Romano Endrighi, Michelle Henshaw, William G Adams, Erin Montion, Hannah Park, Belinda Borrelli
{"title":"The Longitudinal Reciprocal Relationships of Tooth Brushing Behaviors Between Underserved Children and Their Caregivers.","authors":"Romano Endrighi, Michelle Henshaw, William G Adams, Erin Montion, Hannah Park, Belinda Borrelli","doi":"10.1093/abm/kaae010","DOIUrl":"10.1093/abm/kaae010","url":null,"abstract":"<p><strong>Background: </strong>Tooth brushing is effective in preventing early childhood caries. However, it is unclear how children's and caregiver's tooth brushing are reciprocally related.</p><p><strong>Purpose: </strong>The current study investigated whether the longitudinal relationships between children and caregiver tooth brushing are moderated by a caregiver-targeted child oral health intervention and caregiver depression.</p><p><strong>Methods: </strong>Secondary analysis of a randomized clinical trial that tested whether caregiver-targeted oral health text messages (OHT) outperformed child wellness text messages (CWT) on pediatric dental caries and oral health behaviors (n = 754, mean child age = 2.9 years, 56.2% Black, 68.3% <poverty level). Tooth brushing behaviors were self-reported by caregivers using a timeline follow-back method at baseline and 4, 12, and 24 months later. Caregiver depressive symptoms were self-reported at baseline. A multigroup random intercept cross-lagged panel model examined relationships between caregiver and child tooth brushing for four post hoc groupings of condition: OHT versus CWT, and caregiver depressive symptoms: high versus low.</p><p><strong>Results: </strong>Within-participants analyses revealed that caregiver tooth brushing at Months 4 and 12 positively predicted their child's tooth brushing at Months 12 and 24 for caregivers in the OHT condition with low depressive symptoms (i.e., moderation by depressive symptoms and condition). Similarly, children's tooth brushing at Month 4 positively predicted caregiver tooth brushing at Month 12 for caregivers in the OHT condition with low depressive symptoms. There were no significant associations among participants in the CWT condition, regardless of depressive symptoms.</p><p><strong>Conclusions: </strong>Child and caregiver tooth brushing have reciprocal influences, but only for those in the OHT condition with low depressive symptoms.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"353-362"},"PeriodicalIF":3.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140136405","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}
Vincent Berardi, Christine B Phillips, Mindy L McEntee, Chad Stecher, Michael Todd, Marc A Adams
{"title":"The Impact of Monetary Incentives on Delay Discounting Within a Year-Long Physical Activity Intervention.","authors":"Vincent Berardi, Christine B Phillips, Mindy L McEntee, Chad Stecher, Michael Todd, Marc A Adams","doi":"10.1093/abm/kaae009","DOIUrl":"10.1093/abm/kaae009","url":null,"abstract":"<p><strong>Background: </strong>Delay discounting is the depreciation in a reward's perceived value as a function of the time until receipt. Monetary incentive programs that provide rewards contingent on meeting daily physical activity (PA) goals may change participants' delay discounting preferences.</p><p><strong>Purpose: </strong>Determine if monetary incentives provided in close temporal proximity to meeting PA goals changed delay discounting, and if such changes mediated intervention effects.</p><p><strong>Methods: </strong>Inactive adults (n = 512) wore accelerometers during a 12-month intervention where they received proximal monetary incentives for meeting daily moderate-to-vigorous PA (MVPA) goals or delayed incentives for study participation. Delay discount rate and average MVPA were assessed at baseline, end of intervention, and a 24-month follow-up. Using structural equation modeling, we tested effects of proximal versus delayed rewards on delay discounting and whether any changes mediated intervention effects on MVPA. PA self-efficacy was also evaluated as a potential mediator, and both self-efficacy and delay discounting were assessed as potential moderators of intervention effects.</p><p><strong>Results: </strong>Proximal rewards significantly increased participants' delay discounting (β = 0.238, confidence interval [CI]: -0.078, 0.380), indicating greater sensitivity to reinforcement timing. This change did not mediate incentive-associated increases in MVPA at the end of the 12-month intervention (β = -0.016, CI: -0.053, 0.019) or at a 24-month follow-up (β = -0.020, CI: -0.059, 0.018). Moderation effects were not found.</p><p><strong>Conclusions: </strong>Incentive-induced increases in delay discounting did not deleteriously impact MVPA. This finding may help assuage concerns about using monetary incentives for PA promotion, but further research regarding the consequences of changes in delay discounting is warranted.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"341-352"},"PeriodicalIF":3.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179181","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}
