A Framework for Understanding the Role of Psychological Processes in Disease Development, Maintenance, and Treatment: The 3P-Disease Model.

Health psychology is multidisciplinary, with researchers, practitioners, and policy makers finding themselves needing at least some level of competency in a variety of areas from psychology to physiology, public health, and others. Given this multidisciplinary ontology, prior attempts have been made to establish a framework for understanding the role of biological, psychological, and socio-environmental constructs in disease development, maintenance, and treatment. Other models, however, do not explain factors may interact and develop over time.

A Critical Review of the "Undoing Hypothesis": Do Positive Emotions Undo the Effects of Stress?

Research in affective science has shown that trait positive affect reduces the risk of developing disease and is protective against the progression of certain diseases. Research also suggests that trait positive affect predisposes individuals to more frequent experiences of positive emotional states. The undoing effect has been proposed as a potential mechanism explaining how positive emotions influence health outcomes.

Colon Cancer Worry in Appalachia.

Appalachia has a higher incidence of and mortality from colon cancer (CC) than other regions of the United States; thus, it is important to know the potential impact of elevated risk on cancer worry. Guided by the Self-regulation model, we investigated the association of demographic, cultural (e.g.

Competencies for psychology practice in primary care.

This article reports on the outcome of a presidential initiative of 2012 American Psychological Association President Suzanne Bennett Johnson to delineate competencies for primary care (PC) psychology in six broad domains: science, systems, professionalism, relationships, application, and education. Essential knowledge, skills, and attitudes are described for each PC psychology competency. Two behavioral examples are provided to illustrate each competency.

Effectiveness of emWave biofeedback in improving heart rate variability reactivity to and recovery from stress.

The current study examined the efficacy of heart rate variability (HRV) biofeedback using emWave, a publicly available biofeedback device, to determine whether training affected physiological tone and stress responses. Twenty-seven individuals aged 18-30 years were randomized to a treatment or no-treatment control group. Treatment participants underwent 4-8 sessions of emWave intervention, and all participants attended pre-treatment and post-treatment assessment sessions during which acute stressors were administered.

Preference for immediate reinforcement over delayed reinforcement: relation between delay discounting and health behavior.

Reinforcement from engaging in health behaviors is often delayed by several months or years, a circumstance partly responsible for some people's increased preference for engaging in unhealthy behaviors associated with immediate reinforcement. To examine whether individuals who discount the future engage in fewer health behaviors, 72 young adults completed questionnaires assessing health behaviors and impulsiveness and laboratory-behavioral measures of impulsive decision making. Regression analyses of impulsivity measures predicting health behavior were only significant for one measure, the Experiential Discounting Task, a task in which monetary consequences of choice were actually experienced by study participants.

Biofeedback of heart rate variability and related physiology: a critical review.

Low heart rate variability (HRV) characterizes several medical and psychological diseases. HRV biofeedback is a newly developed approach that may have some use for treating the array of disorders in which HRV is relatively low. This review critically appraises evidence for the effectiveness of HRV and related biofeedback across 14 studies in improving (1) HRV and baroreflex outcomes and (2) clinical outcomes.

The influence of forgiveness and apology on cardiovascular reactivity and recovery in response to mental stress.

To investigate the relation between forgiveness and apology as they relate to cardiovascular reactivity and recovery, 29 men and 50 women were exposed to an interpersonal transgression (i.e., verbal harassment) while performing a serial subtraction task.

Cardiovascular response to interpersonal provocation and mental arithmetic among high and low hostile young adult males.

To examine the relation between hostility and cardiovascular reactivity to stress, 42 undergraduate men were categorized into high and low hostile groups based on responses to the Cook Medley Hostility Scale. Participants engaged in two laboratory tasks: a Cognitive Task (mental arithmetic) and a Social Task (confrontation role-play). Cardiovascular measures of heart rate and blood pressure were obtained throughout rest and task periods and participants provided ratings of state anger and forgiveness following task completion.

Training nursing students in evidence-based techniques for cognitive-behavioral pediatric pain management.

This study evaluates the effects of a didactic training program for nursing students involving developmentally appropriate strategies for cognitive-behavioral pain management in children. Junior-level nursing students were assigned to one of two groups: training or control. Pretraining and posttraining knowledge and attitudes toward pain management were assessed.

The influence of voice volume, pitch, and speech rate on progressive relaxation training: application of methods from speech pathology and audiology.

