From intentions via planning and behavior to physical exercise habits

ObjectivesIndividuals who enact a health behavior effortlessly with minimal conscious deliberation can be assumed to have formed a healthy habit. This can be reflected by increases in self-reported habit strength of a behavior. We examined whether physical exercise intentions facilitate changes in exercise habit strength by increasing the use of action planning and exercise.DesignTwo field studies investigated the effect of behavioral intentions on changes in habit strength through a sequential path from action planning to exercise.MethodExercise intentions, action planning, habit strength, and exercise were assessed at two measurement points in time in 231 university students (Study 1), and at four points in time in 134 rehabilitation patients (Study 2).ResultsIn multiple-step mediation models in both samples, there were indirect effects of intentions on habit strength through action planning and behavior.ConclusionAction planning and behavior operated as sequential mediators to bridge the gap between intentions and habit strength. Exercise habit strength may increase as a result of conscious action planning and frequent behavior enactment. Including these constructs jointly into behavior change models may improve the understanding of the mechanisms involved in behavior maintenance.     

Adolescent Neural Responses to Antismoking Messages,Perceived Effectiveness,and Sharing Intention

ABSTRACT

Health communication delivered via media channels can substantially influence adolescents’ choices, and the effects of messages are amplified through interpersonal sharing. However, the underlying psychological and neurocognitive mechanisms that influence message effectiveness and likelihood of sharing are not well understood, especially among adolescents. Based on research in adults, we hypothesized and preregistered that message-induced neural activation in regions associated with self-reflection, social processing, and positive valuation would be related to greater perceived ad effectiveness and intentions to share messages. We focused on brain activity in meta-analytically defined regions associated with these three processes as 40 adolescent nonsmokers viewed advertisements from “The Real Cost” antismoking campaign. Perceived message effectiveness was positively associated with brain activity in the hypothesized social processing regions and marginally associated with brain activity in self-relevance regions, but not associated with brain activity in valuation regions. By contrast, intentions to share the messages were not associated with neural response in these 3 systems. In contrast to previous neuroimaging studies with adult subjects, our findings highlight the role of social cognition in adolescent processing of persuasive messages. We discuss the possibility that the mental processes responsive to effective and shareworthy messages may reflect developmental processes pertinent to media effects.     

The subordination effect: Evidence from self-paced reading and recall

Engelkamp and Rummer (2002) demonstrated that auditorily presented subordinate causal sentences are better retained than coordinate sentences. This subordination effect was explained by suggesting that subordinate sentences are merged more easily in memory than coordinate sentences. The present paper enlarges Engelkamp and Rummer's findings with respect to three aspects. First, it demonstrates that the subordination effect can only be found if a verbatim but not a content related recall score is used. Second, using self-paced reading, it demonstrates a processing advantage for subordinate sentences. This reading time advantage was only observed if the subordinate clause preceded the matrix clause. Third, it excludes an alternative explanation of the subordination effect which attributes memory differences to the fact that the critical causal conjunction word was presented earlier in subordinate than in coordinate sentences. In sum, our findings suggest a direct contribution of syntactic information to sentence regeneration.     

Subordinating conjunctions as devices for unifying sentences in memory

In two experiments, we provide evidence that the subordinating conjunctions "nachdem" [after] and "weil" [because] unify sentences in immediate memory better than the coordinating conjunctions "erst-dann" [first-then] and "deshalb [therefore] are able to do. Immediate recall of the two clauses of subordinate sentences was equally good, whereas recall of coordinate sentences was better for the first clause than for the second in both experiments. In Experiment 2, it was additionally shown that this recall pattern was not due to prosodic information.     

Psychoanalysis and Epistemology: The Interrelation Between Clinical Work,Culture and Metapsychology

The paradigmatic theory of modern epistemology holds psychoanalysis in its scientific statute. Even if there is no explicit epistemology in the Freudian writings, it is undeniable that the genesis of psychoanalysis has a rigorous dialetic between theorization and clinical observation. Metapsychology is an organized and consistent set of concepts, capable of explaining and coordinating the analytical experience. It is through metapsychology that clinical work encounters the possibility of universalization, while metapsychology finds the possibility of fulfillment in clinical work. Clinical experience also confirms the interrelation between psychopathology and culture. Modern times have brought about new versions for psychopathological symptoms, which, in turn, have special effects on the narcisistic personalities and the manifestations of anxiety, giving place to different neurotic configurations.     

