Anxiety and Depression Predict the Paths Through Which Rumination Acts on Behavior: A Daily Diary Study

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.

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.


2017 ◽  
Vol 23 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Christine S. Gipson

This article provides a conceptual definition of the concept trigger within the context of health behaviors and applies it to the highly significant health issue of obesity. Healthy behaviors are essential to life and happiness, but they do not just happen. They are triggered, and an inner drive keeps them alive. To help patients gain and retain optimal health, nurses must understand the triggers of healthy behaviors. Walker and Avant’s (2011) method of concept analysis is used as the basis for defining the concept of trigger. The antecedents, defining attributes, and consequences of trigger are identified. Findings suggest that nurses can play a role in triggering health behavior change through simple motivational efforts.


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

2016 ◽  
Vol 22 (13) ◽  
pp. 1652-1657 ◽  
Author(s):  
Brenda R Whitehead

Identifying psychological factors associated with engagement in healthy behaviors in later life is a key to effective behavior interventions. In all, 204 adults ( Mage = 80) took a questionnaire assessing objective and perceived health, positive affect and negative affect, aging attitudes, and three classes of health behaviors: eating/nutrition, exercise, and general health behavior. Regression models found better eating behavior was best explained by older age, more exercise was best explained by more positive affect, and better general lifestyle behavior was best explained by worse perceived health. Programs promoting health behaviors in older adults can utilize the findings to tailor interventions to the health behavior of interest.


2019 ◽  
pp. 088626051986596
Author(s):  
Emily A. Waterman ◽  
Katie M. Edwards ◽  
Christina M. Dardis ◽  
Erika L. Kelley ◽  
Stephanie Sessarego

Despite a growing number of research studies using experience sampling methodologies, little is known about feasibility of these methodologies to the study of intimate partner violence (IPV). In the current study, we examine (a) participant retention and completeness in a 3-week daily diary study, (b) the discrepancy between daily dairy reports of IPV and retrospective summary reports of IPV, and (c) participant reactions to a daily diary assessment of IPV experiences. Participants were 923 undergraduate students (primarily White, heterosexual, and middle to upper-middle class) at two medium-sized universities in New England and the Midwest who received course credit for completing daily diary surveys for 3 weeks about past 24-hour IPV experiences. At the end of the survey, participants summarized their IPV experiences across the 3-week period and answered questions about their reactions to participating in the research protocol. Of the students who completed the baseline survey, 460 (49.8%) were retained until the last day and 229 (24.8%) completed all 21 days. Participants reported higher incidence and frequency of IPV in the daily diaries compared with the retrospective summary measure. On average, participants reported low levels of negative reactions to research participation (e.g., increased fear of partner) and moderate levels of positive reactions to research participation (e.g., gaining insight). IPV victimization before the study, and IPV perpetration and victimization during the daily diary period, predicted negative reactions to research participation reported at the final assessment, whereas IPV perpetration during the daily diary period predicted positive reactions. Overall, findings suggest that although retention is challenging, daily diaries studies may improve accuracy of IPV reporting, and that participants have few negative responses to daily diary methodologies inquiring about IPV.


2021 ◽  
pp. 026540752110201
Author(s):  
Margaret M. Jaeger ◽  
Grace Vieth ◽  
Alexander J. Rothman ◽  
Jeffry A. Simpson

Using data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) study, we examined how adolescents’ age as well as parents’ and their adolescent’s gender are associated with the influence strategies parents use to promote healthy behaviors. Parents reported their use of intentional modeling and social control for four health behaviors: fruit and vegetable consumption, junk food consumption, physical activity, and screen time. We found that parents’ reports of both intentional modeling and social control were lower for adolescents who were older. Additionally, parents reported using more intentional modeling with their same-gender children, but more social control with their sons. For certain health behaviors, the gender of parents and adolescents interacted with adolescents’ age to predict the reported use of social control. Overall, this work highlights the importance of delineating both the similarities and differences in how mothers and fathers use influence to shape the health behavior of their adolescents.


2007 ◽  
Vol 100 (3) ◽  
pp. 815-816 ◽  
Author(s):  
Rebecca L. Chambers ◽  
Lori W. Turner ◽  
Sharon B. Hunt

This paper provides a discussion of environmental strategies to improve health behaviors of nurses. Behavioral choices, partly due to social and environmental factors, influence risk of chronic disease. Strategies that modify environments are critical components of public health interventions, particularly those concerned with improving diet and physical activity. Nurses' health behaviors may be especially important, due to their influence as models when caring for patients. Modifications in work environments may enable nurses to acquire and maintain healthy behaviors.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-226
Author(s):  
Ruth Sanchez ◽  
Hannah Kay ◽  
Pooja Srikanth ◽  
Lyndsey Sandow ◽  
Michelle Zhang

Abstract With rapid shifts in how health information is reported and consumed, providers and patients must consider their electronic or “eHealth” literacy. The purpose of this study was to analyze how older adults (age 60+) seek health information in the context of online and offline resources and how eHealth literacy correlates with health behaviors. We performed a cross-sectional analysis of a nationally representative sample of 2,587 U.S. older adults drawn from the Health Information National Trends Survey (HINTS) Iteration 5 Cycle 3. Weighted descriptive analyses were conducted to examine the association between CDC-recommended health behavior guidelines on produce consumption and exercise, eHealth literacy, and sociodemographics. Weighted logistic regression analyses were conducted with STATA 16.0 to assess the relationship between healthy behaviors and eHealth literacy controlling for sociodemographics. The weighted sample reported the following demographic characteristics: average age 71 years (range 60-98), 53.6% female, 73.8% White, 9.7% Black and 8.6% Hispanic. Of older adults, 26.7% performed 2 or more health behaviors regularly. Among older adults, those who have looked up medical information using electronics are 1.79 (95% confidence interval: 1.24, 2.58) times more likely to meet 2 or more CDC-recommended health behavior guidelines as compared to those that have not, after controlling for survey group, education, race/ethnicity and gender. Access and utilization of online resources among older adults may influence their health behaviors and health outcomes. Providers should consider the eHealth literacy of their older adult patients and direct them to appropriate and reliable online resources.


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

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