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Attractor landscapes: a unifying conceptual model for understanding behaviour change across scales of observation. 吸引子景观:一个统一的概念模型,用于理解跨观察尺度的行为变化。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2022-12-13 DOI: 10.1080/17437199.2022.2146598
Matti T J Heino, Daniele Proverbio, Gwen Marchand, Kenneth Resnicow, Nelli Hankonen

Models and theories in behaviour change science are not in short supply, but they almost exclusively pertain to a particular facet of behaviour, such as automaticity or reasoned action, or to a single scale of observation such as individuals or communities. We present a highly generalisable conceptual model which is widely used in complex systems research from biology to physics, in an accessible form to behavioural scientists. The proposed model of attractor landscapes can be used to understand human behaviour change on different levels, from individuals to dyads, groups and societies. We use the model as a tool to present neglected ideas in contemporary behaviour change science, such as hysteresis and nonlinearity. The model of attractor landscapes can deepen understanding of well-known features of behaviour change (research), including short-livedness of intervention effects, problematicity of focusing on behavioural initiation while neglecting behavioural maintenance, continuum and stage models of behaviour change understood within a single accommodating framework, and the concept of resilience. We also demonstrate potential methods of analysis and outline avenues for future research.

行为改变科学中的模型和理论并不缺乏,但它们几乎完全适用于行为的特定方面,例如自动性或理性行为,或者适用于单一的观察尺度,例如个人或社区。我们提出了一个高度一般化的概念模型,它被广泛应用于从生物学到物理学的复杂系统研究中,以行为科学家可以访问的形式。所提出的吸引物景观模型可以用来理解不同层次上的人类行为变化,从个体到双体,从群体到社会。我们使用该模型作为工具来呈现当代行为变化科学中被忽视的思想,如滞后和非线性。吸引物景观模型可以加深对众所周知的行为改变(研究)特征的理解,包括干预效果的短暂性、关注行为启动而忽视行为维持的问题、在单一适应框架内理解的行为改变的连续体和阶段模型,以及复原力的概念。我们还展示了潜在的分析方法,并概述了未来研究的途径。
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引用次数: 0
Habits and behavioral complexity - dynamic and distinct constructs. 习惯和行为复杂性-动态和独特的结构。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2098163
Amanda L Rebar, Ryan E Rhodes, Bas Verplanken
The Japanese term Mendokusai ( めんどくさい ) is used to describe situations where you just can ’ t be bothered. For example, it ’ s perfect for if you want to get a snack, but you are so comfy in your pajamas, lying on the couch, with your pet on your lap, and this episode of the series you ’ re binging is soooo good, and you should pause it but the remote is like all the way on the other side of the couch … so forget the snack – Mendokusai . Sometimes, even basic tasks can feel really complex.
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引用次数: 2
Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure. 使用系统评价和贝叶斯荟萃分析为行为改变干预设计提供信息:心力衰竭中的身体活动。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2090411
Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli

Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) for the probability distribution for the log OR was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (SD) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (N = 2739). High pro-b-type natriuretic peptide (MAP = -1.16; 95%CrI: [-1.21; -1.11]) and self-reported symptoms (MAP = - 0.48; 95%CrI: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (SD = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (MAP = -0.46; 95%CrI: [-0.68; -0.24], SD = 0.36), and negative attitude (MAP = -0.40; 95%CrI: [-0.49; -0.31], SD = 0.26). Modifiable enablers were social support (MAP = 0.56; 95%CrI: [0.48; 0.63], SD = 0.26), self-efficacy (MAP = 0.43; 95%CrI: [0.32; 0.54], SD = 0.37), positive physical activity attitude (MAP = 0.92; 95%CrI: [0.77; 1.06], SD = 0.36).