Autonomy and defensiveness: Experimentally increasing adaptive responses to health-risk information via priming and self-affirmation

Health information is often ineffective in motivating health-behaviour change. One way to improve information effectiveness might be to highlight autonomy, which is associated with less defensiveness and more adaptive psychological functioning. Three studies assessed whether experimentally elevating autonomy led to adaptive responses to risk information about alcohol consumption. In Study 1 (N?=?104), participants completed either an autonomy prime or a neutral prime task and read either risk information about the dangers of alcohol consumption or neutral information. Among high-risk participants in the autonomy prime condition, those who read risk information reported greater autonomous motivation towards moderate alcohol consumption than did those in the neutral information condition. Study 2 (N?=?157) compared two types of autonomy prime tasks with a neutral condition. For high-risk participants who read risk information, the autonomy prime tasks elicited greater autonomous motivation, more positive attitudes and greater intentions to drink in moderation than did the neutral prime task. Study 3 (N?=?130) found that for high-risk participants who read risk information, autonomy prime participants reported less subsequent alcohol consumption than did neutral prime participants. The results are discussed in terms of the benefits of autonomy for adaptive responses to risk information.     

‘Sticking to a healthy diet is easier for me when I exercise regularly’: Cognitive transfer between physical exercise and healthy nutrition

Objective: Long-term rehabilitation success depends on regular exercise and healthy nutrition. The present study introduces a new framework to explain this association on a psychosocial level. The exercise–nutrition relationship was investigated by exploring the sequential mediation of habit strength and transfer cognitions.

Design: Analyses were performed at two measurement points in time (at 12 and 18?months after rehabilitation), involving 470 medical rehabilitation patients who participated in an exercise intervention.

Main outcome measures: Patients filled in paper-pencil questionnaires assessing exercise (t1) and habit strength, transfer cognitions and healthy nutrition at follow-up (t2).

Results: Habit strength and transfer cognitions mediated the relationship between exercise and nutrition.

Conclusion: Findings suggest that habit strength and transfer cognitions are important factors underlying the relationship between exercise and nutrition.     

Health messages to promote fruit and vegetable consumption at different stages: A match-mismatch design

Objective: To examine the effectiveness of matching health messages promoting fruit and vegetable intake to the Health Action Process Approach stages of change.

Design: In a randomised controlled trial, 205 undergraduate students (non-intenders n = 123; intenders n = 82) were exposed to one of three health messages, targeted at non-intenders, intenders and controls.

Main outcome measures: Three longitudinal assessments of stage, fruit and vegetable intake, and social-cognitive determinants were obtained.

Results: Stage-specific effects of the interventions were confirmed. For self-efficacy, a stage by health message crossover interaction emerged, with both non-intenders and intenders in the matched conditions scoring higher in self-efficacy. Furthermore, in line with predictions, non-intenders in the matched condition showed higher risk perception, outcome expectancies, intention, and stage progression immediately after message exposure, and lower levels of action planning and coping planning a week later in the mismatched condition, but for these outcomes no differences across conditions were obtained among intenders. Multiple mediation analyses confirmed the facilitating role of self-efficacy and behavioural intention among non-intenders.

Conclusions: Stages should be considered when designing health messages, although more interactive interventions for intenders and extended measurement time frames may be required.     

Developmental changes in decision making under risk: The role of executive functions and reasoning abilities in 8- to 19-year-old decision makers

Previous studies have shown that children and adolescents often tend toward risky decisions despite explicit knowledge about the potential negative consequences. This phenomenon has been suggested to be associated with the immaturity of brain areas involved in cognitive control functions. Particularly, “frontal lobe functions,” such as executive functions and reasoning, mature until young adulthood and are thought to be involved in age-related changes in decision making under explicit risk conditions. We investigated 112 participants, aged 8–19 years, with a frequently used task assessing decisions under risk, the Game of Dice Task (GDT). Additionally, we administered the Modified Card Sorting Test assessing executive functioning (categorization, cognitive flexibility, and strategy maintenance) as well as the Ravens Progressive Matrices assessing reasoning. The results showed that risk taking in the GDT decreased with increasing age and this effect was not moderated by reasoning but by executive functions: Particularly, young persons with weak executive functioning showed very risky decision making. Thus, the individual maturation of executive functions, associated with areas in the prefrontal cortex, seems to be an important factor in young peoples’ behavior in risky decision-making situations.     

The Comprehensive Alcohol Expectancy Questionnaire: Confirmatory Factor Analysis,Scale Refinement,and Further Validation

The Comprehensive Alcohol Expectancy Questionnaire (CAEQ; Demmel & Hagen, 2003a, 2003b) is a self-report measure designed to assess an individual’s alcohol expectancies. In this study, we examined the CAEQ in a student sample (N= 932) and in a clinical sample of alcohol-dependent inpatients (N= 744). The Five-factor structure was confirmed by means of confirmatory factor analysis. Convergent validity of the revised CAEQ was supported by showing significant relationships to quantity and frequency of drinking. The results of this study suggest that the revised CAEQ appears to be a psychometrically sound tool for the assessment of alcohol expectancies among both students and alcohol-dependent inpatients.