.1093/abm/kaaf002","DOIUrl":"10.1093/abm/kaaf002","url":null,"abstract":"<p><strong>Background: </strong>Adolescent and young adult survivors of childhood cancer (AYA) are at risk for treatment-related late effects (eg, heart and lung problems) which may be mitigated by physical activity (PA). To design effective, tailored PA interventions for this population, predictors and benefits of PA behavior need to be measured in real-time.</p><p><strong>Purpose: </strong>To examine the feasibility and acceptability of ecological momentary assessment (EMA) combined with accelerometry and explore the dynamic associations between PA and real-time physical and psychosocial factors among AYA.</p><p><strong>Methods: </strong>AYA (N = 20, mean age = 18.9 years) recently off cancer treatment participated in a 2-week intensive monitoring protocol in which they completed up to 4 EMA surveys/day assessing current mood, pain, fatigue, arousal, PA intentions and motivation, and social-environmental context, while PA levels were passively monitored using a wrist-worn ActiGraph GT9X accelerometer. Acceptability was measured via self-report.</p><p><strong>Results: </strong>EMA and accelerometry were feasible and acceptable (≥70% compliance and study endorsement) for AYA. Multilevel models showed that AYA engaged in more PA when they were away from home, with others, in a better mood, less fatigued, more energetic, and more motivated than their own average levels. Further, when AYA engaged in more PA than their usual levels in the hour before completing an EMA survey, they subsequently reported less fatigue, less pain, more energy, and a more positive mood.</p><p><strong>Conclusions: </strong>EMA and accelerometry are acceptable and feasible among AYA survivors of childhood cancer. This methodology can be utilized for understanding the real-time barriers, facilitators, and benefits of PA behaviors in this at-risk population to design effective, dynamic PA interventions.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078463","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 dyadic stress induction tool for experimental investigation of adult patients with cancer and their family caregivers.","authors":"Youngmee Kim, Charles S Carver, Thomas C Tsai, Amanda Ting, David Spiegel","doi":"10.1093/abm/kaaf005","DOIUrl":"10.1093/abm/kaaf005","url":null,"abstract":"<p><strong>Background: </strong>Medical illnesses are major stressors not only for the patients but also for their family caregivers, yet existing tools are inadequate to assess mechanistic response patterns to such stressors.</p><p><strong>Purpose: </strong>We sought to validate a stress induction task that pertains to close relationships and health-related concerns with adult patients with cancer and their family caregivers.</p><p><strong>Methods: </strong>Patients newly diagnosed with colorectal cancer (n = 123, 56 years old, 34% female, 60% Hispanic, 6.5 months post-diagnosis) and their family caregivers (55 years old, 66% female, 59% Hispanic) underwent an experimental session during which both individuals imagined a scenario where one person is hit by a car (patient) and the partner (caregiver) has no means to provide or seek out help for the victim. The session consisted of 6 phases: baseline, scenario provision, speech preparation, speech by caregiver, speech by patient, and recovery.</p><p><strong>Results: </strong>Results of general linear modeling with repeated measures revealed that the task induced significant affective, stress, and cardiovascular responses in both patients and caregivers. Stress reactivity and recovery patterns, however, varied by patients versus caregivers, stress induction phases, and the types of assessment.</p><p><strong>Conclusions: </strong>Findings suggest the newly developed stress task as an acceptable tool for studying stress regulation in medical and family contexts. With further validation, this tool may help identify psychological and physiological pathways to improve the stress coping outcomes of adult patients with cancer and their family caregivers.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373748","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":"Glass \"half full\" on obesity and anti-obesity medication health communication.","authors":"Robert Hsu, Anne-Kathrin Eiselt, Tejaswi Kompala","doi":"10.1093/abm/kaae091","DOIUrl":"https://doi.org/10.1093/abm/kaae091","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969506","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":"Perceived Control and Blood Pressure: A Systematic Review.","authors":"Zachary E Magin, Mariel Emrich, Crystal L Park, Isabella Peña, Lynda Lyn","doi":"10.1093/abm/kaae068","DOIUrl":"10.1093/abm/kaae068","url":null,"abstract":"<p><strong>Background: </strong>Perceived control, defined as an individual's belief in their ability to influence life events and circumstances, has been implicated in reducing the risk of cardiovascular disease (CVD). Some research has demonstrated a link between perceived control and blood pressure, a major CVD risk factor. However, methodological differences across studies, including variability in definitions and measures of perceived control, preclude a clear understanding of this relationship.</p><p><strong>Purpose: </strong>This systematic review describes the evidence regarding the association between perceived control and blood pressure, with a specific focus on integrating the literatures across multiple control-related constructs to provide a comprehensive understanding of their relationship with blood pressure.