Compensatory health beliefs in women in the first, second and third trimester of pregnancy

Autor

Słowa kluczowe:

pregnancy, compensatory health beliefs, self-control, self-regulation, unhealthy snacking habits

Abstrakt

Background
Compensatory health beliefs may serve as one of many self-regulatory strategies that individuals employ to maintain healthy lifestyles. Past research with samples from a general population has shown, however, that compensatory beliefs are ineffective in this regard and may even lead to inaction in future health-related behaviors such as eating healthily or being active. To better understand this phenomenon, in the present study, changes in compensatory health beliefs regarding various life domains were examined in a group of pregnant women.
Participants and procedure
In a longitudinal study design, 166 women completed questionnaires in the first (t1), the second (t2), and the third (t3) trimester of their pregnancies. We assessed the level of their self-control as a trait (t1 , t2 , t3), compensatory health beliefs (t1 , t2 , t3 ), and unhealthy snacking (t3).
Results
As predicted, self-control as a trait decreased and the levels of compensatory beliefs increased over time. A linear mixed effects analysis showed that self-control was the best predictor of compensatory beliefs in the third trimester. Finally, compensatory health beliefs in the third trimester mediated the effect of self-control at the beginning of pregnancy on unhealthy snacking in the third trimester.
Conclusions
It appears important to support pregnant women in opting for constructive self-regulatory strategies, especially in their final trimesters, when coping resources are exhausted by the challenges of this period.

Downloads

Download data is not yet available.

Bibliografia

Ainslie, G. W. (1974). Impulse control in pigeons. Journal of the Experimental Analysis of Behavior, 21, 485–489. https://doi.org/10.1901/jeab.1974.21-485.

Bai, L., Handel, B., Miguel, E., & Rao, G. (2021). Selfcontrol and demand for preventive health: Evidence from hypertension in India. The Review of Economics and Statistics, 103, 835–856. https://doi.org/10.3386/W23727.

Bao, Y., Lu, Q., Zhang, X., Wang, Y., Li, J., Xu, Y., Sue, S., Song, Zhu, X., She, J., & Lu, L. (2020). Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: a systematic review and metaanalysis. Sleep Medicine Reviews, 58, 1–20. https://doi.org/10.1016/j.smrv.2021.101436.

Barbu, R. M., Gavrilescu, C. M., Oprişa, C., PohaciAntonesei, C., Maria-Gavrilescu, I., & Pohaci-Antonesei, L. (2020). Cardiovascular changes and mental health problems in pregnancy. Bulletin of Integrative Psychiatry, 26, 83–90.

Baumeister, R. F., Heatherton, T., & Tice, D. M. (1994). Losing control: How and why people fail at self-regulation. Academic Press.

Baumeister, R. F., & Heatherton, T. F. (1996). Self-regulation failure: an overview. Psychological Inquiry, 7, 1–15. https://doi.org/10.1207/s15327965pli0701_1.

Baumeister, R. F., Bratslavsky, E., Muraven, M., & Tice, D. M. (1998). Ego depletion: Is the active self a limited resource? Journal of Personality and Social Psychology, 74, 1252–1265. https://doi.org/10.1037/0022-3514.74.5.1252.

Baumeister, R. F. (2002). Yielding to temptation: Selfcontrol failure, impulsive purchasing, and consumer behavior. Journal of Consumer Research, 28, 670–676. https://doi.org/10.1086/338209.

Bielawska-Batorowicz, E. (2006). Psychological aspects of procreation. Silesia Scientific Publishing House.

Bjelica, A., Cetkovic, N., Trninic-Pjevic, A., & Mladenovic-Segedi, L. (2018). The phenomenon of pregnancy – a psychological view. Polish Gynecology, 89, 102–106. https://doi.org/10.5603/GP.a2018.0017.

Boscaglia, N., Skouteris, H., & Wertheim, E. H. (2003). Changes in body image satisfaction during pregnancy: a comparison of high exercising and low exercising women. Australian and New Zealand Journal of Obstetrics and Gynecology, 43, 41–45. https://doi.org/10.1046/j.0004-8666.2003.00016.x.

Buczny, J., & Międzyobrodzka, E. (2014). Samokontrola i jej rola w odżywianiu się [Self-control and its role in nutrition]. Zeszyty Naukowe Akademii Morskiej w Gdyni, 86, 29–42.

Buczny, J., & Międzybrodzka, E. (2015). Gambling Craving Scale (GACS) questionnaire to measuring addiction to gambling – adaptive and validation studies. In I. Niewiadomska (Ed.), Gambling and other behavioral addictions: Research reports (pp. 39–56). Res Humanae.

