Perceived racism, affectivity, and C-reactive protein in healthy African Americans: Do religiosity and racial identity provide complementary protection?
AbstractPerceived racism contributes to cardiovascular disease (CVD) disparities among African Americans. Psychosocial factors that protect against the effects of perceived racism therefore may be reflected by indicators of CVD risk, including C-reactive protein (CRP). The current cross-sectional study examined whether CRP is linked to religiosity and racial identity —two culturally-enshrined individual differences that can protect against the harmful effects of racism. Healthy African Americans completed self-report measures of everyday racism, religious intensity (a measure of the importance of religion/spirituality), ...
Source: Journal of Behavioral Medicine - March 15, 2020 Category: Psychiatry Source Type: research

Bidirectional association between stress and physical activity in adults with overweight and obesity
AbstractResearch has suggested that there may be a bidirectional association between stress and physical activity; however, much of this work has been conducted in athletes or adults with normal weight. The current study investigated the bidirectional association between stress and physical activity in adults with overweight and obesity. For a full year, during and after a 12-week, Internet-based weight loss program, 74 participants (BMI  = 31.2 kg/m2) were asked to report stress and minutes of physical activity each week. An increase in stress was associated with less physical activity during the same week and predic...
Source: Journal of Behavioral Medicine - March 3, 2020 Category: Psychiatry Source Type: research

Parental stress, anxiety and trait mindfulness: associations with parent –child mealtime interactions in children with type 1 diabetes
This study examined how maternal and paternal stress, anxiety, and trait mindfulness, and child glycemic control are related to real-life parent –child interactions in families confronted with type 1 diabetes (T1D).Methods Parents reported on trait mindfulness, illness-related parenting stress, general stress, and state anxiety. Parent –child mealtime interactions were videotaped and scored in 33 families (31 mothers and 20 fathers) of children with T1D (5–12y., mean HbA1c = 7.22%).Results Parental stress and anxiety were related to more maladaptive and less adaptive parent –child interactions. For mothers, min...
Source: Journal of Behavioral Medicine - March 1, 2020 Category: Psychiatry Source Type: research

Pain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients
AbstractProviders frequently report pain as a barrier to weight loss yet the relationship between the pain experience and eating behavior is poorly understood. The current study examines overeating in response to physical pain (Pain Overeating). Weight-loss seeking Veterans (N  = 126) completed the Yale Emotional Overeating Questionnaire, a measure used to assess the frequency of overeating in response to a range of emotions that was adapted to include a Pain Overeating item, and validated measures of pain, eating pathology, and mental health. Fifty-one participants ( 42.5%) engaged in at least one Pain Overeating epis...
Source: Journal of Behavioral Medicine - February 26, 2020 Category: Psychiatry Source Type: research

Anxiety sensitivity and opioid misuse and dependence among trauma-exposed adults with chronic pain
AbstractIt is unclear if anxiety sensitivity may serve as mechanism underlying the relation between posttraumatic stress symptom severity and opioid misuse and dependence among trauma-exposed persons with chronic pain. Therefore, the current study evaluated the explanatory role of anxiety sensitivity in the relations between posttraumatic stress symptom severity and opioid misuse and dependence. Participants included 294 trauma-exposed adults with chronic pain (71.4% female,Mage = 37.79 years,SD = 10.85,Mpain rating = 7.32/10) that reported current moderate to severe chronic pain and prescription opioid use. P...
Source: Journal of Behavioral Medicine - February 17, 2020 Category: Psychiatry Source Type: research

Social support moderates D-dimer and self-rated successful aging within people with HIV and older adults
AbstractMany factors can influence perceptions of successful aging (SA), including social isolation and poor physical health. We hypothesized that social support attenuates the negative effect of plasma D-dimer, a correlate of HIV and aging, on SA. Participants included 230 adults (134 people with HIV; PWH, 96 HIV −), ages 36–65, segregated into age cohorts with up to 5 yearly visits. Multilevel modeling examined longitudinal within-person associations between D-dimer, social support, and SA. Social support moderated the relationship between D-dimer and SA and was significant among PWH and older individu als (ages 56...
Source: Journal of Behavioral Medicine - February 17, 2020 Category: Psychiatry Source Type: research

Impact of weight loss interventions on patient-reported outcomes in overweight and obese adults with type 2 diabetes: a systematic review
AbstractPrevious reviews explored weight loss-induced metabolic changes in overweight and obese adults with type 2 diabetes (T2D) but did not report on the impact on patient-reported outcomes (PROs). This systematic review investigated the effect of weight loss interventions on weight loss and PROs in overweight and obese adults with T2D. We searched three electronic databases from inception to March 2018 for randomised controlled trials (RCTs) of weight loss interventions in overweight and obese (according to BMI) adults aged  ≥ 18 years reporting changes in PROs from baseline to at least one follow-up assessment d...
Source: Journal of Behavioral Medicine - February 13, 2020 Category: Psychiatry Source Type: research

