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This study was designed to assess the psychological factors influencing life satisfaction of undergraduates. The instruments used were Perceived Stress Scale (PSS), Wong and Law Emotional Intelligence Scale (WLEIS), Rosenberge Self-esteem Scale (RSS), and Satisfaction with Life Scale (SWLS). A total number of 190 participants were purposively selected across various faculties in Ekiti State University. Four hypotheses were tested using Independent t-test to find the effects of perceived stress, emotional intelligence, and self-esteem on life satisfaction. Multiple regression was used to find the joint and individual influences of these variables. The results showed that there is no significant influence of perceived stress on life satisfaction (t (75) = 1.23, p = .22, 95% CI [-1.14, 4.83). There is no significant influence of self-esteem on life satisfaction (t (51) = -1.31, p = .20, 95% CI [-5.28, 1.11), and there is no significant joint influence of perceived stress, emotional intelligence and self-esteem on life satisfaction (F (3,187) = 1.79, p = .15, R2 =.03). Additionally, perceived stress (β = .07, p = .33), emotional intelligence (β = .14, p = 054) and self-esteem (β = .02, p = .83) did not have independent influences on life satisfaction. Implications of the present findings for future research are discussed, as well as potential interventions for improving life satisfaction.

Aim: Adults with mild-moderate intellectual disabilities (ID) have poorer diets and participate less in physical activity than adults in the general population. The current study aimed to gather perspectives of this group and their carers on how uptake of healthy eating and physical activity could be improved amongst adults with ID. Method: Qualitative interview study with 12 adults with ID and 12 carers using a Social Cognitive Theory based approach to understand their current behaviour and how to support behaviour change effectively with this group. Results: Participants reported that adults with ID may be more responsive to subjective, experiential benefits of health behaviours, including improved energy levels, mood and digestion than abstract changes in weight or muscle mass. Mastery of practical goals potentially leading to employment, purposeful activities and recognition of effort was also considered important. Fostering trust and rapport in their relationships with carers and providing training to carers on health promotion and management of challenging behaviour would also increase intervention effectiveness.Conclusion: Behaviour change interventions with adults with mild-moderate ID may be improved by tailoring content to their needs and involving carers in health promotion programmes.

Previous research has demonstrated a clear link between late chronotype and depression. The vulnerability factors underpinning this link, however, are unclear. Here the relationship between two specific emotion regulation strategies, cognitive reappraisal and expressive suppression, and chronotype was investigated using multiple regression. Two hundred and fourty participants (age range 18- 80, 189 females) completed validated self-report questionnaires assaying chronotype, neuroticism, depression symptomatology, sleep quality and emotion regulation. Eveningness was associated increased expressive suppression and morningness was associated with increased cognitive reappraisal after controlling for age, gender, depressive symptomatology, neuroticism and sleep quality. Trait expressive suppression and reduced cognitive reappraisal are known to increase depression risk. Our results suggest that eveningness is associated with impaired emotion regulation which may confer risk for future depression. These findings suggest modifiable markers that could be therapeutically targeted to prevent the onset of depression in late chronotype individuals.

Introduction: Passive detection of cigarette smoking offers potential for considerable benefits to researchers exploring smoking behaviour and designing precision behaviour change interventions. A number of systems have been developed that either use bespoke sensing technology, or rely on connected smartphones to run analytical software. Here we present StopWatch, a system for passive detection of cigarette smoking that runs on a smartwatch and does not require additional sensing or a connected smartphone.Methods: Our system uses motion data from the accelerometer and gyroscope in an Android smartwatch to detect the signature hand movements of cigarette smoking. It uses a three-stage analytical pipeline to transform raw motion data into motion features, and in turn into individual drags and instances of smoking. This pipeline runs on the smartwatch, and does not require a smartphone.Results: We validated the system in daily smokers (n=13) in laboratory and free-living conditions running on an Android LG G-Watch. In free-living conditions, over a 24 hour period, the system achieved precision of 86% and recall of 71%.Conclusions: StopWatch is a system for passive measurement of cigarette smoking that runs entirely on a commercially available smartwatch. It runs on an Android smartwatch and requires no smartphone so the cost is low. No bespoke sensing equipment is needed, and it uses a mass-market smartwatch, so participant burden is low. Performance is currently lower than other more expensive and complex systems, though adequate for some applications. Future developments will focus on enhancing performance, and validation on a range of smartwatches.

An emerging area of research in cognitive science is the utilization of networks to model the structure and processes of the mental lexicon in healthy and clinical populations, like aphasia. Previous research has focused on only one type of word similarity at a time (e.g., semantic relationships), even though words are multi-faceted. Here, we investigate lexical retrieval in a picture naming task from people with Broca’s and Wernicke’s aphasia and healthy controls by utilizing a multiplex network structure that accounts for the interplay between multiple semantic and phonological relationships among words in the mental lexicon. Extending upon previous work, we focused on the global network measure of closeness centrality which is known to capture spreading activation, an important process supporting lexical retrieval. We conducted a series of logistic regression models predicting the probability of correct picture naming. We tested whether multiplex closeness centrality was a better predictor of picture naming performance than single-layer closeness centralities, other network measures assessing local and meso-scale structure, psycholinguistic variables and group differences. We also examined production gaps, or the difference between the likelihood of producing a word with the lowest and highest closeness centralities. Our results indicated that multiplex closeness centrality was a significant predictor of picture naming performance, where words with high closeness centrality were more likely to be produced than words with low closeness centrality. Additionally, multiplex closeness centrality outperformed single-layer closeness centralities and other multiplex network measures, and remained a significant predictor after controlling for psycholinguistic variables and group differences. Furthermore, we found that the facilitative effect of closeness centrality was similar for both types of aphasia. Our results underline the importance of integrating multiple measures of word similarities in cognitive language networks for better understanding lexical retrieval in aphasia, with an eye towards future clinical applications.

Objective: Although basing conclusions on confidence intervals for effect size estimates is preferred over relying on null hypothesis significance testing alone, confidence intervals in psychology are typically very wide. One reason may be a lack of easily applicable methods for planning studies to achieve sufficiently tight confidence intervals. This paper presents tables and freely accessible tools to facilitate planning studies for the desired accuracy in parameter estimation for a common effect size (Cohen’s d). In addition, the importance of such accuracy is demonstrated using data from the Reproducibility Project: Psychology (RPP).Results: It is shown that the sampling distribution of Cohen’s d is very wide unless sample sizes are considerably larger than what is common in psychology studies. This means that effect size estimates can vary substantially from sample to sample, even with perfect replications. The RPP replications’ confidence intervals for Cohen’s d have widths of around 1 standard deviation (95% confidence interval from 1.05 to 1.39). Therefore, point estimates obtained in replications are likely to vary substantially from the estimates from earlier studies.Conclusion: The implication is that researchers in psychology -and funders- will have to get used to conducting considerably larger studies if they are to build a strong evidence base.

