Journal of Health Psychology

To test the hypotheses that Type B individuals would engage in more preventive and less risk-related behaviors under high stress than Type As, 155 students were administered questionnaires pertaining to the TABP, daily hassles, and health behavior. As predicted, in six out of seven regression analyses, Type Bs engaged in more preventive, and fewer risk-related behaviors under high stress, than those who self-reported as Type A. Self-regulation mechanisms are proposed to help account for these effects.

This research investigated contents of actor and abstainer prototypes with regard to young adults’ social drinking combining quantitative and qualitative approaches (adjective ratings, N = 300; open answers, N = 90). Exploratory and confirmatory factor analyses yielded two factors (sociability/hedonism, responsibility) in both prototypes, confirmed by qualitative data. Given the importance for intention and willingness to drink alcohol, interventions should focus on the factor ‘sociability/hedonism’ of the actor and the abstainer prototype to reduce heavy drinking; addressing ‘responsibility’ may be ineffective. Participants’ evaluations appeared to be less prone to mean tendencies subsequent to open answers compared with adjective scales.

Stigma research is hampered by lack of consensus about the number of dimensions making up the stigma construct and what these dimensions measure. Two studies were conducted testing the dimensionality of stigma. Using 105 items proposed to measure stigma in previous research, the first study (N = 307) conducted an exploratory factor analysis using the maximum likelihood method of factor extraction. Results supported five factors that were designated as labeling, negative attribution, separation, status loss, and controllability. Using these factors, a second study (N = 263) demonstrated support for the goodness of fit of the proposed 5-dimensional stigma model.

This investigation compared a traditional behavioral weight loss program with a weight loss intervention emphasizing environmental modification and habit formation and disruption. Fifty-four overweight and obese adults (BMI ≥ 27 kg/m²) were randomly assigned to either a 14-week LEARN or TYL intervention. Forty-two participants completed the six-month follow-up assessment. Treatment outcomes between LEARN and TYL participants were equivalent. During the six-month no-treatment follow-up period, participants evidenced a 3.3 lb (SD = 9.2) weight gain. The TYL intervention appears to represent an attractive option for individuals seeking an alternative to the traditional behavioral approach to weight loss.

The aim of the present pilot investigation was to examine the role of specific subfactors of anxiety sensitivity (physical, cognitive, and social concerns) in terms of asthma control among a young adult sample (N = 56; M age = 20.0; SD = 3.9; Range = 18—45 years). Results indicated that, after controlling for gender, cigarette smoking status, and negative affectivity, the physical concerns factor of anxiety sensitivity, relative to cognitive and social concern factors, significantly predicted asthma control. These findings support the theory that fear of physical sensations is associated with poorer asthma control and suggest that targeting the physical concerns facet of anxiety sensitivity may be a novel way to improve asthma control.

The present natural history study examined the course of CFS from 1995—97 (Wave 1) to approximately 10 years later (Wave 2) from a random, community-based, multi-ethnic population. The rate of CFS remained approximately the same over the period of time from Wave 1 to Wave 2, although a high level of mortality was found (18% of those with medical or psychiatric exclusions group, 12.5% for the CFS group). Physical measures of disability and fatigue, along with measures of specific somatic symptoms, better differentiate individuals who later are diagnosed with CFS than more psychosocial measures such as stress and coping.

This study examined the influence of immediate social environment on health compromising behaviors (HCB) among 6564 high school students in China. Results showed that physical abuse by parents was a major risk factor that accounted for high rates of HCB. Perceived positive school experience and social support were protective factors associated with low rates of HCB. These two protective factors also buffered the adverse influence of abuse on the practice of individual HCB. In particular, parental abuse was associated with sexual experimentation, non-fatal self-harm, and suicide behaviors only at low levels of protective factors.

Following a critical overview of the active ageing concept, a thematic decomposition of 42 transcribed interviews with British people aged 72 years and over indicates that active ageing is understood in relation to physical, cognitive, psychological and social factors, but that these co-exist in complex combinations. The notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or diminishment of concrete powers of activity. A ‘challenge and response’ framework is suggested for future research on active ageing.

Multiple Sclerosis (MS) is a progressive, unpredictable neurological disease. Little research has examined adjustment to living with MS, especially within early disease stages. We interviewed 30 people with early stage MS and analysed transcripts using thematic analysis. Early stage MS was typically considered difficult but manageable and was dealt with through positivity and practical strategies to preserve normal life. However, adjustment seemed precariously contingent on reasonable current and future health status. Participants described disinclination towards involvement in the stigmatized world of MS. Findings have implications for sensitive services for people with MS and question acceptance as a marker of appropriate adaptation.

Women’s responses to ‘thin ideal’ media pending their level of general self-determination (GSD) were examined. High and low GSD women (N = 99) viewed a ‘thin physique salient’ (TPS) video or a ‘thin physique non-salient’ (TPNS) video. Following exposure to the TPS video, perceptions of pressure from the media to be thin, body dissatisfaction, and concerns over quantity of food were greater for low but not high GSD women. However, high GSD women reported greater concerns over the quality of food they eat following exposure to the TPNS video. Prevention efforts aimed at enhancing GSD are discussed.

This study aimed to examine whether changes in the illness perceptions of oesophageal cancer survivors explain changes in their levels of psychological distress relative to demographic and biomedical variables and coping strategies. Oesophageal cancer survivors completed the Illness Perception Questionnaire — Revised, the Cancer Coping Questionnaire and the Hospital Anxiety and Depression Scale at two points in time, 12 months apart. Cluster analysis was used to identify groups of respondents who reported a similar profile of change in their illness perception scores over time. Findings suggested that enhancing control cognitions and encouraging a positive focus coping strategy may be important in improving psychological health.

In this study we examined whether emotion regulation and illness-focused coping strategies mediate and/ or moderate the relation of illness-related negative emotions to patients’ subjective health. One hundred and thirty-five cardiac patients participated in the study. Illness-focused coping strategies were found to mediate the relation of emotions to physical functioning, whereas emotion regulation strategies mediated the relation to psychological well-being. Moreover, an emotion regulation strategy (i.e. emotion suppression) and two illness-focused coping strategies (instrumental coping and adherence) moderated the two relationships. These findings suggest that both emotion regulation and illness-focused coping strategies are integral parts of the illness-related negative emotions—health relationship.

The present study examined associations between negative family exchanges (patient perceptions of family overprotection and negative expressiveness, and patient feelings of being a burden), and two indicators of adaptation to illness (mental health and negative affect) in patients with end-stage renal disease (ESRD). Data were collected using the perceptions of illness-related family exchanges questionnaire, the SF36 and the PANAS in a structured interview with 127 patients with ESRD in Greece. Findings indicate that patient perceptions of negative family exchanges are related to outcomes, even after controlling for demographic and clinical factors. It is important to consider caregivers in intervention programmes of ESRD patients.

Pain from arthritis is a barrier to physical activity (PA), yet some people still manage to be active. This study examined whether women with greater or weaker arthritis pain acceptance were distinguished by social cognitions (self-regulatory efficacy to overcome barriers; outcome expectations of PA) and whether PA differences existed. Women with arthritis (N = 118) completed two surveys. After controlling for pain, a hierarchical discriminant function analysis discriminated pain acceptance groups in terms of the social cognitions. Greater pain acceptance participants were also significantly more active. Findings contribute new insight on the combination of a disease-related factor (pain acceptance) and social cognitions important for adherence.