British Journal of Health Psychology最新文献

{"title":"The role of psychological flexibility in relation to health outcomes in people in remission from cancer","authors":"Miznah Al-Abbadey,&nbsp;Sonia Tomescu-Stachie,&nbsp;Daphne Kaklamanou,&nbsp;Nikki Jarrett,&nbsp;Andrew Merwood,&nbsp;Ian Tyndall,&nbsp;Lance McCracken","doi":"10.1111/bjhp.12807","DOIUrl":"10.1111/bjhp.12807","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated whether psychological flexibility, the key construct in the Acceptance and Commitment Therapy (ACT) model of psychological and behavioural change, significantly predicts wellbeing and functioning in people living with and beyond cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was an online, prospective, longitudinal, correlational study with two time points that were approximately three months apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All participants were required to be at least 18 years of age, be in cancer remission and resident in the United Kingdom. Recruitment for Time-point 1 (<i>n</i> = 331) took place from May to July 2023 and Time-point 2 (<i>n</i> = 266; 80% retention rate) took place between Sept and Nov 2023 using Prolific (an online recruitment platform). The mean age was 51.65 (SD = 13.99). The mean length of remission in months was 89.45 (SD = 80.59) and mean years since diagnosis was 8.91 (SD = 6.99). Data were analysed cross-sectionally and longitudinally. Covariates adjusted for included age, years since diagnosis, time in remission, ethnicity, cancer type and cancer stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cross-sectional hierarchical regression analyses showed Time-point 1 psychological flexibility significantly (at <i>p</i> &lt; .001) predicted anxiety, depression, stress, fatigue interference, fear of cancer recurrence, quality of life and pain interference. Psychological flexibility at Time-point 1 significantly predicted all psychosocial variables at Time-point 2, while adjusting for confounding variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings show that psychological flexibility predicts key psychosocial outcomes relevant for people in remission from cancer. This study provides evidence for the relevance of psychological processes targeted in ACT-based interventions in the context of people living with and beyond cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using positive imagination to reduce negativity in information processing and hesitant attitudes towards childhood COVID-19 vaccinations in parents: A randomized controlled trial","authors":"Jiehu Yuan,&nbsp;Meihong Dong,&nbsp;Wendy Wing Tak Lam,&nbsp;Qiuyan Liao","doi":"10.1111/bjhp.12808","DOIUrl":"10.1111/bjhp.12808","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>We aim to investigate the impact of negative information processing on parental vaccine hesitancy in Hong Kong and design an intervention to reduce negativity in pandemic and vaccine-related information processing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Six hundred and forty-seven parents were recruited for baseline assessment. One week later, participants were randomly assigned to either the positive imagination simulation (PIS) intervention group or the neutral recall simulation (NRS) control group. Participants completed outcome assessments immediately and 2 weeks after the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We first examined whether affective response to pandemic and vaccine-related news mediated the association between parents' distress and acceptance of childhood COVID-19 vaccination using baseline data. The PIS intervention leveraged positive psychology and personalized imagery techniques to enhance positive affect. To test intervention effectiveness, ANCOVAs were conducted to examine whether PIS versus NRS could reduce negative affective response to pandemic and vaccine-related news (immediate effect) and COVID-19 vaccine-hesitant attitudes (effect at the 2-week post-intervention point).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The baseline assessment showed that greater distress was linked to a more negative affective response to pandemic and vaccine-related news, which was associated with lower acceptance for childhood COVID-19 vaccination. The intervention positively impacted valence rating (<i>F</i>(1, 627) = 8.46, <i>p</i> = .004) and affective state rating (<i>F</i>(1, 627) = 4.88, <i>p</i> = .028) on pandemic and vaccine-related news. This improved positivity spilled over to significantly enhance parents' trust in COVID-19 vaccine-related information and alleviate their vaccine safety concerns 2 weeks post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study highlights the promising impact of positive affect priming in increasing positivity in information processing and, consequently, reducing vaccine-hesitant attitudes that are modifiable through positive information processing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambivalence towards food, healthy eating and the role of self-compassion","authors":"Roeline G. Kuijer,&nbsp;Madeline K. Tunley","doi":"10.1111/bjhp.12806","DOIUrl":"10.1111/bjhp.12806","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Many people experience ambivalence about food (e.g., broccoli is healthy, but boring; chocolate is tasty, but fattening). However, research examining the link between ambivalence and eating behaviour is scarce and findings are mixed. Self-compassion may influence the extent to which ambivalence is experienced and regulated. In two studies, we investigated the relationship between ambivalence towards healthy and unhealthy food and eating behaviour, and examined the role of self-compassion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study (Study 1) and a short-term prospective study (Study 