Promoting HPV vaccination among Latinx: an application of the extended parallel processing model
AbstractVaccine hesitancy is a substantial barrier to increasing HPV vaccination rates among Latinx in the US who experience disproportional rates of HPV-related cancers. The current research tests the effectiveness of culturally-targeted, fear-appeal messages designed using the Extended Parallel Processing Model (EPPM). We compared differences among Latinx young adults and parents of adolescents of the effectiveness of messages that highlight HPV-related cancers, genital warts, or a control condition to promote online information seeking about the HPV vaccine —a known precursor to vaccination intention. Results found me...
Source: Journal of Behavioral Medicine - February 18, 2022 Category: Psychiatry Source Type: research

The distinct longitudinal impact of pain catastrophizing on pain interference among youth living with sickle cell disease and chronic pain
This study aimed to identify the unique long-term impact of pain catastrophizing on pain impairment among youth with SCD. Youth with chronic SCD pain (N = 63, 10–18 years old, 58.3% female, 95.1% Black or African American) were recruited within comprehensive SCD clinics and completed a battery of measures at baseline and 4-months follow-up. A linear hierarchical regression examined baseline demographic and clinical characteristics (child SCD genotype, age, and average pain intensity), psychosocial functioning (anxiety, depression), and pain catastrophizing as predictors of pain interference at 4-months follow-up. Pa...
Source: Journal of Behavioral Medicine - February 16, 2022 Category: Psychiatry Source Type: research

The influence of message framing on nocebo headaches: Findings from a randomized laboratory design
AbstractAttribute framing presents an ethically sound approach for reducing adverse nocebo effects. In past studies, however, attribute framing has not always decreased nocebo effects. The present study used a sham tDCS procedure to induce nocebo headaches to explore factors that may contribute to the efficacy of attribute framing. Participants (N = 174) were randomized to one of three between-subject conditions: a no-headache instruction (control) condition and two conditions in which headaches were described as either 70%likely (negative framing) to occur or 30%unlikely (positive framing) to occur. Results revealed n...
Source: Journal of Behavioral Medicine - February 14, 2022 Category: Psychiatry Source Type: research

Mindfulness is inversely associated with psychological symptoms in long-term cardiac arrest survivors
In conclusion, mindfulness was inversely associated with psychological symptoms in long-term CA survivors. Future studies should examine the longitudinal relationship of mindfulness and psychological symptoms after CA. (Source: Journal of Behavioral Medicine)
Source: Journal of Behavioral Medicine - February 14, 2022 Category: Psychiatry Source Type: research

Resilience and recovery from total knee arthroplasty (TKA): a pathway for optimizing patient outcomes
AbstractIdentifying and promoting resilience factors may offer novel strategies for optimizing the recovery of patients following orthopedic surgery. Prior research has suggested that self-efficacy, positive affect, vigor, and vitality may function as resilience factors in the face of chronic pain. The present study examines these resilience factors in a prospective, cognitive-affective-behavioral pathway to recovery. Patients (n  = 110) undergoing unilateral, total knee replacement surgery completed self-report assessments of study variables. Self-efficacy was assessed 2 ½ weeks prior to surgery, positive affect the ...
Source: Journal of Behavioral Medicine - February 13, 2022 Category: Psychiatry Source Type: research

The moderating role of gender in the association between quality of social relationships and sleep
AbstractTo determine whether the association between perceived social support or strain in close relationships and sleep outcomes varies by gender. Participants were selected from the Biomarker projects of either the MIDUS II or MIDUS Refresher  study if they were in a married-or married-like relationship and shared a bed with their partner (N = 989). A subsample also participated in a seven-day sleep study (n = 282). Perceived social support and strain from partner, family, and friends were examined by self-report questionnaires. We used the Pittsburgh Sleep Quality Index, sleep daily diary, and actigraphy to mea...
Source: Journal of Behavioral Medicine - February 12, 2022 Category: Psychiatry Source Type: research

Self-affirmation increases acceptance of information on COVID-19 vaccines and promotes vaccination intention
AbstractPrevious studies have shown that self-affirmation increases acceptance of a message and motivates health behavior change. The present study investigated whether self-affirmation increases the acceptance of persuasive messages on COVID-19 vaccines and promotes vaccination intention. A total of 144 participants were randomly assigned to the self-affirmation (n = 72) or control (n = 72) groups before reading a persuasive message on COVID-19 vaccines. The results revealed that the self-affirmation group showed significantly higher acceptance of persuasive information on COVID-19 vaccines than the control group....
Source: Journal of Behavioral Medicine - February 8, 2022 Category: Psychiatry Source Type: research

The active ingredients of physical activity and / or dietary workplace-based interventions to achieve weight loss in overweight and obese healthcare staff: a systematic review
AbstractThis systematic review aims to synthesize the active ingredients, and identify a list of promising behaviour change techniques (BCTs), likely to be present within physical activity and / or dietary interventions in achieving weight loss in overweight and obese healthcare staff. Four electronic databases were searched in February 2021: PsychINFO, CINAHL, PubMed and MEDLINE (no start date-2021). Studies were eligible for inclusion if they: (1) described a quasi-experimental or cluster, cohort or randomised control trial; (2) implemented workplace-based physical activity and / or dietary interventions versus a less in...
Source: Journal of Behavioral Medicine - February 7, 2022 Category: Psychiatry Source Type: research

