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Cerino ES, Stawski RS, Settersten RA, Odden MC, Hooker K. Aging-Related Changes in the Association between Negative Affect and Response Time Inconsistency in Older Adulthood. INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT 2020; 45:109-121. [PMID: 33758448 DOI: 10.1177/0165025420937081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Negative affect (NA) and positive affect (PA) are established modifiable psychosocial correlates of cognitive health and have demonstrated capacity for meaningful within-person fluctuations based on person-environment interactions, age, and measurement approach. Previous research has shown NA is associated with increased response time inconsistency (RTI), an early performance-based indicator of cognitive health and aging. It is unclear, however, whether PA is associated with RTI, and whether affect-RTI associations exist within persons over time or change as individuals get older. We utilized data from a measurement burst study (Cognition, Health and Aging Project) to explore within- and between-person associations between affect and RTI in community-dwelling older adults (N=111, M=80.04 years, SD=6.30). Affect and RTI were assessed on six days over a two-week period, every six months for two years. Results revealed a significant association between NA-low arousal and RTI within persons over time. RTI was higher on sessions when NA-low arousal was higher than usual (b=0.21, 95%CI=0.08 to 0.35, p<.01). This association decreased in magnitude over time (b=-0.09, 95%CI=-0.14 to - 0.03, p<.001), ultimately resulting in increased NA-low arousal being associated with decreased RTI two years later (b=-.14, 95%CI=-0.27 to -0.01, p<.05). No PA-RTI associations emerged. The results suggest efforts focused on maximizing resource allocation and personalizing cognitive health efforts should consider for whom and when mitigating NA may be maximally beneficial to daily cognition, whereas additional work is needed to determine influences from PA.
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Affiliation(s)
- Eric S Cerino
- College of Public Health and Human Sciences, Oregon State University
| | - Robert S Stawski
- College of Public Health and Human Sciences, Oregon State University
| | | | | | - Karen Hooker
- College of Public Health and Human Sciences, Oregon State University
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202
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Johnston DW, Allan JL, Powell DJH, Jones MC, Farquharson B, Bell C, Johnston M. Why does work cause fatigue? A real-time investigation of fatigue, and determinants of fatigue in nurses working 12-hour shifts. Ann Behav Med 2020; 53:551-562. [PMID: 30124742 DOI: 10.1093/abm/kay065] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND One of the striking regularities of human behavior is that a prolonged physical, cognitive, or emotional activity leads to feelings of fatigue. Fatigue could be due to (1) depletion of a finite resource of physical and/or psychological energy or (2) changes in motivation, attention, and goal-directed effort (e.g. motivational control theory). PURPOSE To contrast predictions from these two views in a real-time study of subjective fatigue in nurses while working. METHODS One hundred nurses provided 1,453 assessments over two 12-hr shifts. Nurses rated fatigue, demand, control, and reward every 90 min. Physical energy expenditure was measured objectively using Actiheart. Hypotheses were tested using multilevel models to predict fatigue from (a) the accumulated values of physical energy expended, demand, control, and reward over the shift and (b) from distributed lag models of the same variables over the previous 90 min. RESULTS Virtually all participants showed increasing fatigue over the work period. This increase was slightly greater when working overnight. Fatigue was not dependent on physical energy expended nor perceived work demands. However, it was related to perceived control over work and perceived reward associated with work. CONCLUSIONS Findings provide little support for a resource depletion model; however, the finding that control and reward both predicted fatigue is consistent with a motivational account of fatigue.
