Preventing and managing multimorbidity by integrating behavioral health and primary care.
Increasing specialization, underinvestment in primary care and behavioral health, and the growing prevalence of multiple chronic conditions (MCC) across all age groups have led to a substantial mismatch between the way health care is currently organized and delivered and the needs of people with MCC. People with multimorbidity are especially challenged in navigating fragmented health systems designed to treat diseases rather than people. The harms associated with this fragmentation, such as adverse events resulting from conflicting treatments and increased costs, have been well documented. As a result, there have been rene...
Source: Health Psychology - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

Toward a health-promoting system for cancer survivors: Patient and provider multiple behavior change.
Conclusions: To address this gap, we propose systems-level changes that integrate health promotion into existing survivorship services by including behavioral risk factor vital signs in the electronic medical record, with default proactive referral to a health promotionist (a paraprofessional coach adept with mobile technologies and supervised by a professional expert in health behavior change). By using the patient’s digital tracking data to coach remotely and periodically report progress to providers, the health promotionist closes a gap, creating a connected care system that supports, reinforces, and maintains acc...
Source: Health Psychology - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

Inflammation in multimorbidity and disability: An integrative review.
Conclusions: Finally, implications of this broader perspective for interventions to improve outcomes in aging adults with multimorbidity are briefly considered. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

Multimorbidity: Implications and directions for health psychology and behavioral medicine.
This article describes three major areas in which health psychologists can contribute to understanding and treatment of multimorbidity: (a) etiology; (b) prevention and self-management; and (c) clinical care. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

Multimorbidity in health psychology and behavioral medicine.
This special issue highlights the unique potential that health psychology−behavioral medicine has to dramatically contribute to understanding, prevention, and control of the growing prevalence of multimorbidity (i.e., concurrent prevalence of more than 1 chronic health disease or condition in an individual). The 9 articles published here include 8 full, peer-reviewed articles and an invited commentary. Topics include relevance, measurement, mechanisms, and interventions for multimorbidity. Some articles survey relevant empirical literature, detail the representation of multimorbidity in behavioral intervention trials...
Source: Health Psychology - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

“Affective reactivity to daily stress and 20-year mortality risk in adults with chronic illness: Findings from the National Study of Daily Experiences”: Correction to Chiang et al. (2018).
Conclusion: These results suggest that greater increases in negative affect in response to stress in everyday life may have long-term consequences for longevity, particularly for individuals with chronic illness. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Using animated visualization to improve postoperative mobilization: A randomized controlled trial.
Conclusion: This brief intervention appears effective in improving perceptions of early mobilization, and initial evidence suggests improvements in adherence to postsurgical mobilization. This intervention has high clinical applicability and could be incorporated into postoperative standard care. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

“The relationship between cumulative unfair treatment and intima media thickness and adventitial diameter: The moderating role of race in the study of women’s health across the nation”: Correction to Peterson et al. (2016).
Reports errors in "The relationship between cumulative unfair treatment and intima media thickness and adventitial diameter: The moderating role of race in the study of women’s health across the nation" by Laurel M. Peterson, Karen A. Matthews, Carol A. Derby, Joyce T. Bromberger and Rebecca C. Thurston (Health Psychology, 2016[Apr], Vol 35[4], 313-321). First, the Method section included intima media thickness in the list of log transformed variables (p. 316); however, untransformed intima media thickness was normally distributed and results throughout the manuscript are based on untransformed intima media...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Sound health care economics: Provide the treatment needed (not less, not more).
Founding figures in Western medicine both puzzled over and anticipated a day when demand for expensive treatments would outstrip financial wherewithal. In the United States, that day has arrived and, with it, the need for sound health care economic policy that selectively covers treatments of demonstrable effectiveness and efficiency. Standard cost-effectiveness methods exist to determine the value of alternative treatments, but they have rarely been applied to behavioral interventions in the United States. Cost-effectiveness analyses are one part of the solution to learning which treatment packages warrant coverage becaus...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Efficacy and cost-effectiveness of behavioral interventions in nonclinical settings for improving health outcomes.
This paper examines three distinct examples of interventions in nonclinical settings selected to highlight the challenges and opportunities for evaluating cost-effectiveness in the field of health psychology and behavioral medicine. Nonclinical settings are defined as those involving systems outside of traditional medical/clinical settings, and include interventions tested in clinical settings that can also be implemented in nonclinical settings. The examples in this paper reflect the use of a varying degree of existing cost-effectiveness data and previous health economic analyses. First, the Chronic Disease Self-Managemen...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

