Search

Objective: The present study sought to examine whether beliefs about physical activity as a means of coping with stress predicted college students' exercise levels following naturally occurring stressors. Participants: One-hundred and twenty-seven undergraduate students were recruited from psychology courses at a large, urban university in the southwestern United States. Methods: Participants completed baseline measures and daily assessments for two weeks; data were analyzed using hierarchical linear modeling. Results: Beliefs about the coping properties of physical activity significantly moderated the effects of daily stress (b = 0.19, SE = 0.09, p = 0.02), and combined daily and chronic stress (b = 0.01, SE = 0.01, p < 0.01), on students' daily exercise. Conclusions: College students' beliefs about physical activity are associated with changes in their daily exercise following exposure to naturally-occurring stressors. Such beliefs may be amenable to intervention to promote adaptive coping with stress and enhanced physical activity.

Stress and depressive symptoms are associated with maladaptive health behavior practices such as unhealthy eating, sedentary behavior, insufficient sleep, and substance use. The relative and interactive effects of stress and depressive symptoms on health behavior practices are less well understood. The present study examined these processes in a daily diary study of 127 college students. Results from hierarchical generalized linear models indicated that depressive symptoms, and chronic and daily stress, but not acute stressful life events, were significantly associated with a composite score of daily maladaptive health behavior engagement (depressive symptoms b = .01, SE= .00, p

Objective: Low emotional intelligence and symptoms of disordered eating are connected, however, whether daily fluctuations in emotional intelligence predict daily changes in disordered eating symptoms has not been examined, nor has stress been explored as a potential moderator of this relationship. Participants: Participants were undergraduate students (n = 100). Methods: Participants completed baseline questionnaires, then responded to random ecological momentary assessment prompts 3 times daily for 2 weeks. Results: Results indicated that when individuals had higher momentary emotional intelligence, they had lower disordered eating at the same time point (within subjects estimate = −0.30, p <.001) and following time point (within subjects estimate = −0.08, p = 0.03). Momentary stress moderated the relationship between baseline emotional intelligence and momentary disordered eating (b = −0.02, p <.01). Conclusions: Changes in emotional intelligence predict day-to-day changes in disordered eating, and stress moderates the connection between emotional intelligence and disordered eating. [ABSTRACT FROM AUTHOR]

ObjectivePoor physical health in childhood is associated with a variety of negative health-related outcomes in adulthood. Psychosocial pathways contributing to the maintenance of physical health problems from childhood to young adulthood remain largely unexamined, despite evidence that factors such as negative mood and stress impact physical health.DesignThe current study tested the direct and indirect effects of ongoing health, chronic stress, health-related chronic stress, and depressive symptoms at age 20 on the link between health problems in childhood and young adulthood (age 21) in a longitudinal sample (n = 384).Main outcome measuresThe hypotheses were tested using a multiple mediation path analysis framework; the primary outcome measure was a composite index of health status markers in young adulthood.ResultsThe proposed model provided an adequate fit for the data, with significant total indirect effects of the four mediators and significant specific indirect effects of health-related chronic stress and depressive symptoms in maintaining health problems from childhood into young adulthood.ConclusionsHealth problems are maintained from early childhood into young adulthood in part through psychosocial mechanisms. Depressive symptoms and health-related chronic stress have significant, unique effects on the relationship between health problems in early childhood and young adulthood.

Functional genetic polymorphisms associated with Brain-Derived Neurotrophic Factor (BDNF) and serotonin (5-HTTLPR) have demonstrated associations with depression in interaction with environmental stressors. In light of evidence for biological connections between BDNF and serotonin, it is prudent to consider genetic epistasis between variants in these genes in the development of depressive symptoms. The current study examined the effects of val66met, 5-HTTLPR, and family environment quality on youth depressive symptoms in adolescence and young adulthood in a longitudinal sample oversampled for maternal depression history. A differential susceptibility model was tested, comparing the effects of family environment on depression scores across different levels of a cumulative plasticity genotype, defined as presence of both, either, or neither plasticity alleles (defined here as val66met Met and 5-HTTLPR 'S'). Cumulative plasticity genotype interacted with family environment quality to predict depression among males and females at age 15. After age 15, however, the interaction of cumulative plasticity genotype and early family environment quality was only predictive of depression among females. Results supported a differential susceptibility model at age 15, such that plasticity allele presence was associated with more or less depressive symptoms depending on valence of the family environment, and a diathesis-stress model of gene-environment interaction after age 15. These findings, although preliminary because of the small sample size, support prior results indicating interactive effects of 5-HTTLPR, val66met, and environmental stress, and suggest that family environment may have a stronger influence on genetically susceptible women than men.

