Congestive heart failure (CHF) is a clinical syndrome that features a failing heart together with signs and symptoms arising from renal retention of salt and water, mediated by attendant neurohormonal activation, and which prominently includes the renin-angiotensin-aldosterone system. More than this cardiorenal perspective, CHF is accompanied by a systemic illness whose features include an altered redox state in diverse tissues and blood, an immunostimulatory state with proinflammatory cytokines and activated lymphocytes and monocytes, and a wasting of tissues that includes muscle and bone. Based on experimental studies of aldosteronism and clinical findings in patients with CHF, there is an emerging body of evidence that secondary hyperparathyroidism is a covariant of CHF. The aldosteronism of CHF predisposes patients to secondary hyperparathyroidism because of a chronic increase in Ca 2+ and Mg 2+ losses in urine and feces, with a fall in their serum ionized levels and consequent secretion of parathyroid hormone. Secondary hyperparathyroidism accounts for bone resorption and contributes to a fall in bone strength that can lead to nontraumatic fractures. The long-term use of a loop diuretic with its attendant urinary wasting of Ca 2+ and Mg 2+ further predisposes patients to secondary hyperparathyroidism and attendant bone loss. Aberrations in minerals and micronutrient homeostasis that includes Ca 2+ , Mg 2+ , vitamin D, zinc and selenium appear to be an integral component of pathophysiologic expressions of CHF that contributes to its systemic and progressive nature. This broader perspective of CHF, which focuses on the importance of secondary hyperparathyroidism and minerals and micronutrients, raises the prospect that dietary supplements could prove remedial in combination with the current standard of care.

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Corporate social responsibility (CSR) efforts are known to affect firm and societal outcomes, but little is known about their effects on consumer well-being. We address this research gap by investigating whether consumers who have integrated their self-schema with a brand's schema (i.e., high self-brand overlap consumers) vicariously balance their moral behavior against a brand's CSR efforts. Specifically, we propose that a brand's socially responsible behavior can negatively influence the moral behavior of high self-brand overlap consumers (vicarious moral licensing), while a brand's less socially responsible behavior can positively influence the moral behavior of these consumers (vicarious moral cleansing). Further, we do not predict or observe these effects among low selfbrand overlap consumers, given their lack of psychological identification with the CSR brand. Across four experiments, we demonstrate the vicarious moral balancing effect and show process evidence for the potential role of pride (guilt) in driving vicarious moral licensing (cleansing) behaviors. Importantly, we also demonstrate two potential methods to eliminate the vicarious moral licensing effect when firms conduct CSR efforts.

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This research adds to the growing literature on what draws consumers to ethical brands. Findings from three studies demonstrate that guilt motivates consumers to connect with ethical brands, especially those consumers with high levels of moral identity importance (MII). Specifically, Study 1 finds that consumers report stronger self-brand connections (SBCs) with an ethical brand when they feel guilty (vs. control). Study 2 finds that guilt particularly motivates consumers with high MII toreport stronger SBCs with an ethical (vs. unethical) brand. In turn, these strong connections lead to increased intentions to purchase the ethical brand. Finally, Study 3 finds evidence for the proposed motivation-based process explanation by showing that high MII consumers' propensity to connect with ethical brands when feeling guilty (vs. control) is attenuated when these consumers are first given the opportunity to donate to a charitable cause to alleviate their guilt. Overall, the findings suggest that ethical brands can foster strong connections with and elicit higher purchase intentions from consumers seeking ways to alleviate their guilt.

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Purpose The purpose of this paper is to examine the role of belonging to brand communities in improving consumer well-being and brand evaluations. Design/methodology/approach Two studies were conducted. Study 1 manipulates the framing of a brand to be either socially- or product-oriented and measures brand community joining intentions based on underlying levels of consumer loneliness and need to belong. Study 2 manipulates feelings of belongingness with a brand community and measures its impact on relatedness satisfaction, state loneliness and brand evaluations. Findings Study 1 finds that lonely consumers with a high need to belong are more likely to express intentions to join a brand community when it is socially-oriented. Study 2 finds that belonging to a brand community improves relatedness satisfaction which, in turn, reduces state loneliness and improves brand evaluations. Practical implications This research has significant implications for marketing practitioners who are looking to foster relationships among consumers in the form of brand communities, especially given the positive impact of these communities on consumer well-being. These findings suggest that marketers should create brand communities that foster a social (rather than product) focus to create a sense of belongingness with the brand and among its community members, and that doing so can improve relatedness satisfaction needs and reduce consumer loneliness. Originality/value This research contributes to the growing literature on consumer loneliness and is among the first to identify the positive psychological outcomes of socially-oriented brand communities on loneliness.