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1.
Obes Rev ; 25(8): e13761, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38733067

RESUMO

mHealth interventions play an increasingly important role in health behavior change for gestational diabetes or peripartum obesity management. This qualitative systematic review and meta-synthesis aims to explore women's perceptions of mHealth behavior change interventions for gestational diabetes and/or overweight/obesity management during pregnancy and the postpartum period. Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane, Excerpta Medica Database (EMBASE), Medical Literature Analysis and Retrieval System Online (MEDLINE), and Psychological Information Database (PsycINFO) databases were searched using a Sample, Phenomenon of Interest, Design, Evaluation and Research type (SPIDER) concept framework through to February 2024. Included studies were quality assessed using the Critical Appraisal Skills Programme checklist. Study findings were evaluated using reflexive thematic analysis and GRADE-Confidence in the Evidence from Reviews of Qualitative Research (CERQual) checklist. We identified 29 studies, representing 604 women's views from one upper middle-income and nine high-income countries. Two themes were generated: mHealth as a supportive tool; and mHealth as a personalizable tool. Women highlighted the importance of self-monitoring, information trustworthiness, peer support, motivational tools (goal setting, risk awareness, and problem solving) and convenience in achieving behavior change using mHealth technology. They suggest mHealth programs incorporate these elements to support user engagement and improved health outcomes. Understanding what women want as mHealth users is particularly important for effective interventions in gestational diabetes, weight management, and chronic disease prevention. Creating a better, more woman-centered experience by addressing central engagement issues should result in improved maternal health outcomes.


Assuntos
Diabetes Gestacional , Obesidade , Sobrepeso , Telemedicina , Humanos , Feminino , Gravidez , Diabetes Gestacional/psicologia , Diabetes Gestacional/terapia , Obesidade/terapia , Obesidade/psicologia , Sobrepeso/terapia , Sobrepeso/psicologia , Pesquisa Qualitativa , Comportamentos Relacionados com a Saúde , Terapia Comportamental/métodos
2.
Soc Neurosci ; 10(2): 206-17, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25319060

RESUMO

Processes through which parental ideology is transmitted to children-especially at a young age prior to the formation of political beliefs-remain poorly understood. Given recent evidence that political ideology is associated with neural responses to cognitive conflict in adults, we tested the exploratory hypothesis that children's neurocognitive responses to conflict may also differ depending on their parents' ideology. We assessed relations between parental political ideology and children's neurocognitive responses to conflict, as measured by the N2 component of the event-related potential. Children aged 5-7 completed an age-appropriate flanker task while electroencephalography was recorded, and the N2 was scored to incongruent versus congruent flankers to index conflict processing. Because previous research documents heightened liberal-conservative differences in threat-relevant contexts, each trial of the task was preceded by an angry face (threat-relevant) or comparison face (happy or neutral). An effect of parental ideology on the conflict-related N2 emerged in the threat condition, such that the N2 was larger among children of liberals compared with children of moderates and conservatives. These findings suggest that individual differences in neurocognitive responses to conflict, heightened in the context of threat, may reflect a more general pattern of individual differences that, in adults, relates to political ideology.


Assuntos
Cognição/fisiologia , Conflito Psicológico , Pais/psicologia , Política , Percepção Social , Ira , Atenção/fisiologia , Criança , Pré-Escolar , Eletroencefalografia , Feminino , Felicidade , Humanos , Individualidade , Masculino , Rede Nervosa/fisiologia , Inquéritos e Questionários
3.
Dev Neuropsychol ; 39(7): 497-515, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25350756

RESUMO

The late positive potential (LPP), which is reduced following the use of reappraisal, is a potential neurosignature for emotion regulation capacity. This sensitivity of the LPP to reappraisal is rarely studied in children. We tested whether, in 26 typically developing seven- to nine-year-olds, LPP amplitudes were reduced following reappraisal and whether this effect varied with age and anxiety. For the full sample, LPPs were not significantly reduced following reappraisal. As predicted, reductions in the LPP following reappraisal were greater for older children and those showing less anxiety. The utility of the LPP as a neurosignature for emotion regulatory capacity is discussed.


Assuntos
Encéfalo/fisiologia , Cognição/fisiologia , Emoções/fisiologia , Potenciais Evocados/fisiologia , Fatores Etários , Análise de Variância , Ansiedade/etiologia , Ansiedade/fisiopatologia , Criança , Pré-Escolar , Eletroencefalografia , Feminino , Humanos , Controle Interno-Externo , Masculino , Estimulação Luminosa , Valor Preditivo dos Testes
4.
Brain Cogn ; 87: 173-80, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24769521

RESUMO

Negative affectivity (NA) is a broad construct that has been associated with the development of psychopathologies, such as anxiety, and with exaggerated attention to threatening stimuli. EEG asymmetry reflects biological individual differences in emotional reactivity that may underlie the association between NA and attention to threat. The present study included a sample of 31 five-seven year olds (M age in months=74.39, SD=6.57) to test the hypothesis that greater NA, combined with greater right anterior and posterior asymmetries, predicts increased attention interference following threat stimuli. Children completed an executive attention task which presented task-irrelevant threat (angry) and non-threat (neutral) faces prior to each trial. EEG asymmetry was measured at baseline for anterior, anterior-temporal and posterior scalp regions and child NA was measured via maternal report. As predicted, children showing greater NA and greater right anterior-temporal asymmetry showed more attention interference following angry faces. Additionally, two trend-level effects emerged: children showing greater NA and greater left anterior-temporal asymmetry showed less attention interference following angry faces, and children showing greater NA and greater left posterior asymmetry showed less attention interference, but only following neutral faces. Discussion focuses on the utility of using EEG asymmetry in the study of temperament, attentional biases, and the biological processes by which temperament confers risk for psychopathology.


