Lina K. Himawan’s research while affiliated with Ohio University and other places

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Publications (74)


Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder
  • Article

September 2023

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17 Reads

International Journal of Eating Disorders

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Helen Burton Murray

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Lina Himawan

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Objective Gastrointestinal symptoms, particularly postprandial fullness, are frequently reported in eating disorders. Limited data exist evaluating how these symptoms change in response to outpatient psychological treatment. The current study sought to describe the course of postprandial fullness and early satiation across psychological treatment for adults with bulimia nervosa and related other specified feeding or eating disorders and to test if anxiety moderates treatment response. Methods Secondary data analysis was conducted on questionnaire data provided by 30 individuals (80% white, M (SD) age = 31.43(13.44) years; 90% female) throughout treatment and six‐month follow‐up in a pilot trial comparing mindfulness and acceptance‐based treatment with cognitive‐behavioral therapy for bulimia nervosa. Participants completed items from the Rome IV Diagnostic Questionnaire for Adult Functional Gastrointestinal Disorders and the State Trait Anxiety Inventory. Results Postprandial fullness and early satiation both significantly decreased over time (ds = 1.23–1.54; p 's < .001). Baseline trait anxiety moderated this outcome, such that greater decreases were observed for those with higher baseline anxiety ( p = .02). Discussion Results extend prior work in inpatient samples by providing preliminary data that postprandial fullness and early satiation decrease with outpatient psychological treatment for bulimia nervosa. Baseline anxiety moderated this effect for postprandial fullness. Future work should replicate findings in a larger sample and test anxiety as a mechanism underlying postprandial fullness in eating disorders. Public Significance The current study found that common gastrointestinal symptoms (postprandial fullness and early satiation) decrease over the course of outpatient psychotherapy for adults with full and subthreshold bulimia nervosa. Postprandial fullness decreased more across time for those high in anxiety.


Aim 2—Moderating effects of overall work-related stress, closeness, and conflict between ADHD symptoms and student-related teacher stress
Understanding Factors that Moderate the Relationship Between Student ADHD Behaviors and Teacher Stress
  • Article
  • Publisher preview available

May 2023

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124 Reads

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2 Citations

School Mental Health

Teaching is a stressful profession, and teacher stress has been shown to be associated with job dissatisfaction, attrition from the field, and negative outcomes for teachers and their students. A major contributor to teacher stress is disruptive student behavior. Given that students with or at-risk for attention-deficit/hyperactivity disorder (ADHD) demonstrate high rates of disruptive behaviors and are present in nearly every classroom, studying the connection between student ADHD symptoms and teacher stress may provide useful insights for better supporting teachers and their students. Aims of this study were to (1) assess the replicability of a previous finding that teachers rate their students with elevated ADHD symptoms to be more stressful to teach than students without these symptoms and (2) explore the extent to which key factors (i.e., overall work-related stress and student–teacher relationship quality) moderate the relationship between student ADHD symptoms and related teacher stress. Participants were 97 K-2nd grade teachers who completed an online survey about themselves and two male students in their classroom. Results showed that teachers report students with elevated levels of ADHD symptoms and impairment to be more stressful to work with than students who do not exhibit these symptoms (d = 1.52). Additionally, overall work-related stress and conflict in the student–teacher relationship exacerbated the relationship between student ADHD symptom severity and related teacher stress, whereas closeness in the student–teacher relationship mitigated this association. Implications of these findings and directions for future research are discussed.

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Health indicators as measures of individual health status, perceived importance, and their associated factors—an observational study

August 2022

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194 Reads

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Temiloluwa Sokoya

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[...]