2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ambivalence (degree and strength of opposing evaluations) was assessed in relation to images of healthy and unhealthy foods. Study 1 (<i>N</i> = 206) assessed ambivalence, self-compassion and self-reported eating behaviour measures cross-sectionally. Study 2 (<i>N</i> = 155) measured ambivalence and self-compassion at baseline and self-reported eating behaviour measures 3 weeks later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Unhealthy foods elicited more ambivalence than healthy foods. As expected, greater self-compassion was related to healthier eating behaviours and healthy food ambivalence mediated this relationship. Individuals high in self-compassion exhibited less ambivalence to healthy food images, which in turn was related to overall healthier eating patterns. In contrast, ambivalence to unhealthy foods was unrelated to self-compassion and mostly unrelated to the eating behaviour measures. Findings were consistent across both studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individuals with higher levels of self-compassion exhibited less ambivalence towards healthy foods (but not unhealthy foods). Although healthy foods generated less ambivalence than unhealthy foods did, greater healthy food ambivalence was consistently related to unhealthier eating behaviour patterns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In pain and lonely? A longitudinal study examining the associations between menstrual pain, physical functioning and loneliness","authors":"J. McCurry,&nbsp;D. Skvarc,&nbsp;S. Evans,&nbsp;A. Mikocka-Walus,&nbsp;M. L. Druitt,&nbsp;L. Payne,&nbsp;E. M. Marshall","doi":"10.1111/bjhp.12805","DOIUrl":"10.1111/bjhp.12805","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The current study aimed to determine the prospective associations between menstrual pain, physical health functioning and loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We collected three waves of data from a community cohort of women reporting at least mild menstrual pain over 3 years. Participants were women aged 18–50, living in Australia, who had experienced regular menses and menstrual pain in the past year. Two hundred and eighty-nine women (<i>n</i> = 100 with self-reported endometriosis, 34% of current sample) completed the online questionnaires at all three time points and had complete data assessing pain severity, physical functioning and loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Poorer physical functioning was associated with greater loneliness (<i>β</i> = −.371, <i>p</i> &lt; .001). Contrary to our expectations, menstrual pain severity was not associated directly with loneliness but was indirectly associated via physical functioning (<i>R</i>² = .195, <i>p</i> &lt; 001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The overall stability in physical functioning over time suggests that a person‘s degree of physical functioning could be an early indicator of loneliness experiences. Health professionals wanting to mitigate loneliness amongst people with menstrual pain might benefit from screening for and addressing physical functioning impairment. It might also be beneficial to screen for and treat menstrual pain to ensure that it does not lead to or exacerbate physical functioning impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future research should consider the underlying mechanisms that drive the associations between physical functioning and loneliness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope and behavioural weight loss: Pathways lead to greater weight loss than agency or goals","authors":"Austin R. Medlin,&nbsp;Kelsey L. Sinclair,&nbsp;Misty A. W. Hawkins","doi":"10.1111/bjhp.12801","DOIUrl":"10.1111/bjhp.12801","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hope is a motivational state comprised of agency (internal drive), pathways (perceived external means), and goals (future targets) that may predict weight loss, but evidence is limited. This study examined hope and its subscales (agency, pathways, goals) as predictors of weight loss in a behavioural treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adults (<i>n</i> = 107) with body mass index (BMI) ≥ 27 participated in a 6-month weight loss program with 12-month follow-up. Hope and its subscales were assessed at baseline using the Adult Hope Scale-Revised (HSR-2). Percent weight lost (%WL) was calculated for post-treatment (<i>n</i> = 70) and follow-up (<i>n</i> = 61). Covariates included positive affect, gratitude, optimism, age, sex, education, BMI, and adverse childhood experiences. Linear regressions tested the relationship between HSR-2 total and subscales with %WL at post-treatment and follow-up, adjusting for covariates. Complete case and intention-to-treat analyses with multiply imputed data were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Complete case analyses showed HSR-2 total scores predicted greater %WL (<i>β</i> = .16, <i>p</i> = .001 post-treatment; <i>β</i> = .29, <i>p</i> = .003 follow-up). This effect was driven by pathways (<i>β</i> = .63, <i>p</i> = .001 post-treatment; <i>β</i> = 1.02, <i>p</i> &lt; .001 follow-up), with agency and goals unrelated to %WL (<i>p</i>s ≥ .353). Gratitude inversely related to %WL (<i>β</i> = −.82, <i>p</i> = .001 post-treatment; <i>β</i> = −.78, <i>p</i> = .020 follow-up). Among the intention-to-treat sample, HSR-2 total trended towards follow-up %WL (<i>β</i> = .14, <i>p</i> = .062); pathways predicted at both timepoints (<i>β</i> = .32, <i>p</i> = .047 post-treatment; <i>β</i> = .59, <i>p</i> = .001 follow-up).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Higher pathways thinking, a component of hope, predicted clinically significant weight loss and weight maintenance. Lower gratitude may predict weight loss (among completers), suggesting dissatisfaction with one's current state, combined with a belief in pathways to a better future, drove greater weight loss.