Date Approved

7-30-2024

Embargo Period

7-31-2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy (Ph.D.)

Department

Clinical Psychology

College

College of Science & Mathematics

Advisor

Danielle Arigo, Ph.D.

Committee Member 1

Jonathan Lassiter, Ph.D.

Committee Member 2

Philip Fizur, Psy.D.

Committee Member 3

Adarsh Gupta, D.O.

Keywords

cardiovascular risk; coping; m-health; midlife women; physical activity

Subject(s)

Women--Mental health; Middle age--Psychological aspects

Disciplines

Clinical Psychology | Medicine and Health Sciences | Psychology | Social and Behavioral Sciences

Abstract

Midlife women are at unique risk for cardiovascular disease (CVD) and benefit from increasing physical activity (PA). Many PA interventions involve social support, though fail to address related processes such as social comparison. Desire for specific types of social support and comparison may represent emotion-focused versus problem-solving coping, though little is known about women’s preferences for/responses to these coping opportunities. The present study examined women’s selections of PA content in a digital environment. Over 7 days, women in midlife ≥1 CVD risk factor (N = 60, MAge = 50.70, SD = 5.89) wore a PA monitor and visited a proprietary website. General stress (not PA/health stress) positively predicted both emotion-focused (F1, 56] = 6.0, p = 0.02) and problem-solving coping (F[1, 56] = 5.29, p = 0.03). PA/health stress was positively associated with perceived helpfulness of emotion-focused content (r[56] = 0.26, p = 0.05), and negatively associated with problem-solving content (r[56] = -0.19, p = 0.16). Only emotion-focused content was associated with increased step count across 7 days (F[6, 162] = 2.19, p = 0.047, partial η2 = 0.08), though not active exercise minutes (F[6, 162] = 0.94, p = 0.47, partial η2 = 0.03). Findings suggest PA interventions in this population may benefit from tailoring based on coping preference, threat perception, desired outcome, and maintain flexibility given multiple unique psychosocial stressors.

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