Jeffrey M Hunger, Amanda K Montoya, Kristienne Edrosolan, Juanyi Tan, Anne S Hubbard, A Janet Tomiyama
{"title":"Ecological Momentary Assessment of Weight Stigma and Eating Behavior in Everyday Life","authors":"Jeffrey M Hunger, Amanda K Montoya, Kristienne Edrosolan, Juanyi Tan, Anne S Hubbard, A Janet Tomiyama","doi":"10.1093/abm/kaae012","DOIUrl":"https://doi.org/10.1093/abm/kaae012","url":null,"abstract":"Background Weight stigma is widespread, but the existing literature on its harmful consequences remains largely limited to lab-based experiments and large-scale longitudinal designs. Purpose The purpose of this study was to understand how weight stigma unfolds in everyday life, and whether it predicts increased eating behavior. Methods In this event-contingent ecological momentary assessment study, 91 participants reported every time they experienced weight stigma and documented whether they ate, how much they ate, and what they ate. These reports were compared against a timepoint when they did not experience stigma. Results Participants reported a wide variety of stigmatizing events from a variety of sources, with the most common ones being the self, strangers, the media, and family. Multilevel models showed that participants were no more likely to eat post-stigma (vs. the comparison point), but if they did eat, they ate more servings of food (on average consuming 1.45 more servings, or 45% more). Moderation analyses indicated that this effect was amplified for men versus women. Conclusion Experiencing weight stigma appears to beget behavioral changes, potentially driving future weight gain, placing individuals at ever more risk for further stigmatization.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583270","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}
Sarah S Dermody, Alexandra Uhrig, Jeffrey D Wardell, Carmina Tellez, Tara Raessi, Karla Kovacek, Trevor A Hart, Christian S Hendershot, Alex Abramovich
{"title":"Daily and Momentary Associations Between Gender Minority Stress and Resilience With Alcohol Outcomes","authors":"Sarah S Dermody, Alexandra Uhrig, Jeffrey D Wardell, Carmina Tellez, Tara Raessi, Karla Kovacek, Trevor A Hart, Christian S Hendershot, Alex Abramovich","doi":"10.1093/abm/kaae015","DOIUrl":"https://doi.org/10.1093/abm/kaae015","url":null,"abstract":"Background and purpose Minority stressors have been linked with alcohol use among transgender and gender diverse (TGD); however, no ecological momentary assessment studies have examined daily links between minority stress and alcohol use specifically among TGD. This study examined gender minority stressors and resilience as predictors of same-day or momentary alcohol-related outcomes. Feasibility and acceptability of procedures were evaluated. Methods Twenty-five TGD adults (mean age = 32.60, SD = 10.82; 88% White) were recruited Canada-wide and participated remotely. They completed 21 days of ecological momentary assessment with daily morning and random surveys (assessing alcohol outcomes, risk processes, gender minority stressors, resilience), and an exit interview eliciting feedback. Results Gender minority stress had significant and positive within-person relationships with same-day alcohol use (incidence risk ratio (IRR) = 1.12, 95% confidence interval [CI] [1.02, 1.23]), alcohol-related harms (IRR = 1.14, 95% CI [1.02, 1.28]), and coping motives (IRR = 1.06, 95% CI [1.03, 1.08]), as well as momentary (past 30-min) alcohol craving (IRR = 1.32, 95% CI [1.18, 1.47]), coping motives (IRR = 1.35, 95% CI [1.21, 1.51]), and negative affect (IRR = 1.28, 95% CI [1.20, 1.36]). Gender minority stress indirectly predicted same-day drinking via coping motives (ab = 0.04, 95% CI [0.02, 0.08]). Resilience was positively associated with same-day alcohol use (IRR = 1.25, 95% CI [1.03, 1.51]) but not harms. Conclusions TGD adults may use alcohol to cope with gender minority stress, which can increase the risk for alcohol-related harms. Interventions are needed to eliminate gender minority stressors and support adaptive coping strategies.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583306","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}
Kelly A Romano, Cassidy M Sandoval, Robin J Lewis, Kristin E Heron
{"title":"Daily Relationship Functioning and Disordered Eating Behaviors Among Sexual Minority Women in Same-Sex Relationships","authors":"Kelly A Romano, Cassidy M Sandoval, Robin J Lewis, Kristin E Heron","doi":"10.1093/abm/kaae016","DOIUrl":"https://doi.org/10.1093/abm/kaae016","url":null,"abstract":"Background and Purpose The present study aimed to examine associations between different types of relationship functioning and disordered eating behaviors (DEBs) in the everyday lives of sexual minority women in same-sex relationships—an at-risk population that has not been assessed in this context. Methods Participants included 321 young sexual minority women (Mage = 27.56, SD = 3.67) in same-sex relationships who completed surveys assessing their daily relationship functioning and DEB use each day for a 14-day daily diary period. Multilevel