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Background Self-rated health status, a subjective measure, is used broadly to describe an individual’s overall health status. Our long-term goal is to create a more objective, comprehensive, and accurate measure of individual health status. We selected 29 health indicators and prioritized them by conducting online surveys. Thirteen of these 29 indicators received relatively more consistent ratings across 3 samples. Objectives To explore the main and interaction effects of 4 demographic factors as independent variables (age, gender, professional group, and educational level) in the importance ratings of the 13 health indicators. Methods We conducted a 4-way multivariate analysis of variance (MANOVA) with post-hoc testing to examine the effects of independent variables on all 13 dependent variables. Descriptive statistics and bivariate correlation analysis were also conducted. Design Cross-sectional study. Setting An online survey (≥ 18 years). Participants 791 participants in the USA. Results 13 health indicators were significantly correlated with each other. Age correlated with most of the health indicators (8 of 13). The MANOVA modeling results indicated that gender, age, and education levels significantly affected the combination of the 13 health indicators. There was a significant interaction effect by age and professional group on 5 health indicators. Conclusions Age is critical in rating the 13 health indicators. Among all the statistically significant main effects of demographic factors, the effect sizes descend regarding age, gender, educational level, and interaction between age and professional group. These results can provide a foundation for further studies to explore behavioral interventions for individual subgroups. Article Summary Strengths and limitations of this study The work establishes the interactions and effects between demographic data (age, gender, education, and professional group) and the perceived importance of 13 health indicators via MANOVA analysis The interactions and effects of demographic data on the importance ratings of the 13 health indicators can guide future study designs for behavioral interventions Deep analysis of the demographic variables and their effects on and interactions with the rating results are helpful for thoroughly understanding the perspectives The study is an observational study despite with relatively large sample size and a robust analysis The data are not racially representative


What would it take to convince you to donate? A survey study of the relationship between motivators, barriers, and payment for whole blood, plasma, and platelet donation

April 2022

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85 Reads

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13 Citations

Transfusion

Background: With growing discussion about blood donor remuneration, the present study examined the level of payment that may be required to convince individuals to engage in whole blood, plasma, and platelet donations. Study design and methods: Anonymous online surveys were completed by a college sample [n = 490; 76.9% female; Mean Age = 20.3 (SD = 4.9) years; 32.9% whole blood donors] and a ResearchMatch sample [n = 323; 70.6% female; Mean Age = 50.7 (SD = 16.6) years; 82.7% whole blood donors]. Level of payment needed to motivate whole blood, plasma, and platelet donation was examined as a function of donation history, sample, and gender. In addition, path analyses examined associations between donation motivators, barriers, and payment level. Results: Across all types of donation, history of whole blood donation was related to a greater willingness to donate without payment. At the same time, however, sizeable portions of prior donors indicated that monetary payment would convince them to donate whole blood (24%), plasma (51%), or platelets (57%). Across all types of donation, donation-related barriers (i.e., anxiety, fear) were indirectly related to higher payment levels via lower self-efficacy and more negative donation attitudes. Donation-related motivators (i.e., warm glow, regret, and altruism) were indirectly related to lower payment levels via higher self-efficacy and more positive donation attitudes. Conclusion: Despite reporting a strong commitment to nonremunerated blood donation, many respondents with and without a history of blood donation indicated that money would convince them to engage in whole blood, plasma, and platelet donation.


Health Indicators as Measures of Individual Health Status and Their Public Perspectives: Cross-sectional Survey Study (Preprint)