Susan M Rawl, Susan M Perkins, Yan Tong, Mira L Katz, Lisa Carter-Bawa, Thomas F Imperiale, Peter H Schwartz, Hala Fatima, Connie Krier, Kevin Tharp, Rivienne Shedd-Steele, Mark Magnarella, Caeli Malloy, Laura Haunert, Netsanet Gebregziabher, Electra D Paskett, Victoria Champion
{"title":"Patient Navigation Plus Tailored Digital Video Disc Increases Colorectal Cancer Screening Among Low-Income and Minority Patients Who Did Not Attend a Scheduled Screening Colonoscopy: A Randomized Trial.","authors":"Susan M Rawl, Susan M Perkins, Yan Tong, Mira L Katz, Lisa Carter-Bawa, Thomas F Imperiale, Peter H Schwartz, Hala Fatima, Connie Krier, Kevin Tharp, Rivienne Shedd-Steele, Mark Magnarella, Caeli Malloy, Laura Haunert, Netsanet Gebregziabher, Electra D Paskett, Victoria Champion","doi":"10.1093/abm/kaae013","DOIUrl":"10.1093/abm/kaae013","url":null,"abstract":"<p><strong>Background: </strong>Up to 50% of people scheduled for screening colonoscopy do not complete this test and no studies have focused on minority and low-income populations. Interventions are needed to improve colorectal cancer (CRC) screening knowledge, reduce barriers, and provide alternative screening options. Patient navigation (PN) and tailored interventions increase CRC screening uptake, however there is limited information comparing their effectiveness or the effect of combining them.</p><p><strong>Purpose: </strong>Compare the effectiveness of two interventions to increase CRC screening among minority and low-income individuals who did not attend their screening colonoscopy appointment-a mailed tailored digital video disc (DVD) alone versus the mailed DVD plus telephone-based PN compared to usual care.</p><p><strong>Methods: </strong>Patients (n = 371) aged 45-75 years at average risk for CRC who did not attend a screening colonoscopy appointment were enrolled and were randomized to: (i) a mailed tailored DVD; (ii) the mailed DVD plus phone-based PN; or (iii) usual care. CRC screening outcomes were from electronic medical records at 12 months. Multivariable logistic regression analyses were used to study intervention effects.</p><p><strong>Results: </strong>Participants randomized to tailored DVD plus PN were four times more likely to complete CRC screening compared to usual care and almost two and a half times more likely than those who were sent the DVD alone.</p><p><strong>Conclusions: </strong>Combining telephone-based PN with a mailed, tailored DVD increased CRC screening among low-income and minority patients who did not attend their screening colonoscopy appointments and has potential for wide dissemination.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"314-327"},"PeriodicalIF":3.6,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108782","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}
Vanessa V Volpe, Abbey N Collins, Julia M Ross, Katrina R Ellis, Jioni A Lewis, Brianna A Ladd, Stephanie L Fitzpatrick
{"title":"Black Young Adult Superwomen in the Face of Gendered Racial Microaggressions: Contextualizing Challenges With Acceptance and Avoidance and Emotional Eating.","authors":"Vanessa V Volpe, Abbey N Collins, Julia M Ross, Katrina R Ellis, Jioni A Lewis, Brianna A Ladd, Stephanie L Fitzpatrick","doi":"10.1093/abm/kaae017","DOIUrl":"10.1093/abm/kaae017","url":null,"abstract":"<p><strong>Background: </strong>Black young adult women (ages 18-35) are at disproportionate risk for obesity and emotional eating. Emotional eating interventions target psychological flexibility, such as reducing experiential avoidance and increasing acceptance of food-related thoughts. Yet Black women face gendered racism, and some endorse roles that reduce psychological flexibility, such as the superwoman schema role. Culturally centered stress and coping has often been overlooked, leading to an incomplete understanding of processes that engender emotional eating and the implications for appropriate and effective interventions for Black young adult women.