British Journal of Health Psychology最新文献_第8页

Acceptability of acceptance and commitment therapy for medication-decision-making and quality of life in women with breast cancer: A qualitative process evaluation 接受和承诺治疗对乳腺癌患者药物决策和生活质量的可接受性：一个定性的过程评价

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-05-13 DOI: 10.1111/bjhp.12802

Sophie M. C. Green, Louise H. Hall, Rachel Ellison, Jane Clark, Hollie Wilkes, Suzanne Hartley, Jay Naik, Sarah Buckley, Charlotte Hirst, Sue Hartup, Richard D. Neal, Galina Velikova, Amanda Farrin, Michelle Collinson, Christopher D. Graham, Samuel G. Smith

Objectives

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.

Design

Remote semi-structured interviews were conducted with women with breast cancer who received ACTION (n = 20) and trial therapists (n = 3).

Methods

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.

Results

ACTION was generally liked, in particular, the group format (affective attitude). Participants and therapists felt ACTION was low effort, but therapists acknowledged the burden associated with trial procedures (burden). Participants generally felt able to engage with ACTION, and therapists felt they were able to deliver it (self-efficacy). The perceived effectiveness of ACTION on well-being was good, but was mixed for impact on treatment adherence (perceived effectiveness). Participants and therapists understood the aims of ACTION (coherence), and ACTION generally aligned with therapists' values (ethicality). Therapists questioned who would be most appropriate to deliver ACTION (opportunity costs).

Conclusion

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.

目的辅助内分泌治疗（AET）降低乳腺癌复发率，但其副作用和困扰会影响依从性。我们共同设计了一项接受和承诺治疗（ACT）干预，以支持服用AET的女性的药物决策和生活质量（ACTION）。在一个定性的过程评估嵌套在试点试验中，我们的目的是引出参与者的经验接收和治疗师的经验提供行动，以提高我们对可接受性的理解。设计对接受了ACTION治疗的乳腺癌患者（n = 20）和试验治疗师（n = 3）进行远程半结构化访谈。方法采用可接受性理论框架（TFA）进行访谈。每次访谈后完成快速评估程序（RAP）表，将回答映射到TFA结构，并选择性地转录访谈部分。整理了个别RAP表，以确定主要发现。结果ACTION被普遍喜欢，尤其是分组形式（情感态度）。参与者和治疗师认为行动是低努力，但治疗师承认与试验程序相关的负担（负担）。参与者通常觉得能够参与行动，治疗师也觉得他们能够传递行动（自我效能感）。ACTION对幸福感的感知效果良好，但对治疗依从性的影响（感知效果）好坏参半。参与者和治疗师理解行动的目的（一致性），行动通常与治疗师的价值观（道德性）一致。治疗师质疑谁最适合提供行动（机会成本）。结论ACTION对乳腺癌患者和临床治疗人员是可接受的。快速定性分析可以在时间和资源有限的情况下促进有效的过程评估。

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引用次数: 0

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. 对“2019冠状病毒病大流行期间的日常情绪健康”的更正Lades， L. K, Laffan， K., Daly， M.和Delaney， L.（2020）。COVID-19大流行期间的日常情绪健康。英国健康心理学杂志，25(4),902-911。

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-04-21 DOI: 10.1111/bjhp.12797

A recent independent audit (https://error.reviews/reviews/lades-2020/) of our 2020 paper made us aware of four issues with this paper:

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.

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.

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.

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.

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.