Carver, C. S., & Scheier, M. F. (2003). Self-regulatory perspectives on personality. In T. Millon & M. J. Lerner (Ed.), Handbook of psychology: Personality and social psychology (pp. 185–208). John Wiley and Sons.

Chan, R. L., Olshan, A. F., Savitz, D. A., Herring, A. H., Daniels, J. L., Peterson, H. B., & Martin, S. L. (2011). Maternal influences on nausea and vomiting in early pregnancy. Maternal and Child Health Journal, 15, 122–127. https://doi.org/10.1007/s10995-009-0548-0.

Clinton, M. E., Conway, N., Sturges, J., & Hewett, R. (2020). Self-control during daily work activities and work-to-nonwork conflict. Journal of Vocational Behavior, 118, 103410. https://doi.org/10.1016/j.jvb.2020.103410.

Cohen, J. (1962). The statistical power of abnormal social psychological research: a review. Journal of Abnormal Social Psychology, 65, 145–153. https:// doi.org/10.1037/h0045186.

Davis, D. C. (1996). The discomforts of pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 25, 73–81. https://doi.org/10.1111/j.1552-6909.1996.tb02516.x.

Duckworth, A. L., Gendler, T. S., & Gross, J. J. (2016). Situational strategies for self-control. Perspectives on Psychological Science, 11, 35–55. https://doi.org/10.1177/1745691615623247.

Ent, M. R., Baumeister, R. F., & Tice, D. M. (2015). The trait of self-control and avoidance temptations. Personality and Individual Differences, 74, 12–15. https://doi.org/10.1016/j.paid.2014.09.031.

Ernsting, A., Schwarzer, R., Lippke, S., & Schneider, M. (2013). ‘I do not need a flu shot because I lead a healthy lifestyle’: Compensatory health beliefs make vaccination less likely. Journal of Health Psychology, 18, 825–836. https://doi.org/10.1177/1359105312455076.

Essén, B., Johnsdotter, S., Hovelius, B., Gudmundsson, S., Sjöberg, N. O., Friedman, J., & Östergren, P. O. (2000). Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden. BJOG: An International Journal of Obstetrics & Gynaecology, 107, 1507–1512. https://doi.org/10.1111/j.1471-0528.2000.tb11676.x.

Fairburn, C. G., Stein, A., & Jones, R. (1992). Eating habits and eating disorders during pregnancy. Psychosomatic Medicine, 54, 665–672. https://doi.org/10.1097/00006842-199211000-00006.

Festinger, L. (1957). A theory of cognitive dissonance. Stanford University Press.

Francis, Z., Depow, G., & Inzlicht, M. (2021). Do early birds share their worms? How prosocial behavior and empathy vary across the day. Journal of Research in Personality, 90, 104055. https://doi.org/10.1016/j.jrp.2020.104055.

Franklin, M. E., & Conner-Kerr, T. (1998). An analysis of posture and back pain in the first and third trimesters of pregnancy. Journal of Orthopaedic & Sports Physical Therapy, 28, 133–138. https://doi.org/10.2519/jospt.1998.28.3.133.

Fraś, M., Gniadek, A., Poznańska-Skrzypiec, J., & Kadłubowska, M. (2012). Lifestyle of pregnant women. Hygeia Public Health, 47, 412–417.

Fujita, K. (2011). On conceptualizing self-control as more than the effortful inhibition of impulses. Personality and Social Psychology Review, 15, 352–366. https://doi.org/10.1177/1088868311411165.

Gillebaart, M. (2018). The operational definition of self-control. Frontiers in Psychology, 9, 1231. https:// doi.org/10.3389/fpsyg.2018.01231.

Giner-Sorolla, R. (2001). Guilty pleasures and grim necessities: Affective attitudes in dilemmas of selfcontrol. Journal of Personality and Social Psychology, 80, 206–221. https://doi.org/10.1037//0022-3514. 80.2.206.

Glock, S., Müller, B. C., & Krolak‐Schwerdt, S. (2013). Implicit associations and compensatory health beliefs in smokers: Exploring their role for behavior and their change through warning labels. British Journal of Health Psychology, 18, 814–826. https://doi.org/10.1111/bjhp.12023.

Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54, 493–503. https://doi.org/10.1037/0003-066X.54.7.493.

Habashi, M. M., Graziano, W. G., & Hoover, A. E. (2016). Searching for the prosocial personality: a Big Five approach to linking personality and prosocial behavior. Personality and Social Psychology Bulletin, 42, 1177–1192. https://doi.org/10.1177/0146167216652859.