Background The coronavirus disease 2019 (COVID-19) pandemic may raise unique challenges for individuals with experience of eating disorders. Many factors have potential for detrimental impacts on psychological wellbeing and eating disorder recovery, including: Disruption to living situations, ‘social distancing’ restrictions, difficult access to healthcare, and societal changes to food behaviours and technology usage. To date, little is known on the impact of the pandemic on this population, particularly within the UK. Method A mixed-methods online survey was developed for the purpose of this study. Data was collected from 129 individuals currently experiencing, or in recovery from, an eating disorder during the early stages of the UK pandemic lockdown. Participants were aged between 16 and 65 years, with 121 participants identifying as female, 7 male and 1 participant preferring not to disclose their gender. Results Findings suggest that the pandemic is having a profound, negative impact upon individuals with experience of eating disorders. Eight key themes were generated: Disruption to living situation, increased social isolation and reduced access to usual support networks, changes to physical activity rates, reduced access to healthcare services, disruption to routine and perceived control, changes to relationship with food, increased exposure to triggering messages, and positive outcomes. The results suggest detrimental impacts on psychological wellbeing including decreased feelings of control, increased feelings of social isolation, increased rumination about disordered eating, and low feelings of social support. Conclusions Individuals with eating disorders are at significant risk of negative impacts of the pandemic. There is a vital need for interventions to support this population. Inequalities in healthcare provision were identified, emphasising a need for a more cohesive approach to remote treatment across UK healthcare services. Positive aspects of technology use were identified but the results suggest a need to address and/or limit the potential for negative impacts of public messages around food and exercise behaviours, and to co-design technologies with end-users to facilitate effective treatment.

The COVID-19 pandemic has caused uncertainty and disruptions in daily life. It has mandated social distancing and online education. Teens are spending a significant amount of time online and less time on extracurricular activities including team sports, choir/orchestra, and school socials. The cancellation of SAT, the switch to online AP exams, and the Credit/No Credit policy for 2nd-semester all contribute to the uncertainty in students regarding their future. Our project aims to create a survey that seeks opinions from teens about how they are managing with online socialization, the effectiveness of the online school, and stress levels. Using convenience sampling, adolescents (n = 168) were invited to participate in an anonymous online survey. Participants were asked about the effectiveness of online socializing, online education, hobbies, and extracurriculars to determine stress levels. We looked at models with two dependent stress variables: “low energy, insomnia and headache” and “forgetfulness and disorganization”. We used descriptive, regression, and correlation analysis to assess what the predictors of anxiety and stress are. Results show that stress levels are highly correlated with online exposure, online schooling, the credit/no credit, and home environment. The purpose of this study is to help school communities and leaders understand the effects on teens during the shelter in place order and identify areas of improvement in socio-academic life. Further studies need to be conducted to follow up with the findings of this project.

The coronavirus disease 2019 (Covid-19) outbreak has dramatically altered people’s social lives due to strict distancing policies. Increased loneliness has been publicly discussed as a harmful psychological side effect of these policies. However, empirical evidence was lacking. This large scale daily diary study assessed daily loneliness in N = 4,850 German adults from March 16, 2020 until April 12, 2020. Daily loneliness increased during the first two weeks of the Covid 19 lockdown and decreased thereafter. We identified subgroups that are at a higher risk for changes in daily loneliness during the Covid-19 pandemic (i.e., older adults, parents). It is important to evaluate if and how established knowledge about psychological functioning applies to extraordinary times and events such as the Covid-19 pandemic.

Depression disorder is a type of mental illness that often occurs in the community. Theprevalence of depressive disorders in Indonesia is as much as 11.60% of the total population inIndonesia around 24.708,000 people and 50 percent occur at the age of 20-50 years (MOH,2011). In addition, according to the World Health Organization (WHO) 2011, Depression is acomplex disorder that affects more than 120 million people worldwide (Lepine & Briley, 2011)and is predicted to be the second-largest cause of disability in the world by 2020. In 2012 theWHO estimated depression to strike 350 million people (WHO, 2012). A survey conducted bythe World Mental Health Survey of 17 countries found that on average 1 in 20 peopleexperience depression.

BackgroundWorldwide, the vast majority of people have been impacted by COVID-19. While millions of individuals have become infected, billions of individuals have been asked or required by local and national governments to change their behavioral patterns. Previous research on epidemics or traumatic events suggest this can lead to profound behavioral and mental health changes, but rarely are researchers able to track these changes with frequent, near real-time sampling or compare these to previous years of data on the same individuals.ObjectivesWe seek to answer two overarching questions by combining mobile phone sensing and self-reported mental health data among college students participating in a longitudinal study for the past two years. First, have behaviors and mental health changed in response to the COVID-19 pandemic as compared to previous time periods within the same participants? Second, did behavior and mental health changes track the relative news coverage of COVID-19 in the US media?MethodsBehaviors were measured using the StudentLife mobile smartphone sensing app. Depression and anxiety were assessed using weekly self-reported Ecological Momentary Assessments (EMAs). Differences in behaviors and self-reported mental health collected during the Winter 2020 term (the term in which the coronavirus pandemic started), as compared to prevous terms in the same cohort, were modeled using mixed linear models.ResultsDuring the initial COVID-19 impacted academic term (Winter 2020), individuals were more sedentary and reported increased anxiety and depression symptoms (P

This study examined the psychological distress experience of Nigerians amid COVID-19 pandemic. From March 20, 2020 to April 12, 2020, this descriptive survey used a snowballing sampling technique to select 502-Nigerian with an online semi-structured questionnaire containing Impact of Event Scale-Revised, GAD-7, Patient Health Questionnaire and Insomnia Severity Index. Gender had insignificant difference in the level of insomnia (χ2=04.93; df=3; p>0.05), however, 20.8% of males had sub-threshold of insomnia, 8.2% experienced moderate insomnia and 5.9% had severe insomnia; 32% females reported sub-threshold of insomnia, 12.4% had moderate insomnia while, 3.6% had severe insomnia. Also, gender had insignificant difference in the measures of depression (χ2=01.94; df=4; p>0.05); 55.4% males reported minimal depression, 22.3% had mild depression, 11.9% had moderate depression; 6.7% to 3.7% males had moderately to severe depression while, 49.3% of the females had minimal depression, 26.7% reported mild depression, 14.29% had moderate depression, 4.4% to 5.3% had moderately to severe depressive symptoms. Posttraumatic Stress Symptoms (PTSS) has no gender difference among respondents (χ2=02.51; df =3; p>0.05); 23% of males reported partial PTSS, 17.5% presented clinical PTSS, and 21.6% males had severe PTSS; while 29.3% of females had severe PTSS, 24% reported partial PTSS and 18.7% had clinical PTSS. Respondents reported insignificant gender difference on anxiety (χ2=0.08; df=1; p>0.05), while 51% reported moderate anxiety and 49% exhibited severe anxiety during COVID-19 pandemic in Nigeria. Findings revealed that Nigerians experienced psychological distress during COVID-19 pandemic. Government and stakeholders in health sectors should provide psychological health services for the residents in Nigeria. Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Declaration of Interest: We declare no conflict of interest Ethical Approval: Ethical review and approval was not obtained for the study due to the prevailing COVID-19 pandemic lockdown in Nigeria. Written informed consent to participate in the study was, however, provided by the participants via completion of the questionnaire/survey. Please find the attached informed consent documentation form used in the study.

