Journal of Health Psychology

This study examined the covariation of negative emotions with airflow among 48 persons with asthma and their partners as they discussed relationship problems. Measures included self-reported questionnaires, airflow and behavior coded from videotaped discussions. Significantly increased self-reported hostility and statistically but not clinically significant declines in airflow were found post- versus pre-discussion. Self-reported responses to asthma symptoms of more anger and less loneliness predicted lower post-discussion airflow after accounting for pre-discussion airflow. The use of effort-independent measures of airflow and autonomic nervous system monitoring may inform future research regarding the physiological mechanisms through which mood and behavior affect airflow.

The Health Information Orientation Scale (HIOS) was developed from a need to briefly assess information orientation in a health context and underlying reasons for information seeking or avoidance. Using data from a larger longitudinal study of informal cancer caregivers, this study examines psychometric properties of the HIOS, including confirmatory factor analysis (CFA), reliability and construct validity through associations with information competence, coping and distress. CFA supported two conceptually unique factors: Information Engagement and Information Apprehension. Each factor demonstrated adequate reliability and construct validity, providing promising findings regarding Information Engagement and Information Apprehension, specific to a health context.

Facial disfigurement affects approximately one in 500 children and young people in the UK. Four mothers and their four children aged 11—13 years who have a facial disfigurement were recruited through the charity Changing Faces, in order to examine the perspectives and concerns of adolescents and their mothers, and how they live with their disfigurement. Semi-structured interviews were analysed using Interpretative Phenomenological Analysis. The implications for research and practice in health psychology are discussed, and in particular the support and intervention of friends, constant vigilance and practical assistance from mothers, and the individual characteristics of the child are highlighted for further consideration.

In order to explore the personal experience of chronic urologic pain we asked patients to journal in their own words their daily symptoms and the effects of those symptoms on home/family life, working life and social life. Journal responses were independently reviewed by three researchers and major themes summarized following an inductive approach. Three major themes were identified concerning symptoms, personal and interpersonal effects of symptoms and related role limitations. Fatigue emerged as a newly recognized symptom that may benefit from treatment. Role limitations are mediated by potentially modifiable personal and interpersonal effects currently not addressed in urologic pain treatment paradigms.

Understanding was sought of the ways that female students understand and feel about physical activity and exercise participation, to inform effective and ethical intervention. Sixteen women participated in semi-structured interviews which were analysed thematically, using QSR NUD*IST 4. Physical activity and exercise proved emotive topics and meant different things to different people. Some women associated physical activity and exercise with enjoyment, or achieving their goals. Others saw exercise in particular as a duty, associated with feelings of guilt and inadequacy. Findings supported the value of promoting realistic goals, and careful choice of activities according to individual preferences.

This study examines mediation of the association between social norms and unsafe sexual behavior. Self-report data were collected from 675 HIVinfected men enrolled in a study exploring interventions for HIV risk behavior. Unsafe sex included any unprotected anal sex with HIVnegative or HIV status unknown partners in the last three months. Norms for condom use indirectly influenced unsafe sex through condom self-efficacy and/or safer sex intentions. Additionally, sexual behavior discontrol influenced unsafe sex regardless of other individual or social factors. Our results suggest that interventions consider the combined effects of condom self-efficacy, safer sex intentions and sexual behavior control.

The Social Reactivity Scale is a questionnaire measure of individual differences in rebelliousness. The associations between rebelliousness, health behaviours and health outcomes were examined in two Dutch samples by means of cross-sectional survey data. We found moderate support for the reliability and construct validity of the scale. Findings were suggestive of rebelliousness, first, being associated with low control beliefs, second, being related to hostility and, third, also heightening the risk of engaging in unhealthy behaviours and that of poor health (perhaps through deliberately rejecting health education messages). Findings thus contribute to the ongoing emergence of an empirically viable theoretical construct.

Our meta-analysis examined the impact of exercise interventions on body image; and participant, intervention, and design features associated with larger effects. We identified 57 interventions (with pre-and post-data for the exercise and control groups) examining the effects of exercise on body image. A small random effect indicated that exercise intervention conditions had improved body image compared to control conditions; and that participant (age), design (year of publication), and intervention (exercise frequency and specificity) features moderated the effect size. Research examining the mechanisms and the exercise dose-response required for body image change is needed.

Socio-economic variations in health behaviours contribute to socio-economic inequalities in health. Time perspective describes how individuals’ consideration of future outcomes influences their present day behaviours and is associated with health behaviours and socio-economic position. Although theoretically plausible, the potential mediating role of time perspective in socio-economic inequalities in health behaviours has received little research attention. Analysis of data from wave 1 of the English Longitudinal Study of Ageing revealed that time perspective played a small partial mediating role in socioeconomic inequalities in smoking and physical activity. The data were self-report and cross-sectional, and the sample restricted to individuals aged 50+.

The multiplicity of forms of health-related knowledge, including biomedical knowledge, lay knowledge and critical constructionist knowledge, raises challenges for health researchers. On one hand, there is a demand for a pluralist acceptance of the variety of health-related knowledge. On the other, the need to improve health calls for action, and thus for choices between opposing forms of knowledge. The present article proposes a pragmatist approach to this epistemological problem. According to pragmatism, knowledge is a tool for action and as such it should be evaluated according to whether it serves our desired interests. We identify implications for research methodology and the choice of research goals.

This study examines a conceptual model linking individual cognitive-behavioral and familial influences to adolescents’ poor diet control as a health-risk behavior. A cross-sectional survey collected data from students enrolled in the secondary schools of the Middle Transylvanian Region, Romania (N = 1977). Self-administered questionnaires were used for data collection. Logistic regression analyses revealed that future-orientation, self-regulation, life purpose, parenting style and parental support were all significant protective factors against adolescents’ poor diet control. While both individual and familial variables act as protection for girls and younger adolescents, for boys and older adolescents, only parental variables are significant.

Ankylosing Spondylitis (AS) is a potentially debilitating chronic condition that necessitates a biopsychosocial approach for successful long-term management. However, the psychosocial consequences of AS are not well understood. In this study patients (N = 68) reported impacts of AS across a wide range of life domains; negative impacts included physical effects of AS, changes in mood or personality, effects on social life and relationships with friends and family, low self-esteem, stigma and worry about the future; positive impacts included increased exercise, feelings of achievement and empathy, stronger relationships, slower pace of life and a more positive perspective. Implications for treatment are discussed.