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积极的情感过程是积极健康行为改变的基础。

Positive affective processes underlie positive health behaviour change.

作者信息

Van Cappellen Patty, Rice Elise L, Catalino Lahnna I, Fredrickson Barbara L

机构信息

a Social Science Research Institute , Duke University , Durham , NC , USA.

b National Cancer Institute , Washington , DC , USA.

出版信息

Psychol Health. 2018 Jan;33(1):77-97. doi: 10.1080/08870446.2017.1320798. Epub 2017 May 12.

Abstract

Positive health behaviours such as physical activity can prevent or reverse many chronic conditions, yet a majority of people fall short of leading a healthy lifestyle. Recent discoveries in affective science point to promising approaches to circumvent barriers to lifestyle change. Here, we present a new theoretical framework that integrates scientific knowledge about positive affect with that on implicit processes. The upward spiral theory of lifestyle change explains how positive affect can facilitate long-term adherence to positive health behaviours. The inner loop of this spiral model identifies nonconscious motives as a central mechanism of behavioural maintenance. Positive affect experienced during health behaviours increases incentive salience for cues associated with those behaviours, which in turn, implicitly guides attention and the everyday decisions to repeat those behaviours. The outer loop represents the evidence-backed claim, based on Fredrickson's broaden-and-build theory, that positive affect builds a suite of endogenous resources, which may in turn amplify the positive affect experienced during positive health behaviours and strengthen the nonconscious motives. We offer published and preliminary evidence in favour of the theory, contrast it to other dominant theories of health behaviour change, and highlight attendant implications for interventions that merit testing.

摘要

诸如体育活动等积极的健康行为可以预防或扭转许多慢性疾病,然而大多数人并未过上健康的生活方式。情感科学领域的最新发现指出了一些有前景的方法来克服生活方式改变的障碍。在此,我们提出一个新的理论框架,该框架将关于积极情感的科学知识与关于内隐过程的知识整合在一起。生活方式改变的向上螺旋理论解释了积极情感如何促进对积极健康行为的长期坚持。这个螺旋模型的内环将无意识动机确定为行为维持的核心机制。在健康行为过程中体验到的积极情感会增加与这些行为相关线索的激励显著性,这反过来又会隐性地引导注意力以及重复这些行为的日常决策。外环代表基于弗雷德里克森的拓展与建构理论的有证据支持的观点,即积极情感会构建一系列内在资源,这反过来可能会放大在积极健康行为过程中体验到的积极情感,并强化无意识动机。我们提供已发表的和初步的证据来支持该理论,将其与其他占主导地位的健康行为改变理论进行对比,并强调对值得测试的干预措施的相关影响。

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