最近对我们2020年论文的独立审计（https://error.reviews/reviews/lades-2020/）使我们意识到本文的四个问题：i)提到多重比较的行应该清楚地表明，这些是论文中主要分析的附加内容，以避免混淆。支持信息中的表S2（再次以表2的形式呈现）对benjamin - hochberg调整的使用是透明的。ii)除了我们的固定效应、随机效应和具有多个比较表的固定效应外，我们还可以在个人水平上包括一个固定效应模型聚类，用于标准误差。虽然我们认为以我们的方式呈现固定效应和随机效应模型并不是非常规的或误导的，但我们同意聚类具有分析优势，并且更可取。我们在这封信中加入了一个固定效应模型的回归表，标准误差聚集在个人水平上，作为表1。为了便于将本文补充信息中的回归表与具有聚类标准误差的回归表进行直接比较，我们将下面的表格分别呈现为表1和表2。iii)本文补充信息中的表S2确实包含了一个错误（在下面的表2中也以红色突出显示）。我们包含了一个显著性标志“†”，表明在benjamin - hochberg调整后，“上学儿童”和“积极影响”之间的关联是显著的，但事实并非如此。我们感谢外部审稿人指出了这个错误。iv)外部审稿人在原始数据文件中注意到六个重复的id（本质上是三种情况下，两个人被分配了相同的参与者id）。外部面板提供程序为我们提供了具有这些重复id的数据。我们直接从小组提供者那里得到的基本人口统计数据在这些观察中是相同的，但我们自己得出的人口统计数据不同。我们认为包括所有6个观测值并假设它们在分析中相互独立是正确的。我们感谢有机会对我们的分析和结果提出的可能改进进行反思。以上问题都没有改变本文的实质性结论。

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引用次数: 0

Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies 严重肥胖发展的风险：在英国两项纵向队列研究中检查心理健康相关措施和社会人口因素的作用

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-04-21 DOI: 10.1111/bjhp.12798

I Gusti Ngurah Edi Putra, Sam Wilkinson, Michael Daly, Eric Robinson

Objective

To examine the prospective association between psychological well-being related measures and severe obesity development in young and middle-aged UK adults.

Design

A longitudinal analysis of two cohort studies.

Methods

We used data from the 1958 National Child Development Study (NCDS) and the 1970 British Cohort Study (BCS) to examine the association between baseline psychological well-being related measures (depressive symptoms, life satisfaction and self-efficacy) and severe obesity development (defined as body mass index – BMI ≥35 kg/m²) and residualized BMI change scores at follow-up. We analysed repeated measures of baseline and follow-up pairs with 6- to 7-year follow-up on average (n = 22,390 and 23,811 observations in NCDS and BCS, respectively) using panel data logistic and linear models controlling for sociodemographic factors. We conducted additional analyses using analytical sample sizes with longer follow-up (16–17 years).

Results

Although a range of sociodemographic factors (e.g., being female, non-married) were associated with increased risk of severe obesity development, we found limited evidence that psychological well-being related measures were associated with severe obesity development across cohorts and pooled analyses. Depressive symptoms, life satisfaction and self-efficacy were, however, associated with relatively small changes in continuous BMI change across analyses, and this tended to be limited to participants without obesity (BMI 18.5 to <30 kg/m²) and not those already living with obesity (BMI 30 to <35 kg/m²) at baseline.

Conclusions

There is limited evidence that psychological well-being related measures prospectively predict the development of severe obesity. Poorer psychological well-being is associated with modest changes in body weight in individuals without obesity.

目的探讨心理健康相关措施与英国中青年严重肥胖发展之间的潜在关联。设计对两个队列研究进行纵向分析。方法我们使用1958年国家儿童发展研究（NCDS）和1970年英国队列研究（BCS）的数据来检验基线心理健康相关测量（抑郁症状、生活满意度和自我效能）与重度肥胖发展（定义为体重指数- BMI≥35 kg/m2）和随访时剩余BMI变化评分之间的关系。我们使用面板数据逻辑分析和控制社会人口因素的线性模型分析了基线和随访对的重复测量，平均随访6至7年（NCDS和BCS分别为22,390和23,811个观察值）。我们使用更长随访时间（16-17年）的分析样本量进行了额外的分析。结果：尽管一系列社会人口因素（如女性、未婚）与严重肥胖发展的风险增加有关，但我们发现，在队列和汇总分析中，与心理健康相关的措施与严重肥胖发展相关的证据有限。然而，在整个分析中，抑郁症状、生活满意度和自我效能感与BMI连续变化的相对较小变化相关，而且这往往仅限于没有肥胖的参与者（BMI 18.5至30 kg/m2），而不是那些基线时已经患有肥胖的参与者（BMI 30至35 kg/m2）。结论心理健康相关指标对重度肥胖发展的前瞻性预测证据有限。在没有肥胖的个体中，较差的心理健康状况与体重的适度变化有关。

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引用次数: 0

Daily psychosocial determinants of smoking cessation: Effects of a buddy app intervention 戒烟的日常心理决定因素：好友应用程序干预的影响

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-28 DOI: 10.1111/bjhp.12796

Corina Berli, Philipp Schwaninger, Urte Scholz, Janina Lüscher

Objective

Digital technologies offer promising opportunities for smoking cessation interventions. Understanding whether interventions target key determinants of behaviour change is crucial for effective intervention development. This study tested the effects of the SmokeFree Buddy app, which encourages smoking cessation with the help of a buddy, on theoretically derived and pre-registered psychosocial determinants.