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes technology use in young adults living with type 1 diabetes in Ireland: A qualitative interview study","authors":"Ann-Marie Creaven,&nbsp;Fay M. O'Donoghue,&nbsp;Eimear C. Morrissey,&nbsp;Aisling T. O'Donnell,&nbsp;Tomás P. Griffin","doi":"10.1111/bjhp.12803","DOIUrl":"10.1111/bjhp.12803","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The challenges of living with and managing type 1 diabetes during youth and emerging adulthood are well documented. The management burden may be alleviated in part using diabetes technologies including continuous glucose monitoring and hybrid closed-loop insulin pumps. However, young people's experiences of diabetes technology during this life stage are not well understood. This study aims to address that gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study will recruit 30–40 young people living with T1D, aged 16–21 years, from paediatric, transition and adult T1D clinics. Semi-structured qualitative interviews will be conducted. The data will be analysed using framework analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TBC (registered report format).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An interpretative phenomenological analysis of lived experiences and psychological processes in internalized weight stigma","authors":"Veronika Nagy,&nbsp;Lydia Poole,&nbsp;Esme Banting,&nbsp;Rose-Marie Satherley","doi":"10.1111/bjhp.12804","DOIUrl":"10.1111/bjhp.12804","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Internalized weight stigma (IWS) refers to the internalization of societal weight-based prejudices. While research on external weight stigma is well-established, the psychological mechanisms underlying IWS remain underexplored. This study aims to provide a deeper understanding of IWS by examining the lived experiences of individuals with obesity and identifying key psychological processes contributing to IWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative design was employed, using both in-depth interviews and photo-elicitation to explore the lived experiences of nine participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were invited to take pictures of situations which made them feel stigmatized about their body size during a 2-week-long photography task. Subsequently, participants reflected on the implications of their photographs during a 60-minute research interview. IPA was used to guide the analysis of the interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four key psychological processes contributing to IWS were identified: (1) Self-application of negative stereotypes, where participants internalized societal stigma, sometimes resisting it but still experiencing self-critical thoughts; (2) Imposition of an undesired identity, where societal labels restricted self-expression, leading participants to adopt socially acceptable personas; (3) Heightened anxiety and social vigilance, where participants experienced anxiety, hyper-awareness, and discomfort in public settings; and (4) Distress and coping, where emotional distress and coping strategies like social withdrawal appeared to reinforce IWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings extended existing literature by providing a data-driven conceptualization of IWS. The findings underscore the importance of developing psychological interventions that address both IWS and external societal weight stigma, focusing on strategies that challenge self-critical narratives and promote more adaptive self-concepts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimal couple intervention to improve psychobiological stress resilience","authors":"Corina Aguilar-Raab,&nbsp;Martin Stoffel,&nbsp;Melanie Fischer,&nbsp;Monika Eckstein,&nbsp;Guy Bodenmann,&nbsp;Markus Heinrichs,&nbsp;Ulrike Ehlert,&nbsp;Beate Ditzen","doi":"10.1111/bjhp.12799","DOIUrl":"10.1111/bjhp.12799","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed at evaluating the effects of a minimal couple intervention focusing on positive aspects within the relationship (instructed partnership appreciation task; PAT) in daily life. We hypothesized a stress-buffering effect of this intervention on perceived stress, salivary cortisol and alpha-amylase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p><i>N</i> = 40 couples were randomly assigned to either PAT or a no PAT (nPAT) condition. Self-reports and saliva samples were assessed six times per day on five consecutive days. To account for couple interdependencies, multilevel modelling (MLM) approaches were used to test the effects of (a) group assignment (PAT vs. nPAT) and (b) practicing the PAT in everyday life (PAT group only).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall perceived stress was lower for women in the PAT group as compared with women in the nPAT group (<i>b</i> = −.380, <i>p</i> = .0098). <i>Within the PAT group</i>, daily positive interaction (PAT) significantly reduced cortisol (<i>b</i> = −.127, <i>p</i> = .02) and alpha amylase (<i>b</i> = −.122, <i>p</i> = .037). Sex-specific analyses of within-participants effects in daily life indicate that these results were driven by the men in the sample: Practicing the PAT led to a decrease in perceived stress (<i>b</i> = −.271, <i>p</i> = 001) and sCort (<i>b</i> = −.226, <i>p</i> = .006) in men, but not in women (all <i>p</i> &gt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that a minimal couple intervention can improve individual health-related outcomes in a sex-specific manner, and that effects depend on actually practicing the positive exchange in daily life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The analysis of the present study is based on a sub-sample (placebo group) of a larger neuropharmacological intervention and longitudinal trial ‘Oxytocin, Couple Interaction and Wound Healing’ (clinicaltrials.gov, identifier NCT01594775).