Hagger, M. S., Wood, C., Stiff, C., & Chatzisarantis, N. L. (2010). Ego depletion and the strength model of self-control: a meta-analysis. Psychological Bulletin, 136, 495–525. https://doi.org/10.1037/a0019486.

Hagger, M. S., Panetta, G., Leung, C. M., Wong, G. G., Wang, J. C., Chan, D. K., Keatley, D. A., & Chatzisarantis, N. L. (2013). Chronic inhibition, self-control and eating behavior: Test of a ‘resource depletion’ model. PloS One, 8, e76888. https://doi.org/10.1371/journal.pone.0076888.

Hayes, A. F., & Scharkow, M. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter? Psychological Science, 24, 1918– 1927. https://doi.org/10.1177/0956797613480187.

Hill, A. J., Cairnduff, V., & McCance, D. R. (2016). Nutritional and clinical associations of food cravings in pregnancy. Journal of Human Nutrition and Dietetics, 29, 281–289. https://doi.org/10.1111/jhn.12333.

Hofmann, W., Baumeister, R. F., Förster, G., & Vohs, K. D. (2012). Everyday temptations: an experience sampling study of desire, conflict, and self-control. Journal of Personality and Social Psychology, 102, 1318–1335. https://doi.org/10.1037/a0026545.

Hofmann, W., Kotabe, H., & Luhmann, M. (2013). The spoiled pleasure of giving in to temptation. Motivation and Emotion, 37, 733–742. https://doi.org/ 10.1007/s11031-013-9355-4.

Inanir, S., Cakmak, B., Nacar, M. C., Guler, A. E., & Inanir, A. (2015). Body image perception and self-esteem during pregnancy. International Journal of Women’s Health and Reproduction Sciences, 3, 196–200. https://doi.org/10.15296/ijwhr.2015.41.

Inzlicht, M., Werner, K. M., Briskin, J. L., & Roberts, B. W. (2020). Integrating models of self-regulation. Annual Review of Psychology, 72, 319–345. https://doi. org/10.1146/annurev-psych-061020-105721.

Kazma, J. M., van den Anker, J., Allegaert, K., Dallmann, A., & Ahmadia, H. K. (2020). Anatomical and physiological alterations of pregnancy. Journal of Pharmacokinetics and Pharmacodynamics, 47, 271– 285. https://doi.org/10.1007/s10928-020-09677-1.

Knäuper, B., Rabiau, M., Cohen, O., & Patricia, N. (2004). Compensatory health beliefs: Scale development and psychometric properties. Psychology and Health, 5, 607–624. https://doi.org/10.1080/0887044042000196737.

Lefevor, G. T., Fowers, B. J., Ahn, S., Lang, S. F., & Cohen, L. M. (2017). What degree do situational influences explain spontaneous helping behavior? A meta-analysis. European Review of Social Psychology, 28, 227–256. https://doi.org/10.1080/1046 3283.2017.1367529.

Lichtenberg-Kokoszka, E. (2008). Pregnancy as a biomedical and psychopedagogical issue. Impuls Publishing House.

Luszczynska, A., Tryburcy, M., & Schwarzer, R. (2007). Improving fruit and vegetable consumption: a selfefficacy intervention compared with a combined self-efficacy and planning intervention. Health Education Research, 22, 630–638. https://doi.org/10.1093/her/cyl133.

Luszczynska, A., de Wit, J. B., de Vet, E., Januszewicz, A., Liszewska, N., Johnson, F., Pratt, M., Gaspar, T., de Matos, M. G., & Stok, F. M. (2013). At-home environment, out-of-home environment, snacks and sweetened beverages intake in preadolescence, early and mid-adolescence: The interplay between environment and self-regulation. Journal of Youth and Adolescence, 42, 1873–1883. https://doi.org/10.1007/s10964-013-9908-6.

Maciąg, D., Figuła, A., Cichońska, M., & Kucharska, K. (2013). Women’s knowledge of healthy lifestyle during pregnancy. Acta Scientifica Academiae Ostroviensis, 1, 69–95.

Majchrzycki, M., Mrozikiewicz, P. M., Kocur, P., Bartkowiak-Wieczorek, J., Hoffmann, M., Stryła, W., Seremak-Mrozikiewicz, A., & Grześkowiak, E. (2010). Low back pain in pregnant women. Polish Gynecology, 81, 851–855.

Matley, F. A., & Davies, E. L. (2018). Resisting temptation: Alcohol specific self-efficacy mediates the impacts of compensatory health beliefs and behaviors on alcohol consumption. Psychology, Health & Medicine, 23, 259–269. https://doi.org/10.1080/13548506.2017.1363395.