Italy has been the first nation outside of Asia to face the COVID-19 outbreak. To limit viral transmission of infection, by March 10th, 2020, the Italian Government has ordered a national lockdown, which established home confinement, home (smart) working, and temporary closure of non-essential businesses and schools. The present study investigated how these restrictive measures impacted mothers and their pre-school children’s behavioral habits (i.e., sleep timing and quality, subjective time experience) and psychological well-being (i.e., emotion regulation, self-regulation capacity). An online survey was administered to 245 mothers with pre-school children (from 2 to 5 years). Mothers were asked to fill the survey thinking both on their habits, behaviors, and emotions and on those of their children during the quarantine, and retrospectively, before the national lockdown (i.e., in late February). A general worsening of sleep quality and distortion of time experience in both mothers and children, as well as increasing emotional symptoms and self-regulation difficulties in children, was observed. Moreover, even when the interplay between the behavioral and psychological factors was investigated, the factor that seems to mostly impact both mothers' and children's psychological well-being was their sleep quality. Overall, central institutions urgently need to implementing special programs for families, including not only psychological support to sustain families with working parents and ameliorating children's management. Electronic supplementary material The online version of this article (10.1007/s00787-020-01631-3) contains supplementary material, which is available to authorized users.

Background: During the novel coronavirus pneumonia (COVID-19) outbreak, the internet became the main channel for the public to access all kinds of information. Through search engines and other media, people can aquire information about the epidemic situation in real time. Baidu, currently the top online search tool in China, has developed an internet search trends gathering and analysis tool called Baidu Index. The aim of this study was to understand the public’s focus on the epidemic and their most pressing needs through analysis of the Chinese internet usage during the first month of the outbreak, which was also the most severe period. Method: The data period selected was from January 23, 2020 to February 22, 2020. Through Baidu index, we identified hot search terms related to COVID-19 which were grouped into four categories. Searching trend analysis was obtained depicting the quantities with which each category was searched. Next, we selected the category with the highest search volume, and obtained data regarding geographic and demographic characteristics. Finally, we explored Wuhan residents’ interest in COVID-19 by tracking their online seeking behavior. Results: The public was most concerned about news of "latest developments of epidemic". The remaining categories in descending order of attention received were "basic information of disease", "extended information" and "diagnosis and treatment of the novel coronavirus pneumonia". The mobile search volume was dominant. People searching for "latest developments of epidemic" mostly came from economically developed regions with a large floating population. The group with the maximum concern were men aged 20-49. The most searched terms by Wuhan residents were "how to use a thermometer", "n95 mask", "testing kit" and "nucleic acid testing". Conclusion: Through big data from internet, we can accurately understand public concerns and needs during the epidemic. If this data is used in media coverage, public health policy decision-making, and personal epidemic prevention education, it will certainly play an important role. Other countries and regions in the early stages of the epidemic can also benefit from China's experience.

BACKGROUND: The coronavirus disease 2019 (COVID-19) has spread rapidly across the globe. Based on recommendations from health organizations, many individuals have made significant changes to their daily lives to prevent the spread of the disease. OBJECTIVE/METHOD: This study sought to identify demographic and psychosocial factors associated with concern about COVID-19 and engagement in preventative health behaviors suggested to reduce the transmission of COVID-19 (social distancing, handwashing, cleaning/disinfecting, avoiding touching face, and wearing facemasks). From March 20 to 23, 2020, a US national sample (N=1019) completed an online survey. RESULTS: Recent illness, religiosity, germ aversion, and pathogen disgust sensitivity were the most consistent predictors of COVID-19 concern and preventative health behaviors. CONCLUSION: Findings have implications for the development of interventions intended to increase preventative health behaviors.

Purpose Reducing the spread of infection during the COVID-19 pandemic prompted recommendations for individuals to socially distance. Little is known about the extent to which youth are socially distancing, what motivations underlie their social distancing, and how these motivations are connected with amount of social distancing, mental health, and social health. Using a large sample of adolescents from across the United States, this study examined adolescents' motivations for social distancing, their engagement in social distancing, and their mental and social health. Methods Data were collected on March 29th and 30th, 2020, two weeks after COVID-19 was declared a national emergency in the United States. The sample consisted of 683 adolescents recruited using social media. A series of multiple linear regressions examined unique associations among adolescents' motivations to engage in social distancing, perceived amount of social distancing, anxiety symptoms, depressive symptoms, burdensomeness, and belongingness. Results Almost all respondents (98.1%) reported engaging in at least a little social distancing. The most commonly reported motivations for social distancing concerned social responsibility and not wanting others to get sick. Motivations concerning state or city lockdowns, parental rules, and social responsibility were associated with greater social distancing, whereas motivations concerning no alternatives were associated with less social distancing. Specific motivations for social distancing were differentially associated with adolescents' anxiety symptoms, depressive symptoms, burdensomeness, and belongingness. Conclusions Understanding adolescents' motivations to engage in social distancing may inform strategies to increase social distancing engagement, reduce pathogen transmission, and identify individual differences in mental and social health during the COVID-19 pandemic.

Introduction: Although poverty is often viewed as a driver of intimate partner violence (IPV), few studies have examined how changes in poverty influence men’s IPV perpetration over time. One sensitive marker of poverty is food security, or the ability of households to obtain adequate nutrition. The influence of food security has been associated with IPV in cross-sectional studies, but here we examine whether a causal relationship exists.Methods: We followed a cohort of 2,479 men living in a peri-urban settlement near Johannesburg, South Africa during the period of February 2016-August 2018. Using self-completed audio-assisted questionnaires, men responded at baseline (T0), 12 months later (T1), and 24 months later (T2). Questions about current food security, household type, childhood conditions, and past-year IPV perpetration were asked. We used cross-lagged dynamic panel modeling to assess whether food insecurity changes influenced men’s IPV perpetration over time.Results: A large proportion of men (46.9%) reported perpetrating IPV at baseline, but this proportion reduced over time (39.2% and 26.5% reported IPV at midline and endline, respectively). Less than half (41.4%) of participants reported food insecurity at T0, and this stayed consistent at T1 and T2. In cross-sectional bivariate analysis, food insecurity was higher among those men perpetrating IPV than among those who used no violence at all three time-points. In a cross-lagged dynamic panel model, food insecurity predicted men’s use of IPV one year later. Food insecurity was associated with a small, but significant, longitudinal impact on men’s IPV use (standardized coefficient=0.08, p=0.035) and the model fit indices were strong (RMSEA=0.027, CFI=0.993). This longitudinal association between food insecurity and IPV perpetration persisted in a final model controlling for housing status, age at baseline, and childhood exposure to abuse (coef=0.10, p=0.022) that had strong fit (RMSEA=0.015, CFI=0.998). In a separate model, IPV perpetration did not predict later food security, suggesting a causal relationship from poverty to IPV perpetration.Conclusions: Food insecurity and housing, as distinct markers of poverty, had small but persistent longitudinal effects on men’s perpetration of IPV in a peri-urban settlement in South Africa. Addressing IPV perpetration will require examination of broader structural challenges, such as livelihoods and food security, particularly in settings with endemic poverty. Future interventions should consider livelihood strategies to improve health outcomes for both women and men.