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203
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Langer SL, Ghosh N, Todd M, Randall AK, Romano JM, Bricker JB, Bolger N, Burns JW, Hagan RC, Porter LS. Usability and Acceptability of a Smartphone App to Assess Partner Communication, Closeness, Mood, and Relationship Satisfaction: Mixed Methods Study. JMIR Form Res 2020; 4:e14161. [PMID: 32628614 PMCID: PMC7381078 DOI: 10.2196/14161] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 05/14/2020] [Indexed: 01/29/2023] Open
Abstract
Background Interpersonal communication is critical for a healthy romantic relationship. Emotional disclosure, coupled with perceived partner responsiveness, fosters closeness and adjustment (better mood and relationship satisfaction). On the contrary, holding back from disclosure is associated with increased distress and decreased relationship satisfaction. Prior studies assessing these constructs have been cross-sectional and have utilized global retrospective reports of communication. In addition, studies assessing holding back or perceived partner responsiveness have not taken advantage of smartphone ownership for data collection and have instead required website access or use of a study-provided device. Objective This study aimed to examine the (1) usability and acceptability of a smartphone app designed to assess partner communication, closeness, mood, and relationship satisfaction over 14 days and (2) between-person versus within-person variability of key constructs to inform the utility of their capture via ecological momentary assessment using the participants’ own handheld devices. Methods Adult community volunteers in a married or cohabiting partnered relationship received 2 smartphone prompts per day, one in the afternoon and one in the evening, for 14 days. In each prompt, participants were asked whether they had conversed with their partner either since awakening (afternoon prompt) or since the last assessment (evening prompt). If yes, a series of items assessed enacted communication, perceived partner communication, closeness, mood, and relationship satisfaction (evening only). Participants were interviewed by phone, 1 week after the end of the 14-day phase, to assess perceptions of the app. Content analysis was employed to identify key themes. Results Participants (N=27; mean age 36, SD 12 years; 24/27, 89% female; 25/27, 93% white and 2/27, 7% Hispanic) responded to 79.2% (555/701) of the total prompts sent and completed 553 (78.9%) of those assessments. Of the responded prompts, 79.3% (440/555) were characterized by a report of having conversed with one’s partner. The app was seen as highly convenient (mean 4.15, SD 0.78, scale: 1-5) and easy to use (mean 4.39, SD 0.70, scale: 1-5). Qualitative analyses indicated that participants found the app generally easy to navigate, but the response window too short (45 min) and the random nature of receiving notifications vexing. With regard to the variability of the app-delivered items, intraclass correlation coefficients were generally <0.40, indicating that the majority of the variability in each measure was at the within-person level. Notable exceptions were enacted disclosure and relationship satisfaction. Conclusions The findings of this study support the usability and acceptability of the app, with valuable user input to modify timing windows in future work. The findings also underscore the utility of an intensive repeated-measures approach, given the meaningful day-to-day variation (greater within-person vs between-person variability) in communication and mood.
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Affiliation(s)
- Shelby L Langer
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States
| | - Neeta Ghosh
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States
| | - Michael Todd
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States
| | - Ashley K Randall
- Counseling and Counseling Psychology, College of Integrative Sciences and Arts, Arizona State University, Phoenix, AZ, United States
| | - Joan M Romano
- Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, United States
| | - Jonathan B Bricker
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, United States.,Department of Psychology, University of Washington, Seattle, WA, United States
| | - Niall Bolger
- Department of Psychology, Columbia University, New York, NY, United States
| | - John W Burns
- Psychiatry and Behavioral Sciences, Rush Medical College, Rush University, Chicago, IL, United States
| | - Rachel C Hagan
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States
| | - Laura S Porter
- Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, NC, United States
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204
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Neubauer AB, Schmiedek F. Studying Within-Person Variation and Within-Person Couplings in Intensive Longitudinal Data: Lessons Learned and to Be Learned. Gerontology 2020; 66:332-339. [PMID: 32526756 DOI: 10.1159/000507993] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 04/18/2020] [Indexed: 01/06/2023] Open
Abstract
Intensive longitudinal designs (e.g., experience sampling methods, daily diary studies, or ambulatory assessments) continue to gain importance in psychological aging research. Empirical research using these designs has greatly facilitated our understanding of short-term within-person processes and has started to approach the question how these processes shape long-term development across the life span. The aim of this viewpoint article is to point out four key issues in intensive longitudinal designs that in our opinion require more attention than they are currently given: (a) improvement in measurement reliability, (b) the necessity to investigate inter-individual differences in short-term dynamics, (c) considerations of the time scale across which dynamic effects unfold, and (d) targeting causality by incorporating experimental methods in intensive longitudinal designs. We illustrate these four key issues by referring to a prominent example of within-person dynamics in prior empirical research: the within-person coupling of stressor occurrence and well-being (stress reactivity).