March 2022

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9 Reads

BACKGROUND Disease status (eg, cancer stage) has been used in routine clinical practice to determine more accurate treatment plans. Health-related indicators, such as mortality, morbidity, and population group life expectancy, have also been used. However, few studies have specifically focused on the comprehensive and objective measures of individual health status. OBJECTIVE The aim of this study was to analyze the perspectives of the public toward 29 health indicators obtained from a literature review to provide evidence for further prioritization of the indicators. The difference between health status and disease status should be considered. METHODS This study used a cross-sectional design. Online surveys were administered through Ohio University, ResearchMatch, and Clemson University, resulting in three samples. Participants aged 18 years or older rated the importance of the 29 health indicators. The rating results were aggregated and analyzed as follows (in each case, the dependent variables were the individual survey responses): (1) to determine the agreement among the three samples regarding the importance of each indicator, where the independent variables (IVs) were the three samples; (2) to examine the mean differences between the retained indicators with agreement across the three samples, where the IVs were the identified indicators; and (3) to rank the groups of indicators into various levels after grouping the indicators with no mean differences, where the IVs were the groups of indicators. RESULTS In total, 1153 valid responses were analyzed. Descriptive statistics revealed that the top five–rated indicators were drug or substance abuse, smoking or tobacco use, alcohol abuse, major depression, and diet and nutrition. Among the 29 health indicators, the three samples agreed upon the importance of 13 indicators. Inferential statistical analysis indicated that some of the 13 indicators held equal importance. Therefore, the 13 indicators were categorized by rank into seven levels: level 1 included blood sugar level and immunization and vaccination; level 2 included LDL cholesterol; level 3 included HDL cholesterol, blood triglycerides, cancer screening detection, and total cholesterol; level 4 included health literacy rate; level 5 included personal care needs and air quality index greater than 100; level 6 included self-rated health status and HIV testing; and level 7 included the supply of dentists. Levels 1 to 3 were rated significantly higher than levels 4 to 7. CONCLUSIONS This study provides a baseline for prioritizing 29 health indicators, which can be used by electronic health record or personal health record system designers or developers to determine what can be included in the systems to capture an individual’s health status. Currently, self-rated health status is the predominantly used health indicator. Additionally, this study provides a foundation for tracking and measuring preventive health care services more accurately and for developing an individual health status index.


Health Indicators as a Measure of Individual Health Status: Public Perspectives (Preprint)

March 2022

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89 Reads

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10 Citations

Journal of Medical Internet Research

Background: Disease status-such as cancer stage-has been used in routine clinical practice to determine more accurate treatment plans. Health-related indicators, such as mortality, morbidity, and population group life expectancy, have also been used. However, few studies specifically focus on the comprehensive and objective measures of individual health status. Objective: The perspectives of the public toward 29 health indicators obtained from a literature review were analyzed to provide evidence for further prioritization of the indicators. The difference between health status and disease status should be considered. Methods: This study used a cross-sectional design. Online surveys were administered through Ohio University, ResearchMatch, and Clemson University, resulting in three samples. Participants included individuals aged ≥ 18 years. Participants rated the importance of the 29 health indicators. The rating results were aggregated, cleaned, and analyzed as follows: (1) to determine the agreement among the three samples regarding the importance of each indicator (IV = the three samples, DV = individual survey responses); (2) to examine the mean differences between the retained indicators with agreement across the three samples (IV = the identified indicators, DV = individual survey responses); and (3) to rank the groups of indicators into various levels after grouping the indicators with no mean differences (IV = the groups of indicators, DV = individual survey responses). Results: A total of 1,153 valid responses were analyzed. Descriptive statistics revealed that the top-five rated indicators were drug or substance abuse, smoking or tobacco use, alcohol abuse, major depression, and diet and nutrition. Among the 29 health indicators, the three samples agreed upon the importance of 13. Inferential statistical analysis indicated that some of the 13 indicators held equal importance. Therefore, the 13 indicators were categorized by rank into seven levels as follows: Level 1: blood sugar level and immunization/vaccination; Level 2: LDL cholesterol; Level 3: HDL cholesterol, blood triglycerides, cancer screening detection, and total cholesterol; Level 4: health literacy rate; Level 5: personal care needs and air quality index > 100; Level 6: self-rated health status and HIV testing; and Level 7: the supply of dentists. Levels 1-3 were rated significantly higher than Levels 4-7. Among the 13 health indicators, blood sugar level and immunization/vaccination status were the most important, and the supply of dentists was the least important. Conclusions: This study provides a baseline for prioritizing 29 health indicators, which can be used by electronic health records or personal health record system designers or developers to determine what can be included in the systems to capture an individual's health status. Currently, self-rated health status is used predominantly. Additionally, this study provides a foundation for tracking and measuring preventive healthcare services more accurately and developing an individual health status index.