Normal hearing listeners have the ability to exploit the audio input perceived by each ear to extract target information in challenging listening scenarios. Bilateral cochlear implant (BiCI) users, however, do not benefit as much as normal hearing listeners do from a bilateral input. In this study, we investigate the effect that bilaterally linked band selection, bilaterally synchronized electrical stimulation and ideal binary masks (IdBMs) have on the ability of 10 BiCIs to understand speech in background noise. The performance was assessed through a sentence-based speech intelligibility test, in a scenario where the speech signal was presented from the front and the interfering noise from one side. The linked band selection relies on the most favorable signal-to-noise-ratio (SNR) ear, which will select the bands to be stimulated for both CIs. Results show that no benefit from adding a second CI to the most favorable SNR side was achieved for any of the tested bilateral conditions. However, when using both devices, speech perception results show that performing linked band selection, besides delivering bilaterally synchronized electrical stimulation, leads to an improvement compared to standard clinical setups. Moreover, the outcomes of this work show that by applying IdBMs, subjects achieve speech intelligibility scores similar to the ones without background noise.

Importance: As COVID-19 spreads across the globe, it is critical to understand the psychological factors that influence pandemic-related behaviors (i.e., news monitoring, social distancing, hygiene/disinfecting, hoarding). This may be especially important to study among youth, who are less likely to experience severe symptoms but contribute to the spread of the virus.Objective: To examine psychological correlates of adolescents’ behaviors during the COVID-19 pandemic. Design: Self-report survey conducted between March 20th and March 22nd, 2020. Setting: This is an online survey study of youth from the United States.Participants: A population-based sample of adolescents were recruited via social media to complete an anonymous survey. Youth were eligible if they had internet access, lived in the United States, and were between the ages of 13 and 18. Main Outcomes and Measures: Outcomes included COVID-19 news monitoring, social distancing, disinfecting, and hoarding behaviors over the 7 days after the US declared a national emergency. The correlates measured were attitudes about COVID-19 severity, values related to social responsibility, social trust, and self-interest. The a priori hypotheses were that attitudes about the severity of COVID-19, along with greater social responsibility and social trust, would be associated with greater news monitoring, social distancing, and disinfecting, whereas greater self-interest would be associated with more hoarding.Results: The final analytic sample included 770 adolescents (Mage = 16.34, 72% female). The majority of teens reported not engaging in pure social distancing (70%), but were monitoring the news (75%) and engaging in at least one disinfecting behavior multiple times per day (88%). Some teens reported engaging in hoarding behavior (19%). Greater attitudes about the severity of COVID-19 were associated with more social distancing, disinfecting, and news monitoring, but also more hoarding. Greater social responsibility was associated with more disinfecting and news monitoring, and less hoarding. Participants who reported valuing their own self-interest over others reported less social distancing and more hoarding. Greater social trust was associated with less hoarding.Conclusions and Relevance: Emphasizing the severity of COVID-19 and the social implications of pandemic-related behaviors may be important for teens, particularly for those who are not following recommended preventative health behaviors or who are engaging in hoarding.

Background Although past longitudinal research demonstrates that romantic partners affect one another’s health outcomes, considerably less is known about how romantic experiences “get under the skin” in everyday life. Purpose The current study investigated whether young couples’ naturally occurring feelings of closeness to and annoyance with each other during waking hours were associated with their overnight cardiovascular activity. Methods Participants were 63 heterosexual young adult dating couples (Mage = 23.07). Using ecological momentary assessments, couples reported their hourly feelings of closeness to and annoyance with their partners across 1 day; subsequent overnight heart rate was captured through wearable electrocardiogram biosensors. Actor–partner interdependence models tested whether individuals’ overnight heart rate varied as a function of (a) their own daytime feelings of closeness and annoyance (actor effects) and (b) their partner’s daytime feelings of closeness and annoyance (partner effects) while controlling for daytime heart rate. Results Although young adults’ feelings of romantic closeness and annoyance were unrelated to their own overnight heart rate (i.e., no actor effects), gender-specific partner effects emerged. Young men’s nocturnal heart rate was uniquely predicted by their female partner’s daytime relationship feelings. When women felt closer to their partners during the day, men exhibited lower overnight heart rate. When women felt more annoyed with their partners during the day, men exhibited heightened overnight heart rate. Conclusions The findings illustrate gender-specific links between couple functioning and physiological arousal in the everyday lives of young dating couples, implicating physiological sensitivity to partner experiences as one potential pathway through which relationships affect health.

Political involvement is accompanied by a range of positive and negative emotional experiences, including stress, sadness, anger, regret, purpose, and empowerment. These experiences may be especially potent during adolescence when youth are forming political opinions and are becoming more integrated within the political system. Little research has examined adolescents’ political emotional experiences and how these experiences are connected with concordant and future political engagement. Using an ecological momentary assessment design, this study tested cross-sectional and longitudinal within-day associations between adolescents’ political emotional costs and benefits and political engagement. Participants (N=291, Mage=16.09) completed four assessments of political emotional experiences (stress/sadness, anger, regret, empowerment) and multiple forms of political engagement (intent to protest, intent to vote, political interest, political efficacy, political participation) across one day. Greater political empowerment was cross-sectionally associated with all forms of political engagement and longitudinally associated with greater next-moment intent to vote and protest, political interest, and political efficacy. Greater political anger was associated with greater cross-sectional political interest, political efficacy, and political participation, but lower next-moment political efficacy. Greater political regret was associated with lower cross-sectional political efficacy and political interest and greater political stress/sadness was associated with greater cross-sectional intent to vote. Findings emphasize the importance of empowerment for adolescent political engagement and demonstrate nuanced connections between adolescents’ and subsequent involvement.

Background:Living in the time of the COVID-19 means experiencing not only a global health emergency but alsoextreme psychological stress with potential emotional side effects such as sadness, grief, irritability, and mood swings. Crucially, lockdown and confinement measures isolate people who become the first and the only ones in charge of their own mental health: people are left alone facing a novel and potentially lethal situation, and, at the same time, they need to develop adaptive strategies to face it, at home. In this view, easy-to-use, inexpensive, and scientifically validated self-help solutions aiming to reduce the psychological burden of coronavirus are extremely necessary. Aims:This pragmatic trial aims to provide the evidence that a weekly self-help virtual reality (VR) protocol can help overcome the psychological burden of the Coronavirus by relieving anxiety, improving well-being, and reinforcing social connectedness. The protocol will be based on the “Secret Garden” 360 VR video online (www.covidfeelgood.com) which simulates a natural environment aiming to promote relaxation and self-reflection. Three hundred sixty–degree or spherical videos allow the user to control the viewing direction. In this way, the user can explore the content from any angle like a panorama and experience presence and immersion. The “Secret Garden” video is combined with daily exercises that are designed to be experienced with another person (not necessarily physically together), to facilitate a process of critical examination and eventual revision of core assumptions and beliefs related to personal identity, relationships, and goals. Methods:This is a multicentric, pragmatic pilot randomized controlled trial involving individuals who experienced the COVID-19 pandemic and underwent a lockdown and quarantine procedures. The trial is approved by the Ethics Committee of the Istituto Auxologico Italiano. Each research group in all the countries joining the pragmatic trial, aims at enrolling at least 30 individuals in the experimental group experiencing the self-help protocol, and 30 in the control group, over a period of 3 months to verify the feasibility of the intervention. Conclusion:The goal of this protocol is for VR to become the “surgical mask” of mental health treatment. Although surgical masks do not provide the wearer with a reliable level of protection against the coronavirus compared with FFP2 or FFP3 masks, surgical masks are very effective in protecting others from the wearer’s respiratory emissions. The goal of the VR protocol is the same: not necessarily to solve complex mental health problems but rather to improve well-being and preserve social connectedness through the beneficial social effects generated by positive emotions.

