Basic Biobehavioral and Psychological Sciences Branch, National Cancer Institute.
Department of Psychological Sciences, Kent State University.
Health Psychol. 2020 Dec;39(12):1109-1124. doi: 10.1037/hea0001019. Epub 2020 Sep 17.
Appetitive risk behaviors (ARB), including tobacco use, alcohol consumption, consumption of calorie dense/nutrient-poor foods, and sexual risk behavior contribute substantially to morbidity and mortality. Affective states that arise from a wide array of unrelated circumstances (i.e., incidental affect) may carry over to influence ARB. A meta-analysis is needed to systematically examine causal evidence for the role of incidental affect (including specific emotions) in influencing ARB. Integrating effect sizes from 91 published and unpublished experimental studies that include both an incidental-affect induction and neutral-control condition ( = 271 effect sizes: = 183 negative affect, = 78 positive affect), this meta-analysis examines how negative and positive affective states influenced ARB and related health cognitions (e.g., intentions, evaluations, craving, perceived control). Negative affective states reliably increased ARB, in analyses where all negative affective states were analyzed ( = .29) and in stratified analyses of just negative mood ( = .30) and stress ( = .48). These effects were stronger among study populations coded as clinically at risk. Positive affective states generally did not influence ARB or related health cognitions, except in the presence of a craving cue. Design issues of extant literature largely precluded conclusions about the effects of specific positive and negative affective states. Taken together, findings suggest the importance of strategies to attenuate negative affect incidental to ARB to facilitate healthier behavioral patterns, especially among clinically at-risk individuals. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
摘要：食欲风险行为（ARB），包括吸烟、饮酒、食用高热量/低营养食品和性行为风险，会极大地导致发病和死亡。由各种不相关的情况引起的情绪状态（即偶然情绪）可能会持续影响 ARB。需要进行荟萃分析来系统地检查偶然情绪（包括特定情绪）在影响 ARB 方面的因果证据。综合了 91 项已发表和未发表的实验研究的效应量，这些研究既包括偶然情绪诱导又包括中性对照条件（=271 个效应量：=183 个负性情绪，=78 个正性情绪），本荟萃分析考察了负性和正性情绪状态如何影响 ARB 和相关健康认知（例如，意图、评估、渴望、感知控制）。负性情绪状态可靠地增加了 ARB，在分析中，所有负性情绪状态都进行了分析（=0.29），并且在仅对负性情绪（=0.30）和压力（=0.48）进行分层分析时也是如此。这些影响在被归类为临床风险的研究人群中更为强烈。一般来说，正性情绪状态不会影响 ARB 或相关健康认知，除非存在渴望提示。现有文献的设计问题在很大程度上排除了关于特定正性和负性情绪状态影响的结论。总之，这些发现表明，减轻与 ARB 相关的偶然负性情绪的策略很重要，这有助于形成更健康的行为模式，特别是在临床风险人群中。
