Howard Leventhal
Biographic Data
| ID | 298070 |
|---|---|
| NAME | Howard Leventhal |
| GIVEN NAMES | Howard |
| FAMILY NAME | Leventhal |
| SIGNATURE | LEVENTHAL H |
| AFFILIATIONS | Rutgers, the State University of New Jersey |
| ORCID | 0000-0001-5601-2500 |
| VERIFIED | Yes |
| TOTAL WORKS | 65 |
| TOTAL CITATIONS | 361 |
| AUTHOR COUNT | 65 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1957 |
| LATEST PUBLICATION YEAR | 2016 |
| H-INDEX | 10 |
The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management
Chronic Illness with Complexity: Association With Self-Perceived Burden and Advance Care Planning
The present study examines how different chronic illnesses and mental illness comorbidity (chronic illness with complexity [CIC]) associate with components of advance care planning (ACP). We also explore the role self-perceived burden plays in the relationship between illness and ACP. Data were gathered from a cross-sectional survey of 305 elderly participants from the New Jersey End-of-Life study. Participants with diabetes and those with cardio…
Illness Behavior and Care-Seeking
Heterogeneity in Depression Symptoms and Health Status Among Older Adults
The results provide support for the idea that there is heterogeneity in the presentation of depression symptoms among older adults. These data showed that about a third of our sample of older adults reported increased levels of anhedonia and that negative interpersonal feelings were uncommon
Assessing the Relationship Between Language Proficiency and Asthma Morbidity Among Inner-City Asthmatics
BACKGROUND: Patient-provider communication is essential for high-quality asthma care. The objective of this study was to assess the potential relationship of language barriers with outcomes of inner-city asthmatics. RESEARCH DESIGN: We interviewed a prospective cohort of 318 adults with persistent asthma receiving care at 2 large inner-city clinics. Patients were classified into 3 groups according to their English proficiency; non-Hispanics (all …
Depression as a predictor of perceived social support and demand: A componential approach using a prospective sample of older adults
This study examined the relationship of the cognitive, mood, and somatic components of depression on perceptions of social support and social demand among older adults (n = 851) over two years. Factor-analyses confirmed the factor structure of our multicomponential model of depression. Results supported our proposal that interpersonal specificity, as measured by depressive cognition about self and others, is important to predicting changes in per…
Psychological Approaches to the Connection of Health and Behaviour
Although Health Psychology was recognised as a speciality area by the American Psychological Association in 1978, research publications within its domain appeared in the 1930s and earlier. These publications focused on a variety of topics such as treatment for stuttering and rehabilitation from neurological disorders. Current topics in health and behaviour cover a much wider array of issues, and behavioural health research has been described by m…
Racial and Ethnic Differences in Factors Associated With Early Postpartum Depressive Symptoms
OBJECTIVE: To explore racial differences in reporting of early postpartum depressive symptoms. To explore whether racial differences in early postpartum experience (such as mother's health status and social context) might account for racial differences in reported postpartum depressive symptoms. METHODS: This was a telephone survey of 655 white, African-American, and Hispanic mothers between 2 and 6 weeks postpartum. Mothers reported on demograph…
Correlates of Early Postpartum Depressive Symptoms
Differences in Illness Representation among Pulmonary Patients and their Providers
This investigation examined how patient and provider groups represent 11 descriptors (concepts) of breathing and breathlessness. Two patient groups, those with chronic obstructive pulmonary disease (COPD) and those with asthma, and two provider groups, pulmonologists and nurse specialists (PNS), rated the dissimilarity between each of 55 pairs of concepts on visual analogue scales (VAS). The results demonstrate differences between the groups in i…
A story of maladies, misconceptions and mishaps: Effective Management of Heart Failure
Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction
In Sickness but Not in Health: Self-ratings, Identity, and Mortality
Self-rated health as a predictor of mortality has been studied primarily in large, representative populations, with relatively little progress toward understanding the information processing that individuals use to arrive at these ratings. With subsamples of National Health and Nutrition Examination Survey (NHANES) Epidemiologic Follow-up Study (NHEFS) data for respondents with circulatory system disease (N = 3,709) and respondents with no diagno…
Symptom Patterns Among Gulf War Registry Veterans
Objectives. We identify symptom patterns among veterans who believe they suffer from Gulf War–related illnesses and characterize groups of individuals with similar patterns. Methods. A mail survey was completed by 1161 veterans drawn from the Gulf War Health Registry. Results. An exploratory factor analysis revealed 4 symptom factors. A K-means cluster analysis revealed 2 groups: (1) veterans reporting good health and few moderate/severe symptoms…
