Abstract
Adopting a healthy lifestyle often requires changing patterns of behavior. This article describes three categories of psychological barriers to behavior change: those that prevent the admission of a problem, those that interfere with initial attempts to change behavior, and those that make long-term change difficult. Strategies are identified that family physicians can use to overcome the barriers.
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- Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191–215. doi: 10.1037//0033-295x.84.2.191. [DOI] [PubMed] [Google Scholar]
- Black D. R., Gleser L. J., Kooyers K. J. A meta-analytic evaluation of couples weight-loss programs. Health Psychol. 1990;9(3):330–347. doi: 10.1037//0278-6133.9.3.330. [DOI] [PubMed] [Google Scholar]
- Blalock S. J., DeVellis B. M., Afifi R. A., Sandler R. S. Risk perceptions and participation in colorectal cancer screening. Health Psychol. 1990;9(6):792–806. doi: 10.1037//0278-6133.9.6.792. [DOI] [PubMed] [Google Scholar]
- Brownell K. D., Marlatt G. A., Lichtenstein E., Wilson G. T. Understanding and preventing relapse. Am Psychol. 1986 Jul;41(7):765–782. doi: 10.1037//0003-066x.41.7.765. [DOI] [PubMed] [Google Scholar]
- Brubaker R. G., Wickersham D. Encouraging the practice of testicular self-examination: a field application of the theory of reasoned action. Health Psychol. 1990;9(2):154–163. doi: 10.1037//0278-6133.9.2.154. [DOI] [PubMed] [Google Scholar]
- Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol. 1988;7(3):269–297. doi: 10.1037//0278-6133.7.3.269. [DOI] [PubMed] [Google Scholar]
- Curry S., Marlatt G. A., Gordon J. R. Abstinence violation effect: validation of an attributional construct with smoking cessation. J Consult Clin Psychol. 1987 Apr;55(2):145–149. doi: 10.1037//0022-006x.55.2.145. [DOI] [PubMed] [Google Scholar]
- Eiser J. R., Gentle P. Health behavior as goal-directed action. J Behav Med. 1988 Dec;11(6):523–535. doi: 10.1007/BF00844903. [DOI] [PubMed] [Google Scholar]
- Grady K. E., Goodenow C., Borkin J. R. The effect of reward on compliance with breast self-examination. J Behav Med. 1988 Feb;11(1):43–57. doi: 10.1007/BF00846168. [DOI] [PubMed] [Google Scholar]
- Janz N. K., Becker M. H. The Health Belief Model: a decade later. Health Educ Q. 1984 Spring;11(1):1–47. doi: 10.1177/109019818401100101. [DOI] [PubMed] [Google Scholar]
- Jeffery R. W. Risk behaviors and health. Contrasting individual and population perspectives. Am Psychol. 1989 Sep;44(9):1194–1202. doi: 10.1037//0003-066x.44.9.1194. [DOI] [PubMed] [Google Scholar]
- Marteau T. M. Framing of information: its influence upon decisions of doctors and patients. Br J Soc Psychol. 1989 Mar;28(Pt 1):89–94. doi: 10.1111/j.2044-8309.1989.tb00849.x. [DOI] [PubMed] [Google Scholar]
- Massie J. F., Shephard R. J. Physiological and psychological effects of training--a comparison of individual and gymnasium programs, with a characterization of the exercise "drop-out". Med Sci Sports. 1971 Fall;3(3):110–117. [PubMed] [Google Scholar]
- Mattson M. E., Pollack E. S., Cullen J. W. What are the odds that smoking will kill you? Am J Public Health. 1987 Apr;77(4):425–431. doi: 10.2105/ajph.77.4.425. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McNeil B. J., Pauker S. G., Sox H. C., Jr, Tversky A. On the elicitation of preferences for alternative therapies. N Engl J Med. 1982 May 27;306(21):1259–1262. doi: 10.1056/NEJM198205273062103. [DOI] [PubMed] [Google Scholar]