Descriptive statistics for all 29 health indicators
The 13 indicators with non-significant mean differences across the three samples
ANOVA post hoc test results for the seven groups of indicators
Cronbach's alpha for the survey instrument (entire survey and subscales)
Health indicators as a measure of individual health status: public perspectives

March 2022

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504 Reads

Objective We examined the perspectives of the general public on 29 health indicators to provide evidence for further prioritizing the indicators, which were obtained from the literature review. Health status is different from disease status, which can refer to different stages of cancer. Design This study uses a cross-sectional design. Setting An online survey was administered through Ohio University, ResearchMatch, and Clemson University. Participants Participants included the general public who are 18 years or older. A total of 1153 valid responses were included in the analysis. Primary outcomes measures Participants rated the importance of the 29 health indicators. The data were aggregated, cleaned, and analyzed in three ways: (1) to determine the agreement among the three samples on the importance of each indicator (IV = the three samples, DV = individual survey responses); (2) to examine the mean differences between the retained indicators with agreement across the three samples (IV = the identified indicators, DV = individual survey responses); and (3) to rank the groups of indicators after grouping the indicators with no mean differences (IV = the groups of indicators, DV = individual survey responses). Results The descriptive statistics indicate that the top-five rated indicators are drug or substance abuse, smoking or tobacco use, alcohol abuse, major depression, diet and nutrition. The importance of 13 of the 29 health indicators was agreed upon among the three samples. The 13 indicators were categorized into seven groups. Groups 1-3 were rated as significantly higher than Groups 4-7. Conclusions This study provides a baseline for prioritizing further the 29 health indicators, which can be used by electronic health records or personal health record system developers. Currently, self-rated health status is used predominantly. Our study provides a foundation to track and measure preventive services more accurately and to develop an individual health status index. Strengths and limitations of this study The work establishes the foundation to measure individual health status more comprehensively and objectively The work reflects perspectives from three communities with a relatively large sample size The work provides the foundation to prioritize the 29 health indicators further With real-world longitudinal data, the public perspective data on individual health status measurement would be verified and validated further


Risk and Protective Factors for Patterns of Bullying Involvement in Middle School Students

February 2022

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84 Reads

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3 Citations

Journal of School Violence

Research has identified at least three patterns of direct involvement in bullying and victimization: bullying, bullying-victimized, and predominantly victimized. However, little is known about risk and protective factors for these patterns. As such, the goals of the present study were to establish these patterns and examine risk and protective factors. Participants were 775 middle school students in grades 5–8. Latent profile analysis revealed three groups: a bullying-victimized group (5.2%), a predominantly victimized group (8.9%), and an uninvolved group (85.9%). Emotion dysregulation and beliefs in support of aggression conferred risk for membership in the bullying-victimized group, whereas internalizing problems conferred risk for membership in the predominantly victimized group. One aspect of school culture – willingness to seek help – buffered risk for membership only in the bullying-victimized group. Given these differential patterns, researchers and practitioners may wish to further consider the utility of targeted interventions and treatments.


Digital citizenship among Appalachian middle schoolers: The common sense digital citizenship curriculum

