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Brandtner A, Müller SM, Behrens S, Oelker A, Brand M. Permissive beliefs in the context of gaming, online shopping and alcohol drinking - Systematic development of a self-report measure. Compr Psychiatry 2024; 134:152507. [PMID: 38905774 DOI: 10.1016/j.comppsych.2024.152507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 05/31/2024] [Accepted: 06/09/2024] [Indexed: 06/23/2024] Open
Abstract
BACKGROUND The activation of permissive beliefs is a cognitive mechanism through which individuals permit themselves to engage in pleasurable, yet potentially unregulated activities. Existing measures are heterogenous, focusing either on specific behaviors or on particular licensing mechanisms. The new Permissive Beliefs Questionnaire (PBQ) seeks to integrate self-licensing mechanisms from various research domains and to be applicable to different behaviors. METHODS Study 1 aimed at exploring the factor structure and reduce the number of items. In study 2, we used confirmatory factor analysis and tested convergent and discriminant validity in three subsamples of individuals playing videogames (n = 489), shopping online (n = 506), and drinking alcohol (n = 511). We tested the hypothesis whether individuals who experience a self-regulatory conflict show a greater expression of permissive beliefs. RESULTS The final version of the PBQ consists of 12 items which represent two factors: Deserving Reward and Defensive Optimism. The PBQ exhibited robust model fit indices and internal consistencies in the three samples. Permissive beliefs were heightened among individuals intending to downregulate their gaming, shopping, or drinking behaviors as compared to individuals without this intention. CONCLUSION The PBQ is a valid measure of permissive beliefs for gaming, online shopping, and drinking alcohol. It serves an ecologic and psychometrically valid tool to address empirical research questions regarding the functioning of permissive beliefs. Additionally, it may be used in clinical settings to measure and raise an understanding for permissive beliefs in clients.
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Affiliation(s)
- Annika Brandtner
- General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany.
| | - Silke M Müller
- General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany
| | - Sofie Behrens
- General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany
| | - Andreas Oelker
- General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany
| | - Matthias Brand
- General Psychology: Cognition, Faculty of Computer Science, University of Duisburg-Essen, Germany; Center for Behavioral Addiction Research (CeBAR), Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, University of Duisburg-Essen, Germany; Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany
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Shiloh S, Peleg S, Nudelman G. Associations between vaccination and protective behaviors against COVID-19: transfer and redundancy effects as potential psychological mechanisms. PSYCHOL HEALTH MED 2024; 29:1296-1312. [PMID: 38240264 DOI: 10.1080/13548506.2024.2302331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/02/2024] [Indexed: 07/06/2024]
Abstract
This study aimed to investigate mechanisms explaining associations between vaccination and protective health behaviors during the COVID-19 pandemic. The study used a secondary analysis of data from a longitudinal online study at four time points between April 2020 and March 2021. Two hundred and forty participants responded to questionnaires assessing adherence to multiple COVID-19 protection behaviors, COVID-19 vaccination, behavioral specific outcome expectancies and general healthy lifestyle. Statistical analyses included z statistic for differences between correlations and moderation analysis by the SPSS PROCESS macro. The correlation between initial adherence to protective behaviors prior to availability of vaccination and actual vaccination was positive, but when vaccination was available, the concurrent correlation between these behaviors was null. Healthy lifestyle and outcome expectancies moderated the association between vaccination and adherence to protection behaviors. These results were explained by a 'redundancy effect', conceptualized as beliefs that engagement in specific health behaviors justifies evading other health behaviors. The 'redundancy effect' cancelled the initial positive correlation between vaccination and protective health behaviors, produced by a 'transfer effect', based on similarities between the perceived purposes of those behaviors. Theoretical and practical implications of the findings were discussed.
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Affiliation(s)
- Shoshana Shiloh
- School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel
| | | | - Gabriel Nudelman
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yafo, Tel Aviv, Israel
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Zhao K, Xu X, Zhu H, Xu Q. Compensatory Belief in Health Behavior Management: A Concept Analysis. Front Psychol 2021; 12:705991. [PMID: 34512462 PMCID: PMC8429599 DOI: 10.3389/fpsyg.2021.705991] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 08/06/2021] [Indexed: 01/10/2023] Open
Abstract
Purpose This study aimed to identify the exact definition of the concept of compensatory belief (CB) and to help clinicians and caregivers to distinguish patients who tend to form such beliefs. Methods This study is a conceptual analysis based on the strategy of Walker and Avant (2014). We retrieved studies from existing literature using databases such as PubMed, CINAHL, Wiley, and Web of Science, and extracted information from the results. No date limitations were applied. Results A total of 35 articles were sourced for data extraction. The identified attributes of CB were as follows: cognitive coping strategy, pleasure without guilt, compensatory behaviors, automatic motivated self-regulatory process, and implicit cognition. The observed antecedents were: failure to resist desire, reluctance, a conflicting motivational state, seeking appropriate balance, and self-image maintenance. The consequences of CB were lower health-related intentions, justification of unhealthy choices, relief from cognitive dissonance, continued existence of conflict feeling, and poor long-term health. Conclusion Compensatory belief stems from motivational dissonance or confliction. Despite causing feelings of pleasure and relief, it can negatively impact long-term health. Although CB is crucial to establish healthy behaviors, it is easily ignored in medical work.