Elderly people's ratings of the importance of health-related factors to their self-assessments of health
Trait Negative Affect Relates to Prior-Week Symptoms, But Not to Reports of Illness Episodes, Illness Symptoms, and Care Seeking Among Older Persons
OBJECTIVE: Use the commonsense model of self-regulation to generate and test hypotheses about the relationships of trait negative affect (NA) and self-assessed health (SAH) to reports of current symptoms (acute and chronic), episodes of illness, and use of health care during illness in a sample of elderly, community-dwelling respondents. Trait NA and SAH were compared with the properties of the illness episodes in models predicting the use of med…
Trait Anxiety and Tamoxifen Effects on Bone Mineral Density and Sex Hormone- Binding Globulin
OBJECTIVE: Tamoxifen therapy preserves BMD of the lumbar spine and increases levels of SHBG. We assessed whether trait anxiety, a factor linked with a reactive endocrine system, is associated with differential changes in BMD and SHBG levels in response to tamoxifen therapy. METHODS: Postmenopausal women (N= 140) with axillary-node-negative breast cancer participated in a 2-year randomized, double-blind, placebo-controlled trial of tamoxifen (10 m…
Giving Up and Replacing Activities in Response to Illness
Data from a longitudinal study of 250 older adults were used to examine activity loss and replacement as a consequence of an important illness episode. Multiple regression analyses revealed that reductions in activity were predicted by physical factors, specifically illness chronicity and severity. In contrast, replacing lost activities was facilitated by social support and optimism and inhibited by a belief in the need to conserve physical resou…
Gender Differences in Processing Information for Making Self-Assessments of Health
OBJECTIVE: This study proposes that women's greater inclusiveness of various sources of information when making self-assessed health (SAH) judgments accounts for the finding that SAH is a weaker predictor of mortality in women than in men. METHODS: Data from a sample of 830 elderly residents of a retirement community and a 5-year mortality follow-up study were used to examine the bases for women's and men's reports of negative affect (NA) and jud…
Positive Affect and Function as Influences on Self-Assessments of Health: Expanding Our View Beyond Illness and Disability
Longitudinal data from 851 elderly residents of a retirement community ( \(\mathrm{mean\ age\ }\mathbf{=}\ 73\ \mathrm{years}\) ) were used to examine the correlates of self-assessments of health (SAH) and the predictors of changes in SAH over several follow-up periods ranging from 1 to 5 years. The authors hypothesized that indicators of positive health, including feelings of energy and positive mood, social support, and active functioning, are …
Self-Assessments of Health: What Do People Know that Predicts their Mortality?
Factors reflecting current experience—for example, number of medications used, poor function, negative affects, and positive affect—had stronger associations with self-assessments of health (SAH) than factors related to prior events (medical history, prior smoking) in baseline data from 830 elderly retirement-community residents (mean age = 73). Participants appear to have implicit knowledge of the factors affecting their SAH: The rank order of t…
The Meanings of Self-Ratings of Health: A Qualitative and Quantitative Approach
Self-ratings of health are central measures of health status that predict outcomes such as mortality and declines in functional ability. Qualitative and quantitative data are used to test the hypothesis that definitions of health that are narrowly biomedical are associated with underestimates of self-ratings relative to respondents’medical histories, while definitions that are broad and inclusive are related to relatively better self-ratings. A s…
Self-regulation, health, and behavior: A perceptual-cognitive approach
Self-regulation systems are designed to adapt to threats via coping procedures that make efficient use of resources based upon valid representations of the environment. We discuss two components of the common-sense model of health threats: illness representations (e.g., content and organization) and coping procedures (e.g., classes of procedure and their attributes - outcome expectancies, time-lines, dose-efficacy beliefs, etc.). Characteristics …
Systems as Frameworks, Theories and Models: From the Abstract to the Concrete Instance
The Common-Sense Model of Illness Representation: Theoretical and Practical Considerations
This article focuses on several areas. After reviewing the most commonly used approaches in the study of health behaviors, (e.g., the medical model, the health belief model, and the theory of reasoned action) the common-sense model is presented as an alternative. By presenting evidence across a wide range of illness domains, we demonstrate the usefulness of the common-sense, self-regulatory approach. We then discuss the importance of the common-s…
Positive Affect and Function as Influences on Self-Assessments of Health: Expanding Our View Beyond Illness and Disability