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Affiliation(s)
- Andreas B Neubauer
- DIPF
- Leibniz Institute for Research and Information in Education, Frankfurt am Main, Germany, .,Center for Research on Individual Development and Adaptive Education of Children at Risk (IDeA), Frankfurt am Main, Germany,
| | - Florian Schmiedek
- DIPF
- Leibniz Institute for Research and Information in Education, Frankfurt am Main, Germany.,Center for Research on Individual Development and Adaptive Education of Children at Risk (IDeA), Frankfurt am Main, Germany.,Goethe University, Frankfurt am Main, Germany
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205
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Hamrick LR, Haney AM, Kelleher BL, Lane SP. Using generalizability theory to evaluate the comparative reliability of developmental measures in neurogenetic syndrome and low-risk populations. J Neurodev Disord 2020; 12:16. [PMID: 32503425 PMCID: PMC7275516 DOI: 10.1186/s11689-020-09318-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 05/05/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The lack of available measures that can reliably characterize early developmental skills in children with neurogenetic syndromes (NGS) poses a significant challenge for research on early development in these populations. Although syndrome-specific measures may sometimes be necessary, a more cost- and time-efficient solution would be to identify existing measures that are appropriate for use in special populations or optimize existing measures to be used in these groups. Reliability is an important metric of psychometric rigor to consider when auditing and optimizing assessment tools for NGS. In this study, we use Generalizability Theory, an extension of classical test theory, as a novel approach for more comprehensively characterizing the reliability of existing measures and making decisions about their use in the field of NGS research. METHODS We conducted generalizability analyses on a popular early social communication screener, the Communication and Symbolic Behavior Scales-Infant-Toddler Checklist (CSBS-ITC), collected on 172 children (41 Angelman syndrome, 30 Prader-Willi syndrome, 42 Williams syndrome, 59 low-risk controls). RESULTS Overall, the CSBS-ITC demonstrated at least adequate reliability in the NGS groups included in this study, particularly for the Prader-Willi and Williams syndrome groups. However, the sources of systematic error variance in the CSBS-ITC varied greatly between the low-risk control and NGS groups. Moreover, as unassessed in previous research, the CSBS-ITC demonstrated substantial differences in variance sources among the NGS groups. Reliability of CSBS-ITC scores was highest when averaging across all measurement points for a given child and was generally similar or better in the NGS groups compared to the low-risk control group. CONCLUSIONS Our findings suggest that the CSBS-ITC communicates different information about the reliability of stability versus change, in low-risk control and NGS samples, respectively, and that psychometric approaches like Generalizability Theory can provide more complete information about the reliability of existing measures and inform decisions about how measures are used in research on early development in NGS.
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Affiliation(s)
- Lisa R Hamrick
- Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA
| | - Alison M Haney
- Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA
| | - Bridgette L Kelleher
- Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA.
| | - Sean P Lane
- Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA
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206
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Exposure and Reactivity to Repetitive Thought in the Neuroticism–Distress Relationship. COGNITIVE THERAPY AND RESEARCH 2020; 44:659-667. [DOI: 10.1007/s10608-020-10078-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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207
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Sened H, Bar-Kalifa E, Pshedetzky-Shochat R, Gleason M, Rafaeli E. Fast and Slow Empathic Perceptions in Couples' Daily Lives Use Different Cues. AFFECTIVE SCIENCE 2020; 1:87-96. [PMID: 36042967 PMCID: PMC9382916 DOI: 10.1007/s42761-020-00006-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 02/25/2020] [Indexed: 06/15/2023]
Abstract
Empathic accuracy, the ability to infer another person's emotions, thoughts, and other fleeting mental states, has been linked to assumed similarity (wherein the perceiver assumes that another person's mental states are similar to their own) and direct accuracy (wherein the perceiver uses various external cues to reach their judgment). Previous research has linked this component model, as well as dual process models, to neuroscientific models of empathy, but has not linked these components with dual process accounts directly. Thus, we examined whether assumed similarity involves rapid (type-1) processing while direct accuracy involves slower (type-2) inferences. In three dyadic daily diary samples (total N = 262 romantic couples), we examined associations between both components and response times. As expected, direct accuracy, but not assumed similarity, was associated with slower response times. Our findings suggest links between previously disparate lines of research and identify situations which may tip the balance between the empathic components.