</p><p><strong>Methods: </strong>A systematic search was conducted across five databases. Data were extracted from 24 studies that quantitatively examined the relationship between perceived control and blood pressure and met inclusion criteria. Results across studies were narratively synthesized.</p><p><strong>Results: </strong>Limited evidence emerged across studies showing a negative relationship between perceived control and both resting blood pressure and ambulatory blood pressure, but no studies reviewed found that perceived control was associated with lower blood pressure reactivity to a lab stressor.</p><p><strong>Conclusions: </strong>The findings here provide preliminary evidence that perceived control may serve as an important protective factor against high blood pressure. The findings highlight the need for additional quality research to examine this link more thoroughly. Recommendations for future research are provided.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827221","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":"Behavioral interventions-past, present, and future: Proceedings of the 5th International Behavioural Trials Network International Hybrid Meeting.","authors":"Simon L Bacon, Kim L Lavoie, David Buckeridge, William H Dietz, Kenneth E Freedland, Jeremy M Grimshaw, Beth K Jaworski, Celia Laur, Marta M Marques, Susan Michie, Lynda H Powell, Alexander J Rothman, Lorraine Whitmarsh","doi":"10.1093/abm/kaae087","DOIUrl":"https://doi.org/10.1093/abm/kaae087","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051397","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":"Physical activity promotion based on positive psychology: development and piloting of a novel intervention approach.","authors":"Lauren Connell Bohlen, Katrina Oselinsky, Carley Vornlocher, Harold H Lee, Emma Michels, Shira I Dunsiger, Beth C Bock, Christopher W Kahler, David M Williams","doi":"10.1093/abm/kaaf004","DOIUrl":"10.1093/abm/kaaf004","url":null,"abstract":"<p><strong>Background: </strong>Regular physical activity (PA) is associated with positive health outcomes; however, rates of regular PA are low. Positive psychology interventions are efficacious in other health contexts and may be useful for promoting regular PA.</p><p><strong>Purpose: </strong>Phased development and pilot/feasibility testing of a positive psychology intervention to promote PA using the ORBIT model for behavioral treatment development.</p><p><strong>Methods: </strong>Positive psychology and PA promotion content was translated (phase 1a) and refined (phase 1b) into two 6-week, group-based treatments: Positive psychology for PA (PPPA), and a standard PA promotion comparison condition (SPA). A feasibility test (phase 2a) for PPPA only (n = 13) and piloting (phase 2b) of PPPA (n = 30) and SPA (n = 11) were conducted at local YMCAs.</p><p><strong>Results: </strong>In phase 2a, participants attended 59% of treatment sessions, completed 92%-100% of assessments at mid-treatment, post-treatment, and one-month post-treatment, and 83.3% had clinically meaningful increases in PA. Following refinement, phase 2b PPPA participants attended an average of 73% of the treatment sessions, 90% completed assessments at mid-treatment, post-treatment, and 1-month post-treatment, 73% at 6-month post-treatment, and 81% had clinically meaningful increases in PA. SPA participants attended 75% of sessions, completed 58%-82% of assessments across timepoints, and 66.7% had clinically meaningful increases in PA. Across timepoints, PPPA participants reported positive changes in PA enjoyment (dppc= 0.622-0.782), and positive affect (dppc= 0.162-0.407) relative to SPA, and recommended the study to others to help increase PA (95.4%) and happiness (88.6%).</p><p><strong>Conclusions: </strong>This study supports the feasibility and acceptability of a positive-psychology-based, PA promotion intervention for increasing PA in low-active adults.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078465","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 pilot study of device-assessed physical activity and ecological momentary assessment among adolescent and young adult survivors of childhood cancer.","authors":"Sara King-Dowling, Sheereen Harris, Lauren C Daniel, Matthew Y W Kwan, Jill P Ginsberg, Elizabeth Goldmuntz, Dava Szalda, Lisa A Schwartz","doi":"10.1093/abm/kaaf002","DOIUrl":"10.1093/abm/kaaf002","url":null,"abstract":"<p><strong>Background: </strong>Adolescent and young adult survivors of childhood cancer (AYA) are at risk for treatment-related late effects (eg, heart and lung problems) which may be mitigated by physical activity (PA). To design effective, tailored PA interventions for this population, predictors and benefits of PA behavior need to be measured in real-time.</p><p><strong>Purpose: </strong>To examine the feasibility and acceptability of ecological momentary assessment (EMA) combined with accelerometry and explore the dynamic associations between PA and real-time physical and psychosocial factors among AYA.</p><p><strong>Methods: </strong>AYA (N = 20, mean age = 18.9 years) recently off cancer treatment participated in a 2-week intensive monitoring protocol in which they completed up to 4 EMA surveys/day assessing current mood, pain, fatigue, arousal, PA intentions and motivation, and social-environmental context, while PA levels were passively monitored using a wrist-worn ActiGraph GT9X accelerometer. Acceptability was measured via self-report.