Longitudinal data from 851 elderly residents of a retirement community ( \(\mathrm{mean\ age\ }\mathbf{=}\ 73\ \mathrm{years}\) ) were used to examine the correlates of self-assessments of health (SAH) and the predictors of changes in SAH over several follow-up periods ranging from 1 to 5 years. The authors hypothesized that indicators of positive health, including feelings of energy and positive mood, social support, and active functioning, are …
Effects of fear and specificity of recommendation upon attitudes and behavior
In Sickness but Not in Health: Self-ratings, Identity, and Mortality
Self-rated health as a predictor of mortality has been studied primarily in large, representative populations, with relatively little progress toward understanding the information processing that individuals use to arrive at these ratings. With subsamples of National Health and Nutrition Examination Survey (NHANES) Epidemiologic Follow-up Study (NHEFS) data for respondents with circulatory system disease (N = 3,709) and respondents with no diagno…
Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction
Elderly people's ratings of the importance of health-related factors to their self-assessments of health
Effects of accurate expectations and behavioral instructions on reactions during a noxious medical examination
Fear appeals and persuasion: The differentiation of a motivational construct
How to persuade people to engage in preventive health behavior has been a matter of concern to professional health workers. This theoretical analysis is devoted to the role of fear though it is only a part of the picture
Effects of varying the recommendations in a fear-arousing communication
Sex differences in attitude and behavior change under conditions of fear and specific instructions
Giving Up and Replacing Activities in Response to Illness
Data from a longitudinal study of 250 older adults were used to examine activity loss and replacement as a consequence of an important illness episode. Multiple regression analyses revealed that reductions in activity were predicted by physical factors, specifically illness chronicity and severity. In contrast, replacing lost activities was facilitated by social support and optimism and inhibited by a belief in the need to conserve physical resou…
The role of information in attenuating behavioral responses to stress: A reinterpretation of the misattribution phenomenon
Two experiments replicating and extending Ross, Rodin, and Zimbardo were conducted to determine whether reductions in emotional behavior resulted from misattribution of naturally occurring arousal states or from informational factors confounded in previous research. In Experiment 1, arousal or arousal-irrelevant symptoms were attributed to noise or the threat of shock. Subjects receiving arousal symptoms avoided shock less, regardless of attribut…
Effects of preparatory information about sensations, threat of pain, and attention on cold pressor distress
Pain experience is conceptualized as a combination of stimulus sensations (e.g., aching) and emotional distress. In Experiment 1, less distress was reported to cold pressor stimulation by subjects first told about stimulus sensations than by subjects who were uninformed or were told about symptoms of bodily arousal (e.g., tension). Adding a pain warning to sensation information blocked distress reduction, presumably by eliciting an emotional inte…
The informational and facilitative effects of an audience upon expression and the evaluation of humorous stimuli
Affect arousal and positioning of recommendations in persuasive communications
A relationship between self-esteem and persuasibility
It was found that Ss high in self-esteem were influenced more by optimistic communications than by threatening communications, while Ss low in self-esteem showed the opposite pattern. These results occurred only among Ss who received communications from sources dissimilar to Ss with respect to perso
A story of maladies, misconceptions and mishaps: Effective Management of Heart Failure
Consistency between expressive behavior and the elevation of humorous stimuli: The role of sex and self-observation
Two studies are reported that investigate the relationship between the expressive behaviors of smiling and laughing (mirth) and the evaluations of the funniness of cartoon stimuli. The first study replicates past findings that suggest that feedback from mirth reactions directly influences funniness ratings in female subjects but does not directly influence funniness ratings in male subjects. Thus, for women, artificial intensification of mirth wi…
Effects of fear and instructions on how to cope with danger
Contribution of emotional and instrumental response processes in adaptation to surgery
Predispositional measures of anxiety, internal-external control, and situational measures of worry, fear, pain, speed of recovery, and doses of analgesics were obtained from 62 female surgical patients. Preoperative measures of fear and worry were (a) positively and linearly related to postoperative emotionality and (/>) unrelated to speed of postoperative recovery and doses of analgesics. Birth order (first and later) and manifest anxiety (high,…
The effects of set and discrepancy on impression change1
The influence of communicator-recipient similarity upon the beliefs and behavior of pregnant women
Authoritarianism, ideology, and political candidate choice
Cognitive processes and interpersonal predictions
Symptom Patterns Among Gulf War Registry Veterans