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Affiliation(s)
- Haran Sened
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Eran Bar-Kalifa
- Department of Psychology, Ben Gurion University, Be’er Sheva, Israel
| | | | - Marci Gleason
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, TX USA
| | - Eshkol Rafaeli
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
- Department of Psychology, Barnard College, Columbia University, New York, NY USA
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208
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Hoyt MA, Wang AWT, Boggero IA, Eisenlohr-Moul TA, Stanton AL, Segerstrom SC. Emotional approach coping in older adults as predictor of physical and mental health. Psychol Aging 2020; 35:591-603. [PMID: 32271069 PMCID: PMC8199838 DOI: 10.1037/pag0000463] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Emotional approach coping involves active attempts at emotional expression and processing in response to stressful circumstances. This study tested whether dispositional emotional approach coping processes predict changes in physical and mental health in community-dwelling older adults, particularly within the context of higher perceived stress. To test this, older adults (N = 150) completed assessments of emotional expression and emotional processing at study entry. They also completed measures of perceived stress, depressive symptoms, and ill-health (a composite of subjective and objective physical health indicators, which included blood draw for collection of biomarkers), every 6 months over 4.5 years. Emotional processing and emotional expression were not related significantly to ill-health at study entry. However, emotional processing (but not emotional expression) significantly predicted changes in ill-health. At higher levels of emotional processing, ill-health remained low and stable; at lower levels of emotional processing, ill-health increased over time. However, when perceived stress was high, higher emotional processing and emotional expression were related to lower depressive symptoms at study entry, but higher emotional processing was associated with increasing depressive symptoms over time. Emotional approach coping processes evidence prospective relations with health outcomes, which are partially conditioned by stress perceptions. Emotional processing appears to have a protective impact against declining physical health. Predictive relationships for depressive symptoms are more complex. Older adults with chronically high perceived stress might benefit from interventions that target emotion-regulating coping processes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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209
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Silva K, Ford CA, Miller VA. Daily Parent-Teen Conflict and Parent and Adolescent Well-Being: The Moderating Role of Daily and Person-Level Warmth. J Youth Adolesc 2020; 49:1601-1616. [PMID: 32472471 DOI: 10.1007/s10964-020-01251-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 04/29/2020] [Indexed: 01/20/2023]
Abstract
In early-mid adolescence, parent-teen conflicts become more intense and parents' displays of warmth tend to decline temporarily. Daily increases of parent-teen conflict have been linked to concurrent increases in adolescent emotional distress, yet greater average levels of parental warmth are known to buffer adolescents' response to daily stressors such as interpersonal conflict. It is unclear whether daily increases in parental warmth may also function as a protective buffer that attenuates the daily association between parent-teen conflict and individuals' well-being. The present study aimed to fill an important gap in the literature by examining daily (within-person) fluctuations, and average between-person differences, in parental warmth as potential moderators of the daily association between parent-teen conflict intensity (defined here by the degree of negative emotions in parent-teen interactions) and well-being (distress, positive affect, and self-esteem) of both parents and adolescents. Data are based on daily reports from 120 parents-adolescents dyads recruited from a primary care practice in the Northeastern U.S. Almost all parents were mothers (Mage = 44.55, SD = 6.36), 61% of adolescents were female (Mage = 14.36, SD = 0.88), and 66% of dyads were African American. Multilevel modeling was used to assess the daily association between parent-teen conflict and well-being and examine daily and person-level (across-days) warmth as moderators of that association. Examining daily parental warmth as a moderator addressed whether the daily association between conflict and well-being varied as a function of when parental warmth increased or decreased within individuals (relative to individuals' own daily average). In contrast, examining person-level mean warmth as a moderator addressed whether the daily association between conflict and well-being varied as a function of who, on average, reported higher vs. lower levels of parental warmth. As expected, both parents and adolescents reported significantly lower well-being on days they experienced more conflict than usual. Daily fluctuations in parental warmth did not moderate the daily associations between conflict and well-being in parents or adolescents, indicating that the daily association did not change when parents were warmer than usual. In adolescents, the daily associations between conflict and distress, as well as conflict and positive affect, were moderated by person-mean levels of parental warmth, such that daily increases in conflict were associated with higher distress and lower positive affect (on the same day) primarily among adolescents with average or below average levels of parental warmth. Daily conflict was not associated with lower well-being among adolescents with higher-than-average levels of parental warmth. In parents, neither daily nor person-level warmth moderated the daily association between conflict and well-being, suggesting that the negative, daily association between conflict and well-being did not change as a function of parents' daily or average perceptions of warmth. These findings suggest that isolated, day-specific increases in warmth may be less protective than high, stable levels of parental warmth in mitigating the daily association between parent-teen conflict and adolescent well-being.