November 2021

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47 Reads

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20 Citations

Health Education Journal

Background Nearly 60% of teenagers in the USA have experienced abusive online behaviour. Identifying effective programmes to address these behaviours and promote digital citizenship is a research priority to reduce the rate of occurrence and consequential harmful effects of abusive online behaviour. Purpose To evaluate the effectiveness of a Digital Citizenship Curriculum in increasing knowledge of digital citizenship and reducing cyberbullying and online aggression among middle-schoolers in an underserved community using a free curriculum. Method Middle-schoolers participated in pilot implementation of a Digital Citizenship Curriculum (DCC) to evaluate its effectiveness in increasing knowledge of digital citizenship and reducing cyberbullying and online aggression. Follow up interviews were conducted to explore participants’ perceptions of the curriculum. Results Participants demonstrated a statistically significant increase in their knowledge of digital citizenship with an increase of 2.96 in the mean score ( p < .001). Paired t-tests by gender demonstrated a significant difference in pre-post assessment mean scores for girls ( p < .001). Post-intervention perceptions indicate the curriculum was positively received and informative. Conclusion Identifying cost-effective and resource-friendly programmes that support social-emotional learning and promote digital citizenship is crucial for underserved populations. Regions such as Appalachian Ohio often lack the resources to fund costly curriculum aimed at online aggression prevention. This study supports the implementation of the DCC and indicates the need for future research on the long-term effects of the curriculum on middle school participants.


Fear is associated with attrition of first‐time whole blood donors: A longitudinal examination of donor confidence and attitude as potential mediators

September 2021

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52 Reads

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10 Citations

Transfusion

Background Elevated fear and anxiety regarding donation-related stimuli (e.g., needles, pain, blood, fainting) has been associated with reduced blood donor recruitment and retention. The present longitudinal study tests the notion that this inverse relationship may be accounted for by lower donation confidence and more negative donation attitudes among fearful first-time donors. Study Design and Methods In a sample of 1479 first-time whole blood donors [67.9% female; mean age = 19.3 (standard deviation (SD) = 2.5) years], path analyses were conducted to examine relationships among donor ratings of fear of blood draw and donation anxiety obtained approximately 1 week after donation, donation confidence and attitudes assessed approximately 6 weeks later, and donation attempts over the 14 months following the original donation. Results Path analyses indicated that both fear of blood draws and donation anxiety were associated with fewer attempted donations, and that these effects were indirectly mediated by a combination of lower donor confidence and more negative donation attitudes. Conclusion Because retention of new blood donors is essential to maintain a healthy blood supply, the results of the present study suggest that first-time donors should be assessed for fear and anxiety so that appropriate strategies can be provided to address their concerns, bolster their confidence and attitudes, and ultimately promote their long-term retention.


Citations (55)


... Al abordar estas dinámicas, se pueden crear aulas más inclusivas y comprensivas, optimizando el bienestar tanto de los docentes como de los estudiantes. 9 (DeShazer et al., 2023) Cuantitativo de diseño transversal (cross-sectional) ...

Reference:

Conocimiento y actitudes de docentes de la educación básica sobre el Trastorno por Déficit de Atención e Hiperactividad
Understanding Factors that Moderate the Relationship Between Student ADHD Behaviors and Teacher Stress

School Mental Health

... Utilizing the standardized indicators developed by the WHO, which are tracked through wide range of decades, can tell us about the patterns of development of our countries. Indicators are great for suggesting the certain changes in the national guides of current diseases and help refocus to the new challenges of specific diseases because like everything, due to industrialization, the lifestyles, new technologies, these diseases and their patterns evolve and change along (13). Moreover, indicators can be used to check the effectiveness of health organization systems and suggest the change to the creators of health politics (14). ...

Health Indicators as a Measure of Individual Health Status: Public Perspectives (Preprint)

Journal of Medical Internet Research

... Prior screening of all donors has drastically decreased the incidence of these, but rare lapses still do occur. Despite the solutions that are being undertaken for each of these three problems and the attempts at making blood donation as safe and convenient as possible, it starts to become obvious that convincing individuals to take on that risk and inconvenience to donate blood is always going to be challenging [5]. Relying on the altruistic solutions that are being undertaken for each of these three problems and the attempts at making blood donation as safe and convenient as possible, it starts to become obvious that convincing individuals to take on that risk and inconvenience to donate blood is always going to be challenging [5]. ...

