Independent and relative effects of stress, depressive symptoms, and affect on college students’ daily health behaviors

Dalton, Elizabeth D.; Hammen, Constance

doi:10.1007/s10865-018-9945-4

Cited by 48 publications

(40 citation statements)

References 109 publications

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“…Step 3-Specify the Target Behaviour Following the synthesis of the reviews (6)(7)(8), in Step 3 the expert advisory group participated in a third open sort grouping exercise to specify: the target behaviours, the population, and the context (when and where the behaviours will be performed).…”

Section: Step 1-de Ne the Problem In Behavioural Termsmentioning

confidence: 99%

Reducing Drug-use Harms among Higher Education Students: X Contextual-Behaviour Change Digital Intervention Development Using the Behaviour Change Wheel

Vasiliou

Dockray

Dick

et al. 2020

Preprint

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Background: Digital harm-reduction interventions typically focus on people with severe drug-use problems, yet, these interventions have a moderate effectiveness on drug-users with lower levels of risk of harm. The difference in effectiveness may be explained by differences in behavioural patterns between the two groupings. Harnessing behavioural theories to understand what is at the core of drug-use behaviours to map the content of new interventions can improve the effectiveness of interventions for lower-risk drug-users. This is the first study to systematically apply the Behaviour Change Wheel (BCW) to understand the components, influencing capabilities, opportunities, and motivations (COM-B) of higher education students to change their drug-use behaviour. This is also the first study which identifies specific patterns of behaviours likely to be most responsive to harm reduction practices through the use of the Theoretical Domain Framework (TDF). Methods: We first conducted an online survey and a Delphi exercise to understand the factors influencing COM-B components of higher education students to change drug-use. Subsequently, we mapped all evidence onto the COM-B and the TDF to identify clusters of behaviours to target for change using a pattern-based discourse analysis. Finally, a series of multidisciplinary group meetings identified the intervention functions- the means by which the intervention change targeted behaviours and the Behavioural Change Techniques (BCTs) involved using the behaviour change technique taxonomy (v.1). Results: Twenty nine BCTs relevant to harm-reduction practices were identified and mapped across five intervention functions (education, modelling, persuasion, incentivization, and training) and five policy categories (communication/marketing, guidelines, regulation, service provision and environmental/social planning). These BCTs were distributed across eight identified saturated clusters of behaviours this intervention attempts to change. Conclusions: The BCTs identified will inform the development of a digitally delivered behaviour change intervention that focuses on increasing mindful decision-making with respect to drug-use and promotes alternatives to drug-use activities. The findings can also inform implementation scientists in applying context-specific harm-reduction practices in higher education. Examples of how the eight identified clusters of target behaviours are mapped across the COM-B components and the TDF are provided, along with suggestions of implementation practices for harm -reduction targeting students in higher education.

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Section: Step 1-de Ne the Problem In Behavioural Termsmentioning

confidence: 99%

Reducing Drug-use Harms among Higher Education Students: X Contextual-Behaviour Change Digital Intervention Development Using the Behaviour Change Wheel

Vasiliou

Dockray

Dick

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Research indicate this population have decreased adherence to medication and attend fewer physician appointments [ 9 , 15 ]. Furthermore, this period establishes fundamental health and self-care behaviors that carry forward into adulthood [ 16 , 17 ]. Adverse health behaviors have been observed in the amount of sleep, cigarette use, drinking, exercise, and eating habits of emerging adults [ 15 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Classification of gastrointestinal symptom patterns in young adults