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Affiliation(s)
- Karol Silva
- Department of Pediatrics, Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Carol A Ford
- Department of Pediatrics, Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Victoria A Miller
- Department of Pediatrics, Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. .,Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
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210
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Abstract
Migraine encompasses a broader spectrum of sensory symptoms than just headache. These "other" symptoms, eg, sensory phobias, cognitive and mood changes, allodynia, and many others indicate an altered sensitivity to sensory input which can be measured, in principle, by quantifying sensory threshold changes longitudinally over time. Photophobia, for example, can be quantified by investigating the discomfort thresholds towards the luminance of light. The aim of this review is to look into how thresholds change in patients with migraine. We performed a PubMed search up to June 2018 targeting all peer-reviewed articles evaluating the changes in threshold, sensory phobia, or sensitivity in patients with migraine. Migraineurs, in general, exhibit lower sensory thresholds compared with healthy controls. These threshold changes seem to follow the different phases during a migraine cycle. In general, thresholds reach a nadir when the headache starts (the ictal phase), rise after the headache ends, and then gradually descend towards the next attack. The sensory modality of measurement-mechanical, thermal, or nociceptive-and the location of measurement-trigeminal vs somatic dermatome-also influence the sensory threshold. Functional imaging studies provide evidence that the hypothalamo-thalamo-brainstem network may be the driving force behind the periodic threshold changes. In summary, there is evidence in the literature that migraine could be understood as a periodic sensory dysregulation originating from the brain. Nevertheless, the interstudy discrepancy is still high due to different study designs and a lack of focus on distinct migraine phases. Further well-designed and harmonized studies with an emphasis on the cyclic changes still need to be conducted.
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211
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The benefits of daily exercise on blood glucose levels and affect among adults with type 1 diabetes. J Behav Med 2020; 43:1056-1061. [PMID: 32385784 DOI: 10.1007/s10865-020-00158-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Accepted: 05/02/2020] [Indexed: 10/24/2022]
Abstract
The purpose of this study was to investigate the concurrent and lagged effects of daily exercise on daily blood glucose level and affect among persons with type 1 diabetes (T1D). 199 persons with T1D (Mage = 46.82) completed a 14-day diary in which they reported on their engagement in moderate to vigorous exercise for 30 min and positive and negative affect. Daily blood glucose (BG) was gathered through study-provided glucometers. Multilevel modeling examined the effects of daily variability in (within-person effects) and average levels of (between-person effects) daily exercise on BG and affect. On days when persons with T1D reported they exercised moderately to vigorously for 30 min, they had lower mean BG, higher risk for low BG, lower negative affect, and higher positive affect on the same day as well as lower mean BG on the following day. Engaging in daily exercise is important in managing daily blood glucose and affect among persons with T1D, but can be complicated by hypoglycemia.
