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Rising CJ, Huelsnitz CO, Shepherd RF, Klein WMP, Sleight AG, Wilsnack C, Boyd P, Feldman AE, Khincha PP, Werner-Lin A. Diet and physical activity behaviors: how are they related to illness perceptions, coping, and health-related quality of life in young people with hereditary cancer syndromes? J Behav Med 2024:10.1007/s10865-024-00489-z. [PMID: 38642305 DOI: 10.1007/s10865-024-00489-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 04/05/2024] [Indexed: 04/22/2024]
Abstract
Individuals with inherited cancer syndromes, such as Li-Fraumeni syndrome (LFS), may be motivated to adopt health-protective behaviors, such as eating more fruits and vegetables and increasing physical activity. Examining these health behaviors among young people with high lifetime genetic cancer risk may provide important insights to guide future behavioral interventions that aim to improve health-related quality of life (HRQOL). We used a self-regulatory framework to investigate relationships among diet and physical activity behaviors and psychosocial constructs (e.g., illness perceptions, coping, HRQOL) in adolescents and young adults (AYAs; aged 15-39 years) with LFS. This longitudinal mixed-methods study included 57 AYAs aged 16-39 years at enrollment), 32 (56%) of whom had a history of one or more cancers. Participants completed one or two telephone interviews and/or an online survey. We thematically analyzed interview data and conducted regression analyses to evaluate relationships among variables. AYAs described adopting healthy diet and physical activity behaviors to assert some control over health and to protect HRQOL. More frequent use of active coping strategies was associated with greater reported daily fruit and vegetable intake. Greater reported physical activity was associated with better quality of psychological health. Healthy diet and physical activity behaviors may function as LFS coping strategies that confer mental health benefits. Clinicians might emphasize these potential benefits and support AYAs in adopting health behaviors that protect multiple domains of health. Future research could use these findings to develop behavioral interventions tailored to AYAs with high genetic cancer risk.
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Affiliation(s)
- Camella J Rising
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA.
| | - Chloe O Huelsnitz
- Behavioral Research Program, Office of the Associate Director, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - Rowan Forbes Shepherd
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA
| | - William M P Klein
- Behavioral Research Program, Office of the Associate Director, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - Alix G Sleight
- Department of Physical Medicine & Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Catherine Wilsnack
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA
| | - Patrick Boyd
- Behavioral Research Program, Office of the Associate Director, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA
| | - Alexandra E Feldman
- Department of Physical Medicine & Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA
- USC Chan Division of Occupational Science and Occupational Therapy, Los Angeles, CA, USA
| | - Payal P Khincha
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA
| | - Allison Werner-Lin
- School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA
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Huelsnitz CO, Rothman AJ, Simpson JA. Effects of Social Control on Eating and Relational Behaviors in Romantic Relationships. Ann Behav Med 2022; 56:1244-1258. [PMID: 35445689 DOI: 10.1093/abm/kaac011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Prior research has shown that social control strategies can have either positive or negative effects on individuals' health behaviors. However, no research has examined the degree to which social control attempts enacted by romantic partners are associated with individuals' relational behaviors or whether perceptions of a partner's motivation to engage in social control moderate links between the use of social control and either health or relational behaviors. PURPOSE This study investigated (a) the degree to which two classes of social control strategies that romantic partners can use to improve their partners' eating behavior (autonomy-supportive and autonomy-limiting strategies) are associated with eating and relational behaviors, and (b) whether perceptions of the partner's motivation for using social control moderate associations between its use and an individual's eating and relational behavior. METHODS This study had a daily diary design. One hundred and forty-seven individuals in romantic relationships completed surveys for 14 consecutive days. RESULTS On days when individuals reported that their partner used autonomy-supportive social control strategies, individuals reported healthier eating and more constructive relational behaviors. There were no effects of autonomy-limiting strategies on eating or relational behavior. Perceptions of a partner's motives did not moderate associations between reported social control and any behavioral outcomes. Moreover, there were no effects of either reported social control strategies or partner motive perceptions across time. CONCLUSION Romantic partners' perceived use of autonomy-supportive-but not autonomy-limiting-social control has benefits for individuals' health behaviors without incurring notable costs to their romantic relationship.
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Affiliation(s)
- Chloe O Huelsnitz
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | | | - Jeffry A Simpson
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
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Nakamura MS, Huelsnitz CO, Rothman AJ, Simpson JA. Associations Between Parents’ Health and Social Control Behaviors and Their Adolescent’s Self-Efficacy and Health Behaviors: Insights From the Family Life, Activity, Sun, Health, and Eating (FLASHE) survey. Ann Behav Med 2022; 56:920-932. [DOI: 10.1093/abm/kaab113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Parents can influence their children to live healthier lifestyles by modeling healthy behaviors and/or trying to persuade their children to engage in healthier activities. Adolescents and their parents tend to have similar eating and exercise patterns, but less is known about the simultaneous influence of parent’s health behavior and social control on adolescents’ self-efficacy and health behaviors, including whether their effect is moderated by parenting style.
Purpose
We examine the degree to which parents’ social control and health behaviors are associated with their adolescent’s self-efficacy and health behaviors, including whether parenting styles moderate these associations.
Method
We analyzed data from the Family Life, Activity, Sun, Health, and Eating project.