- Meyer D., Leventhal H., Gutmann M. Common-sense models of illness: the example of hypertension. Health Psychol. 1985;4(2):115–135. doi: 10.1037//0278-6133.4.2.115. [DOI] [PubMed] [Google Scholar]
- Meyerowitz B. E., Chaiken S. The effect of message framing on breast self-examination attitudes, intentions, and behavior. J Pers Soc Psychol. 1987 Mar;52(3):500–510. doi: 10.1037//0022-3514.52.3.500. [DOI] [PubMed] [Google Scholar]
- Olson J. M., Zanna M. P. Understanding and promoting exercise: a social psychological perspective. Can J Public Health. 1987 Sep-Oct;78(5):S1–S7. [PubMed] [Google Scholar]
- Prochaska J. O., DiClemente C. C. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983 Jun;51(3):390–395. doi: 10.1037//0022-006x.51.3.390. [DOI] [PubMed] [Google Scholar]
- Prohaska T. R., Keller M. L., Leventhal E. A., Leventhal H. Impact of symptoms and aging attribution on emotions and coping. Health Psychol. 1987;6(6):495–514. doi: 10.1037//0278-6133.6.6.495. [DOI] [PubMed] [Google Scholar]
- Rosen T. J., Shipley R. H. A stage analysis of self-initiated smoking reductions. Addict Behav. 1983;8(3):263–272. doi: 10.1016/0306-4603(83)90021-7. [DOI] [PubMed] [Google Scholar]
- Schechter C., Vanchieri C. F., Crofton C. Evaluating women's attitudes and perceptions in developing mammography promotion messages. Public Health Rep. 1990 May-Jun;105(3):253–257. [PMC free article] [PubMed] [Google Scholar]
- Scheier M. F., Carver C. S. Dispositional optimism and physical well-being: the influence of generalized outcome expectancies on health. J Pers. 1987 Jun;55(2):169–210. doi: 10.1111/j.1467-6494.1987.tb00434.x. [DOI] [PubMed] [Google Scholar]
- Self C. A., Rogers R. W. Coping with threats to health: effects of persuasive appeals on depressed, normal, and antisocial personalities. J Behav Med. 1990 Aug;13(4):343–357. doi: 10.1007/BF00844883. [DOI] [PubMed] [Google Scholar]
- Shepperd S. L., Solomon L. J., Atkins E., Foster R. S., Jr, Frankowski B. Determinants of breast self-examination among women of lower income and lower education. J Behav Med. 1990 Aug;13(4):359–371. doi: 10.1007/BF00844884. [DOI] [PubMed] [Google Scholar]
- Snow L. F., Johnson S. M. Modern day menstrual folklore. Some clinical implications. JAMA. 1977 Jun 20;237(25):2736–2739. [PubMed] [Google Scholar]
- Strauss L. M., Solomon L. J., Costanza M. C., Worden J. K., Foster R. S., Jr Breast self-examination practices and attitudes of women with and without a history of breast cancer. J Behav Med. 1987 Aug;10(4):337–350. doi: 10.1007/BF00846474. [DOI] [PubMed] [Google Scholar]
- Strecher V. J., DeVellis B. M., Becker M. H., Rosenstock I. M. The role of self-efficacy in achieving health behavior change. Health Educ Q. 1986 Spring;13(1):73–92. doi: 10.1177/109019818601300108. [DOI] [PubMed] [Google Scholar]
- Taylor S. E., Brown J. D. Illusion and well-being: a social psychological perspective on mental health. Psychol Bull. 1988 Mar;103(2):193–210. [PubMed] [Google Scholar]
- Taylor S. E. Health psychology. The science and the field. Am Psychol. 1990 Jan;45(1):40–50. doi: 10.1037//0003-066x.45.1.40. [DOI] [PubMed] [Google Scholar]
- Weinstein N. D. Unrealistic optimism about susceptibility to health problems: conclusions from a community-wide sample. J Behav Med. 1987 Oct;10(5):481–500. doi: 10.1007/BF00846146. [DOI] [PubMed] [Google Scholar]