Objective: Adults with arthritis struggle to meet the physical activity recommendation for disease self-management. Identifying psychosocial factors that differentiate adults who meet (sufficiently active) or do not meet (insufficiently active) the recommendation is needed. This study sought to examine differences in psychosocial responses to arthritis pain among adults who were sufficiently or insufficiently active.
Design: This prospective study included adults with medically diagnosed arthritis (N = 136, Mage = 49.75 ± 13.88 years) who completed two online surveys: (1) baseline: pain and psychosocial responses to pain and (2) two weeks later: physical activity.
Main outcome measures: Psychosocial responses examined in this study were psychological flexibility in response to pain, pain anxiety and maladaptive responses to pain anxiety.
Results: A between-groups MANCOVA comparing sufficiently active (n = 87) to insufficiently active (n = 49) participants on psychosocial responses, after controlling for pain intensity, was significant (p = .005). Follow-up ANOVA’s revealed that sufficiently active participants reported significantly higher psychological flexibility and used maladaptive responses less often compared to insufficiently active participants (p’s < .05).
Conclusions: These findings provide preliminary insight into the psychosocial profile of adults at risk for nonadherence due to their responses to arthritis pain. 相似文献
Objective: Explicit reports of one’s health self-concept (e.g. rate your overall health) are commonly used in research and clinical practice. These measures predict important health outcomes, but rely on conscious introspection so may not fully capture the different components of the health self-concept (e.g. more automatic components) that relate to actual health. This study examined the health-implicit association test (health-IAT), and how it may add to our prediction of health from self-reports.
Design: 1004 participants (ages 18–85) completed this web-based study with the health-IAT (assessing self-healthy implicit associations) and explicit assessments of health.
Main outcome measures: Self-reported measures of physical functioning.
Results: The health-IAT was valid and reliable. Older age was correlated with stronger self-healthy implicit associations. Although the health-IAT did not incrementally predict self-reported markers of physical functioning when only controlling for explicit health self-concept, it was an incremental predictor once age was entered for all four models tested.
Conclusions: The health-IAT appears to be a valid and reliable new measure that assesses implicit self-concept relating to physical health. Results reveal the potential value of assessing implicit health self-concept in both research and practice, especially when taking into account age. 相似文献
Using a mixed-methods approach, we explored how college women’s lifetime experiences of physical or sexual gender-based violence (GBV) were associated with appraisals of GBV and their feminist beliefs or identity (N = 32). Women commented on their increased awareness of the prevalence of GBV, their desire to help other women, and their beliefs about the trustworthiness of men and the current state of gender equality. Women who perceived no or minimal influence of sexism on GBV attributed their GBV experiences to a flaw in themselves or the perpetrators (i.e., self-blame, poor vigilance) or as a reasonable disciplinary measure for their ‘misbehavior.’ We also found that some women reported agreement with pro-feminist beliefs, yet rejected a feminist identity. Our findings illustrate how feminist stigma and sexism might prevent women who endorse core feminist beliefs from characterizing GBV as a sexist event. Given the potential harmful consequences of GBV and other forms of sexism, connecting women with meaningful resources, such as empowering educational programs, nurturing peer-to-peer women’s support groups, and awareness campaigns, may help to facilitate sisterhood and alleviate distress. Our findings also support the need for clinical assessment of how GBV may have affected beliefs about gender, self, world, and others. 相似文献
This study examined the relationships between self-determination theory (SDT) and theory of planned behavior (TpB) applied to physical activity and exercise behavior (PA&E) in people with chronic pain. Two hundred and eleven adults with chronic musculoskeletal pain (28 males and 183 females, age range 18 to 82 years, mean age 43 years) were recruited from online support groups and clinic networks in the United States. Participants completed SDT measures relevant to PA&E on perceived autonomy support, autonomy, competence, and relatedness, as well as TpB measures relevant to PA&E on intention, attitudes, subjective norms, and perceived behavioral control. Correlational techniques and canonical correlation analysis were performed to examine the relationships and variance within and between theoretical dimensions. Overall, the SDT set accounted for 37% of the TpB variance and the TpB set accounted for 32% of the SDT set variance. The results indicate there are statistical similarities and differences between concepts in SDT and TpB models for PA&E. Using both empirical guidance and clinical expertise, researchers and practitioners should attempt to select and integrate non-redundant and complementary components from SDT, TpB, and other related health behavior theories. 相似文献
This paper examines the contemporary phenomenon of obstacle challenges and why people participate in events that result in them getting soaking wet, freezing cold, and dirtier than they have ever been while also getting shot with pellets and receiving “electric shocks.” Many participants in these challenges have taken part numerous times and keep coming back for more. Using multiple research methods including questionnaires, participant observation where the author completed one of Ireland's more well‐known and “toughest physical and mental endurance challenges,” and also depth interviews with challenge participants has resulted in a rich and detailed account of the obstacle challenge experience. These events are so much more than a few hours of strenuous and muddy physical exercise. The sense of community and camaraderie that people experience during these challenges could be described as “transformative” with participants in many cases more rewarded and moved by this collaborative aspect than the gruelling physical endeavour that they undertake. The escapism provided by the experience is also one its main rewards, relief from the quotidian and the chance to just “be.” The servicescape proves to be critically important to the experience but in ways that are largely incompatible with research in this area to date in that the comfort and cleanliness expected of more traditional servicescapes are spurned and physical hardship is welcomed. As this is an exploratory and novel research topic, suggestions for further research are plentiful. 相似文献
Meta‐analytic findings indicate that people, including police officers, are generally poor at detecting low‐stakes deception. Related to this, investigations of behaviours that people reportedly use to make truth or lie judgements tend to conclude that people rely on incorrect stereotypes. However, consistent findings suggest that police officers are able to detect high‐stakes deception; this implies that, at least in some contexts, police officers utilise reliable cues to deception. The research presented here was an investigation of cues to deception used by police officers (N = 69), when making veracity decisions about real world, high‐stakes communications. Data were collected on both free report cues, and also prescribed cues that were known (from previous research), to discriminate between liars and truth‐tellers in the communications that the police officers observed. Officers free reported using cues related to verbal content, emotion, body language, eyes, vocal cues, and external cues. Most prescribed cues were self‐reportedly used correctly by large majorities of the officers, suggesting that they may not rely on inaccurate stereotypes. Self‐report use of categories of free report cues, and prescribed cues, was not related to accuracy in detecting deception. As people may not always be aware of the behaviours on which their judgements are based, the relationships between some of the behaviours actually displayed in the communications, and group accuracy in detecting deception in those communications, were also investigated. Group accuracy was related to the presence of subjective, emotion‐related cues in the communications. 相似文献