Methods

A total of 162 adults intending to quit smoking were randomized to an intervention (N = 81; SmokeFree Buddy app + assessments) or a control group (N = 81; assessments only). All participants completed end-of-day diaries for 3 days at baseline, from 7 days before to 20 days after a self-set quit date and for 3 days at the 6 months follow-up, reporting on daily amount and quality of support receipt, self-efficacy and action control.

Results

Multilevel analyses showed that participants in the intervention group had higher daily self-efficacy and were more likely to report daily support receipt (yes/no) from the quit date on until 20 days after compared to participants in the control group. However, on support days, the amount and quality of support were lower for intervention group participants. No group differences 6 months later emerged. In both groups, action control significantly increased from baseline to post-quit.

Conclusions

Findings showed that the SmokeFree Buddy app was effective in fostering self-efficacy and increasing the likelihood of support interactions in the social network during a quit attempt. Contrary to expectations, it did not necessarily foster higher quality support, suggesting that a differentiated view on support dynamics is needed.

数字技术为戒烟干预提供了有希望的机会。了解干预措施是否针对行为改变的关键决定因素，对于制定有效的干预措施至关重要。这项研究测试了无烟伙伴应用程序对理论推导和预先登记的心理社会决定因素的影响，该应用程序鼓励在伙伴的帮助下戒烟。方法162名有意戒烟的成年人随机分为干预组(N = 81；无烟伙伴应用程序+评估)或对照组(N = 81；评估)。所有参与者在基线时完成3天的结束日记，从自我设定戒烟日期前7天到20天，以及在6个月随访时的3天，报告每日支持收据的数量和质量，自我效能感和行动控制。结果与对照组相比，干预组的参与者有更高的日常自我效能感，并且更有可能报告从戒烟日期到20天后的每日支持接收（是/否）。然而，在支持日，干预组参与者的支持数量和质量较低。6个月后没有出现组间差异。在两组中，从基线到戒烟后，行动控制显著增加。研究结果表明，在戒烟过程中，无烟伙伴应用程序在培养自我效能和增加社交网络中支持互动的可能性方面是有效的。与预期相反，它并不一定能促进更高质量的支持，这表明需要对支持动态有不同的看法。

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引用次数: 0

Closing the intention-behaviour gap in physical activity: The moderating effect of individual differences in the valuation of physical effort 缩小体力活动的意向-行为差距：个体差异对体力努力评价的调节作用

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-25 DOI: 10.1111/bjhp.12790

Silvio Maltagliati, David A. Raichlen, Ryan E. Rhodes, Boris Cheval

Objective

Intention is a proximal antecedent of physical activity, but it often falls short of driving actual engagement in physical activity. Recently, it was suggested that the valuation of physical effort may explain the intention–behaviour gap. However, this hypothesis has not been formally tested. We aimed to examine whether individual differences in approach and avoidance tendencies towards physical effort moderate the strength of the association between intention and behaviour.

Methods

Four hundred and one English-speaking Canadian participants completed two online surveys separated by 1 week. Intention strength and individual differences in the tendencies to approach and avoid physical effort were first assessed, and moderate-to-vigorous physical activity was self-reported 7 days later. The moderating effect of approach and avoidance tendencies towards physical effort on the association between intention and physical activity was tested using linear regression models.

Results

Individual differences in approach tendencies (β = .11, p = .007), avoidance tendencies (β = −.11, p = .005) and in relative approach (vs avoidance) tendencies towards physical effort (β = .11, p = .005) moderated the association between the intention and moderate-to-vigorous physical activity. As expected, the association between intention and physical activity was stronger as approach tendencies towards physical effort increased, but weaker as avoidance tendencies increased. However, this moderating effect was only significant for vigorous physical activity, not for moderate physical activity.

Conclusion

This study suggests that individual differences in the valuation of physical effort represent a relevant moderator of the intention–behaviour gap in physical activity, especially the most vigorous ones.