structural equation modeling was used to examine daily-, person-, and couple-level associations among women’s daily relationship functioning (general relationship functioning, positive and negative relational behaviors they and, separately, their partners engaged in) and DEBs (overeating, loss of control eating, emotional eating, and dietary restriction). Results Results generally indicated that more positive and less negative daily relationship functioning across all assessed constructs was associated with less same-day emotional eating. In contrast, associations between all daily relationship functioning constructs and loss of control eating were not significant, nor were any relationship functioning-DEB associations at the couple level. More circumscribed patterns of association were identified for associations between the relationship functioning constructs, and overeating and dietary restriction. Conclusions Collectively, these findings provide insight into how aspects of daily relationship functioning map onto sexual minority women’s daily engagement in DEBs that are linked to poor health long-term, and directions for future research and clinical practice that may warrant consideration moving forward to help advance the evidence-base and care for this historically overlooked and underserved population.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140583311","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":"Temporal Stability of Ambulatory Cardiovascular Monitoring","authors":"Marcia M. Ward, J. Rick Turner, Derek W. Johnston","doi":"10.1093/abm/16.1.3","DOIUrl":"https://doi.org/10.1093/abm/16.1.3","url":null,"abstract":"The existing literature on the temporal stability of cardiovascular ambulatory monitoring data is reviewed. These studies generally show adequate reproducibility across time for blood pressure mean levels. However, the existing data on the reproducibility of blood pressure variability suggest that conventional estimates of 24-hour variability, such as standard deviation, may be very unstable from one monitoring day to the next. Several approaches are suggested for improving the estimate of variability in ambulatory data. Preliminary attempts using these approaches suggest, in contrast to earlier findings, that the temporal stability of ambulatory variability may also be quite good. More studies are recommended that use newer monitors, report heart rate data, employ multiple analytic strategies, and investigate the role of activity and behavior in the temporal stability of ambulatory levels and variability.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140317047","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}
Douglas R. Southard, Richard A. Winett, Janet L. Walberg-Rankin, Tamara E. Neubauer, Kathryn Donckers-Roseveare, Paul A. Burkett, Robert A. Gould, David Lombard, John F. Moore
{"title":"Increasing the Effectiveness of the National Cholesterol Education Program: Dietary and Behavioral Interventions for Clinical Settings","authors":"Douglas R. Southard, Richard A. Winett, Janet L. Walberg-Rankin, Tamara E. Neubauer, Kathryn Donckers-Roseveare, Paul A. Burkett, Robert A. Gould, David Lombard, John F. Moore","doi":"10.1093/abm/14.1.21","DOIUrl":"https://doi.org/10.1093/abm/14.1.21","url":null,"abstract":"The National Cholesterol Education Program (NCEP) is the cornerstone of primary care efforts to treat hypercholesterolemia. It provides diagnostic criteria and an outline of appropriate assessment and treatment protocols. The initial treatment emphasis is on the Step 1, low-cholesterol, low-fat diet. A review of these guidelines from a behavioral perspective suggests that there may be several areas of concern. These include: (a) the absence of attention given to developing sufficient motivation for behavior change; (b) the limited efficacy of routine dietary education for promoting dietary changes; (c) the apparent need for diets more rigorous than the Step 1 and Step 2 guidelines to substantially lower cholesterol in some individuals; (d) the extensive support such dietary interventions must have from established behavioral change strategies; and (e) the lack of enthusiasm and experience many physicians and other medical personnel have for nutrition interventions. It is suggested that more conceptually-based behavioral assessment procedures, such as those based upon the stages of change model, could broaden the impact of the NCEP. In addition, data are presented which suggest that the NCEP could have greater effectiveness if more exacting behavioral strategies are followed. Interactive, multimedia systems are discussed as one means to facilitate dietary interventions in primary care settings. Finally, the importance of integrating measures designed to enhance long-term maintenance of dietary modifications is emphasized along with the need for more ongoing research within the NCEP.