Inhibitory control refers to the ability to stop, change or delay a response, and is often used in order to protect higher order goals. Theoretical models suggest that deficits in inhibitory control may be exacerbated during exposure to appetitive-cues (such as pictures of alcoholic drinks or food), and that these effects of cues may be related to individual differences (e.g. in body mass index, or alcohol consumption). In order to investigate these claims we conducted a random effects meta-analysis of 66 effect sizes from 37 articles that tested the effect of exposure to appetitive (alcohol / food) cues on indices of inhibitory control. The overall effect of cue exposure was small, but robust (SMD = -0.12 [95% CI -0.23, -0.02]; Z = 2.34, p = .02, I2 = 84%). Exposure to alcohol-related cues significantly impaired inhibitory control (SMD = -0.21 [95% CI = -0.32, -0.11]; Z = 4.17, p < .001), however exposure to food-related cues did not lead to impairments (SMD = -0.03 [95% CI = -0.21, 0.15]; Z = 0.36, p = .720). There was no evidence that drinking or weight status significantly moderated the effects of cues on inhibitory control. Similarly, cue modality (words, pictures, or smells) did not significantly moderate the effects. Trim and Fill analysis suggested bias in the literature, which when corrected, made the overall effect of cues non-significant. Overall, these findings provide some tentative support for theoretical claims that inhibitory control is a malleable construct that fluctuates with individuals, and that exposure to appetitive cues prompts transient impairments in inhibitory control. Further research is required to determine the clinical significance of these observations. However, care should be taken when drawing conclusions from a potentially biased evidence base.

Introduction: Evaluating effects of behavior change interventions is a central interest in health psychology and behavioral medicine. Researchers in these fields routinely use frequentist statistical methods to evaluate the extent to which these interventions impact behavior and the hypothesized mediating processes in the population. However, calls to move beyond the exclusive use of frequentist reasoning are now widespread in psychology and allied fields. We suggest adding Bayesian statistical methods to the researcher’s toolbox of statistical methods. Objectives: We first present the basic principles of the Bayesian approach to statistics and why they are useful for researchers in health psychology. We then provide a practical example on how to evaluate intervention effects using Bayesian methods, with a focus on Bayesian hierarchical modeling. We provide the necessary materials for introductory-level readers to follow the tutorial. Conclusion: Bayesian analytical methods are now available to researchers through easy-to-use software packages, and we recommend using them to evaluate the effectiveness of interventions for their conceptual and practical benefits.

Objective: Although ethnicity and socioeconomic status (SES) correlate with health inequality, efforts to\ud explain variance in health behavior attributable to these factors are limited by difficulties in population\ud sampling. We used ethnicity identification software to test effects of psychological beliefs about\ud screening as mediators of ethnicity and SES on faecal occult blood colorectal screening behavior in a\ud no-cost health care context. Method: Adults aged 50–67 years (N � 1,678), of whom 28% were from\ud minority South Asian religiolinguistic ethnic groups (Hindu-Gujarati/Hindi, Muslim-Urdu and Sikh-\ud Punjabi), participated in a prospective survey study. Subsequent screening participation was determined\ud from medical records. Results: Screening nonparticipation in the most deprived SES quintile was 1.6\ud times that of the least deprived quintile. Nonparticipation was 1.6 times higher in South Asians compared\ud with non-Asians. A process model in which psychological variables mediated effects of ethnicity and\ud SES on uptake was tested using structural equation modeling. Self-efficacy and perceived psychological\ud costs of screening were, respectively, positive and negative direct predictors of uptake. Paths from Hindu,\ud Muslim, and Sikh ethnicity, and SES on uptake were fully mediated by lower self-efficacy and higher\ud perceived psychological costs. Paths from South Asian ethnicity to participation via self-efficacy and\ud psychological costs were direct, and indirect via SES. Conclusion: SES is implicated, but does not fully\ud account for low colorectal screening uptake among South Asians. Targeting increased self-efficacy and\ud reduced perceived psychological costs may minimize health inequality effects. Future research should\ud test independent effects of SES and ethnicity on lower self-efficacy and higher psychological costs.

Multiple sclerosis (MS) is an inflammatory auto-immune disease of the central nervous system. It leads to many impairments including physical, cognitive, psychological, and social challenges. Our study examined gender and cultural associations with quality of life (QoL), personal characteristics, and benefits from having MS among those with MS.The study was conducted in Austria and the United States. The sample included 128 participants, 64 in each country, of whom 78 were women and 50 were men aged between 20 and 57 years. We used standard statistical tests, including analyses of covariance (ANCOVA) and partial correlations for the analysis of quantitative data. For the qualitative part of the survey we used semi-structured interviews, which we transcribed and coded to identify categories in the answers for qualitative analyses.Austrian participants with MS perceived a higher social-emotional QoL in comparison to American participants. American participants expressed a higher self-esteem in comparison to Austrian participants. Men reported a lower ability to express love than women. Independent of sex/gender and nationality, participants reported benefits through the disease, especially with regard to improved compassion, mindfulness, improved family relations and lifestyle gains. The qualitative interviews revealed additional gender differences for coping with the illness; and in experiences, expectations, and challenges related to MS.These insights can be used to develop targeted psychological and social support interventions aimed toward improving social-emotional QoL for persons with MS.

Background: The importance of social connectedness in supporting public mental health is well established. However, the reverse causal pathway (that psychological ill-health leads to reduced social connectedness) remains a dominant perspective among mental health practitioners. Our analysis aimed to provide a rigorous test of the directionality of this relationship. Method: A cross-lagged panel analysis of a large longitudinal national probability sample ( N ≈ 21,227), the New Zealand Attitudes and Values Survey, was used to assess the bidirectional longitudinal relationship between social connectedness and mental health, controlling for baseline levels of both variables and demographics. Results: Social connectedness was found to be a stronger and more consistent predictor of mental health year-on-year than mental health was of social connectedness. Conclusion: These results further demonstrate how the psychological resources conferred by social connectedness can act as a ‘social cure’ for psychological ill-health, and provide the strongest evidence to date for the direction of this relationship in the general community.

This paper provides a primer for researchers seeking an introduction to quantitative narrative research methods. It represents a consensus document of most common practices used by the co-authors. Key elements of conducting narrative research (e.g., asking narrative questions, designing narrative prompts, collecting narratives, coding narratives) are discussed, along with limitations to this approach and future directions.

Health psychology aims to explain and change a wide variety of behaviours, and to this end has developed a plethora of theories. Several attempts have been undertaken to build integrative theories, and some even strive for a Theory of Everything. We argue against these efforts, arguing that instead, adopting a stance that may be called ‘pragmatic nihilism’ is more fruitful in the endeavour to understand and change specific health behaviours.The first tenet of pragmatic nihilism is that psychological variables, those defined in our health psychology theories, are usefully considered as metaphors rather than referring to entities that exist in the mind. As a consequence, the second tenet emphasizes theories’ definitions and guidelines for the operationalisation of those variables. The third tenet of pragmatic nihilism is that each operationalisation represents a cross section of a variety of dimensions, such as behavioural specificity and duration of the behaviour, and most importantly, psychological aggregation level. Any operationalisation thus represents a number of implicit or explicit choices regarding these dimensions.These three tenets of pragmatic nihilism have two implications. First, they provide a foundation that enables integrating theories in a more flexible and accurate manner than made possible by integrative theories. Second, this perspective emphasizes the importance of operationalisations, underlining the importance of investing in the careful development of measurement instruments, and thorough and extensive reporting of the specifics and performance on those measurement instruments as well as disclosure of the instruments themselves.