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Affiliation(s)
- Kang Zhao
- School of Nursing, Nanjing Medical University, Nanjing, China
| | - Xinyi Xu
- Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
| | - Hanfei Zhu
- School of Nursing, Nanjing Medical University, Nanjing, China
| | - Qin Xu
- School of Nursing, Nanjing Medical University, Nanjing, China
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Compensatory health beliefs and unhealthy snack consumption in daily life. Appetite 2020; 157:104996. [PMID: 33058952 DOI: 10.1016/j.appet.2020.104996] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 08/03/2020] [Accepted: 10/06/2020] [Indexed: 10/23/2022]
Abstract
Compensatory health beliefs (CHBs) are beliefs that an unhealthy behavior (unhealthy eating) can be compensated for by engaging in a healthy behavior (physical activity). Previous research focused on CHBs as rather stable beliefs (trait). Some studies indicated that situation-specific CHBs (state) might be important in situations, in which people are confronted with an unhealthy snack. This study aims to investigate the association between CHBs and unhealthy snack consumption in daily life with a special focus on the distinction between trait and state CHBs. Overall, N = 45 participants (66.7% female; age: 18-45 years, M = 21.9) received a link to an online questionnaire five times daily for seven consecutive days (n = 1575 possible diary entries). They reported unhealthy snack consumption, state and trait CHBs concerning the compensation with subsequent eating behavior and physical activity. The results showed that trait and state CHBs were significantly positively related to unhealthy snack consumption in daily life. Different effects appeared for CHBs concerning the compensation with subsequent eating behavior compared to the compensation with physical activity. This study demonstrates that both, state and trait CHBs are important for unhealthy snack consumption in daily life. Findings emphasize the need for further daily diary approaches to understand the temporal sequence of state CHBs that could further explain the use of CHBs as a maladaptive strategy for unhealthy eating.
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Sob C, Siegrist M, Hagmann D, Hartmann C. A longitudinal study examining the influence of diet-related compensatory behavior on healthy weight management. Appetite 2020; 156:104975. [PMID: 32966848 DOI: 10.1016/j.appet.2020.104975] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 07/13/2020] [Accepted: 09/13/2020] [Indexed: 10/23/2022]
Abstract
The aim of the present study was to examine the role of diet-related compensatory behavior in healthy weight management regarding diet quality, physical activity, and body mass index (BMI) over time in a non-clinical general population. Data were based on the first and third waves of the Swiss Food Panel 2.0 survey, which included questions about food consumption frequencies and constructs measuring weight management strategies. Data were examined using principal component analysis and correlation analyses to examine the psychometric properties of the adapted items, and multiple linear regression analyses for longitudinal examination. The adapted items measuring diet-related compensatory behavior were shown to be valid and reliable. On a longitudinal level, the results show that diet-related compensatory behavior was a significant predictor for change in physical activity and diet quality. With a higher tendency for diet-related compensatory behavior, physical activity and diet quality increased after two years. No effect was found for changes in BMI over time. Individuals from a non-clinical population showing diet-related compensatory behavior more frequently seem to have an improved diet quality and an increase in physical activity over time. Therefore, when applied in healthy doses, diet-related compensatory behavior may contribute to the maintenance of a balanced and healthy body weight, but it is not a successful strategy for weight loss over time.
