Assessment & Research

Affect and Health Behavior Co-Occurrence: The Emerging Roles of Transdiagnostic Factors and Sociocultural Factors.

Zvolensky et al. (2016) · Behavior modification 2016
★ The Verdict

This 2016 editorial still drives today’s push for trauma-informed, culturally humble, neurodiversity-friendly ABA.

✓ Read this if BCBAs who write programs or train staff in any setting.
✗ Skip if Clinicians looking for step-by-step skill acquisition protocols only.

01Research in Context

01

What this study did

Faso et al. (2016) wrote a roadmap paper. They asked ABA researchers to study how mood and health habits link up.

The team said we should look at two big lenses. One lens cuts across many diagnoses. The other lens weighs race, gender, and culture.

02

What they found

The paper gives no new data. It simply flags gaps and sets a research agenda.

03

How this fits with other research

Later papers took the baton and ran. Hugh-Pennie et al. (2022) show how to bake culture into everyday classroom ABA. They turn the broad call into real lesson plans.

Rajaraman et al. (2022) and Austin (2025) do the same for trauma care. They spell out choice, assent, and warning cues clinicians can use right now.

Allen et al. (2024) and Nicolosi et al. (2025) widen the lens again. They push teams to use identity-first language and invite non-speaking autistic voices to the table.

04

Why it matters

You now have a shelf of cookbooks that answer the 2016 call. Pick one lens—trauma, culture, or neurodiversity—and add a quick check to your next session. Ask the learner which name they want used. Offer a choice of two tasks. Record if the mood stays steady. One tiny tweak keeps your work in step with the field’s move toward transdiagnostic, culturally humble ABA.

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→ Action — try this Monday

Add one choice question to your session plan and note any mood change.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

The majority of scientific work addressing relations among affective states and health correlates has focused primarily on their co-occurrence and a limited range of health conditions. We have developed a Special Issue to highlight recent advances in this emerging field of work that addresses the nature and interplay between affective states and disorders, in terms of their impact and consequences from health status and behavior. This Special Issue is organized into three parts classified as (a) co-occurrence and interplay between (b) transdiagnostic factors and (c) sociocultural factors. It is hoped that this issue will (a) alert readers to the significance of this work at different levels of analysis, (b) illustrate the many domains currently being explored via innovative approaches, and (c) identify fecund areas for future systematic study.

Behavior modification, 2016 · doi:10.1177/0145445515627307