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212
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Xu M, Reiss PT, Cribben I. Generalized reliability based on distances. Biometrics 2020; 77:258-270. [PMID: 32339252 PMCID: PMC7984087 DOI: 10.1111/biom.13287] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 04/07/2020] [Accepted: 04/10/2020] [Indexed: 12/30/2022]
Abstract
The intraclass correlation coefficient (ICC) is a classical index of measurement reliability. With the advent of new and complex types of data for which the ICC is not defined, there is a need for new ways to assess reliability. To meet this need, we propose a new distance-based ICC (dbICC), defined in terms of arbitrary distances among observations. We introduce a bias correction to improve the coverage of bootstrap confidence intervals for the dbICC, and demonstrate its efficacy via simulation. We illustrate the proposed method by analyzing the test-retest reliability of brain connectivity matrices derived from a set of repeated functional magnetic resonance imaging scans. The Spearman-Brown formula, which shows how more intensive measurement increases reliability, is extended to encompass the dbICC.
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Affiliation(s)
- Meng Xu
- Department of Statistics, University of Haifa, Haifa, Israel
| | - Philip T Reiss
- Department of Statistics, University of Haifa, Haifa, Israel
| | - Ivor Cribben
- Department of Accounting, Operations, and Information Systems, University of Alberta School of Business, Edmonton, Canada
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213
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Jones DR, Smyth JM, Engeland CG, Sliwinski MJ, Russell MA, Sin NL, Almeida DM, Graham-Engeland JE. Affect variability and inflammatory markers in midlife adults. Health Psychol 2020; 39:655-666. [PMID: 32324001 DOI: 10.1037/hea0000868] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Higher affect variability (the extent to which individuals vary in their affect over time) has been associated with poorer health indicators, but associations with inflammation are less well understood. The purpose of the present study was to examine whether affect variability was associated with inflammation in ways consistent with the stability theory or the fragile positive affect theory, and whether associations were linear or nonlinear. METHOD In a racially diverse sample (N = 231; Aged 25-65; 65% female; 62% Black; 25% Hispanic), we examined whether positive affect (PA) and negative affect (NA) variability exhibited linear or quadratic associations with circulating inflammatory cytokines (a composite measure comprised of IL-1β, IL-4, IL-6, IL-8, IL-10, TNF-α, IFN-γ), and C-reactive protein (CRP) and whether person-mean affect moderated these associations. Affective states were assessed using ecological momentary assessments (EMAs) 5 times per day for 2 weeks, with a blood draw at the end of the EMA period. Individual standard deviations of affective states indexed affect variability. RESULTS A quadratic association indicated that moderate NA variability was associated with lower CRP. There was evidence of significant moderation by linear associations with PA only: For those with higher person-mean PA, PA variability was positively associated with the cytokine composite. Both person-mean PA and person-mean NA moderated quadratic associations, such that for those with high person-mean affect, both high and low affect variability was associated with systemic inflammation. CONCLUSION Results are in line with fragile affect theory suggesting that associations between affect variability and health indicators may vary by person-mean affect. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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214
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Scott LN, Victor SE, Kaufman EA, Beeney JE, Byrd AL, Vine V, Pilkonis PA, Stepp SD. Affective Dynamics Across Internalizing and Externalizing Dimensions of Psychopathology. Clin Psychol Sci 2020; 8:412-427. [PMID: 32670674 DOI: 10.1177/2167702619898802] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Little is known about pathogenic affective processes that cut across diverse mental disorders. The current study examines how dynamic features of positive and negative affect differ or converge across internalizing and externalizing disorders in a diagnostically diverse urban sample using bivariate dynamic structural equation modeling. One-hundred fifty-six young women completed semi-structured clinical interviews and a 21-day ecological momentary assessment protocol with seven assessments of affective states per day. Internalizing and externalizing dimensions of psychopathology were modeled using confirmatory factor analysis of mental disorders. After controlling for externalizing disorders, internalizing disorders were associated with higher negative affective mean intensity, higher negative affective variability (i.e., unique innovation variance), and lower positive affective variability. Conversely, externalizing disorders were associated with less persistent positive affect (i.e., lower inertia) and more variable positive emotionality. Results suggest internalizing and externalizing disorders have distinct affective dynamic signatures, which have implications for development of tailored interventions.