Milyavskaya, M., Inzlicht, M., Hope, N., & Koestner, R. (2015). Saying “no” to temptation: Want-to motivation improves self-regulation by reducing temptation rather than by increasing self-control. Journal of Personality and Social Psychology, 109, 677–693. https://doi.org/10.1037/pspp0000045.

Muraven, M., & Baumeister, R. F. (2000). Self-regulation and deployment from limited resources: Does selfcontrol resemble a muscle? Psychological Bulletin, 126, 247–259. https://doi.org/10.1037//0033-2909.126.2.247.

Muraven, M., Shmueli, D., & Burkley, E. (2006). Conserving self-control strength. Journal of Personality and Social Psychology, 91, 524–537. https://doi.org/ 10.1037/0022-3514.91.3.524.

Neau, J. P., Texier, B., & Ingrand, P. (2009). Sleep and vigilance disorders in pregnancy. European Neurology, 62, 23–29. https://doi.org/10.1159/000215877.

Nekoee, T., & Zarei, M. (2015). Evaluation the anxiety status of pregnant women in the third trimester of pregnancy and fear of childbirth and related factors. British Journal of Medicine and Medical Research, 9, 1–8. https://doi.org/10.9734/BJMMR/2015/19784.

Newham, J. J., & Martin, C. R. (2013). Measuring fluctuations in maternal well-being and mood across pregnancy. Journal of Reproductive and Infant Psychology, 31, 531–540. https://doi.org/10.1080/02646 838.2013.834040.

Nguyen, T. K., Knäuper, B., & Rabiau, M. (2006). The role of compensatory beliefs and self-efficacy on treatment adherence in adolescents with type 1 diabetes. McGill Science Undergraduate Research Journal, 1, 7–10. https://doi.org/10.26443/msurj.v1i1.148.

Norman, P., Conner, M., & Bell, R. (1999). The theory of planned behavior and smoking cessation. Health Psychology, 18, 89–94. https://doi.org/10.1037/0278-6133.18.1.89.

Obara-Gołębiowska, M., & Michałek, J. (2015). The role of compensatory health beliefs in health prevention. Analysis of the level of compensatory health beliefs and their effect on body mass index. Via Medica, 2, 109–111.

Obara-Gołębiowska, M. (2016). Analysis of the level of self-efficacy in reducing overweight and obesity and the intensity of compensatory health beliefs about nutrition and weight regulation of patients in the obesity treatment ward. Polish Health Science Review, 3, 246–249. https://doi.org/10.20883/ppnoz.2016.6.

Opala-Berdzik, A., Bacik, B., & Kurkowska, M. (2009). Biomechanical changes in pregnancy women. Physiotherapy Quarterly, 17, 51–55. https://doi.org/ 10.2478/v10109-010-0019-6.

Phelan, S. (2010). Pregnancy: a “teachable moment” for weight control and obesity prevention. American Journal of Obstetrics, 202, 1–8. https://doi.org/ 10.1016/j.ajog.2009.06.008.

Polo-Kantola, P., Aukia, L., Karlsson, H., Karlsson, L., & Paavonen, E. J. (2017). Sleep quality during pregnancy: Associations with depressive and anxiety symptoms. Acta Obstetricia et Gynecologica Scandinavica, 96, 198–206. https://doi.org/10.1111/aogs.13056.

Prokopowicz, A., Korzeniewska, A., & Byrka, K. (2021). Patient anxiety of verticalization on day 0 after a Cesarean section. Archives of Gynecology and Obstetrics, 303, 391–399. https://doi.org/10.1007/s00404-020-05748-3.

Qiu, C., Gelaye, B., Fida, N., & Williams, M. A. (2012). Short sleep duration, complaints of vital exhaustion and perceived stress are prevalent among pregnant women with mood and anxiety disorders. BMC Pregnancy and Childbird, 12, 104. https://doi.org/10.1186/1471-2393-12-104.

Rabiau, M., Knauper, B., & Miquelon, P. (2006). The eternal quest for optimal balance between maximizing pleasure and minimizing harm: The compensatory health beliefs model. British Journal of Health Psychology, 11, 139–153. https://doi.org/10.1348/135910705X52237.

Rabiau, M., Knauper, B., Nguyen, T. K., Sufrategiu, M., & Polychronakos, C. (2009). Compensatory beliefs about glucose testing are associated with low adherence to treatment and poor metabolic control in adolescents with type 1 diabetes. Health Education Research, 24, 890–896. https://doi.org/10.1093/her/cyp032.

Radtke, T., & Scholz, U. (2012). Enjoy a delicious cake today and eat healthily tomorrow: Compensatory health beliefs and their impact on health. The European Health Psychologist, 14, 37–40.

