Annals of Behavioral Medicine最新文献

{"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":"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 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":3.6,"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}

{"title":"Screen time and allostatic load among youth: findings from the National Health and Nutrition Examination Survey, 2015-2018.","authors":"Tiffany M Chapman, Kelsey L McAlister, Kristen N Moore, Wei-Lin Wang, Britni R Belcher","doi":"10.1093/abm/kaaf031","DOIUrl":"10.1093/abm/kaaf031","url":null,"abstract":"<p><strong>Background: </strong>More screen time (ST) is associated with dysregulation of the individual biological systems (cardiovascular, immune, metabolic, and neuroendocrine) involved in the stress response in youth. However, its relationship with allostatic load (AL), a measure of the cumulative physiological stress response, is unclear in youth.</p><p><strong>Purpose: </strong>To investigate the associations between ST types and AL outcomes in youth and to explore sociodemographic and behavioral moderators of these relationships.</p><p><strong>Methods: </strong>Cross-sectional data were from 1053 US youth aged 12-17 years (Mage = 14.20; 54% male; 21% Hispanic) in the 2015-2018 National Health and Nutrition Examination Survey (NHANES). ST was assessed as watching TV/videos and computer use/playing computer games. AL was measured using 7 biomarkers across 3 systems: cardiovascular (systolic and diastolic blood pressure, heart rate), immune (C-reactive protein), and metabolic (body mass index, glycohemoglobin, and high-density lipoprotein). Weighted multivariable regression models assessed whether ST predicted AL composite and subsystem (cardiovascular, immune, and metabolic) scores. Moderation by age, sex, income, race/ethnicity, and physical activity was explored.</p><p><strong>Results: </strong>A 1-hour/day increase in watching TV/videos was associated with a 4% increase in mean AL composite score (incident rate ratio = 1.040; 95% CI = 1.008, 1.073; P = .015), while computer use/gaming showed no significant associations (P's > .05). Age moderated the TV/videos-AL cardiovascular association (P = .009), with older youth having higher AL cardiovascular scores.</p><p><strong>Conclusions: </strong>More time spent watching TV/videos was associated with higher cumulative physiological stress in youth. Prospective studies are needed to determine causal pathways and potential intervention targets in youth.</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/PMC12169328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092712","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":"Masculinity and colorectal cancer screening: a cross-sectional study of men attending state fairs in Minnesota and Wisconsin.","authors":"Ami E Sedani, Samuel L K Baxter, Gabriel A Benavidez, Stuart W Grande, Olivia Aspiras, Charles R Rogers","doi":"10.1093/abm/kaaf040","DOIUrl":"10.1093/abm/kaaf040","url":null,"abstract":"<p><strong>Background: </strong>Success in community-based interventions addressing colorectal cancer (CRC) disparities among men relies on their active engagement in screening activities, yet traditional masculinity norms may deter men from participating in preventive health behaviors.</p><p><strong>Purpose: </strong>This cross-sectional study examined the association between masculinity barriers to medical care (MBMC) and CRC-screening intent and behaviors among men aged 18-75, attending state fairs in 2 midwestern states.</p><p><strong>Methods: </strong>CRC-screening intent was assessed for all participants. Screening participation and current screening status were also examined among men aged 45-75 years (screening-age eligible). Composite scores were calculated overall and for each MBMC subscale, with higher scores indicating a stronger endorsement of traditional masculine ideologies. Multivariable logistic regression was employed, adjusting for confounders.</p><p><strong>Results: </strong>Our findings highlight a high prevalence of self-reported CRC-screening behaviors among men in our study sample (n = 937), with 78% expressing intentions to obtain screening. Among screening-age eligible men (n = 377), 79% reported having participated in CRC screening, with 72% being up-to-date (UTD) with screening. A strong inverse relationship was observed between CRC-screening intention and behaviors, and the Health Problem Minimization subscale as well as Fear of Being Perceived as Gay subscale. Conversely, higher scores on the Provider Role subscale were associated with higher odds of having ever participated in CRC screening, and of being UTD with screening.</p><p><strong>Conclusions: </strong>Addressing masculinity-related barriers, particularly Health Problem Minimization, could help increase CRC screening uptake among men. Future intervention strategies should consider reframing CRC screening as an act of self-care and strength, emphasizing health empowerment rather than aligning solely with traditional masculine or provider-role ideologies, which may themselves present limitations. By promoting a broader and more inclusive view of masculinity, interventions can better engage men in preventive health behaviors and ultimately improve CRC-screening adherence and 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/PMC12169332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191399","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":"Effects of a diabetes conversation map intervention on HbA1c and the differential mediating roles of diet and exercise health behaviors: findings from a large RCT in Taiwan.","authors":"Hsiao-Jung Lo, Jiun-Hau Huang","doi":"10.1093/abm/kaaf033","DOIUrl":"10.1093/abm/kaaf033","url":null,"abstract":"<p><strong>Background: </strong>By 2045, the global population of people with diabetes (PWD) is projected to reach 783 million. Health education tools are needed to enhance glycemic management among PWD.</p><p><strong>Purpose: </strong>This study evaluated the effects of a diabetes conversation map (CM) intervention on glycated hemoglobin (HbA1c) and examined the mediating roles of health behavior improvements among PWD in Taiwan.</p><p><strong>Methods: </strong>A large randomized controlled trial (N = 602) investigated: (1) whether an additional 1-hour, theory-driven CM intervention (N = 300), compared with usual shared-care service only (N = 302), could significantly better improve PWD's HbA1c at 3-month posttest, and (2) whether the CM intervention's effects on HbA1c reduction were mediated through desired changes in diet and exercise health behaviors between pretest and 3-month posttest.</p><p><strong>Results: </strong>Multivariate linear autoregression analysis demonstrated that controlling for baseline levels, the CM group exhibited significantly lower HbA1c (β = -0.101) at 3-month posttest than the control group. In addition, the CM group showed significantly greater improvements in both diet (β = 0.261) and exercise (β = 0.239) health behaviors between the pretest and 3-month posttest, compared with the control group. Further mediation analysis revealed that the CM intervention's effects on HbA1c reduction were primarily mediated through improvements in diet (β = -0.126, P < .001), rather than improvements in exercise (β = -0.023, P = .465).</p><p><strong>Conclusions: </strong>Integrating brief, single-session CM interventions, as described in this study, into existing diabetes shared-care frameworks may effectively enhance diet and exercise health behaviors and thereby improve HbA1c management among PWD.</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":"144092710","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":3.3,"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":"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":"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":"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}

{"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}