The role of economic analyses in promoting adoption of behavioral and psychosocial interventions in clinical settings.
In this report, we offer three examples of how economic data could promote greater adoption of behavioral and psychosocial interventions in clinical settings where primary or specialty medical care is delivered to patients. The examples are collaborative care for depression, chronic pain management, and cognitive–behavioral therapy for insomnia. These interventions illustrate differences in the availability of cost and cost-effectiveness data and in the extent of intervention adoption and integration into routine delivery of medical care. Collaborative care has been widely studied from an economic perspective, with m...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Economic analysis in behavioral health: Toward application of standardized methodologies.
Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. The purpose of health care is to improve the health of populations. However, formal medical care is one of many alternatives for improving health. In order to make better use of scarce resources, cost-effectiveness methodologies have been developed to evaluate how to produce the most health within the constraints of available resources. Standardized cost-effectiveness methodologies are now commonly used in the evaluation of medical therapies and new technologies. However, these methods have rarely been e...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Standards for economic analyses of interventions for the field of health psychology and behavioral medicine.
Behavioral interventions can be offered within a wide range of contexts, including public health, medicine, surgery, physical rehabilitation, nutrition, and other health services. These differing services compete for the same resources and it is difficult to compare their value. Systematic standardized methodologies for valuing outcomes are available and are being applied by economists and health services researchers, but are not widely used in our field. With support from the Society for Health Psychology, the National Cancer Institute (NCI), and the Office for Behavioral and Social Sciences Research (OBSSR) at the Nation...
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

“The roles of negative affect and goal adjustment capacities in breast cancer survivors: Associations with physical activity and diurnal cortisol secretion,”: Correction to Sastonguay et al. (2017).
Conclusions: High-arousal negative affect may exert differing functions among breast cancer survivors in that it can trigger adaptive health behaviors, yet simultaneously elevate diurnal cortisol secretion. In addition, being able to engage in new goals may be a necessary condition for breast cancer survivors to experience the beneficial behavioral effects of high-arousal negative affect, and it may prevent the adverse effect of negative affect on enhanced cortisol output. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Adverse childhood environment and self-reported sleep in adulthood: The Young Finns Study.
Conclusions: The accumulation of more typical childhood adversities might not persistently affect self-reported sleep duration, sleep deficiency or sleep problems in adulthood. However, this study is among the first to assess the effects of the accumulation of everyday stressors on sleep and therefore, more research is warranted on everyday adversities for more definitive conclusions. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - June 20, 2019 Category: Psychiatry & Psychology Source Type: research

Home life and health among Native American, African American, and Latino adolescents.
Conclusions: In households where there was a high level of connectedness between adolescents and other family members, adolescents showed more endurance and had fewer health problems. Because adolescence is a period when children tend to spend less time with other family members and are prone to engage in risky behavior, implementing programs that promote parent-adolescent communication and productive time together would seem helpful. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - June 17, 2019 Category: Psychiatry & Psychology Source Type: research

Weight-based victimization among sexual and gender minority adolescents: Implications for substance use and mental health.
Conclusions: These findings present the first large-scale evidence of the relationship between WBV and adverse health behaviors in SGM youth. Sexual minority youth who experience WBV, especially from family members, may be vulnerable to adverse health behaviors and low perceived health, regardless of their BMI. These findings highlight the importance of considering WBV when examining health behaviors in LGBTQ youth, and increased awareness of these issues among health care professionals. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - June 3, 2019 Category: Psychiatry & Psychology Source Type: research

Associations of longitudinal sleep trajectories with risky sexual behavior during late adolescence.
Conclusion: Insufficient sleep in adolescents may increase risk for sexual risk-taking and may set the stage for accelerated health risk trajectories into adulthood. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - June 3, 2019 Category: Psychiatry & Psychology Source Type: research

Depressive symptoms and the development and progression of physical multimorbidity in a national cohort of Australian women.
Conclusions: Elevated depressive symptoms were common in women’s midlife. Women with elevated depressive symptoms had increased odds of physical multimorbidity both before and after the onset of depressive symptoms. These findings support the emerging integrated management and prevention of mental and physical multimorbidity. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 30, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial.
Conclusions: This RCT provides one of the first experimental tests of the mechanisms linking mindfulness interventions with stress resilience. These findings suggest that acceptance skills training may be a necessary active ingredient and support the value of integrating acceptance skills training into stress-reduction interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 23, 2019 Category: Psychiatry & Psychology Source Type: research