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Affiliation(s)
- Cynthia Sob
- ETH Zurich, Institute for Environmental Decisions (IED), Consumer Behavior, Universitätstrasse 22, CH-8092, Zurich, Switzerland.
| | - Michael Siegrist
- ETH Zurich, Institute for Environmental Decisions (IED), Consumer Behavior, Universitätstrasse 22, CH-8092, Zurich, Switzerland
| | - Désirée Hagmann
- ZHAW Zürcher Hochschule für Angewandte Wissenschaften, Departement Angewandte Psychologie, Psychologisches Institut, Pfingstweidstrasse 96, CH-8037, Zurich, Switzerland
| | - Christina Hartmann
- ETH Zurich, Institute for Environmental Decisions (IED), Consumer Behavior, Universitätstrasse 22, CH-8092, Zurich, Switzerland
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West JS, Guelfi KJ, Dimmock JA, Jackson B. Preliminary Validation of the Exercise-Snacking Licensing Scale: Rewarding Exercise with Unhealthy Snack Foods and Drinks. Nutrients 2018; 10:nu10121866. [PMID: 30513806 PMCID: PMC6316787 DOI: 10.3390/nu10121866] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 11/12/2018] [Accepted: 11/21/2018] [Indexed: 11/18/2022] Open
Abstract
There is evidence that individuals’ compensatory health beliefs may be an important psychological driver of health behavior. Only recently, however, have researchers begun to develop and seek to validate instruments that are suited to measuring specific pairings of the diverse compensatory health beliefs that exist. The aim of this study was to provide support for key aspects of validity associated with the Exercise-Snacking Licensing Scale (ESLS), an instrument that was designed to assess individuals’ endorsement (or licensing) of unhealthy snacking behaviors around exercise. Participants (N = 1095) responded to a version of the ESLS that was designed to assess their licensing responses following either “light” or “tiring” physical activity, and completed additional instruments assessing dispositional, exercise-related, and diet-related constructs. Analyses indicated that scores derived from both versions of the ESLS (“light” and “tiring” physical activity) displayed a relatively consistent factor structure, favorable alpha coefficients, and meaningful correlations with variables that are theoretically aligned with licensing. Factor analytic procedures did, however, indicate that researchers may wish, in future, to consider the use (or not) of reverse-scored items within the ESLS. Together, these findings provide important insight into the structural, external, and generalizability aspects of validity for scores derived from the ESLS, and indicate that the ESLS may be a valuable instrument for the brief assessment of unhealthy licensing beliefs around exercise. Further use of the ESLS is encouraged to determine if and how these licensing beliefs actually influence subsequent snacking behaviors, and the potential downstream effects these beliefs may have in shaping health outcomes associated with exercise participation.
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Affiliation(s)
- Jessica S West
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
| | - Kym J Guelfi
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
| | - James A Dimmock
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
| | - Ben Jackson
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
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Hartmann C, Keller C, Siegrist M. Compensatory beliefs, nutrition knowledge and eating styles of users and non-users of meal replacement products. Appetite 2016; 105:775-81. [DOI: 10.1016/j.appet.2016.07.013] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Revised: 07/08/2016] [Accepted: 07/11/2016] [Indexed: 11/27/2022]
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Spence M, Stancu V, Dean M, Livingstone MBE, Gibney ER, Lähteenmäki L. Are food-related perceptions associated with meal portion size decisions? A cross-sectional study. Appetite 2016; 103:377-385. [PMID: 27154425 DOI: 10.1016/j.appet.2016.04.039] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2016] [Revised: 04/29/2016] [Accepted: 04/30/2016] [Indexed: 01/12/2023]
Abstract
The purpose of this study was to test a comprehensive model of meal portion size determinants consisting of sociodemographic, psychological and food-related variables, whilst controlling for hunger and thirst. Using cross-sectional nationally representative data collected in 2075 participants from the Island of Ireland (IoI) and Denmark (DK), eight separate hierarchical multiple regression analyses were conducted to examine the association between food-related variables and meal portion size (i.e. pizza, vegetable soup, chicken salad and a pork meal) within each country. Stepwise regressions were run with physiological control measures (hunger and thirst) entered in the first step, sociodemographic variables (sex, age, body mass index (BMI)) in the second step; psychological variables (cognitive restraint, uncontrolled eating, emotional eating, general health interest (GHI)) in the third step and food-related variables (expected fillingness, liking, expected healthfulness, food familiarity) in the fourth step. Sociodemographic variables accounted for 2-19% of the variance in meal portion sizes; psychological variables explained an additional 3-8%; and food-related variables explained an additional 2-12%. When all four variable groups were included in the regression models, liking and sometimes expected healthfulness was positively associated with meal portion size. The strongest association was for liking, which was statistically significant in both countries for all meal types. Whilst expected healthfulness was not associated with pizza portion size in either country, it was positively associated with meals that have a healthier image (vegetable soup; chicken salad and in IoI, the pork meal). In conclusion, after considering sociodemographic and psychological variables, and the food-related variables of liking and expected healthfulness, there may be little merit in manipulating the satiating power, at least of these type of meals, to maintain or promote weight loss.