</p><p><strong>Results: </strong>EMA and accelerometry were feasible and acceptable (≥70% compliance and study endorsement) for AYA. Multilevel models showed that AYA engaged in more PA when they were away from home, with others, in a better mood, less fatigued, more energetic, and more motivated than their own average levels. Further, when AYA engaged in more PA than their usual levels in the hour before completing an EMA survey, they subsequently reported less fatigue, less pain, more energy, and a more positive mood.</p><p><strong>Conclusions: </strong>EMA and accelerometry are acceptable and feasible among AYA survivors of childhood cancer. This methodology can be utilized for understanding the real-time barriers, facilitators, and benefits of PA behaviors in this at-risk population to design effective, dynamic PA interventions.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363585","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":"Are the ways women cope with stressors related to their health behaviors over time?","authors":"Claudia Trudel-Fitzgerald, Scott G Smith, Laura D Kubzansky","doi":"10.1093/abm/kaaf006","DOIUrl":"10.1093/abm/kaaf006","url":null,"abstract":"<p><strong>Objective: </strong>Emerging research suggests the use of certain strategies to cope with stressors relate to disease and mortality risk, and lifestyle habits may be underlying mechanisms. Studies show psychological symptoms (eg, anxiety) and states (eg, happiness) predict the likelihood of adopting an integrated lifestyle that encompasses key health-related behaviors, like smoking. Yet, whether psychological processes, including stress-related coping, influence the adoption of a healthy lifestyle is unknown. We investigated whether coping strategies typically deemed adaptive (eg, seeking emotional support) and maladaptive (eg, denial) relate to sustaining a healthy lifestyle over a 16-year follow-up. We also explored whether variability in the use of these strategies, reflecting attempts to find the best strategy for a given stressor, subsequently relates to lifestyle.</p><p><strong>Methods: </strong>Women (N = 46 067) from the Nurses' Health Study II cohort reported their use of 8 coping strategies in 2001, from which we also derived coping variability levels (lower, moderate, greater). Health behaviors (eg, physical activity, smoking, sleep), self-reported every 4 years from baseline until 2017, were combined into a lifestyle score. Generalized estimating equations, controlling for baseline demographics and health-related factors, were performed.</p><p><strong>Results: </strong>Most adaptive strategies and greater variability levels were associated with a higher likelihood of sustaining a healthy lifestyle (eg, active coping, relative risk [RR] = 1.09, 95% confidence interval [CI], 1.08-1.11), with the reverse evident with maladaptive strategies (eg, behavioral disengagement, RR = 0.94, CI, 0.93-0.95), but some unexpected results also emerged.</p><p><strong>Conclusions: </strong>Findings highlight the importance of going beyond the usual (mal)adaptive categorization of coping strategies when investigating their predictive value with behavioral outcomes.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254315","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":"Weight loss advice from a healthcare provider is motivating, but it is also stigmatizing: an experimental, scenario-based approach.","authors":"Erin C Standen, Alexander J Rothman, Traci Mann","doi":"10.1093/abm/kaaf018","DOIUrl":"https://doi.org/10.1093/abm/kaaf018","url":null,"abstract":"<p><strong>Background: </strong>It is standard practice for healthcare providers to give weight loss advice or counseling to higher-weight patients (ie, those with a BMI ≥ 30 kg/m2), but the immediate psychological consequences of this practice have rarely been examined.</p><p><strong>Purpose: </strong>We hypothesized that receiving weight loss advice from a healthcare provider might lead people to feel both motivated to engage in healthy behaviors and stigmatized for their weight.</p><p><strong>Methods: </strong>Participants with higher weight (N = 294) were randomly assigned to read one of two doctor-patient interaction scenarios, and they were asked to imagine that they were the patient receiving advice. The scenario either involved the doctor giving behavioral weight loss advice (ie, standard diet and exercise recommendations) or control advice, which did not address weight or weight loss. Immediately after reading, participants reported their levels of behavioral motivation and weight-based identity threat.</p><p><strong>Results: </strong>Participants who received weight loss (versus control) advice reported significantly greater motivation for healthy eating and greater weight-based identity threat (Ps < .001, ds from 0.42 to 0.64). There were no significant group differences in perceptions of provider empathy or willingness to engage with the healthcare system in the future (Ps > .1, ds from 0.13 to 0.2).</p><p><strong>Conclusions: </strong>As hypothesized, receiving weight loss advice made participants feel motivated to engage in healthy eating behavior, but it also made them feel stigmatized. These findings suggest that the standard practice of delivering weight loss advice should be reexamined, as it may harm higher-weight people and perpetuate inequity.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750778","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}