The American Cancer Society estimates that 62% of all cancers could be prevented altogether through lifestyle change. Despite good intentions, people's attempts to alter their behaviors known to increase cancer risk - related to diet, physica activity, tobacco and alcohol use - often fail, which ultimately increases their risks for various cancers. In response to NCI's Provocative Question 4, the overarching goal of the proposed research is to investigate the role of positive emotions in facilitating successful lifestyle chang, defined as long-term adherence to cancer- preventive behaviors (e.g., nutritious eating, physical activity, tobacco, and alcohol use). An innovative upward spiral model of lifestyle change integrates multiple streams of research in basic behavioral and brain sciences to position positive emotions as key active ingredients that not only seed non-conscious motivational pulls toward newly-adopted cancer-preventive behaviors, but also reshape key biopsychosocial resources in ways that increase the subsequent positive emotion yield of multiple cancer-preventive behaviors, creating a self- sustaining dynamic system. A longitudinal, dual-blind, placebo-controlled field experiment tests this new model by targeting three Specific Aims.
These aims are: (1) to identify biopsychosocial resources that moderate the link between cancer-preventive behaviors and their positive emotion yield;(2) to test whether and how positive emotions, experienced in daily life, produce a psychological propensity for wellness through the combined presence of (a) increases in non-conscious motives for cancer-preventive behaviors and (b) increases in biopsychosocial resources;and (3) to test whether positive emotions and a psychological propensity for wellness predict increasing and sustained cancer-preventive behaviors and improved health-related outcomes at 18-month follow-up. The proposed study tests the novel upward spiral model in daily life with densely repeated measures and physiological, behavioral, endocrine, and self- report indices of health-related outcomes. This program of translational research stands to reshape public health interventions and unlock hidden opportunities to drastically reduce the incidence of cancer.

Public Health Relevance

Unhealthy lifestyles contribute to many cancers and other costly chronic diseases. Lifestyle change is thus vital to reduce cancer incidence, yet most attempts at lifestyle change fail. Understanding how positive emotions create non-conscious motives for long-term adherence to cancer-preventive behaviors is needed to unlock evidence-based health interventions to promote health and save money and lives.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
1R01CA170128-01
Application #
8372671
Study Section
Special Emphasis Panel (ZCA1-SRLB-9 (M1))
Program Officer
Ferrer, Rebecca
Project Start
2012-08-08
Project End
2016-05-31
Budget Start
2012-08-08
Budget End
2013-05-31
Support Year
1
Fiscal Year
2012
Total Cost
$561,555
Indirect Cost
$155,288
Name
University of North Carolina Chapel Hill
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
Fredrickson, Barbara L; Kok, Bethany E (2018) Evidence for the Upward Spiral Stands Steady: A Response to Nickerson (2018). Psychol Sci 29:467-470
Van Cappellen, Patty; Rice, Elise L; Catalino, Lahnna I et al. (2018) Positive affective processes underlie positive health behaviour change. Psychol Health 33:77-97
Fredrickson, Barbara L; Joiner, Thomas (2018) Reflections on Positive Emotions and Upward Spirals. Perspect Psychol Sci 13:194-199
Major, Brett C; Le Nguyen, Khoa D; Lundberg, Kristjen B et al. (2018) Well-Being Correlates of Perceived Positivity Resonance: Evidence From Trait and Episode-Level Assessments. Pers Soc Psychol Bull 44:1631-1647
Fredrickson, Barbara L; Boulton, Aaron J; Firestine, Ann M et al. (2017) Positive Emotion Correlates of Meditation Practice: A Comparison of Mindfulness Meditation and Loving-kindness Meditation. Mindfulness (N Y) 8:1623-1633
Kiken, Laura G; Lundberg, Kristjen B; Fredrickson, Barbara L (2017) Being present and enjoying it: Dispositional mindfulness and savoring the moment are distinct, interactive predictors of positive emotions and psychological health. Mindfulness (N Y) 8:1280-1290
Rice, Elise L; Fredrickson, Barbara L (2017) Do positive spontaneous thoughts function as incentive salience? Emotion 17:840-855
Isgett, Suzannah F; Algoe, Sara B; Boulton, Aaron J et al. (2016) Common variant in OXTR predicts growth in positive emotions from loving-kindness training. Psychoneuroendocrinology 73:244-251
Hogan, Candice L; Catalino, Lahnna I; Mata, Jutta et al. (2015) Beyond emotional benefits: physical activity and sedentary behaviour affect psychosocial resources through emotions. Psychol Health 30:354-69
Catalino, Lahnna I; Algoe, Sara B; Fredrickson, Barbara L (2014) Prioritizing positivity: an effective approach to pursuing happiness? Emotion 14:1155-61

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