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of acceptance and commitment therapy for medication-decision-making and quality of life in women with breast cancer: A qualitative process evaluation","authors":"Sophie M. C. Green,&nbsp;Louise H. Hall,&nbsp;Rachel Ellison,&nbsp;Jane Clark,&nbsp;Hollie Wilkes,&nbsp;Suzanne Hartley,&nbsp;Jay Naik,&nbsp;Sarah Buckley,&nbsp;Charlotte Hirst,&nbsp;Sue Hartup,&nbsp;Richard D. Neal,&nbsp;Galina Velikova,&nbsp;Amanda Farrin,&nbsp;Michelle Collinson,&nbsp;Christopher D. Graham,&nbsp;Samuel G. Smith","doi":"10.1111/bjhp.12802","DOIUrl":"10.1111/bjhp.12802","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Adjuvant endocrine therapy (AET) reduces breast cancer recurrence, but side effects and distress impact adherence. We co-designed an Acceptance and Commitment Therapy (ACT) intervention to support medication decision-making and quality of life in women prescribed AET (ACTION). In a qualitative process evaluation nested in the pilot trial, we aimed to elicit participant experiences of receipt and therapists experience of delivery of ACTION to enhance our understanding of acceptability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Remote semi-structured interviews were conducted with women with breast cancer who received ACTION (<i>n</i> = 20) and trial therapists (<i>n</i> = 3).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Interviews were guided by the Theoretical Framework of Acceptability (TFA). Rapid Assessment Procedure (RAP) sheets were completed after each interview to map responses onto TFA constructs, and sections of interviews were selectively transcribed. Individual RAP sheets were collated to identify key findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ACTION was generally liked, in particular, the group format (<i>affective attitude</i>). Participants and therapists felt ACTION was low effort, but therapists acknowledged the burden associated with trial procedures (<i>burden</i>). Participants generally felt able to engage with ACTION, and therapists felt they were able to deliver it (<i>self-efficacy</i>). The perceived effectiveness of ACTION on well-being was good, but was mixed for impact on treatment adherence (<i>perceived effectiveness</i>). Participants and therapists understood the aims of ACTION (<i>coherence</i>), and ACTION generally aligned with therapists' values (<i>ethicality</i>). Therapists questioned who would be most appropriate to deliver ACTION (<i>opportunity costs</i>).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ACTION was acceptable to women with breast cancer and trial therapists. Rapid qualitative analysis can facilitate efficient process evaluations in time- and resource-limited contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Daily emotional well-being during the COVID-19 pandemic” Lades, L. K., Laffan, K., Daly, M., & Delaney, L. (2020). Daily emotional well-being during the COVID-19 pandemic. British Journal of Health Psychology, 25(4), 902–911.","authors":"","doi":"10.1111/bjhp.12797","DOIUrl":"10.1111/bjhp.12797","url":null,"abstract":"<p>A recent independent audit (https://error.reviews/reviews/lades-2020/) of our 2020 paper made us aware of four issues with this paper:</p><p>i) The line that referred to the multiple comparisons should have made clear that these were additional to the main analysis in the paper to avoid confusion. Table S2 in the Supporting Information (which is presented again below as Table 2) is transparent about the use of the Benjamini-Hochberg adjustments.</p><p>ii) Alongside our fixed effects, random effects, and fixed effects with multiple comparisons tables, we could have included a fixed effects model clustering for standard errors at the individual level. While we think it is not unconventional or misleading to present fixed effects and random effects models in the way we did, we agree that clustering has analytical advantages and would have been preferable. We added the regression table from a fixed effects model with standard errors clustered at the individual level below in this letter as Table 1. To facilitate the direct comparison between the regression table in the Supplementary Information of our paper and the regression table with clustered standard errors, we present both tables below as Table 1 and Table 2.</p><p>iii) Table S2 in the Supplementary Information of the paper does include an error (also highlighted in red below in Table 2). We included a significance flag “†” indicating that the association between “Schooling children” and “Positive affect” is significant after Benjamini-Hochberg adjustment, which it is not. We are grateful to the external reviewers for highlighting this error.</p><p>iv) The external reviewers noticed six duplicate ids (essentially three cases in which two people were assigned the same participant id) in the raw data-file. The external panel provider gave us the data with these duplicate ids. Basic demographics that we got directly from the panel provider are the same across these sets of observations, but they differ in the demographic data we elicited ourselves. We believe it is correct to include all 6 observations and assume they are independent of each other in the analysis.</p><p>We appreciate the opportunity to reflect on potential improvements to our analysis and the presentation of the results. None of the above issues change the substantive conclusions of the paper.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12797","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}