采用贝叶斯方法,我们旨在综合有关心力衰竭(HF)成人身体活动障碍和促进因素的证据,为行为改变干预提供信息。这种方法有助于估计和量化证据中的不确定性,并促进定性和定量研究的综合。定性证据使用理论领域框架进行注释,并使用专家启发任务表示为先验分布。利用对数OR概率分布的最大后验概率(MAP),根据定性、定量、定性和定量证据相结合,估计体力活动与各决定因素之间的关系。采用概率分布离散度(SD)评价证据的不确定性。纳入3项定性研究和16项定量研究(N = 2739)。高前b型利钠肽(MAP = -1.16;95%的中国国际广播电台:[-1.21;-1.11])和自我报告症状(MAP = - 0.48;95%CrI: [-0.40;-0.55])被认为是身体活动的障碍,具有低不确定性(SD分别= 0.18和0.19)。可修改的障碍是症状困扰(MAP = -0.46;95%的中国国际广播电台:[-0.68;-0.24], SD = 0.36),消极态度(MAP = -0.40;95%的中国国际广播电台:[-0.49;-0.31], sd = 0.26)。可改变的促进因素是社会支持(MAP = 0.56;95%的中国国际广播电台:[0.48;0.63], SD = 0.26)、自我效能感(MAP = 0.43;95%的中国国际广播电台:[0.32;0.54], SD = 0.37),积极的体育活动态度(MAP = 0.92;95%的中国国际广播电台:[0.77;1.06], sd = 0.36)。
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引用次数: 3
Practical parsimony and complexity in conceptualising habit. 习惯概念化中的实际节俭和复杂性。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2154242
L Alison Phillips, Barbara Ann Mullan
Our ultimate goal, as health psychologists, is to help individuals be healthier – specifically, through changing behaviour and maintaining those changes. Health psychologists are interested in habits, because they hold promise for facilitating behavioural maintenance through automatic processes (Gardner, 2015; Kwasnicka et al., 2016). How we conceptualise habit has ramifications for how we promote (intervene in) and measure habit formation and maintenance. In Phillips and Mullan (2022), we offered a conceptual review of the literature, evaluating the impact of behavioural complexity on the conceptualisation of habit, using a definition of habit defined in the literature (Wood et al., 2022) as ‘direct context-response associations learned through repeatedly rewarded responding’ (p. 12). Specifically, we argued that complex behaviours (determined by their relatively greater number of preparatory and enactment steps and amount of time to prepare and enact, compared to simpler behaviours): (1) have meaningfully separable ‘responses’ that may be habitual (e.g., in their instigation vs execution or with substitutable, ‘lower order’ actions, which may themselves be habitual) and (2) rely on intrinsic rewards (versus extrinsic) for habit formation and maintenance. In response to Phillips and Mullan (2022), Gardner and Lally (2022) and Rebar et al. (2022) offer thought-provoking and valuable insights regarding these points. On the surface, these sets of authors seemingly have opposing views on advancing the topic of complex health behaviours and habit: Gardner and Lally (2022) argue for greater parsimony in habit conceptualisation for simple and complex behaviours, whereas Rebar et al. (2022) argue for even greater complexity in our conceptualisation and measurement of complex health behaviours and habits. However, we articulate in this commentary how there is much agreement, as well as room for continued debate, among these viewpoints and those in Phillips and Mullan (2022). In sum, we argue in this commentary for a practical approach to habit research for complex behaviours that is both parsimonious and appropriately complex. We contend, as do Gardner and Lally (2022), that our definition and conceptualisation of habit should be useful – useful for achieving our ultimate goal, which is to help individuals change their behaviour and to maintain behaviour changes for optimal health.
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引用次数: 1
Global prevalence of smoking among individuals with obsessive-compulsive disorder and symptoms: a systematic review and meta-analysis. 全球强迫症患者及其症状中吸烟的流行:一项系统回顾和荟萃分析。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2125037
Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood

Disease from nicotine dependency continues to be a leading cause of preventable death worldwide, and therefore research that elucidates potential correlates of tobacco use may facilitate the advancement of research, clinical practice, and policy in this area to target this public health challenge. One potential tobacco use correlate is obsessive-compulsive disorder (OCD) phenomena. The growing research evidence on the association between tobacco use and OCD phenomena is mixed, making it difficult to synthesize extant findings into meaningful conclusions. Indeed, there has never been a systematic review or meta-analysis of this area of research. To this end, a systematic review was carried out with studies between 1988 and 2021, and from this review, 71 independent estimations (n = 10,475; Females = 51.95%; mean age = 37.29, SD = 13.78) were extracted for meta-analysis. We found that about three in ten participants with OCD are likely to use tobacco, which is higher than the general population. The prevalence was the same among OCD participants at all levels (those with symptomology but no confirmed diagnosis, those surpassing a clinical cutoff for OCD but no confirmed diagnosis, and those with a confirmed OCD diagnosis). The results also indicated considerable variability across study results and a wide confidence interval associated with the tobacco use prevalence rate among those with OCD phenomena. The findings provide support for continued study of this comorbidity, perhaps with longitudinal and experimental designs to test for reciprocal associations between tobacco use and OCD phenomena in the service of targeting nicotine dependence as a substantial global public health concern.