Maternal practices and perceptions of child body mass status explain child energy expenditure behaviors and body mass
This study investigated whether maternal perceptions of child body mass status would predict child body mass index (BMI) z-score via two sets of sequential mediators: (1) four maternal practices promoting child energy expenditure and (2) children ’s energy expenditure behaviors. The data ofN = 729 mother–child dyads were collected at baseline [T1;n = 495 at 7- to 8-month follow-up (T2)]. Mothers reported perceptions of child body mass status and maternal practices (T1); children reported sedentary screen use and physical activity (T1, T2). Child body mass was assessed objectively (T1, T2). Higher stimulation to...
Source: Journal of Behavioral Medicine - January 30, 2020 Category: Psychiatry Source Type: research

Everyday stress components and physical activity: examining reactivity, recovery and pileup
AbstractThe experience of naturally-occurring stress in daily life has been linked with lower physical activity levels. However, most of this evidence comes from general and static reports of stress. Less is known how different temporal components of everyday stress interfere with physical activity. In a coordinated secondary analysis of data from two studies of adults, we used intensive, micro-longitudinal assessments (ecological momentary assessments, EMA) to investigate how distinct components of everyday stress, that is,reactivity to stressor events,recovery from stressor events, andpileup of stressor events and respon...
Source: Journal of Behavioral Medicine - January 29, 2020 Category: Psychiatry Source Type: research

Anxiety symptoms and smoking among Latinx adult smokers: the importance of sensitivity to internal cues in terms of dependence, barriers for quitting, and quit problems
AbstractAnxiety symptoms are one of the most common forms of psychological distress among Latinx individuals and related to poorer cessation outcomes among non-Latinx Whites. Yet, little is known about the relationship between anxiety symptoms and smoking among Latinx smokers. The current study evaluated sensitivity to internal anxiety-related sensations (anxiety sensitivity) as an explanatory variable in the relation between anxiety symptoms and cigarette dependence, perceived barriers for quitting, and severity of problems experienced during prior quit attempts. Participants included 363 Spanish-speaking Latinx daily smo...
Source: Journal of Behavioral Medicine - January 29, 2020 Category: Psychiatry Source Type: research

Assessing the association of depression and anxiety with symptom reporting among individuals with type 2 diabetes
This study examined depression and anxiety in relation to total symptoms and symptom attributions in a diverse sample of 120 adults with T2D. Multiple linear regression tested associations after controlling for medical comorbidities and insulin use. Clinician-rated depression ( β = .53,p <  .001), self-reported depression (β = .59,p <  .001) and self-reported anxiety (β = .62,p <  .001) were positively associated with total somatic symptoms. Models adjusting for depression and anxiety revealed significant independent effects for each, regardless of measurement method. In attribution mode...
Source: Journal of Behavioral Medicine - January 29, 2020 Category: Psychiatry Source Type: research

Modelling multiple health behavior change with network analyses: results from a one-year study conducted among overweight and obese adults
This study examined the between-person associations of seven health behaviors in adults with obesity participating in a weight loss intervention, as well as the covariations between these behaviors within-individuals across the intervention. The present study included data from a 12-month weight loss trial (N  = 278). Seven health behaviors (physical activity, sedentary behavior, sleep duration, and consumption of fruits, vegetables, total fat and added sugar) were measured at baseline, 6- and 12-months. Between- and within-participants network analyses were conducted to examine how these behaviors w ere associated thr...
Source: Journal of Behavioral Medicine - January 28, 2020 Category: Psychiatry Source Type: research

Partner presence in the emergency department and adherence to daily cardiovascular medications in patients evaluated for acute coronary syndrome
AbstractStressful health situations may compromise spouses ’/partners’ ability to provide patients with support. We tested whether partner status/partner presence in the emergency department (ED) were associated with patients’ adherence to daily cardiovascular medications and whether effects differed by age/gender. Participants were 189 patients evalu ated for acute coronary syndrome at an urban academic ED (MAge = 62.18; 57.1% male; 58.7% Hispanic). Participants self-reported partner status/partner presence. Medication adherence was measured using an electronic pillcap. For male patients, having a partner was as...
Source: Journal of Behavioral Medicine - January 28, 2020 Category: Psychiatry Source Type: research

The separation in coordination between social- and self-regulation for emerging adults with type 1 diabetes
AbstractTo examine how self-regulation and social-regulation surrounding type 1 diabetes (T1D) management are coordinated during early emerging adulthood and whether classes of coordination relate to HbA1c and executive functioning (EF). Emerging adult participants (N = 212) with T1D (M age = 18.8 years, SD = .40) completed a 14-day diary to capture components of self-regulation and social-regulation. A mixture multi-level latent coordination model first determined the separate but coordinated factor structure of self- and social-regulation, then de termined the number of distinct classes of coordination and h...
Source: Journal of Behavioral Medicine - January 22, 2020 Category: Psychiatry Source Type: research

My health smartphone intervention decreases daily fat sources among Latina breast cancer survivors
AbstractBreast cancer is the most common cancer among Latina women, and Latina women are at higher risk for breast cancer mortality than white women. Lifestyle factors, such as consuming a nutritious diet and engaging in regular physical activity, promote health and are protective against heart disease, type 2 diabetes, and breast cancer recurrence. Previous studies have developed and tested interventions for Latina breast cancer survivors to improve diet and increase physical activity, however, no studies to date have developed a smartphone delivered intervention. The purpose of the current study was to compare two Smartp...
Source: Journal of Behavioral Medicine - January 21, 2020 Category: Psychiatry Source Type: research