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Affiliation(s)
- Lori N Scott
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
| | - Sarah E Victor
- Texas Tech University, Department of Psychological Sciences, Box 42051 Lubbock, TX 79409-2051
| | - Erin A Kaufman
- University of Western Ontario, Department of Psychology, 361 Windermere Road, London, ON, Canada, N6A 3K7
| | - Joseph E Beeney
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
| | - Amy L Byrd
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
| | - Vera Vine
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
| | - Paul A Pilkonis
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
| | - Stephanie D Stepp
- University of Pittsburgh School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
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Rosenkranz T, Takano K, Watkins ER, Ehring T. Assessing repetitive negative thinking in daily life: Development of an ecological momentary assessment paradigm. PLoS One 2020; 15:e0231783. [PMID: 32310979 PMCID: PMC7170251 DOI: 10.1371/journal.pone.0231783] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 03/31/2020] [Indexed: 12/24/2022] Open
Abstract
Repetitive negative thinking (RNT) is a transdiagnostic process and a promising target for prevention and treatment of mental disorders. RNT is typically assessed via self-report questionnaires with most studies focusing on one type of RNT (i.e., worry or rumination) and one specific disorder (i.e., anxiety or depression). However, responses to such questionnaires may be biased by memory and metacognitive beliefs. Recently, Ecological Momentary Assessment (EMA) has been employed to minimize these biases. This study aims to develop an EMA paradigm to measure RNT as a transdiagnostic process in natural settings. Based on empirical and theoretical considerations, an item pool was created encompassing RNT content and processes. We then (1) tested model fit of a content-related and a process-related model for assessing RNT as an individual difference variable, (2) investigated the reliability and construct validity of the proposed scale(s), and (3) determined the optimal sampling design. One hundred fifty healthy participants aged 18 to 40 years filled out baseline questionnaires on rumination, worry, RNT, symptoms of depression, anxiety, and stress. Participants received 8 semi-random daily prompts assessing RNT over 14 days. After the EMA phase, participants answered questionnaires on depression, anxiety, and stress again. Multilevel confirmatory factor analysis revealed excellent model fit for the process-related model but unsatisfactory fit for the content-related model. Different hybrid models were additionally explored, yielding one model with satisfactory fit. Both the process-related and the hybrid scale showed good reliability and good convergent validity and were significantly associated with symptoms of depression, anxiety, and stress after the EMA phase when controlling for baseline scores. Further analyses found that a sampling design of 5 daily assessments across 10 days yielded the best tradeoff between participant burden and information retained by EMA. In sum, this paper presents a promising paradigm for assessing RNT in daily life.
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Affiliation(s)
| | | | - Edward R. Watkins
- Mood Disorders Centre, School of Psychology, University of Exeter, Exeter, United Kingdom
| | - Thomas Ehring
- Department of Psychology, LMU Munich, Munich, Germany
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216
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Reed RG, Combs HL, Segerstrom SC. The Structure of Self-Regulation and Its Psychological and Physical Health Correlates in Older Adults. COLLABRA-PSYCHOLOGY 2020; 6. [PMID: 32457933 DOI: 10.1525/collabra.297] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Self-regulation refers to effortful control over one's thoughts, emotions, choices, impulses, and behaviors, and has implications for older adults' health. Executive function, physiological, and subjective indices have all been proposed to reflect self-regulation. Pairwise associations among these indices have been previously examined; however, a self-regulation constellation encompassing all of these indices has never been tested in older adults. The present study described the relationships among indices of self-regulation and tested their between- and within-person associations with upstream personality factors (conscientiousness) and downstream psychological and physical health in 149 older adults aged 60-93 years, assessed semi-annually for five years (up to 10 waves). Indices of self-regulation were only modestly correlated with each other but were each associated with health. Better executive function was associated with better psychological and physical health between and within people, whereas higher heart rate variability was associated with psychological health within people. Better subjective self-regulation had the most between- and within-person associations with better psychological and physical health. Conscientiousness was associated with subjective self-regulation and better psychological and physical health. These findings support the non-unitary nature of self-regulation in older adults and the health relevance of each of its indices between and within older adults. The aging process may change how the indices relate to each other, and older adults may draw more on certain self-regulatory components over others, given limited resources. Subjective self-regulation may be an important final common pathway to psychological and physical health in older adults.