客观意图是身体活动的近前因，但它往往不能推动身体活动的实际参与。最近，有人提出对体力劳动的评价可以解释意图-行为差距。然而，这一假设尚未得到正式检验。我们的目的是研究个体对体力劳动的接近和回避倾向的差异是否会调节意图和行为之间的关联强度。方法401名说英语的加拿大人完成了两次在线调查，间隔1周。首先评估意向强度和接近和避免体力劳动倾向的个体差异，并在7天后自我报告中度至剧烈体力活动。采用线性回归模型检验体力劳动接近倾向和回避倾向对意愿与体力活动关系的调节作用。结果接近倾向的个体差异(β =。11, p = .007)，回避倾向(β = -。11, p = .005)和相对接近（相对回避）体力劳动倾向(β =。11, p = .005)调节了意图与中高强度体育活动之间的关联。正如预期的那样，意图和体力活动之间的联系随着体力劳动倾向的增加而增强，但随着回避倾向的增加而减弱。然而，这种调节作用只对剧烈运动有显著意义，而对适度运动没有。结论体力劳动评价的个体差异对体力活动的意向-行为差异具有调节作用，尤其是在体力活动强度最大的体力活动中。

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引用次数: 0

School-based yoga and mindfulness interventions for young adolescents: A qualitative study in a disadvantaged area 以学校为基础的瑜伽和正念干预青少年：一项在弱势地区的定性研究

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12793

Amy L. Sumner, Tina Cartwright, Haiko Ballieux, Trudi Edginton

Objectives

With raising rates of mental health problems, mind–body interventions are increasingly being integrated in schools to support children and adolescents' mental health and well-being. The aim of this study was to explore young adolescents' experiences of yoga and mindfulness and the acceptability of delivery within the school curriculum in an area of high deprivation.

Design

Qualitative group interviews with young adolescents embedded within a larger feasibility study exploring the universal (class-wide) delivery of yoga and mindfulness interventions.

Methods

After participation in separate 10-week yoga or mindfulness interventions, 45 adolescents (12–13 years old; 66.7% male) took part in semi-structured group interviews exploring perceptions, acceptability, and experiences of each intervention. Data was analysed using inductive thematic analysis.

Results

Two overarching themes were identified, evident across both mindfulness and yoga groups. “Facilitators and barriers to engagement” outlined key factors impacting acceptability, including prior perceptions. Teacher qualities of non-reactivity and respect, an invitational approach to teaching, and interactive sessions were highly valued. Secondly, participants described a range of “psychosocial impacts”, including increased emotional regulation, positive mindset and self-confidence, and greater focus and concentration. Physical benefits were also reported in the yoga group.

Conclusion

This is the first study to explore the acceptability and impact of universal yoga and mindfulness interventions with an ethnically diverse sample of disadvantaged young adolescents in the United Kingdom. The findings suggest mind–body interventions can help children and adolescents develop skills to better manage challenges in their everyday lives, but they require further integration into the curriculum for optimal benefit.

随着心理健康问题发生率的上升，越来越多的身心干预措施被纳入学校，以支持儿童和青少年的心理健康和福祉。本研究的目的是探索青少年瑜伽和正念的体验，以及在一个高度剥夺地区的学校课程中交付的可接受性。设计在一项更大的可行性研究中，对青少年进行定性小组访谈，探索瑜伽和正念干预的普遍（班级范围）传递。方法：45名青少年(12-13岁；（66.7%男性）参加了半结构化的小组访谈，探讨对每种干预措施的看法、可接受性和经验。数据分析采用归纳专题分析。结果两个主要的主题被确定，在正念和瑜伽组中都很明显。“参与的促进因素和障碍”概述了影响可接受性的关键因素，包括先前的看法。教师的非反应性和尊重、邀请式教学方法和互动课程的品质受到高度重视。其次，参与者描述了一系列“心理社会影响”，包括情绪调节能力增强、心态积极、自信、注意力更集中。瑜伽组也报告了身体上的益处。这是第一个在英国不同种族的弱势青少年样本中探索普遍瑜伽和正念干预的可接受性和影响的研究。研究结果表明，身心干预可以帮助儿童和青少年发展技能，更好地应对日常生活中的挑战，但需要进一步整合到课程中，才能获得最佳效果。