尼古丁依赖引起的疾病仍然是世界范围内可预防死亡的主要原因,因此,阐明烟草使用的潜在相关性的研究可能有助于推进这一领域的研究、临床实践和政策,以应对这一公共卫生挑战。与烟草使用相关的一个潜在因素是强迫症(OCD)现象。越来越多的关于烟草使用与强迫症现象之间关系的研究证据是混杂的,这使得很难将现有的发现综合成有意义的结论。事实上,从来没有对这一研究领域进行过系统的回顾或荟萃分析。为此,对1988年至2021年间的研究进行了系统评价,从该评价中获得了71个独立估计(n = 10,475;女性= 51.95%;平均年龄= 37.29,SD = 13.78)进行meta分析。我们发现,大约十分之三的强迫症患者可能会使用烟草,这比一般人群要高。所有级别的强迫症参与者(有症状但没有确诊的参与者,超过临床诊断但没有确诊的参与者,以及确诊的强迫症参与者)的患病率相同。结果还表明,研究结果之间存在相当大的差异,并且与强迫症患者的烟草使用率相关的置信区间很宽。这些发现为继续研究这种共病提供了支持,也许可以通过纵向和实验设计来测试烟草使用和强迫症现象之间的相互关联,从而将尼古丁依赖作为一个重大的全球公共卫生问题。
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引用次数: 2
Ramifications of behavioural complexity for habit conceptualisation, promotion, and measurement. 行为复杂性对习惯概念化、促进和测量的影响。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2060849
L Alison Phillips, Barbara Ann Mullan

Behavioural theories, predictions, and interventions should be relevant to complex, real-world health behaviours and conditions. Habit theory and habit formation interventions show promise for predicting and promoting, respectively, longer-term behaviour change and maintenance than has been attained with theories and interventions focused only on deliberative behavioural factors. However, the concept of habit has largely been treated as uniform across different types of behaviours. In this conceptual review, we contend that the definitional aspects of habit differ at a conceptual level for simple versus more complex behaviours, with ramifications for prediction, promotion, and measurement of habits. Specifically, habits are defined as direct context-response associations learned through repeatedly rewarded responding - but what is meant by 'response' and 'reward' depends upon the complexity of the behaviour. We review literature that suggests (1) responses in complex habits have separable and substitutable components (vs a single and static, unitary component) and (2) rewards for complex habits are necessarily continued and intrinsic (vs temporary and extrinsic, respectively). We discuss some empirical and theoretical questions raised by these issues around behavioural complexity and habit. Lastly, we outline the ramifications of these issues for habit measurement (habit strength and habit formation) via self-report and objective measures.

行为理论、预测和干预措施应与复杂的、现实世界的健康行为和状况相关。习惯理论和习惯形成干预分别显示出预测和促进长期行为改变和维持的希望,而不是只关注慎重行为因素的理论和干预。然而,习惯的概念在很大程度上被认为是跨不同类型行为的统一概念。在这一概念回顾中,我们认为习惯的定义方面在简单行为和更复杂行为的概念层面上有所不同,这对习惯的预测、促进和测量产生了影响。具体来说,习惯被定义为通过反复获得奖励的反应而习得的直接情境-反应关联——但“反应”和“奖励”的含义取决于行为的复杂性。我们回顾了文献,这些文献表明:(1)复杂习惯的反应具有可分离和可替代的成分(相对于单一和静态的单一成分);(2)复杂习惯的奖励必然是持续的和内在的(相对于临时的和外在的)。我们讨论了这些问题围绕行为复杂性和习惯提出的一些经验和理论问题。最后,我们通过自我报告和客观测量概述了这些问题对习惯测量(习惯强度和习惯形成)的影响。
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引用次数: 19
Experiences of psychological interventions in neurodegenerative diseases: a systematic review and thematic synthesis. 神经退行性疾病的心理干预经验:系统综述和专题综合。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2073901
Cathryn Pinto, Adam W A Geraghty, Charlotte McLoughlin, Francesco Pagnini, Lucy Yardley, Laura Dennison