Differential impact of telehealth extended-care programs for weight-loss maintenance in African American versus white adults
AbstractExtended-care interventions have been demonstrated to improve maintenance of weight loss after the end of initial obesity treatment; however, it is unclear whether these programs are similarly effective for African American versus White participants. The current study examined differences in effectiveness of individual versus group telephone-based extended-care on weight regain, compared to educational control, in 410 African American (n = 82) and White (n = 328) adults with obesity (mean ± SD age  = 55.6 ± 10.3 years, BMI = 36.4 ± 3.7 kg/m2). After controlling for initial weight lo...
Source: Journal of Behavioral Medicine - February 5, 2022 Category: Psychiatry Source Type: research

Affect regulation as a moderator of intentions for breast cancer chemoprevention
This study examined the role of affect regulation (the attempt to alter or control one ’s emotions) in decision-making about BC chemoprevention. A cross-sectional, single group design was used. High-risk women (N = 81) were surveyed. Moderation analyses specified cancer-specific distress as the independent variable, affect regulation (cognitive reappraisal or expressive suppress ion) as the moderator, and chemoprevention intentions (yes = 1, unsure = 0, no = -1) as the dependent variable. Cognitive reappraisal significantly moderated the relationship between cancer-specific distress and chemoprevention in...
Source: Journal of Behavioral Medicine - February 3, 2022 Category: Psychiatry Source Type: research

Symptom burden profiles in men with advanced prostate cancer undergoing androgen deprivation therapy
AbstractTo identify symptom burden profiles among men with advanced prostate cancer undergoing androgen-deprivation therapy and examine their association with baseline sociodemographic and medical characteristics and psychosocial outcomes over time. Latent profile analysis was employed to identify distinct groups based on the Expanded Prostate Index Composite and the McGill Pain Questionnaire at baseline. Psychosocial outcomes were assessed at baseline, 6- and 12-month follow-ups. Three profiles emerged: “high symptom burden,” “high sexual bother,” and “low symptom burden.” Men with “high symptom burden” we...
Source: Journal of Behavioral Medicine - February 2, 2022 Category: Psychiatry Source Type: research

Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles
AbstractDeterminants of parental HPV vaccine hesitancy, including medical mistrust and exposure to negative vaccine information, are understudied in racial/ethnic minority communities where vaccine uptake is low. We conducted a cross-sectional survey (March 2021) among parents of adolescents, ages 9 –17 years, from an academic enrichment program serving low-income, first-generation, underrepresented minority families in Los Angeles to understand determinants of parental HPV vaccine hesitancy. Parents completed self-administered surveys, including a 9-item HPV vaccine hesitancy scale, in eith er English, Spanish, or Chin...
Source: Journal of Behavioral Medicine - February 2, 2022 Category: Psychiatry Source Type: research

Exploring the impact of genetic beliefs about specific eating behaviors on dietary self-efficacy
This study explores whether genetic beliefs about eating behaviors influence dietary self-efficacy and confidence. In a survey of 261 individuals of various weight statuses, we find that endorsing genetic causes of two specific eating behaviors (taste preference and disinhibition) predicts poorer dietary self-efficacy for people who exhibit these eating behaviors. This suggests there may be utility to considering eating behaviors individually when it comes to predicting the influence of genetic information provision in the service of precision medicine interventions. Individuals with high disinhibited eating and/or bitter ...
Source: Journal of Behavioral Medicine - February 1, 2022 Category: Psychiatry Source Type: research

Depressive symptoms improve over 2  years of type 2 diabetes treatment via a digital continuous remote care intervention focused on carbohydrate restriction
AbstractDepressive symptoms are prevalent among people with type 2 diabetes (T2D) and, even at low severity levels, are associated with worse diabetes outcomes. Carbohydrate restriction is an effective treatment for T2D but its long-term impacts on depressive symptoms are unclear. In the current study we explored changes in depressive symptoms over 2  years among 262 primarily non-depressed T2D patients participating in a continuous remote care intervention emphasizing carbohydrate restriction. Subclinical depressive symptoms decreased over the first 10 weeks and reductions were maintained out to 2 years. Increased freq...
Source: Journal of Behavioral Medicine - January 27, 2022 Category: Psychiatry Source Type: research

Diabetes support from romantic partners during early emerging adulthood
We examined support for type 1 diabetes in casual versus committed romantic relationships and links to blood glucose, self-care, and affect in 101 young adults (Mage 18.8). Individuals provided survey and daily measures of support and blood glucose and affect during a 14-day diary period. Survey data indicated individuals viewed partners as helpful, with partners in committed relationships rated more helpful than those in casual relationships. Daily assessments indicated partners were seen as only moderately helpful. Individuals in committed relationships discussed diabetes with partners on more diary days than those in ca...
Source: Journal of Behavioral Medicine - January 23, 2022 Category: Psychiatry Source Type: research