Temperament, childhood illness burden, and illness behavior in early adulthood.
Conclusions: Results suggest the importance of childhood illness experiences and adult emotionality (fearfulness) in shaping illness behavior in early adulthood. They also suggest a small, protective role of childhood sociability on reduced trait fearfulness in adulthood. These findings broaden our understanding of the prospective links between temperament and illness behavior development, suggesting distinct associations from early life illness experiences. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 23, 2019 Category: Psychiatry & Psychology Source Type: research

The relationship between fear of cancer recurrence and health behaviors: A nationwide longitudinal study of cancer survivors.
Conclusions: Across the survivorship trajectory, FCR severity decreased but remained distinct for the 3 trajectory groups. Future investigations should inquire about the specific needs of each FCR group to subsequently develop targeted interventions. A weak association between FCR and health behaviors was found, with individuals in the high FCR group reporting less health behaviors. Future research should assess the direction of this relationship over time to inform intervention targets within this subgroup. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 23, 2019 Category: Psychiatry & Psychology Source Type: research

Independent and joint association of obesity and metabolic syndrome with depression and inflammation.
Objective: To investigate the separate and combined associations of obesity and metabolic syndrome (MetS) with depression and the role of inflammation. Method: Depression was assessed with the Patient Health Questionnaire-9 (PHQ-9) and was defined with a cutpoint of ≥10. Obesity was defined as body mass index (BMI) ≥30 kg/m2 from measured height and weight. MetS was defined based on the American Heart Association consensus definition. Participants were divided into four groups: healthy normal weight (MHN), metabolically healthy obese (MHO), metabolically unhealthy normal weight (MUN), and metabolic unhealthy obese (M...
Source: Health Psychology - May 23, 2019 Category: Psychiatry & Psychology Source Type: research

Multimorbidity in randomized controlled trials of behavioral interventions: A systematic review.
Conclusions: In this comprehensive systematic review of 600 studies published from 2000–2014, RCTs testing behavioral interventions rarely consider individuals with MCC, limiting generalizability. Given the public health relevance and limited evidence base, this work highlights the urgent need to improve the consideration of MCC in clinical trial research. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Factors associated with Chinese American and White cancer survivors’ physical and psychological functioning.
Objective: To examine whether health-related stressors and resources are associated with physical function, depression, and anxiety in Chinese American and White breast cancer survivors. Method: During 2011–2013, this cross-sectional study enrolled Chinese American and White women from California cancer registries diagnosed with Stage 0–III breast cancer between 2006 and 2012. Survivors completed a telephone survey assessing health-related factors including comorbidity, treatment-related symptoms, medical communication, perceived threat, use of coping, and social support resources. Outcomes were assessed using ...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Secondary health conditions and social role satisfaction in adults with long-term physical disability.
Conclusions: Findings suggest that, for people with disabilities, addressing psychologically oriented secondary health conditions may be as important as functional impairment in predicting long-term social health. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Interviewer- versus self-administration of PROMIS® measures for adults with traumatic injury.
Conclusions: PROMIS® instruments demonstrated measurement equivalence across interviewer-administered and self-administered conditions. These findings are particularly important for research or clinical applications where administration of PROMIS® measures by independent web- or tablet-based administration is not ideal, for example with individuals with physical or cognitive disabilities or with individuals who lack computer and/or Internet access. PROMIS® v1.0 Depression and PROMIS® v2.0 Emotional Support scores displayed a tendency toward social desirability that should be considered when these measures a...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Functional and health promotion predictors of PROMIS® scores in people with multiple sclerosis.
Conclusions: Findings suggest that those who report higher levels of health promotion activities and greater functional ability may experience lower levels of fatigue, pain, and sleep disturbance and higher levels of cognitive abilities in the subsequent year. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Use of the PROMIS-29® to identify subgroups of mothers with chronic pain.
Conclusions: Patterns of maternal symptoms and functioning were associated with pain frequency and emotional symptoms in children. Further examination of individual differences in mothers with chronic pain that may confer risk for chronic pain and psychological disorders in children is warranted. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Using PROMIS® to create clinically meaningful profiles of nephrotic syndrome patients.
Conclusions: Patients with NS can be classified by HRQOL into clinically meaningful categories. Integrating this approach into clinic may help in the identification of individuals with poor HRQOL will help clinicians better manage their symptoms and researchers study the causes and possible interventions for these patients. PROMIS® HRQOL profiles were reproducible in replication cohorts. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Integrating PROMIS® computerized adaptive tests into a web-based intervention for prostate cancer.
Conclusions: Results highlight the feasibility and benefits of utilizing PROMIS® CATs to repeatedly assess psychosocial functioning using a web-based method and indicate that web-based interventions may be effective for decreasing psychosocial distress and adverse symptoms among men with APC undergoing hormone therapy. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Randomized controlled trial of a facilitated online positive emotion regulation intervention for dementia caregivers.
Objective: To test the effects of Life Enhancing Activities for Family Caregivers (LEAF), a 6-week positive emotion regulation intervention, on outcomes of positive emotion, depression, anxiety, and physical health as measured by the Patient-Reported Outcomes Measurement Information System® (PROMIS®). Method: A randomized controlled trial (N = 170) comparing LEAF (N = 86) to an emotion reporting/waitlist condition (N = 84) in dementia caregivers. LEAF was individually delivered online by trained facilitators. Participants in the control condition completed daily online emotion reports and then crossed over into the...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