This study explored psychological variables associated with disaffiliation from Orthodox Judaism (a covenantal community), and subsequent wellness. A web-based survey (N = 206) assessed factors previously used to study immigrants: push (distress within origin community), pull (toward destination community), and goal attainment. Psychological and emotional wellness, perceived stress, overall health, and loneliness were also assessed. Findings included: 1) strong pull toward opportunities for physical and ideological autonomy; 2) those who experienced more push toward disaffiliation, reported decreased current wellness; 3) goal attainment was associated with increased wellness 4) significant differences in the experiences of disaffiliation between men and women; 5) most who disaffiliated left religion altogether; those who remained religious decreased their participation, few joined non-Jewish faith communities. Results demonstrate that this immigration paradigm can be adapted to advance research on individuals who disaffiliate from covenantal communities.

Individuals usually benefit from Pokémon Go gaming because this mobile video game provides an attractive opportunity for increased outdoor physical activity and socializing. However, based on prior studies on gaming and electronic media use, excessive Pokémon Go involvement is likely to be related to adverse phenomena such as mental problems (smartphone addiction and phubbing), pain (in neck, arms, and legs), and eye-related problems (dry eye and impaired focusing). We expected that excessive Pokémon Go players would exhibit stronger mental and physical symptomatology. Pokémon Go players (N = 450) completed an online survey reporting Pokémon Go addiction symptoms, smartphone addiction symptoms, phubbing habits, time spent playing Pokémon Go, pain, and eye problems. We also controlled for overall use of other electronic media. We found that individuals with higher levels of Pokémon Go addiction reported more pain and more problems with vision. Increased smartphone addiction and phubbing partially mediated these effects. This study contributes to a balanced perspective on the biopsychosocial outcomes of health behaviors gamification via mobile video games.

Social relationships are a crucial determinant of both mental and physical health. This effect is partly due to social buffering of stress. Animal studies suggest that social buffering is mediated via the oxytocin system, while studies in humans are sparse and limited by the low ecological validity of laboratory settings. In the present study, participants (N = 326) completed smartphone questionnaires four times a day over 4 to 5 days, measuring stressors, negative affect, and social context to assess social buffering. We found that under stress, participants reported a higher need for social company. Further, the impact of prior stressful events on momentary negative affect was attenuated by the perceived pleasantness of current social company. This social buffering effect was moderated by haplotypes of the oxytocin receptor gene, based on two well-described single nucleotide polymorphisms (rs2268498, rs53576). Effects were robust when controlling for gender and age, applying different data quality criteria, and even apparent in genotype-based analyses. Our findings demonstrate that social buffering and its modulation by oxytocin system characteristics have implications for life as lived outside the laboratory.

Objective: The aim of this paper was to examine the relationship between income, subjective wellbeing, and culture among people from a higher socio-economic class across the world. Rationale: Ed Diener proposed the law of diminishing marginal utility as an explanation for differences in subjective wellbeing among different income groups across different countries (Diener, Ng, & Tov, Balance in life and declining marginal utility of diverse resources, 2009). Thus, people with higher incomes would experience less subjective wellbeing due to income, and culture should emerge as a significant predictor. Method: Data from this study came from another study (https://siddharthgargblog.wordpress.com/2019/07/14/love-for-money/). I used an online survey to collect data on annual income in US dollars, subjective wellbeing (WHO-5), and country of residence (Indicator of Culture). 96 responses (Indians = 24, Foreigners = 72) were entered in IBM SPSS and a regression analysis was conducted. The raw dataset used in this study can be found at https://doi.org/10.6084/m9.figshare.8869040.v1Results: ANOVA showed a significant difference (p < 0.05) between Indians and foreigners on levels of subjective wellbeing. Linear regression shows the regression coefficient of culture to be significant (Beta = -.254, p = .014) but the regression coefficient of income was not found to be significant. The overall model was found to explain 8.2% of the variance in wellbeing.Conclusion: The sample of this study is too small to make any kind of generalization; it does lend a little bit of support to the idea of diminishing marginal utility of income on subjective wellbeing and provides a rationale for further research.

In order to be age-friendly, communities need adequate public health support. Community consultation is increasingly favoured as a means of ensuring public health services adequately meet the needs of the populations they serve yet research has highlighted the frequency of inadequate and tokenistic consultation. Our aim was to address the gap in understanding of the subjective benefits of community consultation by being the first study to examine these events in a disadvantaged British city. A naturalistic world café study was co-designed with a community engagement service in the UK. Adults aged 68 to 91 years (n=103) participated in one of two world cafés which aimed to investigate the subjective benefits of consultation forums. Qualitative findings demonstrated how consultation through forums can support age-friendly communities in a variety of expected and unexpected ways. Understanding of the added value of consultation forums may incentivise service providers to facilitate more meaningful consultation.

Objectives: To examine how racial discrimination and neighborhood perceptions relate to physical activity and sedentary behavior mediated through depression symptoms. Methods: Data were from the first year of a longitudinal cohort study, Project Creating a Higher Understanding of cancer Research and Community Health (CHURCH), based on a convenience community sample of church-attending African Americans collected between April 2012 and March 2013 (N = 370) in Houston, Texas. Measures included racial discrimination, perceived neighborhood problems and vigilance, depression (CES-D), physical activity (IPAQ-short), and sedentary behavior. Results: Main effects from the structural equation model showed that racial discrimination (b = .20, p < .01) was related to greater depression symptoms. The same pattern emerged for neighborhood problems, but the effect was not significant (b = .20, p = .07). Further, depression symptoms were related to less physical activity (b = -.62, p = .03) and greater sedentary behavior (b = .64, p < .01). Indirect effects showed that depression mediated the relationship between racial discrimination and neighborhood problems on physical activity and sedentary behavior. Conclusions: Depression symptoms are an important mechanism by which racial discrimination and perceived neighborhood problems impact physical activity and sedentary behavior.

Many individuals who engage with conspiracy theories come to do so through a combination of individual and social factors. The interaction between these factors is challenging to study using traditional experimental designs. Reddit.com is a large connected set of online discussion forums, including one (r/conspiracy) devoted to wide-ranging discussion of conspiracy theories. The availability of large datasets of user comments from Reddit give a unique opportunity to observe human behavior in social spaces and at scale. Using a retrospective case control study design, we analyzed how Reddit users who would go on to engage with a conspiracy-related forum differed from other users in the language they use, differences in the social environments where they posted, and potential interactions between the two factors. Together, the analyses provide evidence for self-selection into communities with a shared set of interests which can feed into a conspiratorial world-view, and that these differences are detectable relative to controls even before users begin to post in r/conspiracy. We also suggest that survey-based and experimental studies may benefit from differentiating between passive private endorsement by individuals and active engagement with conspiracy theories in social spaces.

