Consider tanning motivations and counsel accordingly

Joel Hillhouse, Robert J. Turrisi, Jerod Stapleton, June Robinson

Research output: Contribution to journalComment/debate

1 Citation (Scopus)

Abstract

Objective: To evaluate the robustness of an appearance-focused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives. Design: Randomized, controlled clinical trial. Setting: College campus. Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants). Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning. Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire. Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning). Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.

Original languageEnglish (US)
Pages (from-to)2074-2075
Number of pages2
JournalJAMA - Journal of the American Medical Association
Volume303
Issue number20
DOIs
StatePublished - May 26 2010

Fingerprint

Tanning
Motivation
Seasonal Affective Disorder
Affective Symptoms
Skin Neoplasms
Skin Pigmentation
Harm Reduction
Pamphlets
Radiation Effects

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hillhouse, Joel ; Turrisi, Robert J. ; Stapleton, Jerod ; Robinson, June. / Consider tanning motivations and counsel accordingly. In: JAMA - Journal of the American Medical Association. 2010 ; Vol. 303, No. 20. pp. 2074-2075.
@article{d9c9c12b473e4c378da9bbcbcee6a1e6,
title = "Consider tanning motivations and counsel accordingly",
abstract = "Objective: To evaluate the robustness of an appearance-focused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives. Design: Randomized, controlled clinical trial. Setting: College campus. Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants). Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning. Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire. Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning). Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.",
author = "Joel Hillhouse and Turrisi, {Robert J.} and Jerod Stapleton and June Robinson",
year = "2010",
month = "5",
day = "26",
doi = "10.1001/jama.2010.674",
language = "English (US)",
volume = "303",
pages = "2074--2075",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "20",

}

Consider tanning motivations and counsel accordingly. / Hillhouse, Joel; Turrisi, Robert J.; Stapleton, Jerod; Robinson, June.

In: JAMA - Journal of the American Medical Association, Vol. 303, No. 20, 26.05.2010, p. 2074-2075.

Research output: Contribution to journalComment/debate

TY - JOUR

T1 - Consider tanning motivations and counsel accordingly

AU - Hillhouse, Joel

AU - Turrisi, Robert J.

AU - Stapleton, Jerod

AU - Robinson, June

PY - 2010/5/26

Y1 - 2010/5/26

N2 - Objective: To evaluate the robustness of an appearance-focused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives. Design: Randomized, controlled clinical trial. Setting: College campus. Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants). Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning. Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire. Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning). Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.

AB - Objective: To evaluate the robustness of an appearance-focused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives. Design: Randomized, controlled clinical trial. Setting: College campus. Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants). Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning. Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire. Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning). Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.

UR - http://www.scopus.com/inward/record.url?scp=77952782362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952782362&partnerID=8YFLogxK

U2 - 10.1001/jama.2010.674

DO - 10.1001/jama.2010.674

M3 - Comment/debate

C2 - 20514665

AN - SCOPUS:77952782362

VL - 303

SP - 2074

EP - 2075

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 20

ER -