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引用次数: 0

Development of the COMPASS model of endometriosis: A COmprehensive Model of Pain encompassing Agency, Systemic factors and Sense making 子宫内膜异位症COMPASS模型的发展：一个包含机构、系统因素和意义制定的疼痛综合模型

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12794

Brydee Pickup, Louise Sharpe, Jemma Todd

Objectives

Endometriosis is a chronic and progressive condition commonly associated with debilitating pain. Treatments for endometriosis pain are limited and usually invasive. Psychological interventions are a non-invasive intervention option and have proven benefits in chronic pain. Yet, psychological interventions for endometriosis pain are scant and of limited efficacy, which may be due to gaps in our understanding of endometriosis pain experiences. We sought to expand current understandings of endometriosis pain by investigating the factors that exacerbate and alleviate pain-related impact and distress, despite similar levels of pain severity.

Design

A mixed-methods approach was used, comprising quantitative pain data, qualitative interviews, and qualitative analysis of open-ended survey responses.

Methods

A total of 873 participants answered an online survey including pain outcomes. Sixteen participants were then purposively sampled for interview, in an iterative manner, in line with grounded theory until theoretical saturation was reached. Analysis of interview data resulted in a novel model of endometriosis pain. The model was cross-validated and refined using content analysis of 841 open-ended online survey responses regarding wider system priorities for endometriosis care.

Results

Our COMPASS model suggested that experiences of endometriosis-related pain and associated distress and impact were shaped by a dynamic interaction between the challenges of the gendered nature of pain, invalidation, distrust in the healthcare system, agency, sense-making, and burden. These experiences were situated within broader systemic factors of difficulty accessing care, the limitations of available treatments, and a lack of financial support.

Conclusions

Our findings present a novel model of endometriosis pain. This model provides several psychosocial treatment targets that could inform future psychological and multidisciplinary interventions for endometriosis pain. Empirical validation of the model is an avenue for future research.

目的子宫内膜异位症是一种慢性进行性疾病，通常伴有衰弱性疼痛。治疗子宫内膜异位症疼痛是有限的，通常是侵入性的。心理干预是一种非侵入性干预选择，已被证明对慢性疼痛有益。然而，对子宫内膜异位症疼痛的心理干预很少，而且效果有限，这可能是由于我们对子宫内膜异位症疼痛经历的理解存在差距。我们试图通过研究加剧和减轻疼痛相关影响和痛苦的因素来扩大目前对子宫内膜异位症疼痛的理解，尽管疼痛严重程度相似。设计采用混合方法，包括定量疼痛数据、定性访谈和开放式调查回答的定性分析。方法共873名参与者参与了一项包括疼痛结果的在线调查。然后有目的地抽取16名参与者进行访谈，以迭代的方式，符合接地理论，直到达到理论饱和。对访谈数据的分析产生了一种新的子宫内膜异位症疼痛模型。通过对841份关于子宫内膜异位症护理更广泛的系统优先级的开放式在线调查回应的内容分析，该模型得到了交叉验证和改进。结果我们的COMPASS模型表明，子宫内膜异位症相关疼痛的经历以及相关的痛苦和影响是由疼痛的性别性质、无效、医疗保健系统的不信任、代理、意义制定和负担之间的动态相互作用形成的。这些经历属于更广泛的系统性因素，包括难以获得护理、可用治疗的局限性和缺乏财政支持。结论我们的发现提出了一种新的子宫内膜异位症疼痛模型。该模型提供了几个心理治疗靶点，可以为未来子宫内膜异位症疼痛的心理和多学科干预提供信息。对模型的实证验证是未来研究的一个途径。

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引用次数: 0

Reinforcing implementation intentions with imagery increases physical activity habit strength and behaviour 用图像强化执行意图可以增强身体活动习惯、力量和行为

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12795

Alison Divine, Sarah Astill

Objectives

Habits may enhance the maintenance of physical activity. The aim of this study is to examine if reinforcing implementation intentions increases habit strength and thus physical activity.

Design

Participants (N = 186) were randomized into one of three intervention conditions (imagery vs. implementation intentions vs. combined; implementation intentions and imagery) and a control condition.