</p><p><strong>Purpose: </strong>We investigated direct and indirect pathways of associations between stress from gendered racial microaggressions to emotional eating through the endorsement of superwoman schema and two aspects of psychological flexibility.</p><p><strong>Methods: </strong>Black young adult women (N = 504; Mage = 24.72; 75.2% African American; 98.4% cisgender) participated in an online survey wherein they reported demographics, stress from gendered racial microaggressions, superwoman schema, experiential avoidance, acceptance of food-related thoughts, and emotional eating. Path analysis was conducted to examine direct and indirect effects.</p><p><strong>Results: </strong>Results provided evidence for indirect associations between more stress from gendered racial microaggressions and more emotional eating. More stress was associated with greater endorsement of the superwoman schema which was associated with more experiential avoidance and less acceptance of food-related thoughts, which were each associated with more emotional eating.</p><p><strong>Conclusions: </strong>Endorsement of superwoman schema and concomitant avoidance and less acceptance may be one way that gendered racial stress propels emotional eating. Future research could test intervention components that disrupt this path.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"305-313"},"PeriodicalIF":3.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304444","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}
Rong Jiang, Katherine A Collins, Kim M Huffman, Elizabeth R Hauser, Monica J Hubal, Johanna L Johnson, Redford B Williams, Ilene C Siegler, William E Kraus
{"title":"Genome-Wide Genetic Analysis of Dropout in a Controlled Exercise Intervention in Sedentary Adults With Overweight or Obesity and Cardiometabolic Disease.","authors":"Rong Jiang, Katherine A Collins, Kim M Huffman, Elizabeth R Hauser, Monica J Hubal, Johanna L Johnson, Redford B Williams, Ilene C Siegler, William E Kraus","doi":"10.1093/abm/kaae011","DOIUrl":"10.1093/abm/kaae011","url":null,"abstract":"<p><strong>Background: </strong>Despite the benefits of exercise, many individuals are unable or unwilling to adopt an exercise intervention.</p><p><strong>Purpose: </strong>The purpose of this analysis was to identify putative genetic variants associated with dropout from exercise training interventions among individuals in the STRRIDE trials.</p><p><strong>Methods: </strong>We used a genome-wide association study approach to identify genetic variants in 603 participants initiating a supervised exercise intervention. Exercise intervention dropout occurred when a subject withdrew from further participation in the study or was otherwise lost to follow-up.</p><p><strong>Results: </strong>Exercise intervention dropout was associated with a cluster of single-nucleotide polymorphisms with the top candidate being rs722069 (T/C, risk allele = C) (unadjusted p = 2.2 × 10-7, odds ratio = 2.23) contained within a linkage disequilibrium block on chromosome 16. In Genotype-Tissue Expression, rs722069 is an expression quantitative trait locus of the EARS2, COG7, and DCTN5 genes in skeletal muscle tissue. In subsets of the STRRIDE genetic cohort with available muscle gene expression (n = 37) and metabolic data (n = 82), at baseline the C allele was associated with lesser muscle expression of EARS2 (p < .002) and COG7 (p = .074) as well as lesser muscle concentrations of C2- and C3-acylcarnitines (p = .026).</p><p><strong>Conclusions: </strong>Our observations imply that exercise intervention dropout is genetically moderated through alterations in gene expression and metabolic pathways in skeletal muscle. Individual genetic traits may allow the development of a biomarker-based approach for identifying individuals who may benefit from more intensive counseling and other interventions to optimize exercise intervention adoption.</p><p><strong>Clinical trial information: </strong>STRRIDE I = NCT00200993; STRRIDE AT/RT = NCT00275145; STRRIDE-PD = NCT00962962.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"363-374"},"PeriodicalIF":3.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140136404","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}
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":"117 1","pages":""},"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":"18 1","pages":""},"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":"47 1","pages":""},"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":"18 1","pages":""},"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}
{"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":"19 1","pages":""},"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}