Patient-caregiver dyads in pancreatic cancer: identification of patient and caregiver factors associated with caregiver well-being
AbstractWe aimed to examine the psychosocial well-being in the pancreas cancer patient-caregiver dyad, and determine patient and caregiver characteristics that predict caregiver distress. This was a cross-sectional, observational study. Demographics and caregiving characteristics were gathered from patients and caregivers. Caregivers completed validated instruments investigating anxiety, depression, perceived stress and caregiver burden. Over a period of eleven months, 128 patient-caregiver dyads were enrolled. Patient and caregiver distress scores were not associated with patient clinical disease burden. Patient distress ...
Source: Journal of Behavioral Medicine - August 20, 2022 Category: Psychiatry Source Type: research

A theoretical model of college students ’ sleep quality and health-related quality of life
AbstractPoor sleep confers significant morbidities and is highly prevalent among college students in the United States. This research assessed sleep quality and its association with health-related quality of life (HRQOL). Further, because sleep quality research often lacks a theoretical foundation, we applied a  theoretical model using selected constructs from the Theory of Planned Behavior (TPB) and Health Belief Model (HBM). A random, stratified sample of undergraduate students participated in an online survey (N = 494). Structural equation modeling assessed the association between theoretical constructs, sleep qual...
Source: Journal of Behavioral Medicine - August 13, 2022 Category: Psychiatry Source Type: research

The influence of emotion regulation and family involvement on diabetes distress among adults with type 2 diabetes
This study examined the influences of interpersonal emotion regulation and family and friend involvement on diabetes distress among 373 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family involvement and interpersonal emotion regulation on diabetes distress. Greater use of interpersonal strategies to regulate negative emotions (p = .006) and greater harmful family involvement (p <  .001) were significantly associated with greater diabetes distress. Interpersonal emotion regulation moderated the r...
Source: Journal of Behavioral Medicine - August 10, 2022 Category: Psychiatry Source Type: research

The influence of routine and leisure family activities on the ability of young Asian Americans to maintain a healthy lifestyle: findings from a nationwide survey
This study explores different types and frequencies of AA young adult shared family activities on perceived familial influence on the ability to maintain a healthy lifestyle (diet, physical activity, sleep, social relationships, stress, and risky substances). A nationwide sample of 18 –35-year-old AAs was surveyed in March 2021 on a list of 30 shared family activities with mothers, fathers, siblings, or extended family. Overall, 984 unique family relationships reported by 616 young AAs were analyzed. Confirmatory factor analysis synthesized a reliable two-factor (routine, leisu re activities) 10-item Shared Activities wi...
Source: Journal of Behavioral Medicine - August 10, 2022 Category: Psychiatry Source Type: research

Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety
ConclusionsParticipants randomized to Internet-delivered CBT-I showed stable depression and anxiety across time, while control participants ’ depressive symptoms briefly increased. CBT-I may help prevent development or worsening of psychological distress among older adults with insomnia.TRIAL REGISTRATION[Registered at ClinicalTrials.gov; identifier removed for anonymity] (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - August 6, 2022 Category: Psychiatry Source Type: research

Examining negative affect, sleep duration, and using food to cope as predictors of weight in midlife women
AbstractMidlife women are vulnerable to developing obesity. Behavioral and psychosocial factors including sleep duration, stress eating, and negative emotionality are risk factors. However, little is known about the complex daily interplay between sleep, eating, emotion, and weight among midlife women. The current study examined how daily sleep, using food to cope, and negative emotionality are associated with weight using a daily process research design. An archival analysis was performed using the Midlife in the United States-II study (MIDUS II). The sample consisted of 489 midlife women (40 –64 years of age). Variabl...
Source: Journal of Behavioral Medicine - August 6, 2022 Category: Psychiatry Source Type: research

A spotlight on avoidance coping to manage fear of recurrence among breast cancer survivors in an eHealth intervention
ConclusionsAvoidance coping was not a barrier to FoRtitude engagement. eHealth delivery is a promising modality for engaging survivors with avoidance coping in FoR interventions. (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - August 5, 2022 Category: Psychiatry Source Type: research

Is tailored messaging more effective? An analysis of a digital health intervention to promote HPV vaccination intent among Latinx
AbstractLatinx populations have unique barriers to HPV vaccination. In the current study, we assessed the effectiveness of an online intervention to increase HPV vaccination intentions among patients of clinics that principally serve a Latinx population (n  = 85%) as part of a randomized control trial (RCT). Participants viewed on an iPad either an individually tailored educational website (CHiCOS) or untailored information derived from the Vaccine Information Sheet (VIS) for HPV. Vaccination intention and related covariates were assessed via survey items administered before (pre-test) and after (post-test) viewing the m...
Source: Journal of Behavioral Medicine - August 4, 2022 Category: Psychiatry Source Type: research