2020

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Background The purpose of this study was to identify common gastrointestinal (GI) symptom groups using the Patient-Reported Outcomes Measurement Information System - GI symptom scales (PROMIS-GI) within a large sample of young adults. An attempt was made to relate the emergent groups to the Rome IV disorders of gut-brain interaction symptom domains. The PROMIS-GI is a freely available, adaptable, normatively referenced symptom measurement system that is applicable to many health assessment situations. Methods Participants were 956 introductory psychology students between the ages of 18 and 25 who completed the PROMIS-GI as part of ongoing research monitoring physical and psychological health of students at a major southeastern university. GI symptom groups were determined using a latent class analysis (LCA) approach. These GI symptom groups were then compared on key psychosocial factors including self-reported mood, anxiety, and health related quality of life (HRQoL) using MANOVA. Results Three groups were identified based on GI symptom elevations: Normal (n = 649), Mild (n = 257), and Moderate (n = 50). Self-reported anxiety, depression, and bodily pain levels were significantly higher in the Mild and Moderate GI symptom groups, and they indicated significantly lower work functioning, and general health ratings compared to participants in the normal group. Conclusions Approximately a third of young adults surveyed were experiencing at least one GI symptom of a severity greater than normative levels. Both the Mild and Moderate GI groups demonstrated a similar configuration of symptoms with significantly the higher levels of pain, gas/bloating, and nausea/vomiting compared to the Normal group. The configuration of symptoms did not map discretely onto the Rome IV diagnostic categories for Bowel Disorders, such as IBS with predominant Diarrhea or Functional Constipation as might be expected. Rather, the emergent groups suggest that Bowel Disorders occur on a continuum of severity across multiple symptom areas. Mild to moderate GI symptoms appear to emerge at much earlier ages and are more frequent than previously documented. It is recommended that health service providers evaluate individual patterns of “GI health” when young adults present with anxiety and depression, and conversely, they should assess anxiety and depression when they present with GI complaints.

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“…Research indicate this population have decreased adherence to medication and attend fewer physician appointments [10,16]. Furthermore, this period establishes fundamental health and self-care behaviors that carry forward into adulthood [17,18]. Adverse health behaviors have been observed in the amount of sleep, cigarette use, drinking, exercise, and eating habits of emerging adults [16,18,20].…”

Section: Introductionmentioning

confidence: 99%

“…Stress provoking environments for emerging adults include attending college and adjusting to new social settings [24]. Consequently, the inability to properly cope with chronic stress frequently results in depression and maladaptive eating behaviors in emerging adults [18]. According to the latest Rome IV overview, psychosocial factors associated with the gut-brain axis that interact with the development and severity of FGIDs include mood disorders (depression and suicide ideation), anxiety disorders, somatization, and cognitive-affective processes [21].…”

Section: Introductionmentioning

confidence: 99%

Classification of Gastrointestinal Symptom Patterns in Young Adults

Vivier

Ross

Cassisi

2020

Preprint

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Background: The purpose of this study was to identify common GI symptom groups within a large sample of young adults based on Rome IV functional gastrointestinal (GI) disorder (FGID) symptom domains using the Patient-Reported Outcomes Measurement Information System - GI symptom scales (PROMIS-GI). The PROMIS-GI is a freely available, adaptable, symptom measurement system that is applicable to most health assessment situations. Methods: Participants were 956 adults between the ages of 18 and 25 who completed the PROMIS-GI as part of ongoing research monitoring physical and psychological health of students at a major southeastern university. GI symptom groups were determined using a latent class analysis (LCA) approach. Homogenous groups of participants (latent classes) were then compared on key psychosocial factors including self-reported mood, anxiety, physical health related quality of life (HRQoL), and diet using MANOVA. Results: Three groups were identified based on GI symptom elevations: Normal (n=649), Mild (n=257), and Moderate (n=50). Self-reported mood and anxiety levels were significantly higher in the mild and moderate GI symptom groups, and physical health HRQoL was significantly lower. Conclusions: This study demonstrated that approximately a third of young adults surveyed were experiencing at least one GI symptom above normative levels. Both the mild and moderate GI groups demonstrated a similar configuration of symptoms with the highest relative elevations in pain, gas/bloating, and nausea/vomiting. Following the Rome IV diagnostic criteria, the configuration of symptoms for the mild and moderate groups were consistent with IBS mixed or unclassified subtypes. Self-reported anxiety and depression increased, and physical functioning decreased with the severity of GI symptoms. Mild to moderate GI symptoms appear to emerge at much earlier ages and are more frequent than previously documented. Based on this study’s findings, it is recommended that health service providers evaluate patterns of GI health when young adults present with anxiety and depression, and conversely, they should assess anxiety and depression when they present with GI complaints.

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Independent and relative effects of stress, depressive symptoms, and affect on college students’ daily health behaviors

Cited by 48 publications

References 109 publications

Reducing Drug-use Harms among Higher Education Students: X Contextual-Behaviour Change Digital Intervention Development Using the Behaviour Change Wheel

Reducing Drug-use Harms among Higher Education Students: X Contextual-Behaviour Change Digital Intervention Development Using the Behaviour Change Wheel

Classification of gastrointestinal symptom patterns in young adults

Classification of Gastrointestinal Symptom Patterns in Young Adults

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