What would it take to convince you to donate? A survey study of the relationship between motivators, barriers, and payment for whole blood, plasma, and platelet donation

Transfusion

... A long-term effect was also reported in Ettekal and Ladd (2019) study, in which high emotion dysregulation increased adolescents' relational aggression in Grades 5,8,and 11. Similarly, scoring low in dimensions of emotion dysregulation like emotional control, emotional self-awareness, and situational representativeness increases the chances of engaging in relational or verbal aggression and cyberbullying (Monopoli et al., 2022). ...

Risk and Protective Factors for Patterns of Bullying Involvement in Middle School Students
  • Citing Article
  • February 2022

Journal of School Violence

... Digital citizenship serves as a protective factor against problematic digital media use (Si and Lee 2022), online hate, unwanted sexual content (Setty 2022), and cyber aggression (Brandau et al. 2022;Jones and Mitchell 2016). Additionally, it has been linked to positive outcomes such as increased happiness (Si and Lee 2022), defender intervention in cyberbullying (Jones and Mitchell 2016;Valdés-Cuervo et al. 2024;Vlaanderen et al. 2020) and improved offline citizenship among adolescents (Kim and Han 2020;LeCompte et al. 2020;Vlaanderen et al. 2020). ...

Digital citizenship among Appalachian middle schoolers: The common sense digital citizenship curriculum
  • Citing Article
  • November 2021

Health Education Journal

... Fear and Anxiety: Fear of needle, pain, weakness, or fainting are among the common psychological barriers.20 Pre-donation anxiety can deter first-time donors or those with prior negative experiences. ...

Fear is associated with attrition of first‐time whole blood donors: A longitudinal examination of donor confidence and attitude as potential mediators
  • Citing Article
  • September 2021

Transfusion

... Within blood donation, autonomy has been conceptualised as the sense of control donors have over the decision to donate blood. Interventions which build autonomy have been linked to increased motivation to donate blood (France et al., 2021). However, while research on autonomy has focused specifically on the decision to donate blood, our research supports the idea that donors also seek to control aspects of their donation experience. ...

Results from the blood donor competence, autonomy, and relatedness enhancement (blood donor CARE) randomized trial
  • Citing Article
  • July 2021

Transfusion

... With respect to some of the additional challenges that are likely to be confronted by students with ADHD symptoms in schools, Owens et al. [45] indicated that peer dynamics are clearly related to academic performance. Specifically, positive peer dynamics create a social context in the classroom that may foster the growth of academic 'enablers'. ...

Teacher Practices, Peer Dynamics, and Academic Enablers: A Pilot Study Exploring Direct and Indirect Effects Among Children at Risk for ADHD and Their Classmates

... Fear and anxiety on blood donation in the process of blood donation can make some people more rejected to donate blood, which will also affect their attitude and willingness to donate blood (71). Through the publicity of blood donation knowledge and related psychological explanations and guidance, the fear and anxiety of blood donation can be alleviated, at the same time, the level of the existing blood donation environment and equipment has been gradually improved that can change people's view on blood donation, which has also improved their self-efficacy in the process of blood donation. ...

Donation related fears predict vasovagal reactions and donor attrition among high school donors
  • Citing Article
  • September 2020

Transfusion

... Elevated maladaptive pain-related cognitions, such as fear of pain, pain catastrophizing, or hypervigilance, have been shown to lead to prioritization of pain processing and perception, 44,55 which in turn can negatively impact cognitive performance. 1,15,21,51,57 However, our data in healthy participants do not support a modulatory role of these top-down factors on pain-related memory impairment. These results have to be seen in light of the overall limited threat value of acute experimental pain in a safe laboratory environment and the relatively low variance of the considered painrelated cognitions in healthy individuals compared with patients with chronic pain. ...

Pain resilience, pain catastrophizing, and executive functioning: performance on a short-term memory task during simultaneous ischemic pain

Journal of Behavioral Medicine