Division of Type 1 Diabetes Responsibility in Latinx and Non-Latinx White Mother-Adolescent Dyads
AbstractIncidence rates of type 1 diabetes are increasing faster in Latinx youth than other ethnic groups, yet this population remains understudied. The current study (1) tested differences in division of diabetes-related responsibility (adolescent alone, mother alone, and shared) across Latinx and non-Latinx White families (N  = 118 mother-adolescent dyads, 56 = Latinx dyads,Mage=13.24 years), and (2) examined associations between diabetes responsibility and adolescent health (HbA1c, diabetes self-management behaviors, and depressive symptoms). Latina mothers reported more shared and less adolescent responsibility...
Source: Journal of Behavioral Medicine - August 4, 2022 Category: Psychiatry Source Type: research

Internet-delivered cognitive behaviour therapy for chronic health conditions: self-guided versus team-guided
AbstractThere is growing interest in offering Internet-delivered cognitive behaviour therapy (ICBT) to individuals with chronic health conditions, with this process often being guided by a single clinician. Due to lack of full time personnel, it is sometimes necessary to have multiple clinicians offer guidance or for no guidance to be offered. In this randomized trial, we compared team-guided ICBT (n = 90) to self-guided ICBT (n = 88). Participants completed measures at pre-, post-, and 3-months post-ICBT. Both groups showed similar rates of treatment completion and large improvements on depression and anxiety at p...
Source: Journal of Behavioral Medicine - August 3, 2022 Category: Psychiatry Source Type: research

Correlates of HIV Testing across the lifespan – adolescence through later adulthood – among sexual minority men in the US who are not on PrEP
AbstractRegular HIV testing is an essential component of the HIV prevention and care cascade. Sexual minority males (SMM) account for most new HIV infections in the US and testing rates among SMM vary substantially across the lifespan. Research has largely overlooked the developmental context of HIV testing. The current study compared correlates of HIV testing among adolescents (aged 13 –17;n = 1,641), emerging adults (aged 18–29;n = 50,483), early adults (aged 30–39;n = 25,830), middle adults (aged 40–64;n = 25,326), and late adults (65 and older;n = 1,452) who were recruited online. Overall, H...
Source: Journal of Behavioral Medicine - August 2, 2022 Category: Psychiatry Source Type: research

Identifying the risk of opioid misuse in a chronic pain population: the utility of the MMPI-2-RF personality psychopathology five (PSY-5-RF) and higher-order scales
AbstractPrescription-related opioid misuse, especially in chronic pain populations, is an ongoing problem and is related to increased mortality. The purpose of this study was to assess the utility of two restructured scales of the MMPI-2-RF: the Personality Psychopathology Five (PSY-5-RF) and the Higher-Order Scales to determine which of their subscales may be beneficial for identifying the risk of opioid misuse in a chronic pain population. A sample of 136 patients with chronic disabling occupational musculoskeletal disorders completed the MMPI-2-RF and the Current Opioid Misuse Measure (COMM) upon admission to a function...
Source: Journal of Behavioral Medicine - August 1, 2022 Category: Psychiatry Source Type: research

Partner effects on caregiver and care recipient depressed mood: heterogeneity across health condition and relationship type
AbstractThe well-being of caregivers and their care recipients is interrelated, although conflicting evidence has emerged across different caregiving populations. Using data from the National Health and Aging Trends Study and the National Study of Caregiving (2015 and 2017, n  = 742 dyads), we constructed actor-partner interdependence models assessing how spillover (i.e., interdependence) of depressed mood varied by care recipient health condition (specifically cancer, dementia, stroke, and diabetes) and kinship type (spouse/partner, child, other relative, or non-rel ative). Across condition types, care recipient-to-ca...
Source: Journal of Behavioral Medicine - July 30, 2022 Category: Psychiatry Source Type: research

Exploring content of misinformation about HPV vaccine on twitter
In conclusion, almost one-quarter of #HPV Tweets contained disinformation or misinformation about the HPV vaccine and these tweets received higher audience engagement  including likes and retweets. Implications for vaccine hesitancy are discussed. (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - July 27, 2022 Category: Psychiatry Source Type: research

Worry as a mechanism of the relationship between perceived new knowledge and discouragement to smoke elicited from graphic cigarette warnings
This study aimed to replicate a preliminary theory-based model whereby perceived new knowledge promotes discouragement from smoking through its impact on worry about smoking with a different sample and using a new set of cigarette graphic warnings. We explored if the pattern extended to encouragement to use e-cigarettes, and if age and user group moderated the indirect effects of these models. Exclusive smokers, dual/e-cigarette users and nonusers (N = 412) evaluated graphic cigarette warnings on perceived new knowledge and worry about health harms of smoking, discouragement to smoke, and encouragement to use e-cigaret...
Source: Journal of Behavioral Medicine - July 17, 2022 Category: Psychiatry Source Type: research