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Health Psychology Review

@healthpsychrev.bsky.social

Official journal of the European Health Psychology Society. Editors-in-Chief: Geert Crombez and Falko Sniehotta.

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Health Psychology Review@healthpsychrev.bsky.social · 7mo ago

🧠⚖️ What if stress isn’t about behaviour at all? A new paper argues stress comes from mismatches between what we perceive and what we want. ⚡ Goal conflict = major source of chronic stress 🔁 Reorganising helps resolve these conflicts 🎯 Points toward truly personalised stress regulation 🔎 doi.org/qs7b

Title: Toward an integrative perspective of personalised stress regulation: insights from perceptual control theory Abstract: Stress regulation is commonly conceptualised as behavioural responses to external stressors, often overlooking the perceptual processes shaping individual experience. This framing obscures the dynamic, hierarchical, and personally meaningful nature of regulation. In this paper, we introduce a unifying framework grounded in Perceptual Control Theory, proposing that the psychophysiology of stress is best understood as the control of perception rather than behaviour. Stress arises from a mismatch between current perceptions and internally held reference values – the desired states individuals strive to maintain. Within a hierarchical control system, these values are dynamically modified through experience. We argue that goal conflict – where simultaneous reference values cannot be satisfied, leading to persistent error – is the primary source of acute and chronic stress. Reorganisation, an adaptive process of structural change within the hierarchy, serves as the mechanism for resolving such conflict by revising reference values or creating new control systems. This perspective explains individual differences by focusing on controlled perceptions rather than standardised coping strategies. By formalising stress regulation as perceptual control, this approach bridges biological, psychological, and social dimensions. It offers a foundation for personalised interventions that target what individuals value most, rather than prescribing onesize-fits-all solutions.
Health Psychology Review@healthpsychrev.bsky.social · 7mo ago

📱 Can text messages help improve diabetes management? A meta-analysis (37 RCTs; 8,971 participants) finds: 📉 SMS interventions significantly reduce HbA1c ⚡ Bigger effects in ≤6‑month programs 🔧 Strongest results when using key BCTs: habit formation, credible source & self‑monitoring 🔎 doi.org/qs69

Title: Effectiveness of text message-delivered health behaviour intervention on HbA1c change in adults with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials Abstract: This study aims to investigate the effectiveness of text message-delivered health behaviours intervention on HbA1c change among adults with T2DM, and to identify key moderators including intervention features, message characteristics, target behaviours, and the usage of behaviour change techniques (BCTs). We systematically reviewed 37 randomised controlled trials published between 2016 and 2025, involving 8,971 participants. Changes in HbA1c and health behaviours were analysed using the standardised mean difference. The meta-analysis revealed a significant reduction in HbA1c (g = −0.32, 95% CI = −0.46 to – 0.18). Meta-regression also found that the intervention significantly improved health behaviours, which in turn predicted a significant reduction in HbA1c levels. Subsequent subgroup analyses revealed that studies with a shorter duration (≤6 months) demonstrated a larger effect size in reducing HbA1c. Notably, interventions employing specific BCTs including ‘body changes’ (g = −0.643), ‘habit formation’ (g = −0.624), ‘credible source’ (g = −0.513), ‘self-monitoring of outcomes of behaviours’ (g = −0.377), and "instruction on how to perform the behaviour’ (g = −0.354) were significantly associated with greater HbA1c reductions. These effects were particularly pronounced in trials focused on physical activity, healthy eating, and medication adherence. Conclusions suggest that text message-delivered health behavior interventions should be tailored to specific target behavior and incorporate these high-impact BCTs to comprehensively improve diabetes management.
Health Psychology Review@healthpsychrev.bsky.social · 8mo ago

🧠💛 How did parents of children with chronic conditions cope during COVID‑19? A meta-analysis (79 studies) finds: 📊 High rates of anxiety (31%), depression (27%) & stress ⚠️ Parents of children with CCs show higher anxiety/depression 🌍 Some effects vary by region & child age 🔎 doi.org/qs68

First page of article. Title: Psychological adjustment in parents of children and adolescentswith chronic health conditions during the COVID-19 pandemic – ameta-analysis Abstract: Caring for a child with a chronic health condition (CC) involves numerouschallenges, which may have multiplied during the COVID-19 pandemic.Therefore, this meta-analysis aimed (1) to quantify the prevalence ofclinically elevated anxiety, depression, general stress, and parentingstress symptoms in afflicted parents, (2) to examine potential moderatorvariables, and (3) to compare the outcomes between parents ofchildren with and without CCs. A systematic literature search wasconducted across four databases (PsycInfo, PubMed, CENTRAL,PSYNdex). A total of 79 studies were included. The pooled prevalenceestimates of clinically elevated anxiety, depression, general andparenting stress symptoms were 31.04%, 27.37%, 64.27%, and 26.70%,respectively. Significant moderators were identified only for anxietysymptoms, namely geopolitical region, child CC, and child age. Anxietyand depression, but not general and parenting stress, were significantlyhigher in parents of children with than without CCs. Compared topublished data from before the pandemic, prevalence rates of clinicallyelevated anxiety and depression symptoms decreased, while stresslevels no longer differed between parents of children with and withoutCCs. We hypothesise that parents of children with CCs experiencedsome beneficial effects during the COVID-19 pandemic and had alreadyacquired resilience to buffer its psychosocial impact.
Health Psychology Review@healthpsychrev.bsky.social · last yr.

‼️ New meta-analysis published: Psychosocial interventions (e.g., CBT, psychoeducation) reduce distress & improve wellbeing + quality of life in women with gynaecological cancers. Time to move towards holistic approaches, including physical, social, psychological and sexual health care!

Screenshot of the first page of the article, including title, authors, affiliations and abstract. The title is: The impact of psychosocial interventions on women with gynaecological cancers: a systematic review and meta-analysis.