Methods

Participants were instructed to engage in a physical activity that they would like to start doing, or do more of, over a four-week period. Participants completed measures of physical activity, habit strength, and imagery use (imagery and combined conditions only) pre-intervention, weekly during the intervention, post-intervention, and a 12-week follow-up.

Results

Habit strength increased at week three (p < .001) for those in the combined condition, which was maintained through post-intervention and increased at follow-up (Ps > .05). In the imagery condition, habit strength increased at post-intervention (p = .003) and was maintained at follow-up. Physical activity increased for the combined condition from week two (p < .001) of the intervention, continuing to increase at weeks three (p = .003) and four (p < .001).

Conclusions

Imagery may be an effective intervention to support habit formation. Reinforcing implementation intentions with mental imagery may support habit formation for physical activity behaviour.

习惯可以加强身体活动的维持。本研究的目的是检验加强执行意图是否会增加习惯强度，从而增加身体活动。设计参与者（N = 186）被随机分配到三种干预条件中的一种(想象vs.实施意图vs.联合干预；实施意图和意象)和控制条件。方法参与者被要求在四周的时间里从事一项他们想要开始做的体育活动，或者做更多的体育活动。参与者在干预前、干预期间每周、干预后和12周的随访中完成了身体活动、习惯强度和图像使用（仅限图像和组合条件）的测量。结果联合用药组的习惯强度在第3周增加（p < 0.001），干预后保持不变，随访时增加（p < 0.05）。在意象条件下，习惯强度在干预后增加（p = 0.003），并在随访中保持不变。从干预的第二周开始，综合情况下的体力活动增加（p < .001），在第三周（p = 0.003）和第四周（p < .001）继续增加。结论意象可能是支持习惯形成的有效干预手段。用心理意象强化实施意图可能支持身体活动行为的习惯形成。

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引用次数: 0

Self-compassion and mental health: Examining the mediational role of health behaviour engagement in emerging adults 自我同情与心理健康：初出期成人健康行为参与的中介作用

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-14 DOI: 10.1111/bjhp.12791

Camille L. Garnsey, Katherine E. Gnall, Crystal L. Park

Objectives

This observational longitudinal study examines whether engagement in health behaviours (general health behaviours, sleep hygiene, comfort food snacking) mediate the link between self-compassion and mental health among emerging adults.

Design/Method

Participants were 332 emerging adults recruited from a large U.S. University (M_age = 19.0; SD = 1.8) who completed two electronic surveys 7–10 weeks apart (T1 and T2). The Hayes PROCESS macro model #4 was used to test whether engagement in health behaviours at T2 health mediated the association between T1 self-compassion and T2 mental health (5000 bootstrap samples).

Results

T1 self-compassion was significantly associated with all T2 health behaviours except for comfort food snacking. T2 sleep hygiene behaviours mediated the relationship between T1 self-compassion and both T2 depression and T2 anxiety (bootstrapped 95% CIs [−.085, −.029] and [−.064, −.016], respectively), although the total effect of self-compassion on anxiety was no longer significant when accounting for T1 sleep hygiene and T1 anxiety. Overall T2 health behaviour engagement mediated the relationship between T1 self-compassion and T2 depression only (bootstrapped 95% CI [−.044, −.006]), although the mediation was non-significant after accounting for T1 overall health behaviour engagement and T1 depression.

Conclusions

Findings suggest that individuals with higher self-compassion engage more in overall health behaviours and sleep hygiene practices, and that sleep hygiene and general engagement in health behaviours help to explain the link between self-compassion and mental health symptoms over time. These findings highlight the multiple positive downstream effects of fostering self-compassion and have important implications for mental health care providers utilizing self-compassion to support health behaviour engagement in order to promote mental health.