A preliminary investigation of the psychometric properties of PROMIS® scales in emerging adults with sickle cell disease.
Objective: To report preliminary psychometric properties of PROMIS® assessments among emerging adults with sickle cell disease (SCD). Method: Forty-five emerging adults with SCD ages 18–24 (M = 20.81, SD = 1.73) completed PROMIS® Pain Interference and Fatigue short forms and the Pediatric Quality of Life Inventory (PedsQL). Chart review was used to obtain information regarding SCD complications and health care utilization in the 3 years prior to study enrollment. Multivariate path analysis was used to compare PROMIS® scores by disease severity and use of disease-modifying therapies. Cronbach’s alpha...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

PROMIS®-assessed sleep problems and physical health symptoms in adult psychiatric inpatients.
Objective: The goal of this study was to assess the relationship between sleep problems and somatic symptoms in a sample of adult psychiatric inpatients and evaluate the utility of the Patient-Reported Outcomes Measurement Information System® (PROMIS®) Sleep Disturbance Measure as a predictor of physical health symptom severity within this population. Method: Ninety-five adults were assessed following admission to an inpatient psychiatric hospital. Demographic and medical information were extracted via chart review. Participants completed the PROMIS® Sleep Disturbance Measure–Short Form, the PROMIS® D...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Use of the PROMIS® Depression scale and the Beck Depression Inventory in patients with heart failure.
This study evaluated agreement between the Patient-Reported Outcomes Measurement Information System® (PROMIS®) Depression scale and the Beck Depression Inventory (BDI-II) in patients with heart failure and comorbid major depression. Method: The BDI-II and the computerized adaptive test version of the PROMIS® Depression scale were administered at baseline to 158 participants in a randomized controlled trial of cognitive behavior therapy for major depression in patients with heart failure. A crosswalk table (Choi, Schalet, Cook, & Cella, 2014) was used to transform the PROMIS® scores into “linked&rd...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Psychometric properties of NIH PROMIS® instruments in bariatric surgery candidates.
Conclusions: Analyses supported using both PROMIS® measures. Additionally, two subgroups were identified: those who reported virtually no symptoms of anxiety or depression, likely because they want surgical approval, and those not receiving initial psychological clearance for surgery based on PROMIS® self-reported scores indicating distress and clinician-diagnosed psychopathology. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Construct validity of PROMIS® Cognitive Function in cancer patients and noncancer controls.
Objective: The Patient-Reported Outcomes Measurement Information System Cognitive Function-Concerns® (PROMIS®-CF-Concerns) assesses self-reported cognitive complaints. Construct validity data for the CF-Concerns are few. To add to the literature, an analysis of criterion validity for cognitive complaints (European Organisation for Research and Treatment of Cancer—Cognitive Functioning subscale [EORTC-CF]) and cognitive performance (neuropsychological tests of memory [NIH Toolbox Auditory Verbal Learning Test] and verbal fluency [Controlled Oral Word Association Test]) and discriminant validity (self-reports o...
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Beyond methods to applied research: Realizing the vision of PROMIS®.
This article provides an overview of the vision, funding, development, and growth of PROMIS® over the last 15 years. We highlight current and future research needs given the expanding adoption of PROMIS® across a variety of health care contexts. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