When a patient receives a health diagnosis, their response (e.g., changes in behavior, seeking support) can have significant consequences for long-term health and well-being. Characteristics of health news are known to influence these responses, but personality traits have been omitted from this line of research. The current study examines the role of personality traits in predicting response to health news. Participants (N = 298) read scenarios in which they received health news that was manipulated to vary in severity, controllability and likelihood of outcomes. Participants then rated how likely they were to engage in a number of response behaviors. We examined the main effects and interaction of situational manipulations and personality traits on ratings of these behaviors. Both situations and personality traits influenced behavioral responses to health events. In particular, conscientiousness predicted Taking Action and Seeking Social Support. Neuroticism predicted both maladaptive and adaptive behavioral responses, providing support for the “healthy neurotic” hypothesis. Moreover, personality traits predicted best in weak (unlikely, controllable) situations. Both personality traits and situational characteristics contribute to behavioral responses to health news.

When developing behavior change interventions, it is important to target the most important determinants of behavior (i.e. psychological constructs that predict behavior). This is challenging for two reasons. First, determinant selection requires integrating multiple information sources: determinants' associations with either behavior or with determinant that mediate their effect on behavior (i.e. effect sizes), as well as how much room for improvement there is in the population (i.e. means and spread). Second, only information from samples is normally available, and point estimates obtained from samples vary from sample to sample, and therefore cannot be interpreted without information about how much they can be expected to vary over samples. In practice, determinant studies often present multivariate regression analyses, but this is problematic because by default, shared covariance is removed from the equation (literally), compromising operationalisations' validity and affecting effect sizes (i.e., the results of such analyses cannot be used as a first source of information regarding each determinant's association to behavior). In the present contribution, we will briefly explain these points in more detail, after which we will introduce a solution: confidence interval based estimation of relevance (CIBER). We will then present a brief tutorial as to how to generate CIBER plots and how to interpret them. This is a more detailed explanation and introduction: originally, CIBER was published in Crutzen, Peters & Noijen (2017).

Drawing upon concepts of expressive equipment and body image, the aim of this study is to explore how men diagnosed and treated for penile cancer construct their penis and its surgical disfigurement (penectomy). Using maximum variation sampling with the intention to acquire the broadest range of experiences of stage of disease and treatment, 27 cisgender men (aged 48-83, x=63) who had surgical treatment consented for their data to be archived for analysis. From a dramaturgical perspective, the constructionist thematic analysis explored direct and indirect talk about the penis after surgery. The analysis showed that through graphic and sequential narratives of dismemberment revealed, participants constructed a post-surgery period in which they both wanted and did-not-want to see their penis. Additionally, participants constructed themselves managing difficult emotions through others and seeing themselves being rejected by a potentially desiring (female) Other. The findings extend research on male genitals by showing how the post-surgery penis can function as something hidden but visceral and traumatic when revealed. Importantly, this paper illustrates body image as expressive equipment where body and identity are formed in the image of manhood, which is an intersubjective (sexual) object between self and other.

Objective: Pre-drinking, the practice of consuming alcohol prior to attending a subsequent event, increases the risk of alcohol-related harm, and is common in undergraduate student populations. The current study tested an integrated behaviour change model to identify the motivational, social-cognitive, and implicit predictors of pre-drinking. Design: University students (N = 289) completed an online questionnaire comprising measures of motivational and social-cognitive constructs related to reducing pre-drinking alcohol consumption and past behaviour, and an implicit association test for drinking identity. Participants reported their pre-drinking alcohol consumption at follow-up, four weeks from baseline. Main Outcome Measures: Self-reported pre-drinking alcohol consumption. Results: A variance-based structural equation model revealed that few model hypotheses were supported. Although the effects of past behaviour, perceived behavioural control, and implicit drinking identity, on follow-up pre-drinking alcohol consumption were statistically significant, the effect of intention was not. Conclusion: Current findings indicate pre-drinking alcohol consumption is associated with past behaviour, perceived behavioural control, and implicit drinking identity, and not intentions to reduce pre-drinking alcohol consumption. Finding raise questions over the validity of applying the integrated model in this context. Interventions should consider these factors and attempt to facilitate the formation of intentions that lead to subsequent behaviour.

In this brief accessible introduction, an overview is provided of how to apply theory- and evidence-based methods for behavior change when developing a behavior change intervention. It is the second part of a two-piece introduction to effective behavior change, the first part of which is called "A practical guide to effective behavior change: How to identify what to change in the first place".

In this brief accessible introduction, an overview is provided of how to determine which aspects of the target populations' psychology to target in a behavior change intervention. It is the first part of a two-piece introduction to effective behavior change, the second part of which is called "A practical guide to effective behavior change: How to apply theory- and evidence-based behavior change methods in an intervention".

Background. Heterogeneity in the effects of trait neuroticism on mortality has inspired recent theories of “healthy neuroticism,” or the possibility that neuroticism can lead people down either healthy or unhealthy behavioral pathways. The logical extension of this theory is that some construct – perhaps another trait, financial resource or health-relevant situation – changes the relationship between neuroticism and health. The other possibility is that different components of neuroticism lead to different health behaviors, and therefore different outcomes. Purpose. The current study systematically examines the relationship between child and adult neuroticism and various health indicators including perceptions of health, behaviors, health outcomes and biomarkers of health. Finally, we examine both potential moderators of the associations with neuroticism and examine its facet-structure. Methods. The current study utilizes data from the Hawaii Longitudinal Study of Personality and Health, which includes both adult (IPIP-NEO) and childhood (teacher-reported) measures of personality and SES, as well as a variety of health outcomes, from self-reported health and health behavior to biological markers, such as cholesterol and blood glucose levels. Sample sizes range from 299 to 518. Results. The relationship between neuroticism and health was not consistently moderated by any other variable, nor were facets of neuroticism differentially related to health. Conclusions. Despite a systematic investigation of the potential “paths” which may differentiate the relationship of neuroticism to health, no evidence of healthy neuroticism was found.

