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在最大化愉悦与最小化伤害之间寻求最佳平衡的永恒追求:补偿性健康信念模型。

The eternal quest for optimal balance between maximizing pleasure and minimizing harm: the compensatory health beliefs model.

作者信息

Rabia Marjorie, Knäuper Bärbel, Miquelon Paule

机构信息

Department of Psychology, McGill University, Montreal, Canada.

出版信息

Br J Health Psychol. 2006 Feb;11(Pt 1):139-53. doi: 10.1348/135910705X52237.

Abstract

Particularly in the health domain, humans thrive to reach an equilibrium between maximizing pleasure and minimizing harm. We propose that a cognitive strategy people employ to reach this equilibrium is the activation of Compensatory Health Beliefs (CHBs). CHBs are beliefs that the negative effects of an unhealthy behaviour can be compensated for, or "neutralized," by engaging in another, healthy behaviour. "I can eat this piece of cake now because I will exercise this evening" is an example of such beliefs. Our theoretical framework aims at explaining why people create CHBs and how they employ CHBs to regulate their health behaviours. The model extends current health behaviour models by explicitly integrating the motivational conflict that emerges from the interplay between affective states (i.e., cravings or desires) and motivation (i.e., health goals). As predicted by the model, previous research has shown that holding CHBs hinder an individual's success at positive health behaviour change, and may explain why many people fail to adhere to behaviour change programs such as dieting or exercising. Moreover, future research using the model and implications for possible interventions are discussed.

摘要

尤其是在健康领域,人们努力在将愉悦最大化和将伤害最小化之间达到平衡。我们提出,人们用来实现这种平衡的一种认知策略是激活补偿性健康信念(CHB)。补偿性健康信念是指一种信念,即不健康行为的负面影响可以通过从事另一种健康行为来补偿或“抵消”。“我现在可以吃这块蛋糕,因为我今晚要锻炼”就是这种信念的一个例子。我们的理论框架旨在解释人们为什么会产生补偿性健康信念,以及他们如何利用这些信念来调节自己的健康行为。该模型通过明确整合情感状态(即渴望或欲望)和动机(即健康目标)之间相互作用所产生的动机冲突,扩展了当前的健康行为模型。正如该模型所预测的,先前的研究表明,持有补偿性健康信念会阻碍个体在积极的健康行为改变方面取得成功,并且可以解释为什么许多人未能坚持节食或锻炼等行为改变计划。此外,还讨论了未来使用该模型的研究以及可能干预措施的影响。

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