Psychosocial interventions to reduce eating pathology in  bariatric surgery patients: a systematic review
AbstractBariatric surgery is the most effective treatment for severe obesity; however, a subset of patients experience suboptimal outcomes. Psychosocial interventions that address eating pathology may ameliorate negative consequences, although their efficacy has not been examined. Thus, a systematic review to evaluate the impact of psychosocial randomized controlled trials (RCTs) on eating pathology in adults pre and post-bariatric surgery was conducted. Six scientific databases were searched for psychosocial trials assessing eating pathology as an outcome. Ten RCTs representing seven distinct interventions were identified...
Source: Journal of Behavioral Medicine - February 12, 2021 Category: Psychiatry Source Type: research

Diabetes burnout among emerging adults with type 1 diabetes: a mixed methods investigation
AbstractFeeling overwhelmed, exhausted, and frustrated by the daily demands of diabetes management has been referred to as diabetes burnout. The goal of the study was to develop a measure of diabetes burnout and to link this measure to psychological health and diabetes outcomes. Emerging adults with type 1 diabetes (n = 88, average age 27) completed an online questionnaire and an HbA1c assessment; a subset was interviewed by phone to obtain a more in-depth understanding of burnout. Exploratory factor analysis revealed three burnout domains: exhaustion, detachment, and powerlessness. Burnout was related to hi gher psych...
Source: Journal of Behavioral Medicine - February 10, 2021 Category: Psychiatry Source Type: research

Misinformation and other elements in HPV vaccine tweets: an experimental comparison
In conclusion, misinformation was the most potent social media messaging element. It may undermine progress in HPV vaccination. (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - February 2, 2021 Category: Psychiatry Source Type: research

Cognitive and Affective Risk Beliefs and their Association with Protective Health Behavior in Response to the Novel Health Threat of COVID-19
AbstractThe COVID-19 global pandemic is an unprecedented health threat for which behavior is critical to prevent spread and personal factors could contribute to decisions for protective action. The purpose of this study was to describe associations of COVID-19 related behaviors capturing a snapshot in time during the height of the first wave of the pandemic. We tested perceptions of likelihood and severity of infection, worry, and their associations with behavior. We further explored relationships by demographic characteristics, and tested main and interactive relationships between these characteristics and beliefs and pro...
Source: Journal of Behavioral Medicine - January 30, 2021 Category: Psychiatry Source Type: research

Quantifying direct effects of social determinants of health on systolic blood pressure in United States adult immigrants
This study suggests a direct relationship between burden of disease and SBP, and an indirect relationship between SES and SBP. Development of interventions should take burden of disease into account as a direct driver of blood pressure in immigrants, and address factors related to SES. (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - January 29, 2021 Category: Psychiatry Source Type: research

The association between psychological functioning and social support and social constraint after cancer diagnosis: a 30-day daily diary study
This study evaluated one positive and one negative aspect of social functioning (social support and social constraint, respectively) to increase understanding of its relation to psychological functioning (distress and wellbeing) after cancer diagnosis. Participants in this longitudinal study were recently diagnosed, predominately late stage, first primary cancer survivors (n = 48). Data collection involved a 30-day period of daily assessment. Data were analyzed using multilevel linear models. As in prior studies, none of the variables changed significantly over time (ps = .07 to .99). Based on the intraclass correl...
Source: Journal of Behavioral Medicine - January 28, 2021 Category: Psychiatry Source Type: research

Contextual influences on the within-person association between physical activity and affect in adolescents: an ecological momentary assessment study
This study aimed to investigate how the social context and physical environment enhance the relationship between MVPA and affect in daily life. Overall, 119 adolescents (mean age  = 14.7 years) provided information about their core affect, physical environment and social context on multiple occasions over a 4-day period using ecological momentary assessment. Additionally, participants’ level of MVPA was objectively measured using accelerometers. Level of MVPA was posi tively associated with energetic arousal, being outdoors was positively associated with valence and energetic arousal, and being with someone else was...
Source: Journal of Behavioral Medicine - January 2, 2021 Category: Psychiatry Source Type: research

Taking the message to the rural patient: evidence-based PTSD care
AbstractThe Department of Veterans Affairs and Department of Defense (VA/DoD) Clinical Practice Guideline for PTSD recommends against the use of benzodiazepines. Despite the recommendation, clinicians continue potentially inappropriate benzodiazepine prescribing practices for veterans with PTSD. We designed an educational product aimed at decreasing benzodiazepine use in PTSD care. Using VA data, the booklet was mailed to over 1300 New England veterans. Veterans were advised to discuss the booklet ’s information with their medical provider on their next appointment. The intervention resulted in a significant decrease in ...
Source: Journal of Behavioral Medicine - January 2, 2021 Category: Psychiatry Source Type: research

Incorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention
We examined the effectiveness and safety of a walking program offered as part of cognitive behavioral therapy for chronic pain (CBT-CP). Participants were randomized to 10  weeks of CBT-CP, delivered either in person or by interactive voice response. Participants reported pedometer-measured step counts daily throughout treatment and received a weekly goal to increase their steps by 10% over the prior week’s average. Walking-related adverse events (AEs) were assesse d weekly. Participants (n = 125) were primarily male (72%), and white (80%) with longstanding pain (median: 11 years). There was no significant differen...
Source: Journal of Behavioral Medicine - January 1, 2021 Category: Psychiatry Source Type: research

Social predictors of daily relations between college women ’s physical activity intentions and behavior
This study examined college women ’s daily PA intentions and behavior, and whether social support or social comparison orientation (SCO) moderated the PA intention-behavior relation. College women (N = 80) completed measures of social support and SCO at baseline. For seven consecutive days, participants completed an electronic survey to assess PA intentions and wore an activity monitor to assess minutes of moderate-to-vigorous intensity physical activity (MVPA). Results indicated that inten ded and performed MVPA minutes were weakly related (p = 0.17,sr = 0.16). Social support did not moderate the intention-b...
Source: Journal of Behavioral Medicine - December 23, 2020 Category: Psychiatry Source Type: research

Autonomy support from informal health supporters: links with self-care activities, healthcare engagement, metabolic outcomes, and cardiac risk among Veterans with type 2 diabetes
This study examined the role of autonomy support from adults ’ informal health supporters (family or friends) in diabetes-specific health behaviors and health outcomes. Using baseline data from 239 Veterans with type 2 diabetes at risk of complications enrolled in behavioral trial, we examined associations between autonomy support from a support person and that support person’s co-residence with the participant’s diabetes self-care activities, patient activation, cardiometabolic measures, and predicted risk of a cardiac event. Autonomy support from supporters was associated with significantly increased adherence to h...
Source: Journal of Behavioral Medicine - November 27, 2020 Category: Psychiatry Source Type: research

A comparison of total and domain-specific sedentary time in breast cancer survivors and age-matched healthy controls
AbstractBreast cancer survivors (BCS) engage in more sedentary behavior (SED) than those without cancer. However, the context in which SED is accrued is unknown. The purpose of this study is  to examine differences in total and domain-specific SED of BCS and healthy controls. 20 BCS and 20 age-matched, healthy controls wore ActiGraph GT3X + accelerometers to measure SED and activity. Participants self-reported SED for transportation, occupational, screen time and leisure purposes. Multiple linear regressions were used to estimate differences in SED between BCS and controls. BCS spent significantly more time watching T...
Source: Journal of Behavioral Medicine - November 13, 2020 Category: Psychiatry Source Type: research

Examining stigma, social support, and gender differences in unsuppressed HIV viral load among participants in HPTN 065
AbstractSuccessful navigation of the HIV care continuum is necessary to maintain viral suppression. We explored gender-stratified correlates of being virally unsuppressed in the Prevention for Positives  (P4P) component of HPTN 065. The outcome of interest was unsuppressed viral load (>  40 copies/mL) among individuals already living with HIV. Correlates included medication adherence factors, social support and stigma. Logistic regression models were stratified by gender (N = 673). Men-specific correlates of being virally unsuppressed included opposite-sex partners, older age and HIV disclosure stigma. Women-spe...
Source: Journal of Behavioral Medicine - November 8, 2020 Category: Psychiatry Source Type: research

Worry and rumination in breast cancer patients: perseveration worsens self-rated health
This study assessed the impact of perseveration on self-rated health, physical functioning, and physical symptoms (pain, fatigue, breast cancer symptoms) among breast cancer patients. We hypothesized that cancer-related distress would serve as an intervening variable between both worry and rumination and self-rated health, physical functioning, and physical symptoms. Women (N = 124) who were approximately 7 weeks post-surgery but pre adjuvant treatment completed the Impact of Events Scale, the Penn State Worry Questionnaire, and the Rumination Scale. They also rated their pain, fatigue, physical functioning, and self-r...
Source: Journal of Behavioral Medicine - November 1, 2020 Category: Psychiatry Source Type: research

Trauma exposure, PTSD, and suboptimal HIV medication adherence among marginalized individuals connected to public HIV care in Miami
This study aimed to examine the association of trauma exposure, PTSD symptoms, and relevant additional key factors with adherence to ART among a sample of majority Black and Hispanic/Latinx individuals who are economically marginalized receiving public HIV care in Miami, FL (N  =  1237) via a cross-sectional survey. Sequential linear regression was used to examine the study aim in four blocks: (1) trauma, (2) PTSD symptoms, and key covariates of ART adherence including (3) depression and substance use (potential psychological covariates), and (4) indicators of socioeconomi c status (potential structural covariates). In...
Source: Journal of Behavioral Medicine - October 24, 2020 Category: Psychiatry Source Type: research