Results
We found that parents’ own health behaviors are positively and strongly associated with their adolescent’s health behaviors across four domains: fruit/vegetable consumption, junk food consumption, physical activity, and nonacademic screen time. We found positive, moderate-to-strong associations between parents’ use of social control and their adolescents’ fruit/vegetable and junk food consumption, small negative associations with screen time, and no associations with physical activity. The effects of social control for junk food consumption and screen time, however, depended on parents’ own behavior in those domains. Parent responsiveness moderated the relation between parents’ social control and their adolescent children’s self-efficacy and health behaviors.
Conclusions
The health behaviors parents model and their social control efforts are associated with their adolescents’ beliefs and behavior. Efforts to leverage parents as sources of influence must consider the context in which influence is enacted.
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Affiliation(s)
| | - Chloe O Huelsnitz
- Psychology Department, University of Minnesota, Minneapolis, MN, USA
| | | | - Jeffry A Simpson
- Psychology Department, University of Minnesota, Minneapolis, MN, USA
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Abstract
Relationship partners affect one another's health outcomes through their health behaviors, yet how this occurs is not well understood. To fill this gap, we present the Dyadic Health Influence Model (DHIM). The DHIM identifies three routes through which a person (the agent) can impact the health beliefs and behavior of their partner (the target). An agent may (a) model health behaviors and shape the shared environment, (b) enact behaviors that promote their relationship, and/or (c) employ strategies to intentionally influence the target's health behavior. A central premise of the DHIM is that agents act based on their beliefs about their partner's health and their relationship. In turn, their actions have consequences not only for targets' health behavior but also for their relationship. We review theoretical and empirical research that provides initial support for the routes and offer testable predictions at the intersection of health behavior change research and relationship science.
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Affiliation(s)
| | | | | | - Keven Joyal-Desmarais
- Concordia University, Montreal, Quebec, Canada.,Montreal Behavioural Medicine Centre, Quebec, Canada
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Rothman AJ, Simpson JA, Huelsnitz CO, Jones RE, Scholz U. Integrating intrapersonal and interpersonal processes: a key step in advancing the science of behavior change. Health Psychol Rev 2021; 14:182-187. [PMID: 31959071 DOI: 10.1080/17437199.2020.1719183] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
| | - Jeffry A Simpson
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Chloe O Huelsnitz
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Rachael E Jones
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
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Huelsnitz CO, Neel R, Human LJ. Accuracy in Perceptions of Fundamental Social Motives: Comparisons to Perceptions of Big Five Traits and Associations With Friendship Quality. Pers Soc Psychol Bull 2019; 46:3-19. [PMID: 31023153 DOI: 10.1177/0146167219838546] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Accurately perceiving others' personalities helps people to successfully navigate their social relationships. However, it is not yet clear whether people can accurately perceive one aspect of people's personalities that may be especially important to understand: motivations. Using the fundamental social motives framework, we examined the extent to which people accurately perceived a friend's motivations (vs. big five traits) and how this was related to friendship quality. A sample of friend dyads completed both self- and friend-assessments of the big five traits and the fundamental motives, and rated friendship quality. Perceivers accurately detected their friend's unique, self-reported ordering of motives (i.e., distinctive accuracy), though to a lesser extent than traits. However, accuracy for motives and traits was positively associated with greater friendship quality to a similar extent. Importantly, these associations emerged above and beyond tendencies to view others highly normatively, as socially desirable, and as similar to the self.
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Lenne RL, Joyal-Desmarais K, Jones RE, Huelsnitz CO, Panos ME, Auster-Gussman LA, Johnson WF, Rothman AJ, Simpson JA. Parenting styles moderate how parent and adolescent beliefs shape each other's eating and physical activity: Dyadic evidence from a cross-sectional, U.S. National Survey. Journal of Experimental Social Psychology 2019. [DOI: 10.1016/j.jesp.2018.06.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Joyal-Desmarais K, Lenne RL, Panos ME, Huelsnitz CO, Jones RE, Auster-Gussman LA, Johnson WF, Simpson JA, Rothman AJ. Interpersonal effects of parents and adolescents on each other’s health behaviours: a dyadic extension of the theory of planned behaviour. Psychol Health 2019; 34:569-589. [DOI: 10.1080/08870446.2018.1549733] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | - Richie L. Lenne
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Mary E. Panos
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | | | - Rachael E. Jones
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | | | | | - Jeffry A. Simpson
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
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Huelsnitz CO, Farrell AK, Simpson JA, Griskevicius V, Szepsenwol O. Attachment and Jealousy: Understanding the Dynamic Experience of Jealousy Using the Response Escalation Paradigm. Pers Soc Psychol Bull 2018; 44:1664-1680. [PMID: 29771201 DOI: 10.1177/0146167218772530] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Jealousy is a complex, dynamic experience that unfolds over time in relationship-threatening situations. Prior research has used retrospective reports that cannot disentangle initial levels and change in jealousy in response to escalating threat. In three studies, we examined responses to the Response Escalation Paradigm (REP)-a 5-stage hypothetical scenario in which individuals are exposed to increasing levels of relationship threat-as a function of attachment orientations. Highly anxious individuals exhibited hypervigilant, slow escalation response patterns, interfered earlier in the REP, felt more jealousy, sadness, and worry when they interfered, and wanted to engage in more vigilant, destructive, and passive behaviors aimed at their partner. Highly avoidant individuals felt more anger when they interfered in the REP and wanted to engage in more partner-focused, destructive behaviors. The REP offers a dynamic method for inducing and examining jealousy and introduces a novel approach to studying other emotional experiences.
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Affiliation(s)
- Ethan S. Young
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | - Jeffry A. Simpson
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
| | | | | | - Cory Fleck
- Department of Psychology, University of Minnesota, Minneapolis, MN, USA
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