PROMIS®: Standardizing the patient voice in health psychology research and practice.
The Patient-Reported Outcomes Measurement Information System® (PROMIS®) is a collection of person-centered measures of physical, mental, and social health in children and adults. Developed using state-of-the-art psychometric methods, these measures are offered as fixed-length questionnaires and computerized adaptive tests, with translations available in Spanish and other languages. This special issue presents articles that illustrate the use of PROMIS® measures to advance health behavior research across a wide range of health studies. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Exercise in people with comorbidity or multimorbidity.
Conclusions: We posit that these 4 principles provide a framework for the successful development of exercise guidance for people with comorbidity or multimorbidity. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 25, 2019 Category: Psychiatry & Psychology Source Type: research

The measurement of multimorbidity.
Conclusion: Finally, we outline some guidelines for the choice of a measurement of multimorbidity for research studies. We hope that this review of the existing literature will help inform the careful use of these tools by researchers moving forward. In addition to this review, it is advised that readers attempt to keep updated on the ever-increasing multimorbidity literature. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 25, 2019 Category: Psychiatry & Psychology Source Type: research

Identifying pathways to quitting smoking via telemedicine-delivered care.
Conclusions: When integrated into primary care, ITM may influence smoking cessation by enhancing the extent to which smokers feel supported by their providers and thereby increase their perceived ability to quit. Findings suggest that locating tobacco treatment services in health care provider offices imparts a motivational benefit for cessation. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 25, 2019 Category: Psychiatry & Psychology Source Type: research

The role of patient beliefs in open-label placebo effects.
Conclusion: Participants’ beliefs about placebos interact with information from the provider to reduce physiological allergic reactions in response to an open-label placebo treatment. This study underscores the importance of measuring and understanding how participants’ beliefs influence outcomes of treatment, and furthers our understanding of when and how open-label placebo treatments work. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 25, 2019 Category: Psychiatry & Psychology Source Type: research

Depression and multimorbidity: Considering temporal characteristics of the associations between depression and multiple chronic diseases.
Conclusions: Depression is central in patterns of multimorbidity and is associated with incident disease for several of the most common chronic diseases, justifying the focus on screening and treatment of depression in those at risk for developing chronic disease. Future research should investigate the mediating and moderating roles of health behaviors in the association between depression and the staggered emergence over time of clusters of multimorbid chronic diseases. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Neural valuation of antidrinking campaigns and risky peer influence in daily life.
Conclusions: Results are consistent with a dynamic value integration process where contradictory influences inform a common neural value signal. Reductions in the value of a behavior (through antidrinking campaigns) may buffer against future value increases after exposure to competing influences (proalcohol peers) with important real-world consequences. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Is acute stress reaction a risk factor for early mortality?
Conclusions: CSR was found to be a significant predictor of all-cause mortality. The risk for mortality was higher and earlier among the CSR group compared with the comparison group. The findings of this study call attention to the importance of immediately identifying CSR to better care for the individual and minimize long-term negative effects. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Midlife general psychopathology trajectories and later-life physical health in husbands and wives.
Conclusions: This study demonstrates the multilevel, long-term associations between GPP and health problems for older adults in a couple context, emphasizing the value of considering both couple- and individual-level psychopathology when developing interventions targeting health outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Purpose in life and conflict-related neural responses during health decision-making.
Conclusions: Individuals with strong purpose may be less likely to experience conflict-related regulatory burden during health decision-making, which may in turn allow them to accept conflicting yet beneficial health messages. Reduced brain reactivity in dACC, AI, DLPFC, and VLPFC may reflect reduced conflict-related processing during health decision-making relevant to longer term lifestyle goals. This adds to mounting evidence linking purpose and a range of positive health-related outcomes, as well as evidence suggesting that dACC, AI, DLPFC, and VLPFC track conflict-related processes relevant to longer term goals and val...
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Everyday associations between older adults’ physical activity, negative affect, and cortisol.
Conclusions: Individual differences in older adults’ average daily steps may buffer cortisol secretion in moments of heightened negative affect. Findings underpin that physical activity modulates associations of negative affect with neuroendocrine activity in everyday life. Consequently, physical activity promotion may mitigate negative health ramifications associated with cortisol dysregulation in old age. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Perceived social support and chronic inflammation: The moderating role of self-esteem.
Conclusion: Self-esteem is a key variable that may modulate the link between social support and inflammation. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Health Psychology)
Source: Health Psychology - April 18, 2019 Category: Psychiatry & Psychology Source Type: research