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Affiliation(s)
- Michelle Spence
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, Belfast BT9 5AG, UK.
| | - Violeta Stancu
- MAPP Centre, Aarhus BSS, Aarhus University, Bartholins Allé 10, DK-8000 Aarhus C, Denmark.
| | - Moira Dean
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, Belfast BT9 5AG, UK.
| | - M Barbara E Livingstone
- Northern Ireland Centre for Food and Health (NICHE), University of Ulster, BT52 1SA Coleraine, UK.
| | - Eileen R Gibney
- UCD Institute of Food and Health, School of Agriculture and Food Science, UCD, Dublin 4, Ireland.
| | - Liisa Lähteenmäki
- MAPP Centre, Aarhus BSS, Aarhus University, Bartholins Allé 10, DK-8000 Aarhus C, Denmark.
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OBARA-GOLEBIOWSKA M, EUFEMIA PRZYBYLOWICZ K. Associations between Obesity and Diet-Related Compensatory Health Beliefs. IRANIAN JOURNAL OF PUBLIC HEALTH 2015; 44:1156-7. [PMID: 26587484 PMCID: PMC4645740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Accepted: 04/14/2015] [Indexed: 11/28/2022]
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Fleig L, Ngo J, Roman B, Ntzani E, Satta P, Warner LM, Schwarzer R, Brandi ML. Beyond single behaviour theory: Adding cross-behaviour cognitions to the health action process approach. Br J Health Psychol 2015; 20:824-41. [DOI: 10.1111/bjhp.12144] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 05/05/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Lena Fleig
- Health Psychology; Freie Universität Berlin; Germany
- Centre for Hip Health and Mobility; Vancouver British Columbia Canada
- Department of Family Practice; University of British Columbia; Vancouver British Columbia Canada
| | - Joy Ngo
- Nutrition Research Foundation; Barcelona Science Park; Spain
| | - Blanca Roman
- Nutrition Research Foundation; Barcelona Science Park; Spain
- EUSES Sports Science; University of Girona; Spain
| | - Evangelia Ntzani
- Clinical and Molecular Epidemiology Unit; Department of Hygiene and Epidemiology; University of Ioannina School of Medicine; Greece
| | - Paolo Satta
- Department of Surgery and Translational Medicine; University of Florence; Italy
| | | | - Ralf Schwarzer
- Institute for Positive Psychology and Education; Australian Catholic University; Sydney New South Wales Australia
| | - Maria L. Brandi
- Department of Surgery and Translational Medicine; University of Florence; Italy
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Polit DF. Getting serious about test–retest reliability: a critique of retest research and some recommendations. Qual Life Res 2014; 23:1713-20. [DOI: 10.1007/s11136-014-0632-9] [Citation(s) in RCA: 118] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2014] [Indexed: 10/25/2022]
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Abstract
Compensatory health beliefs (CHBs)–beliefs that an unhealthy behavior can be compensated for by a healthy behavior–can be distinguished into trait and state beliefs. Trait CHBs are stable individual differences, whereas state CHBs are activated in a tempting situation–for example, when faced with an attractive snack. The aim of this study was to test whether diet-specific trait or state CHBs are predictive for an unhealthy behavior–namely, high-calorie snack consumption. A scenario was created in which 66 women aged 16 to 50 were faced with a high-calorie snack. Diet-specific trait and state CHBs correlated moderately with each other. Regression analyses revealed that diet-specific trait CHBs with exercise as the compensatory behavior were significantly predictive for high-calorie snack consumption, over and above control variables such as age, whereas state CHBs were only marginally significant. Diet-specific trait and state CHBs with reduced intake (eat less later) as the compensatory behavior were not related to high-calorie snack consumption. Results showed that trait CHBs are relevant for the prediction of high-calorie snack consumption. Future studies might want to further refine the measurement of CHBs, especially state CHBs.
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Affiliation(s)
- Theda Radtke
- Department of Psychology, Developmental and Health Psychology, University of Konstanz, Germany
| | - Jennifer Inauen
- Department of Psychology, Applied Social Psychology, University of Zurich, Switzerland
| | - Laura Rennie
- B-Research/Université Paris-Ouest Nanterre La Défense, Paris, France
| | - Sheina Orbell
- Department of Psychology, University of Essex, Colchester, UK
| | - Urte Scholz
- Department of Psychology, Applied Social Psychology, University of Zurich, Switzerland
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Lippke S. MODELLING AND SUPPORTING COMPLEX BEHAVIOR CHANGE RELATED TO OBESITY AND DIABETES PREVENTION AND MANAGEMENT WITH THE COMPENSATORY CARRY-OVER ACTION MODEL. ACTA ACUST UNITED AC 2014. [DOI: 10.15436/2376-0494.14.009] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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