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140314878","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":"Coronary Heart Disease in Women: Personality and Stress-Induced Biological Responses","authors":"Joel E. Dimsdale","doi":"10.1093/abm/15.2-3.119","DOIUrl":"https://doi.org/10.1093/abm/15.2-3.119","url":null,"abstract":"Studies of reactivity to stressors have generally focused only on men. Women may react to stressors with a different adrenergic and hormonal response, however one cannot be sure that this reflects biological differences or differences in task interpretation across the sexes. Men appear to respond to behavioral stressors with a greater increase in systolic blood pressure (BP). Hemodynamic reactivity (i.e. heart rate and BP) is probably not altered by phase of menstrual cycle. Hormonal and receptor responses to stressors may well be influenced by phase of menstrual cycle; the luteal phase of the cycle may be a time of greater adrenergic responsiveness. Type A behavior and various aspects of hostility have been studied extensively as possible coronary-prone behaviors in men. However, there are very few large-scale prospective studies of such variables in women. Depressed mood has also been recognized as a potential cardiovascular risk factor, although it has received less attention than either Type A or hostility. Studies on men have reported that depression is associated with elevated cardiovascular risk even decades later, suggesting that the depression is not merely a prodrome of underlying cardiac disease. Such studies have generally not been performed on women, despite the fact that women have twice the rate of depression as men.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140310992","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":"Health Through Cholesterol Reduction: Are there Unforeseen Risks?","authors":"Matthew F. Muldoon, Stephen B. Manuck","doi":"10.1093/abm/14.2.101","DOIUrl":"https://doi.org/10.1093/abm/14.2.101","url":null,"abstract":"While abundant scientific evidence documents the risks of untreated hypercholesterolemia, long-term cholesterol-lowering could also be associated with adverse health effects. This article discusses potential connections between reduced serum cholesterol levels and three specific adverse outcomes: (a) cancer, (b) hemorrhagic stroke, and(c) death from non-illness related causes (suicide, accident, or violence). Included are data from epidemiologic studies of both serum cholesterol and dietary fat consumption, and evidence from randomized, clinical trials of cholesterol lowering with either dietary or pharmacologic treatment. While some evidence links reduced serum cholesterol with each of these three illnesses or events, the inconsistencies and limitations of the available evidence presently preclude conclusions regarding either the safety or dangers of cholesterol-lowering treatments.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140311132","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":"Cognitive-Behavioral Treatment of Rheumatoid Arthritis: A Preliminary Review of Efficacy and Methodology","authors":"Lance M. McCracken","doi":"10.1093/abm/13.2.57","DOIUrl":"https://doi.org/10.1093/abm/13.2.57","url":null,"abstract":"Rheumatoid arthritis (RA) is a chronic, painful, and debilitating disease which affects approximately 1% of the adult population. A great deal of literature suggests that psychological factors are important to patient outcomes in RA. This article discusses these factors and then reviews the cognitive-behavioral treatment literature for this population. Although cognitive-behavioral treatments appear to assist RA patients in managing their pain, additional findings are inconsistent and methodological limitations in the literature preclude firm conclusions. A final section of this paper presents suggestions to improve the design of future studies evaluating cognitive-behavioral treatments for these patients.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140314808","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}
Helen C. Gift, Barbara Gerbert, Gerald C. Kress, Susan T. Reisine
{"title":"Social, Economic, and Professional Dimensions of the Oral Health Care Delivery System","authors":"Helen C. Gift, Barbara Gerbert, Gerald C. Kress, Susan T. Reisine","doi":"10.1093/abm/12.4.161","DOIUrl":"https://doi.org/10.1093/abm/12.4.161","url":null,"abstract":"This article reviews issues which serve as the basis for future research in the area of the oral health care delivery system. The review is presented within the context of the larger health care and social environment and includes assessments of structure and organization, participants, access and utilization, professional training, and science transfer. The major trends in the sociodemographics of the U.S. population, changes in oral health status, and abilities to alter disease processes through prevention and treatment strategies are among the challenges addressed. The conclusions of the review illustrate the complexity of the oral health care delivery system as a research opportunity for behavioral and social scientists.","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140315198","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}