scholarly journals A Daily Diary Study of Rumination and Health Behaviors: Modeling Moderators and Mediators

2018 ◽  
Vol 53 (8) ◽  
pp. 743-755 ◽  
Author(s):  
Kristen E Riley ◽  
Crystal L Park ◽  
Jean-Philippe Laurenceau

Abstract Objective Rumination, thinking about a negative mood repetitively, is a common cognitive process that may affect health behavior engagement or avoidance. Little research has examined relations between rumination and health behaviors. Purpose We aimed to test links between rumination and health behaviors as well as possible moderators and mediators of those links. Methods We used an 11-day online daily diary design. Health behavior outcomes included fruit intake, vegetable intake, exercise, alcohol intake, sexual risk taking behavior, and cigarette smoking. Results Rumination was related to alcohol intake at the within-person level. Using multivariate modeling, we found that significant within-person mediators for rumination to health behaviors included impulsivity, amotivation, self control, and using health behaviors as coping, with each of these mediating relationships for one to four out of the five health behavior outcomes. A significant between-person moderator includes perceived behavioral control for alcohol intake only, and intention was not a significant moderator of the rumination to health behavior relationships. Conclusions Rumination affects various maladaptive health behaviors differentially, through a number of mechanisms and under a moderating condition whereby those who feel more control are better able to buffer rumination’s deleterious effects. Future interventions can apply the results to individual and multiple behavior change interventions for chronic disease prevention, especially for those who are particularly suffering from ruminative thoughts.

2019 ◽  
Vol 38 (5) ◽  
pp. 409-426 ◽  
Author(s):  
Kristen E. Riley ◽  
Dean G. Cruess ◽  
Crystal L. Park ◽  
Ashley Tigershtrom ◽  
Jean-Philippe Laurenceau

Introduction: Rumination—thinking passively, negatively, and repetitively—is a common cognitive process that is associated with poor health behaviors. Rumination impacts health behaviors through two distinct behavioral pathways: acting too quickly (impulsivity) or not acting at all (amotivation), though no research to date has examined the conditions under which rumination may manifest in these two disparate behavioral paths. The presence of anxiety and depression may lead to the behavioral manifestations of rumination, which may then differentially impact health behavior patterns. In this study, we tested whether individuals reporting anxiety who ruminate will then act impulsively and individuals reporting depression who ruminate will then not act in the context of their daily health behaviors. Methods: We recruited 285 college students (mean age = 19.3; 76.8% female; 79.4% Caucasian) and had them complete a baseline survey and an 11-day online daily diary to assess associations among anxiety, depression, rumination, and health behaviors. Results: Rumination predicted health behaviors through both impulsivity and amotivation as expected. Moderation models revealed that rumination in the context of anxiety leads to impulsivity and rumination in the context of depression leads to amotivation. Limitations: The undergraduate sample limits the generalizability of this data. Discussion: These results show that those who report depression or anxiety are likely to experience more daily rumination and the deleterious behavioral manifestations of that rumination, which then affects health behavior engagement or avoidance. Future behavioral health interventions can perhaps specifically target impulsivity among individuals reporting anxiety and amotivation among individuals reporting depression in order to promote more healthy behaviors.


Author(s):  
Kristen E. Riley ◽  
Ashley Tigershtrom ◽  
Crystal L. Park ◽  
Jean-Philippe Lauranceau

Author(s):  
Cameron T McCabe ◽  
Jessica R Watrous ◽  
Michael R Galarneau

ABSTRACT Introduction Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep quality, and sedentary lifestyle). As the specific health behaviors injured SMs engage in have been largely ignored, the primary aim of this study was to compare health behavior patterns among those with and without mental health problems in a large, representative sample of SMs injured on combat deployment. Materials and Methods Participants (N = 3,303) completed behavioral health assessments between September 2018 and April 2019 as part of the Wounded Warrior Recovery Project. Multivariate linear regressions and binary logistic regressions were used to evaluate differences between mental health screening status and health behavior outcomes, adjusting for injury severity, age, and years since injury. Results Overall, about half of participants screened positive for posttraumatic stress disorder and/or depression (49%). Participants reported high rates of alcohol use and problems, cigarette and tobacco use, inadequate sleep and poor sleep quality, and low levels of physical activity. With the exception of number of drinking days and likelihood of current tobacco use, participants who screened positive for a mental health disorder evidenced significantly worse health behavior outcomes. Conclusions The results provide a preliminary glance into the mental health and health behaviors of SMs roughly a decade after injury, and underscore the importance of examining the interplay between mental, physical, and behavioral health outcomes among wounded warriors to promote health and wellness.


