Pub Date : 2023-12-01Epub Date: 2022-12-13DOI: 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.
{"title":"Attractor landscapes: a unifying conceptual model for understanding behaviour change across scales of observation.","authors":"Matti T J Heino, Daniele Proverbio, Gwen Marchand, Kenneth Resnicow, Nelli Hankonen","doi":"10.1080/17437199.2022.2146598","DOIUrl":"10.1080/17437199.2022.2146598","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"655-672"},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9634442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Habits and behavioral complexity - dynamic and distinct constructs.","authors":"Amanda L Rebar, Ryan E Rhodes, Bas Verplanken","doi":"10.1080/17437199.2022.2098163","DOIUrl":"https://doi.org/10.1080/17437199.2022.2098163","url":null,"abstract":"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.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"485-489"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9967976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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).
{"title":"Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure.","authors":"Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli","doi":"10.1080/17437199.2022.2090411","DOIUrl":"https://doi.org/10.1080/17437199.2022.2090411","url":null,"abstract":"<p><p>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 (<i>MAP</i>) for the probability distribution for the log <i>OR</i> 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 (<i>SD</i>) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (<i>N</i> = 2739). High pro-b-type natriuretic peptide (<i>MAP</i> = -1.16; 95%<i>CrI</i>: [-1.21; -1.11]) and self-reported symptoms (<i>MAP</i> = - 0.48; 95%<i>CrI</i>: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (<i>SD</i> = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (<i>MAP</i> = -0.46; 95%<i>CrI</i>: [-0.68; -0.24], <i>SD</i> = 0.36), and negative attitude (<i>MAP</i> = -0.40; 95%<i>CrI</i>: [-0.49; -0.31], <i>SD</i> = 0.26). Modifiable enablers were social support (<i>MAP</i> = 0.56; 95%<i>CrI</i>: [0.48; 0.63], <i>SD</i> = 0.26), self-efficacy (<i>MAP</i> = 0.43; 95%<i>CrI</i>: [0.32; 0.54], SD = 0.37), positive physical activity attitude (<i>MAP</i> = 0.92; 95%<i>CrI</i>: [0.77; 1.06], <i>SD</i> = 0.36).</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"456-484"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9980979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Practical parsimony and complexity in conceptualising habit.","authors":"L Alison Phillips, Barbara Ann Mullan","doi":"10.1080/17437199.2022.2154242","DOIUrl":"https://doi.org/10.1080/17437199.2022.2154242","url":null,"abstract":"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.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"497-504"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Global prevalence of smoking among individuals with obsessive-compulsive disorder and symptoms: a systematic review and meta-analysis.","authors":"Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood","doi":"10.1080/17437199.2022.2125037","DOIUrl":"https://doi.org/10.1080/17437199.2022.2125037","url":null,"abstract":"<p><p>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 (<i>n</i> = 10,475; Females = 51.95%; mean age = 37.29, <i>SD</i> = 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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"505-519"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495108/pdf/nihms-1924960.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10260345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Ramifications of behavioural complexity for habit conceptualisation, promotion, and measurement.","authors":"L Alison Phillips, Barbara Ann Mullan","doi":"10.1080/17437199.2022.2060849","DOIUrl":"https://doi.org/10.1080/17437199.2022.2060849","url":null,"abstract":"<p><p>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 <i>direct context-response associations learned through repeatedly rewarded responding</i> - 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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"402-415"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10321477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Experiences of psychological interventions in neurodegenerative diseases: a systematic review and thematic synthesis.","authors":"Cathryn Pinto, Adam W A Geraghty, Charlotte McLoughlin, Francesco Pagnini, Lucy Yardley, Laura Dennison","doi":"10.1080/17437199.2022.2073901","DOIUrl":"https://doi.org/10.1080/17437199.2022.2073901","url":null,"abstract":"<p><p><i>Background:</i> 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. <i>Methods:</i> 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. <i>Results:</i> 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. <i>Conclusion:</i> 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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"416-438"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10321488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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。
{"title":"Evaluating group psychological interventions for mental health in women with infertility undertaking fertility treatment: A systematic review and meta-Analysis.","authors":"Emma Warne, Melissa Oxlad, Talitha Best","doi":"10.1080/17437199.2022.2058582","DOIUrl":"https://doi.org/10.1080/17437199.2022.2058582","url":null,"abstract":"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.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"377-401"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9968225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Diagnostic uncertainty in patients, parents, and physicians: a compensatory control theory perspective.","authors":"Ashley McKoane, David K Sherman","doi":"10.1080/17437199.2022.2086899","DOIUrl":"https://doi.org/10.1080/17437199.2022.2086899","url":null,"abstract":"<p><p>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 <i>diagnostic uncertainty</i> - 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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"439-455"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10321496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 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.
{"title":"Habit and habitual behaviour.","authors":"Benjamin Gardner, Phillippa Lally","doi":"10.1080/17437199.2022.2105249","DOIUrl":"https://doi.org/10.1080/17437199.2022.2105249","url":null,"abstract":"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.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"490-496"},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10321511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}