Adherence
Psychological distress and emotional baggage from negative life experiences (e.g., childhood trauma, social harassment) act as primary barriers to initiating and sustaining lifestyle changes, often overriding explicit health knowledge.
If you know what to do but can't start, your barrier is likely emotional, not intellectual. Standard advice won't work. You need support that addresses your past trauma and current stress, not just a diet plan. Professional assistance that focuses on emotional resilience is often necessary to break the cycle of 'stuckness'.
Participants expressed a wish to change their lifestyles, but were unable to act in accordance with the health knowledge they possessed. Previous experiences with lifestyle change kept them from initiating attempts without professional assistance. Participants also described being burdened by an emotional baggage with problems from childhood and/or with family, work and social life issues.
Why this rating
Qualitative study with small sample size (n=23), limiting generalizability, but provides deep insight into the barrier mechanism.
Source
Previous experiences and emotional baggage as barriers to lifestyle change - a qualitative study of Norwegian Healthy Life Centre participants
Ingrid Sørdal Følling et al. · BMC Family Practice · 2015
DOI 10.1186/s12875-015-0292-z
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