本观察性纵向研究探讨了健康行为（一般健康行为、睡眠卫生、安慰食物零食）的参与是否介导了自我同情与新兴成年人心理健康之间的联系。设计/方法参与者从美国一所大型大学招募332名新生成人(Mage = 19.0；SD = 1.8)，间隔7-10周（T1和T2）完成两次电子调查。采用Hayes PROCESS宏观模型#4检验T2健康阶段的健康行为参与是否介导T1自我同情与T2心理健康之间的关联（5000个自举样本）。结果T1自我同情与T2健康行为显著相关，但不包括吃零食。T2睡眠卫生行为在T1自我同情与T2抑郁和T2焦虑之间的关系中起中介作用（自举95% ci）[−。085年,−。[qh]和[−]。064年,−。016])，尽管当考虑T1睡眠卫生和T1焦虑时，自我同情对焦虑的总影响不再显著。整体T2健康行为参与仅介导T1自我同情和T2抑郁之间的关系(自举95% CI[−。044,−.006])，尽管在考虑T1整体健康行为参与和T1抑郁后，中介作用不显著。研究结果表明，自我同情程度较高的个体更注重整体健康行为和睡眠卫生习惯，睡眠卫生和总体健康行为有助于解释自我同情与心理健康症状之间的联系。这些发现强调了培养自我同情的多重积极下游效应，并对心理卫生保健提供者利用自我同情来支持健康行为参与以促进心理健康具有重要意义。

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引用次数: 0

Illness risk representations underlying women's breast cancer risk appraisals: A theory-informed qualitative analysis 女性乳腺癌风险评估背后的疾病风险表征：一项基于理论的定性分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-13 DOI: 10.1111/bjhp.12792

Victoria G. Woof, Lorna McWilliams, D. Gareth Evans, Anthony Howell, David P. French

Objectives

This study assessed the utility of Cameron's Illness Risk Representation (IRR) framework in understanding how women interpret their breast cancer risk after receiving a clinically derived estimate.

Design

Secondary qualitative analysis of two studies within the BC-Predict trial, using semi-structured telephone interviews with women aged 47–74 who received breast cancer risk estimates via population screening.

Methods

Forty-eight women were informed of their 10-year breast cancer risk (low (<1.5% risk), average (1.5–4.99%), above-average (moderate; 5–7.99%) and high (≥8%)). Moderate- and high-risk women were eligible for enhanced preventive management. Women were interviewed about their risk, with data analysed using a thematic framework approach.

Results

Causal representations of breast cancer were often incomplete, with women primarily relying on family history and health-related behaviours to understand their risk. This reliance shaped pre-existing expectations and led to uncertainty about unfamiliar risk factors. As women aged, concerns about breast cancer susceptibility became more prominent. Emotional reactions to risk communication, along with the physical implications of risk management strategies, were also considered. Women were knowledgeable about early detection and prevention strategies, showing agency in reducing risk and preventing aggressive cancers.

Conclusions

The IRR framework largely explained women's breast cancer risk appraisals but adaptations could enhance its applicability. The identity construct could be redefined and combined with the causal construct. The framework should also consider the extent to which pre-existing appraisals change after receiving a clinical-derived risk estimate. Healthcare professionals should assess women's knowledge before communicating personal risk estimates to reduce doubt and the impact of unfamiliar information.

目标本研究评估了卡梅伦疾病风险表征（IRR）框架在了解女性在接受临床评估后如何解释其乳腺癌风险方面的实用性。设计对 BC-Predict 试验中的两项研究进行二次定性分析，采用半结构化电话采访的方式，采访对象为通过人群筛查获得乳腺癌风险估计值的 47-74 岁女性。方法 48 名妇女被告知其 10 年乳腺癌风险（低风险（1.5%）、平均风险（1.5-4.99%）、高于平均风险（中度风险；5-7.99%）和高风险（≥8%））。中度和高风险妇女有资格接受强化预防管理。对妇女进行了有关其风险的访谈，并采用主题框架法对数据进行了分析。结果关于乳腺癌的因果关系表述往往不完整，妇女主要依靠家族病史和与健康相关的行为来了解自己的风险。这种依赖形成了原有的预期，并导致对陌生风险因素的不确定性。随着年龄的增长，妇女对乳腺癌易感性的担忧变得更加突出。对风险交流的情绪反应以及风险管理战略对身体的影响也被考虑在内。女性对早期检测和预防策略很了解，在降低风险和预防侵袭性癌症方面表现出了积极性。结论 IRR 框架在很大程度上解释了妇女对乳腺癌风险的评估，但对其进行调整可以提高其适用性。身份结构可以重新定义，并与因果结构相结合。该框架还应考虑在接受临床风险评估后，原有评估会在多大程度上发生改变。医疗保健专业人员应在告知个人风险估计值之前评估妇女的知识，以减少怀疑和陌生信息的影响。

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引用次数: 0