Sacomori, C., & Cardoso, F. L. (2010). Sexual initiative and intercourse behavior during pregnancy among Brazilian women: a retrospective study. Journal of Sex and Marital Therapy, 36, 124–136. https://doi.org/10.1080/00926230903554503.

Salafas, E., Lestari, P., & Listiyaningsih, M. D. (2020). The effectiveness of music therapy in reducing anxiety in third trimester of pregnancy. Anxiety, 2, 9–53. https://doi.org/10.30591/siklus.v9i1.1634.g1080.

Salari, N., Darvishi, N., Khaledi-Paveh, B., VaisiRaygani, A., Jalali, R., Daneshkhah, A., Bartina, Y., & Mohammadi, M. (2021). A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy. BMC Pregnancy and Childbirth, 21, 284. https://doi.org/10.1186/s12884-021-03755-z.

Saptyani, P. M., Suwondo, A., & Runjati, R. (2020). Utilization of back movement technique to intensity of low back pain in third trimester pregnant women. STRADA: Jurnal Ilmiah Kesehatan, 9, 535– 542. https://doi.org/10.30994/sjik.v9i2.335.

Sharma, S., & Franco, R. (2004). Sleep and its disorders in pregnancy. Wisconsin Medical Journal, 103(5), 48-53. https://doi.org/10.5005/ijsm-1-2-72.

Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy. Cardiovascular Journal of Africa, 27, 89–94. https://doi.org/10.5830/CVJA-2016-021.

Sorys, K., & Byrka, K. (2021). Acting inconsistently with an important goal predicts compensatory health behaviors through regret. Appetite, 163, 105217. https://doi.org/10.1016/j.appet.2021.105217.

Sorys, K., Cantarero, K., Gollwitzer, P. M., & Byrka, K. (2023). Self-regulatory processes in striving for identity goals: Self-incompleteness shields eco-friendly vegans from temptations. Motivation Science, 9, 216–228. https://doi.org/10.1037/mot0000296.

Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self-control predicts good adjustment, less pathology, better grades and interpersonal success. Journal of Personality, 72, 271–324. https://doi.org/10.1111/j.0022-3506.2004.00263.x.

Trope, Y., & Fishbach, A. (2000). Counteractive selfcontrol in overcoming temptation. Journal of Personality and Social Psychology, 79, 493–506. https:// doi.org/10.1037//0022-3514.79.4.493.

Urtnowska, K., Bułatowicz, I., Radzimińska, A., Wozniak, M., Wisniewski, J., & Zukow, W. (2015). Physiological changes in the locomotor system of a pregnant and related lumbar-sacral pain-examination of the degree of feeling back pain during properly running pregnancy. Journal of Education, Health and Sport, 5, 105–116. https://doi.org/10.5281/zenodo.19324.

Van Scheppingen, M. A., Denissen, J. J., & Bleidorn, W. (2018). Stability and change in self–control during the transition to parenthood. European Journal of Personality, 32, 690–704. https://doi.org/10.1002/per.2172.

Verplanken, B., & Orbell, S. (2003). Reflections on past behavior: a self-report index of habit strength. Journal of Applied Social Psychology, 33, 1313–1330. https://doi.org/10.1111/j.1559-1816.2003.tb01951.x.

Vohs, K. D., & Baumeister, R. F. (2004). Understanding self-regulation: an introduction. In R. F. Baumeister & K. D. Vohs (Eds.), Handbook of self-regulation: Research, theory, and applications (pp. 1–9). Guilford Press.

Vosgerau, J., Scopelliti, I., & Huh, Y. E. (2020). Exerting self-control ≠ sacrificing pleasure. Journal of Consumer Psychology, 30, 181–200. https://doi.org/ 10.1002/jcpy.1142.

Wojaczek, M. (2012). The formation of changes and the perception of the conceived child in different stages of pregnancy. Nursing and Public Health, 2, 73–77.

World Health Organization (2020). World health statistics 2020. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/332070/9789240005105-eng.pdf [accessed June 30, 2023].

Zhao, K., Xu, X., Zhu, H., & Xu, Q. (2021). Compensatory belief in health behavior management: a concept analysis. Frontiers in Psychology, 12, 705991. https://doi.org/10.3389/fpsyg.2021.705991.

Opublikowane

2025-04-07

Jak cytować

Mazur-Skupowska, M., & Byrka, K. (2025). Compensatory health beliefs in women in the first, second and third trimester of pregnancy. Health Psychology Report, 12(2), 112–123. Pobrano z https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/11268

Numer

Dział

Artykuły