Vocal characteristics of therapists, including voice volume, pitch and timbre of speech, and rate of speech have been hypothesized to facilitate the therapeutic process, particularly during procedures like progressive relaxation training (PRT). Very little empirical work, however, has examined the relation between vocal characteristics and treatment process or outcome. The purpose of this study was to examine the role of vocal characteristics during a single session of PRT applying technological innovations devised for speech pathology and audiology settings for evaluating therapist's vocal characteristics.

Transfer of heart rate feedback training to reduce heart rate response to laboratory tasks.

To examine whether transfer of heart rate (HR) feedback training to tasks not used during training could be improved by using multiple tasks during training, a modified multiple baseline across tasks, single subject design study was conducted using six high HR-reactive young adults. Participants received HR feedback training during the presentation of a videogame, and transfer of training was assessed to a mental arithmetic challenge and handgrip task. Transfer of training was next assessed following training with the mental arithmetic challenge and handgrip task.

Anger cognitions and cardiovascular recovery following provocation.

The current study describes the creation and validation of the Anger Cognitions Inventory (ACI) to assess the cognitive appraisals associated with resentful and reflective anger. The ACI was created based on a content analysis of self-reports of participants' thoughts and feelings following anger provocation in the laboratory. Exploratory and confirmatory factor analyses on two separate college student samples (N = 267 and N = 276, respectively) revealed five subscales which could validly be grouped into resentful and reflective anger.

Psychophysiological responses to anger provocation among Asian Indian and White men.

To examine cultural differences in response to anger provocation, affective, cognitive, behavioral, and cardiovascular responses to social confrontation, role plays were measured in 20 Indian male immigrants in the United States and 40 White men. Participants engaged in 2 interactions with a nonacquiescent male confederate and were instructed to suppress or express their anger in counterbalanced order. Following each role play, participants state anger, and resentful and reflective cognitions pertaining to anger were assessed.

Factors related to postpartum depressive symptoms in low-income women.

Objective: This study examined the relationship of depressive symptoms to psychosocial and lifestyle variables in postpartum women.

Design: The Mothers' Overweight Management Study (MOMS) was a randomized, weight-gain prevention trial. Baseline data are presented on the Beck Depression Inventory (BDI), Perceived Stress Scale, Social Support Questionnaire, smoking status, body weight, waist circumference, and step counts.

Stages of change for weight management in postpartum women.

Objective: This study examined factors related to stages of change for weight-management behaviors in postpartum women.

Design: Cross-sectional data, collected at baseline, are reported from the Mothers' Overweight Management Study (MOMS), a randomized, controlled trial conducted in postpartum women who participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).Subjects/Setting Subjects were a sample of WIC recipients (N=151) older than 18 years of age with a child younger than 2 years.

Anger expression and essential hypertension: behavioral response to confrontation.

Objective: The purpose of this study was to examine the range of anger-expressive behaviors and social competencies among essential hypertensive patients.

Methods: Behavioral reactions to both neutral and anger-evoking role-play interactions were measured in 26 hypertensive and 15 normotensive patients. Social behaviors were assessed using self-report measures of anger expression, assertiveness, self- and other-ratings of social competence and behavioral measures of anger expression observed during role-play interactions.

Cynical hostility and the accuracy of decoding facial expressions of emotions.

To examine the relation between cynical hostility and the accuracy of decoding facial expressions of emotions, 101 young adult participants completed the Cook-Medley Hostility Scale and Ekman's Pictures of Facial Affect. Results revealed that higher hostility scores were correlated with a greater number of errors in decoding facial expressions of emotions. Hostile individuals were more likely than nonhostile individuals to label inaccurately facial expressions of "disgust" as being "anger" and of "happiness" as being "neutral.

Do behavioral responses mediate or moderate the relation between cardiovascular reactivity to stress and parental history of hypertension?

To examine whether differences in behavioral responses to stress mediated or moderated the relation between cardiovascular response to stress and parental history of hypertension, 64 healthy undergraduates-16 men with hypertensive parents (PH+), 16 men without hypertensive parents (PH-), 16 PH+ women, and 16 PH- women-participated in a mental arithmetic task, mirror tracing task, and 2 interpersonal role plays. PH+ participants exhibited higher resting heart rates than PH- participants and higher resting systolic blood pressures (SBPs) than PH- women. PH+ participants exhibited greater SBP responses to tasks and engaged in more negative verbal and nonverbal behavior across tasks than PH- counterparts.