2011 ◽  
Vol 23 (5) ◽  
pp. 386-391 ◽  
Author(s):  
Mary A. Nies ◽  
Ross A. Dierkhising ◽  
Randal J. Thomas ◽  
Kristin Vickers ◽  
Simone Salandy

Objective: To assess expectations for recovery and use of behavior change strategies as predictors of subsequent diet and physical activity among adults recently hospitalized for a cardiac event. Design: Quasi-experimental design in which adults with recent cardiac event-related hospitalization completed surveys assessing health behaviors and attitudes immediately post-discharge and three months later. Results: Among those completing the study (n = 323), positive expectations about recovery and more frequent use of behavior change skills predicted greater physical activity and better nutrition at follow-up. In multivariate models, baseline health behavior was a significant predictor of physical activity and fruit and vegetable intake at follow-up (alpha = 0.05). Conclusions: Individuals participating in physical activity and eating a heart-healthy diet approximately three months after cardiac hospitalization possessed behavior change skills. Early intervention is critical as health behaviors occurring just days after hospitalization predicted future health behavior.


2018 ◽  
Vol 25 (2) ◽  
pp. 186-196 ◽  
Author(s):  
Zakary Reimann ◽  
Jacob R Miller ◽  
Kaitana M Dahle ◽  
Audrey P Hooper ◽  
Ashley M Young ◽  
...  

Research indicates that executive functioning may predict health behavior. This systematic review provides an overview of the relationship between domains of executive functioning and health behaviors associated with the leading causes of death in the United States. A total of 114 articles met the inclusion criteria (adult sample, published in English between 1990 and November 2016) and were reviewed and synthesized. Results indicated that although many studies had mixed findings, at least one executive function component was associated with every health behavior. Based on these results, health professionals should consider the role of executive functions in behavior change interventions.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ryan E. Rhodes ◽  
John C. Spence ◽  
Tanya Berry ◽  
Guy Faulkner ◽  
Amy E. Latimer-Cheung ◽  
...  

Abstract Background To explore the prevalence of parental support for meeting the Canadian 24-Hour Movement Guidelines for Children and Youth, identify key interactive support profiles among the four movement behaviors, and investigate subsequent sociodemographic and social cognitive correlates of these profiles. Methods A sample of Canadian parents (N = 1208) with children aged 5 to 17 years completed measures of the theory of planned behavior (TPB), and support of the four child movement behaviors via questionnaire. Differences in the proportion of parents supporting these four health behaviors were explored and demographic and social cognitive (attitude and perceived control) correlates of combinations of parental support for the four health behaviors were evaluated. Results Child and youth sleep behavior had the highest parental support (73%) and moderate to vigorous physical activity support had the lowest prevalence (23%). Interactive profiles of the four movement behaviors yielded six primary clusters and comprised wide variation from parents who supported none of these behaviors (19%), to parents who supported all four behaviors (14%). These profiles could be distinguished by the age of the child (younger children had higher support) and the gender of the parent (mothers provided more support), as well as constructs of the TPB, but TPB cognitions were more specific predictors of each health behavior rather than general predictors of aggregate health behavior clusters. Conclusions Teenagers and fathers may represent key targets for parental support intervention of the 24-Hour Movement Guidelines. Intervention content may need to comprise the underlying foundations of attitude and perceived behavioral control to change parental support while considering the unique features of each health behavior to maximize related intervention effectiveness.


2020 ◽  
Author(s):  
Kyra Hamilton ◽  
Anne van Dongen ◽  
Martin S Hagger

Objective: We conducted a meta-analysis of studies examining the determinants of behaviors performed by parents to promote the health of their child, referred to as parent-for-child health behaviors, based on an extended theory of planned behavior. The study also used meta-analyzed correlations among theory of planned behavior constructs, planning, and past behavior to test theory predictions and effects of salient moderators. Methods: A systematic search identified 46 studies that provided correlations between at least one theory construct and intention or behavior for parent-for-child behaviors. Theory predictions were tested using meta-analytic structural equation modeling. Studies were also coded for candidate moderators of model effects: child age, sample type, time lag between measures of theory constructs and parent-for-child health behavior, behavior type, and study quality, and estimated the proposed model at each level of the moderator. Results: Results supported theory predictions with attitudes, subjective norms, and perceived behavioral control predicting parent-for-child health behavior participation mediated by intention. Perceived behavioral control and planning also directly predicted behavior, and planning partially mediated effects of intention on behavior. Model effects held when controlling for past behavior, supporting the sufficiency of the theory in this behavioral domain. Few moderator effects were found on relations between theory constructs. Conclusions: Findings identified the social cognition determinants of parent-for-child health behaviors, and highlight the potential processes by which they relate to behavior. The current model signposts potentially modifiable targets for behavioral interventions aimed at fostering parental participation in behaviors that promote the health of their children.


2012 ◽  
Author(s):  
Despoina Xanthopoulou ◽  
Arnold B. Bakker ◽  
Wido G. M. Oerlemans ◽  
Maria Koszucka

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