Background: Psychological interventions for managing emotional distress in neurodegenerative diseases are needed, but progressive worsening of symptoms and increasing disability might pose difficulties with engagement. We aimed to synthesise the experiences of engaging with and using psychological interventions in neurodegenerative diseases and identify relevant barriers and facilitators. Methods: Systematic searches were conducted in six electronic databases and results were screened. We included qualitative and mixed methods studies reporting patient or caregivers' views or experiences of psychological interventions. Qualitative data were extracted and thematically synthesised. Results: 34 papers were included, covering a range of diseases and interventions. Engagement was facilitated by flexible intervention formats and tailoring to the specific needs of people with neurodegenerative diseases. Interventions were sometimes inaccessible or burdensome because of physical and cognitive symptoms, and the time and effort required for the intervention. Participants' levels of acceptance and readiness often differed and influenced engagement with the intervention. Across different interventions, participants experienced wide-ranging benefits including changes in insight, perspective, self-efficacy, emotions and relationships. Conclusion: Although people with neurodegenerative diseases and caregivers experience benefits from psychological interventions, burden-reducing adaptations and sensitive tailoring to the specific disease context is required to improve acceptability and engagement.

背景:对神经退行性疾病患者的情绪困扰进行心理干预是必要的,但症状的逐渐恶化和残疾的增加可能会给干预带来困难。我们的目的是综合参与和使用神经退行性疾病的心理干预的经验,并确定相关的障碍和促进因素。方法:系统检索6个电子数据库,筛选结果。我们纳入了定性和混合方法研究,报告了患者或护理人员对心理干预的看法或经验。提取定性数据并按主题进行综合。结果:收录论文34篇,涵盖了一系列疾病和干预措施。通过灵活的干预形式和根据神经退行性疾病患者的具体需求进行调整,促进了参与。由于身体和认知症状以及干预所需的时间和精力,干预措施有时难以获得或负担沉重。参与者的接受程度和准备程度往往不同,并影响了对干预的参与。在不同的干预措施中,参与者经历了广泛的好处,包括洞察力、视角、自我效能、情绪和人际关系的变化。结论:尽管神经退行性疾病患者和护理人员从心理干预中获益,但需要减轻负担的适应和针对特定疾病环境的敏感定制,以提高可接受性和参与度。
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引用次数: 3
Evaluating group psychological interventions for mental health in women with infertility undertaking fertility treatment: A systematic review and meta-Analysis. 评估群体心理干预对接受生育治疗的不孕症妇女心理健康的影响:一项系统回顾和荟萃分析
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2058582
Emma Warne, Melissa Oxlad, Talitha Best
ABSTRACT We conducted a systematic review and meta-analysis of the published literature concerning the effectiveness of group psychological interventions in improving anxiety, depression, marital dissatisfaction, fertility quality of life and stress, and pregnancy outcomes of women with infertility, participating in fertility treatment. A search of five databases yielded 1603 studies; 30 articles met inclusion criteria, and computations of effect sizes ensued (Hedges’ g and Odds Ratios (OR)). The total sample comprised 2752 participants, with 1279 participants receiving group intervention and 1473 participants in the comparison group. Group psychological interventions reduced depression (Hgw =  −1.277; 95% CI = [−1.739- −0.815]; p =  0.000), anxiety (Hgw = −1.136, 95% CI [−1.527- −0.744]; p =  0.000), fertility stress (Hgw = −0.250, 95% CI [−0.388- −0.122]; p =  0.000), and marital dissatisfaction (Hgw = −0.938; 95% [CI −1.455- −0.421]; p =  0.000), and pregnancy rates improved (OR = 2.422 95% CI [2.037–2.879]; p = 0.000). No improvement was observed regarding fertility quality of life (Hgw = 0. 144; 95% CI [−0.176- 0.463]; p =  0.379). Our findings highlight that participation in group psychological intervention improved the mental health, fertility stress and pregnancy rates of women with infertility.
摘要我们对已发表的关于群体心理干预在改善不孕不育妇女参加生育治疗的焦虑、抑郁、婚姻不满、生育生活质量和压力以及妊娠结局方面的有效性的文献进行了系统回顾和荟萃分析。对5个数据库的搜索得到了1603项研究;30篇文章符合纳入标准,然后计算效应大小(对冲系数g和比值比(OR))。样本总数为2752人,其中实验组干预1279人,对照组干预1473人。群体心理干预减少抑郁(Hgw = -1.277;95% ci = [-1.739- -0.815];p = 0.000),焦虑(Hgw = -1.136, 95% CI (-1.527 - -0.744);p = 0.000),生育压力(Hgw = -0.250, 95% CI (-0.388 - -0.122);p = 0.000)、婚姻不满意度(Hgw = -0.938;95% [ci -1.455- -0.421];p = 0.000),妊娠率提高(OR = 2.422 95% CI [2.037 ~ 2.879];p = 0.000)。生育生活质量未见改善(Hgw = 0)。144;95% ci [-0.176- 0.463];P = 0.379)。我们的研究结果强调,参与群体心理干预改善了不孕妇女的心理健康、生育压力和怀孕率。
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引用次数: 4
Diagnostic uncertainty in patients, parents, and physicians: a compensatory control theory perspective. 诊断的不确定性在病人,家长和医生:代偿控制理论的观点。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2086899
Ashley McKoane, David K Sherman