Assuntos
Afeto/fisiologia , Atenção/fisiologia , Encéfalo/fisiologia , Emoções/fisiologia , Encéfalo/crescimento & desenvolvimento , Criança , Pré-Escolar , Eletroencefalografia , Feminino , Humanos , Masculino
5.
Dalton Trans ; 43(22): 8387-94, 2014 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-24740409

RESUMO

Self-assembly can occur spontaneously through aryl-aryl π-stacking in solution for calix[4]arenes derivatised at both the upper and lower rims with pendant aromatic rings, including pyridine rings. It was hoped that metal ion complexation would help to control the level of self-assembly occurring in solution, by disrupting these interactions. Metal ion titration studies were carried out on 3 with various zinc salts, but it was found that even with 1 : 4 ligand to metal ratio, the self-assembly process still dominated. Furthermore, in an effort to prevent the self-assembly process, the lower rim was completely substituted, but metal complexation reactions with these fully substituted calix[4]arenes still showed that the self-assembly process dominated.

6.
Clin Psychol Sci ; 2(5): 576-590, 2014 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-26029490

RESUMO

Interest in the use of mobile technology to deliver mental health services has grown in light of the economic and practical barriers to treatment. Yet, research on alternative delivery strategies that are more affordable, accessible, and engaging is in its infancy. Attention bias modification training (ABMT), has potential to reduce treatment barriers as a mobile intervention for stress and anxiety, but the degree to which ABMT can be embedded in a mobile gaming format and its potential for transfer of benefits is unknown. The present study examined effects of a gamified ABMT mobile application in highly trait anxious participants (N = 78). A single session of the active compared to placebo training reduced subjective anxiety and observed stress reactivity. Critically, the long (45 minutes) but not short (25 minutes) active training condition reduced the core cognitive process implicated in ABMT (threat bias) as measured by an untrained, gold-standard protocol.

7.
Dev Neuropsychol ; 38(5): 352-63, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23862637

RESUMO

Enhanced threat processing has been associated with elevated anxiety in adults, but less is known about how threat processing influences the developmental trajectory of anxiety in children. We used the N170 to measure threat (angry faces) processing in relation to child anxiety over a 2-year period. Participants were 27 typically developing 5-to-7-year-olds (13 females). Higher anxiety when children were aged 5 to 7 was associated with higher anxiety 2 years later, but only for children showing larger N170 amplitudes to angry versus happy faces. The N170 captures individual differences in threat processing that may characterize children at enhanced risk for anxiety.


Assuntos
Ansiedade/patologia , Ansiedade/fisiopatologia , Desenvolvimento Infantil/fisiologia , Emoções , Expressão Facial , Atenção/fisiologia , Criança , Pré-Escolar , Eletroencefalografia , Feminino , Humanos , Estudos Longitudinais , Masculino , Reconhecimento Visual de Modelos , Escalas de Graduação Psiquiátrica , Tempo de Reação
8.
Brain Cogn ; 78(1): 63-73, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22083026

RESUMO

Anxiety is characterized by exaggerated attention to threat. Several studies suggest that this threat bias plays a causal role in the development and maintenance of anxiety disorders. Furthermore, although the threat bias can be reduced in anxious individuals and induced in non-anxious individual, the attentional mechanisms underlying these changes remain unclear. To address this issue, 49 non-anxious adults were randomly assigned to either attentional training toward or training away from threat using a modified version of the dot probe task. Behavioral measures of attentional biases were also generated pre- and post-training using the dot probe task. Event-related potentials (ERPs) were generated to threat and non-threat face pairs and probes during pre- and post-training assessments. Effects of training on behavioral measures of the threat bias were significant, but only for those participants showing pre-training biases. Attention training also influenced early spatial attention, as measured by post-training P1 amplitudes to cues. Results illustrate the importance of taking pre-training attention biases in non-anxious individuals into account when evaluating the effects of attention training and tracking physiological changes in attention following training.


Assuntos
Atenção/fisiologia , Córtex Cerebral/fisiologia , Potenciais Evocados/fisiologia , Adolescente , Adulto , Eletroencefalografia , Expressão Facial , Feminino , Humanos , Masculino , Estimulação Luminosa , Tempo de Reação/fisiologia , Inquéritos e Questionários
9.
Emotion ; 11(6): 1322-30, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21707156

RESUMO

Whether task-irrelevant emotional stimuli facilitate or disrupt attention performance may depend on a range of factors, such as emotion type, task difficulty, and stimulus duration. Few studies, however, have systematically examined the influence of these factors on attention performance. Sixty-three adults, scoring within a normative range for mood and anxiety symptoms, completed either an easy or difficult version of an attention task measuring three aspects of attention performance: alerting, orienting, and executive attention. Results showed that in the easy task only, threatening versus nonthreatening task-irrelevant emotional faces facilitated orienting regardless of stimulus duration. These effects were no longer significant during the difficult condition. When the easy and difficult conditions were examined together, duration effects emerged such that stimuli of longer durations lead to greater interference, although effects were nonlinear. Findings illustrate that threat-relevant emotional stimuli facilitate attention during tasks with low cognitive load, but underscore the importance of considering a range of task parameters. Results are discussed in the context of adaptive and maladaptive emotion-attention interactions.


Assuntos
Atenção , Emoções , Adolescente , Adulto , Sinais (Psicologia) , Função Executiva , Expressão Facial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estimulação Luminosa , Análise e Desempenho de Tarefas , Adulto Jovem
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