This study examined the formation of trust judgments of information sources about COVID-19 and the role played by emotions in this information seeking process. Twenty-seven in-depth interviews with Americans revealed that both trust and affective responses were present in information seeking of health messages, thus discovering the applicability of Risk Information Seeking and Processing (RISP) model’s propositions during pandemics. Using qualitative methods to assess RISP variables in a new context (COVID-19), the study proposes modifications to the existing model. It also extends the sociopsychological traditions on which the RISP model was based, by finding that when evaluating information sources during pandemics, under conditions of high issue relevance, individuals’ peripheral evaluation of messages might precede systematic evaluation and might be used as a selection criteria for further elaboration. Finally, the assessments of source credibility as a peripheral cue in this study expand current theoretical understandings by including compassion as a possible new dimension. [ABSTRACT FROM AUTHOR]

The viability of gold open access publishing models into the future will depend, in part, on the attitudes of authors toward open access (OA). In a survey of academics at four major research universities in North America, we examine academic authors' opinions and behaviors toward gold OA. The study allows us to see what academics know and perceive about open access models, their current behavior in regard to publishing in OA, and possible future behavior. In particular, we gauge current attitudes to examine the perceived likelihood of various outcomes in an all-open access publishing scenario. We also survey how much authors at these types of universities would be willing to pay for article processing charges (APCs) from different sources. Although the loudest voices may often be heard, in reality there is a wide range of attitudes and behaviors toward publishing. Understanding the range of perceptions, opinions, and behaviors among academics toward gold OA is important for academic librarians who must examine how OA serves their research communities, to prepare for an OA future, and to understand how OA impacts the library's role.

There is limited understanding about informational barriers that nurses face when assessing obstetric patients and the strategies they use to obtain and elicit disclosure of potentially sensitive health information. Using framework analysis and goals-plans-actions theory, this study qualitatively explores the perspectives of nurses, nurse practitioners, and midwives on these processes and strategies. This study utilizes framework analysis to analyze in-depth interviews with 22 nurses working in the field of obstetric and intrapartum care. Two overarching themes regarding barriers to disclosure and six themes regarding strategies to address these barriers emerged. Barriers included intentional self-concealment and unintentional omission of information. Strategies to overcome these barriers include education, rapport building, strategic questioning, creating a zone of privacy, seeking out information from other sources, and postnatal debriefing sessions. This study provides greater insight into the types of barriers that may prevent pregnant people from disclosing their health information, as well as communicative strategies on how to elicit sensitive health information. Nurses' responses highlight their reliance on patients, as well as on other sources of information when encountering patient reticence. Framework analysis points to four overarching strategic implications for communicative practices in health care settings: creating mutual understanding, creating rapport, creating privacy, and creating more empowered and informed patients. [ABSTRACT FROM AUTHOR]

Women who become pregnant again following miscarriage or stillbirth are in a particularly vulnerable position as they grapple with uncertainty about the current pregnancy's viability and outcomes. In this study, we examine the types of uncertainty that emerge in pregnancy after loss (PAL) and how women manage that uncertainty. Framed by the theory of communication and uncertainty management, we thematically analyzed threads (N = 636) from the online discussion board Reddit, focusing on the specific subreddit community r/PregnancyAfterLoss. Themes of physiological, emotional, and social uncertainty dominated the PAL experiences of these online community members. Uncertainty management and coping strategies included direct information seeking, bracing, mantras, and accepting uncertainty as part of the PAL experience. Theoretical contributions of this study include an initial conceptualization of emotional uncertainty in health communication. In addition, we draw parallels between uncertainty in PAL and in illness and highlight the unique features of PAL that expand our understanding of uncertainty in health. Practical implications are drawn from members' expressed needs and uncertainty management practices, and provide direction for supporting women through the PAL experience. [ABSTRACT FROM AUTHOR]

Although sexual refusal can be a complex, face-threatening interpersonal exchange, the nuances of these encounters are often overlooked by sexual and consent education messages. To examine this phenomenon more closely, the current study analyzed emerging adult college women's descriptions of past sexual refusal episodes to better understand how they frame their sexual refusal experiences in terms of face needs and risks, and the cultural roles and scripts are reflected in the descriptions of sexual refusal. Two primary frames emerged through the analysis: Refusal as successful and refusal as failure. Thematic characteristics within each frame are examined in terms of politeness theory and face needs, as well as the broader cultural sexual scripts that impact norms surrounding who, how, when, and if sexual refusal can occur. Theoretical implications include consideration of how the discourse of U.S. sexual consent education emerges in the findings, the limitations of politeness theory in understanding sexual refusal, and suggest alternative theoretical approaches. [ABSTRACT FROM AUTHOR]

This study qualitatively examined how nurses, nurse practitioners, and nurse midwives construct the meaning of patient trust in their work caring for pregnant and laboring women. Twenty-two interviews were conducted with nurse participants employed at clinics, hospitals, and birth centers across Southeastern United States. Using a normative theoretical approach within the multiple goals framework, we identified five emergent themes that characterize trust as it shapes nurses' communicative goals: trust as the woman's acceptance of vulnerability and risk, the woman relinquishing control, the woman conceding to the nurse's expertise, the woman feeling heard, and the woman's disclosure of information. The results support previous studies, which conceptualized trust as vulnerability, risk, and disclosure whereas the remaining themes are original to this study. The results are interpreted both in light of existing links between trust and communication and the shifting and conflicting goals of nurses as they attempt to achieve their primary goal of optimal health outcomes. Passive constructions of trust that conflate it with women's acquiescent behaviors could have implications for the quality of communication between nurses and patients. In addition, trust, as understood by these participants, becomes situated as an instrumental means to achieving patient cooperation and desired health outcomes rather than a relational goal that supports women's agency throughout obstetric and intrapartum processes. This may be at odds with the modern movement toward patient-centered care and shared decision-making in U.S. maternity care. [ABSTRACT FROM AUTHOR]