Medical diagnoses offer a structure by which psychological uncertainty can be attenuated, allowing patients to diminish psychological threats and focus on health prognosis. Yet when no diagnosis can be made, patients may experience diagnostic uncertainty - perceiving the medical field as unable to provide an accurate explanation of the cause of their health problems. This review examines the psychological threat that diagnostic uncertainty imposes on individuals' need for control and understanding, and the resulting consequences experienced by patients, parents of pediatric patients, and physicians. Using compensatory control theory as a framework, we propose a taxonomy of behaviors that people may adopt in order to regain control in the face of diagnostic uncertainty and to reaffirm that the world is not random and chaotic. To manage diagnostic uncertainty, people may bolster their personal agency, affiliate with external systems they see as acting in their interest, affirm clear connections between behaviors and outcomes, and affirm nonspecific epistemic structure. Diagnostic uncertainty is approached from the perspectives of patients, parents of pediatric patients, and physicians, demonstrating how each group responds in order to maintain a sense that the world has structure and is not random. Discussion centers on moderators, limitations, and implications for clinical practice.

医学诊断提供了一种结构,通过这种结构可以减轻心理上的不确定性,使患者减少心理威胁,并将重点放在健康预后上。然而,当无法做出诊断时,患者可能会经历诊断的不确定性——认为医学领域无法对其健康问题的原因提供准确的解释。本综述探讨了诊断不确定性对个体控制和理解需求的心理威胁,以及患者、儿科患者家长和医生所经历的后果。以补偿控制理论为框架,我们提出了一种行为分类,人们在面对诊断不确定性时可能采取的行为分类,以重新获得控制,并重申世界不是随机和混乱的。为了管理诊断的不确定性,人们可能会加强他们的个人能动性,与他们认为符合他们利益的外部系统联系在一起,肯定行为和结果之间的明确联系,并肯定非特定的认知结构。诊断的不确定性是从患者、儿科患者的父母和医生的角度来探讨的,展示了每一组如何反应,以保持世界有结构而不是随机的感觉。讨论集中在调节,限制和临床实践的影响。
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引用次数: 3
Habit and habitual behaviour. 习惯和习惯行为。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-01 DOI: 10.1080/17437199.2022.2105249
Benjamin Gardner, Phillippa Lally
Writing in 1899, William James observed that ‘ninety-nine hundredths or, possibly, nine hundred and ninety-nine thousandths of our activity is purely automatic and habitual’ (James, 1899, pp. 65–66). Nearly 125 years later, the concept of habit continues to stimulate important research regarding the most useful definition of habit, and how to harness habit to understand, predict, and change health-related behaviour (e.g., Gardner, 2015; Verplanken, 2018; Wood & Runger, 2016). Phillips and Mullan (2022) offer a thoughtful synthesis of theory and evidence regarding how habit can be applied to complex health behaviours. Their review addresses an important question that habit researchers are often asked: how credible is it to propose that learned cue-behaviour associations can underpin and sustain complicated real-world health behaviours? Drawing on a definition of complex behaviour as that which involves separable components and a greater number of subactions (or ‘steps’), Phillips and Mullan address this question by suggesting that the same concept – i.e., habit – can underpin both simple and complex behaviours. Significantly however, they argue that ‘complex habits’ should be theorised differently to ‘simple habits’, to better recognise the multiple components of complex habits and the rewards that Phillips and Mullan suggest are needed for complex habits to form. In this commentary, we expand discussion of two areas of Phillips and Mullan’s argument. First, we debate aspects of the definition of habit. Second, we highlight the importance of distinguishing between ‘habit’ and ‘habitual behaviour’ when considering behavioural complexity. We argue that conceptualisations of key terms have important implications for understanding, measuring and changing habit and habitual behaviour.
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引用次数: 4
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