Becoming a parent is a transformative experience, marked by hormonal changes and neuroplasticity as well as shifts in self-concept, social roles, and daily routines. Although the arrival of a new baby is often a joyful event, the postpartum period can also be a time of heightened psychosocial stress and health behavior changes, including significant sleep disruption and decreased physical activity. Markers of allostatic load, such as physiological stress and inflammation, may also become dysregulated during this time. Given these neurobiological, psychosocial, and behavioral changes, the transition to parenthood may shape health trajectories in midlife. For many mothers and fathers, the transition to parenthood represents an inflection point for obesity, such that perinatal weight gains are retained long-term. Similarly, many individuals experience their 1st episode of major depression during the postpartum period. In sum, the transition to parenthood may represent a critical window for determining both mental and physical health in midlife and beyond. Physical and mental health problems over the transition to parenthood may be exacerbated for parents without access to protected, paid time off from employment. Known disparities in mood disorders, obesity, and allostatic load may be linked to risk factors stemming from the perinatal period. This article relates the importance of the transition to parenthood to population health and discusses parental leave policy as an example of an initiative that can support parents and relieve stress during the perinatal period. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Background: Partner support can play an important role in health behavior change, but well-intentioned supportive behaviors can also generate resistance to change. Previous research found that “perceived partner responsiveness” to support is highest when the supporting partner demonstrates respect, understanding, and caring.Purpose: Here we explore the hypothesis that exposure to a responsiveness-based intervention leads to improvements in supportive behaviors and attitudes, in the smokeless tobacco (ST) cessation context.Methods: 1,145 wives/domestic partners of ST users who wanted their male partner to quit tobacco were randomized to intervention or delayed treatment control. Those randomized to intervention received immediate access to the interactive UCare (Understanding, Caring, Respect) website and were mailed a printed booklet. Enrollment began in July 2015 and ended in December 2016. Outcome measures were change from baseline to six-week follow-up in behaviors and attitudes/beliefs related to showing respect, understanding, and caring (responsiveness) in the tobacco cessation context, and change in a measure of instrumental (practical) support, and the relation between these variables and intervention exposure.Results: Changes in the desired direction were observed for the intervention group, as compared to the control group, for the three main outcomes of interest. Effect sizes assessing change were between small and medium. Change in each of the support outcomes was predicted by intervention use.Conclusions: A brief intervention can train individuals to show greater partner responsiveness toward their partner in the tobacco cessation context, increasing their supportive behaviors and improving their attitudes/beliefs about their partner’s tobacco use and the cessation process.

Introduction Partner behaviors and attitudes can motivate or undermine a tobacco user’s cessation efforts. We developed a multimedia intervention, UCare (Understanding-CAring-REspect) for women who wanted their male partner to quit smokeless tobacco (ST), based on perceived partner responsiveness—the empirically based theory that support is best received when the supporter conveys respect, understanding, and caring. Methods One thousand one hundred three women were randomized to receive either immediate access to the UCare website and printed booklet (Intervention; N = 552), or a Delayed Treatment control (N = 551). We assessed supportive behaviors and attitudes at baseline and 6-week follow-up, and the ST-using partner’s abstinence at 6 weeks and 7.5 months (surrogate report). Results For partners of women assigned to Intervention, 7.0% had quit all tobacco at 7.5 months, compared with 6.6% for control (χ2 (1, n = 1088) = .058, p = .810). For partners of women completing the intervention, 12.4% had quit all tobacco at 7.5 months, compared with 6.6% for Delayed Treatment (χ2 (1, n = 753) = 6.775, p = .009). A previously reported change in responsiveness-based behaviors and instrumental behaviors at 6 weeks mediated 7.5-month cessation, and change in responsiveness-based attitudes mediated the change in responsiveness-based behaviors, indirectly increasing cessation. Conclusions A responsiveness-based intervention with female partners of male ST users improved supportive attitudes and behaviors, leading to higher cessation rates among tobacco users not actively seeking to quit. The study demonstrates the potential for responsiveness as a basis for effective intervention with supporters. This approach may reach tobacco users who would not directly seek help. Implications This study demonstrates the value of a responsiveness-based intervention (showing respect, understanding, and caring) in training partners to provide support for a loved one to quit ST. In a randomized clinical trial, 1,103 women married to or living with a ST user were randomized to receive the UCare-ChewFree intervention (website + booklet) or a Delayed Treatment control. Women completing the intervention were more likely to improve their behaviors and attitudes, and change in behaviors and attitudes mediated cessation outcomes for their partners, who had not enrolled in the study and may not have been seeking to quit. Trial Registration ClinicalTrials.gov NCT01885221

Alcohol-related content is common on social media and may both reflect and influence offline drinking behavior. Posting alcohol-related content has been linked to alcohol outcomes, including higher rates of alcohol consumption, cravings, alcohol-related problems, and clinical alcohol use disorders. Exposure to alcohol-related content on social media has likewise been associated with adverse alcohol outcomes. In this paper, we review research on the relationship between social media and alcohol use, and explore the ways that online identity and social influence can account for this relationship. Finally, we call for further research on the use of social media as a platform for prevention and intervention efforts.

Due to their generally positive prognosis, patients with thyroid cancer experience cancer differently compared to patients with other types of cancer. The different set of experiences that come with the unique medical trajectory and treatment of thyroid cancer may lead to a different quality of life and may necessitate a different set of psychosocial support. This paper reviews and critiques some extant literature on the quality of life and psychosocial needs of patients with thyroid cancer. Although they have a positive prognosis and relatively less aggressive cancer treatment, their quality of life is still affected by their illness and its treatment. The “good cancer” label sometimes falls short to its promise. Accordingly, patients’ psychosocial needs in each of the quality of life domains—physical, psychological, social, and environmental—should be addressed. Addressing experience of fatigue, employment issues, depression, and anxiety is especially important. A comprehensible and readily doable list of recommendations for patients and their health care providers is suggested to help address patients’ psychosocial needs and improve their quality of life.

Background: Mass gatherings are well-documented for their public health risks, however, little research has examined their impact on mental health or focused on young people specifically. This study explores risk and protective factors for mental health at mass gatherings, with a particular focus on characterizing attendees with high levels of psychological distress and risk taking. Method: Data collection was conducted in situ at “Schoolies”, an annual informal week-long mass gathering of approximately 30,000 Australian school leavers. Participants were 812 attendees of Schoolies on the Gold Coast in 2015 or 2016 (74% aged 17 years old).Results: In both years, attendee mental health was found to be significantly better than population norms for their age-peers. Identification with the mass gathering predicted better mental health, and this relationship became stronger across the course of the mass gathering. Attendees with high levels of psychological distress were more likely to be male, socially isolated, impulsive, and in a friendship group where risk taking was normative. Conclusions: Mass gatherings may have a net benefit for attendee mental health, especially for those attendees who are subjectively committed to the event. However, a vulnerable subgroup of attendees requires targeted mental health support.

Objective:This study investigated whether self-reports of alcohol-related postings on Facebook by oneself or one’s Facebook friends were related to common motives for drinking and were uniquely predictive of self-reported alcohol outcomes (alcohol consumption, problems, and cravings).Method:Pacific Northwest undergraduates completed a survey of alcohol outcomes, drinking motives, and alcoholrelated Facebook postings. Participants completed the survey online as part of a larger study on alcohol use and cognitive associations. Participants were randomly selected through the university registrar’s office and consisted of 1,106 undergraduates (449 men, 654 women, 2 transgender, 1 declined to answer) between the ages of 18 and 25 years (M = 20.40, SD = 1.60) at a large university in the Pacific Northwest. Seven participants were excluded from analyses because of missing or suspect data.Results:Alcohol-related postings on Facebook were significantly correlated with social, enhancement, conformity, and coping motives for drinking (all ps < .001). After drinking motives were controlled for, self–alcohol-related postings independently and positively predicted the number of drinks per week, alcohol-related problems, risk of alcohol use disorders, and alcohol cravings (all ps < .001). In contrast, friends’ alcohol-related postings only predicted the risk of alcohol use disorders (p < .05) and marginally predicted alcohol-related problems (p = .07).Conclusions:Posting alcohol-related content on social media platforms such as Facebook is associated with common motivations for drinking and is, in itself, a strong predictive indicator of drinking outcomes independent of drinking motives. Moreover, self-related posting activity appears to be more predictive than Facebook friends’ activity. These findings suggest that social media platforms may be a useful target for future preventative and intervention efforts.