Objectives. We identify symptom patterns among veterans who believe they suffer from Gulf War–related illnesses and characterize groups of individuals with similar patterns. Methods. A mail survey was completed by 1161 veterans drawn from the Gulf War Health Registry. Results. An exploratory factor analysis revealed 4 symptom factors. A K-means cluster analysis revealed 2 groups: (1) veterans reporting good health and few moderate/severe symptoms…
A perceptual motor theory of emotion
Publisher Summary This chapter examines the current status of the motor theory of emotion and point the way to future developments. It offers an information-processing analysis of emotions that incorporates recent developments in the study of cognitive processes. This formulation is essentially a network analysis. The requirements for a theory of the mechanisms that mediate the construction of emotional experience and expression are focused in th…
Cognitive processes and interpersonal predictions
The effects of set and discrepancy on impression change1
A relationship between self-esteem and persuasibility
It was found that Ss high in self-esteem were influenced more by optimistic communications than by threatening communications, while Ss low in self-esteem showed the opposite pattern. These results occurred only among Ss who received communications from sources dissimilar to Ss with respect to perso
Cognitive complexity, impression formation and impression change1
A field experiment on fear arousal with data on the validity of questionnaire measures1
Authoritarianism, ideology, and political candidate choice
Persistence of Influence for Varying Durations of Exposure to Threat Stimuli
This study investigated the effect of two variables: (1) duration of exposure to a fear-arousing communication and (2) time interval between exposure to the communication and measurement, upon emotional arousal and attitude change. The study used four durations (8, 16, 24, 32 min.) of technicolor sound movies depicting the consequences of serious automotive accidents. Questionnaires measuring affect arousal and desire to engage in safe driving pr…
Effects of fear and specificity of recommendation upon attitudes and behavior
Sources of resistance to fear-arousing communications on smoking and lung cancer1
Affect arousal and positioning of recommendations in persuasive communications
Sex differences in attitude and behavior change under conditions of fear and specific instructions
Effects of varying the recommendations in a fear-arousing communication
Effects of fear and instructions on how to cope with danger
Negative emotions and persuasion1
Findings and Theory in the Study of Fear Communications
The effect of laughter on evaluation of a slapstick movie 1
What reinforces in a social reinforcement situation words or expressions
Fear appeals and persuasion: The differentiation of a motivational construct
How to persuade people to engage in preventive health behavior has been a matter of concern to professional health workers. This theoretical analysis is devoted to the role of fear though it is only a part of the picture
Contribution of emotional and instrumental response processes in adaptation to surgery
Predispositional measures of anxiety, internal-external control, and situational measures of worry, fear, pain, speed of recovery, and doses of analgesics were obtained from 62 female surgical patients. Preoperative measures of fear and worry were (a) positively and linearly related to postoperative emotionality and (/>) unrelated to speed of postoperative recovery and doses of analgesics. Birth order (first and later) and manifest anxiety (high,…
The influence of communicator-recipient similarity upon the beliefs and behavior of pregnant women
Effects of accurate expectations and behavioral instructions on reactions during a noxious medical examination
Consistency between expressive behavior and the elevation of humorous stimuli: The role of sex and self-observation
Two studies are reported that investigate the relationship between the expressive behaviors of smiling and laughing (mirth) and the evaluations of the funniness of cartoon stimuli. The first study replicates past findings that suggest that feedback from mirth reactions directly influences funniness ratings in female subjects but does not directly influence funniness ratings in male subjects. Thus, for women, artificial intensification of mirth wi…
The role of information in attenuating behavioral responses to stress: A reinterpretation of the misattribution phenomenon
Two experiments replicating and extending Ross, Rodin, and Zimbardo were conducted to determine whether reductions in emotional behavior resulted from misattribution of naturally occurring arousal states or from informational factors confounded in previous research. In Experiment 1, arousal or arousal-irrelevant symptoms were attributed to noise or the threat of shock. Subjects receiving arousal symptoms avoided shock less, regardless of attribut…
The informational and facilitative effects of an audience upon expression and the evaluation of humorous stimuli
Are evaluations inferred directly from overt action
Psychology (59 works) · Social Psychology (35 works) · Medicine (29 works) · Cognitive psychology (20 works) · Clinical Psychology (18 works) · Psychiatry (17 works) · Social Psychology (15 works) · Computer Science (13 works) · Developmental psychology (13 works) · Emotions and Moral Behavior (13 works)