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Affiliation(s)
- Rebecca G Reed
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, US.,Formerly affiliated with the Department of Psychology, University of Kentucky, Lexington, KY, US
| | - Hannah L Combs
- Houston Methodist Sugar Land Neurology Associates, Sugar Land, TX, US.,Formerly affiliated with the Department of Psychology, University of Kentucky, Lexington, KY, US
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217
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Kuhlman KR, Robles TF, Haydon MD, Dooley L, Boyle CC, Bower JE. Early life stress sensitizes individuals to the psychological correlates of mild fluctuations in inflammation. Dev Psychobiol 2020; 62:400-408. [PMID: 31489628 PMCID: PMC8211401 DOI: 10.1002/dev.21908] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Revised: 06/15/2019] [Accepted: 07/15/2019] [Indexed: 12/13/2022]
Abstract
BACKGROUND Early life stress (ELS) has been linked to health disparities across the human lifespan, particularly increased risk for depression and its recurrence. In this study we explore two plausible and competing pathways through which ELS may lead to depression via inflammation. METHODS Participants (ages 18-22; n = 41) completed the Early Trauma Inventory as a measure of ELS. Participants then completed consecutive daily diaries of mood and other sickness behavior for the 7 days prior to and 7 days after receiving the annual influenza vaccine. Circulating concentrations of plasma interleukin-6 (IL-6) were measured immediately before and 24 hr after vaccination. RESULTS ELS was not associated with the magnitude of change in IL-6 from pre- to post-vaccine, however, exposure to ELS moderated the association between change in IL-6 from pre- to post-vaccine and changes in both cognitive difficulty and depressed mood. Individuals exposed to greater ELS showed greater psychological sensitivity to increases in IL-6. CONCLUSIONS Exposure to ELS may increase sensitivity to peripheral inflammation in the central nervous system. Future studies elaborating on the impact of ELS on the sensitivity of specific neural circuits and cells to inflammation are needed.
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Affiliation(s)
- Kate R. Kuhlman
- Department of Psychological Science, School of Social Ecology, University of California Irvine, Irvine, CA, USA
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
- Institute for Interdisciplinary Salivary Bioscience, University of California Irvine, Irvine, CA, USA
| | - Theodore F. Robles
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
- Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA
| | - Marcie D. Haydon
- Department of Psychological Science, School of Social Ecology, University of California Irvine, Irvine, CA, USA
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
| | | | - Chloe C. Boyle
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
| | - Julienne E. Bower
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
- Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA
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218
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Koch T, Liedl A, Takano K, Ehring T. Daily Worry in Trauma-Exposed Afghan Refugees: Relationship with Affect and Sleep in a Study Using Ecological Momentary Assessment. COGNITIVE THERAPY AND RESEARCH 2020. [DOI: 10.1007/s10608-020-10091-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Abstract
Background
Repetitive negative thinking—and worry as a common variant—have been suggested to be transdiagnostic maintaining factors of psychopathology in refugees. Using an ecological momentary assessment (EMA) approach, this study tested the feasibility of EMA and the hypothesis of a self-reinforcing relationship (a) between worry and affect and (b) between worry and sleep in refugees. Additionally, we examined whether worry interacts with postmigration stress to impact on affect and sleep.
Methods
For 1 week, 45 trauma-exposed Afghan refugees received five prompts per day asking them to report on momentary levels of worrying and negative as well as positive affect. In addition, sleep quality was assessed in the morning and the occurrence of postmigration stress at night.
Results
Our findings did not indicate a bidirectional relationships (a) between worry and affective experiences and (b) between worry and poor sleep quality. However, worry experienced on a given day predicted increased negative affect on the next day; in turn, positive affect predicted decreased worrying on the next day. Hypotheses on the interaction between worry and stress in predicting affect and sleep were not supported.
Conclusion
These preliminary findings suggest unidirectional effects of daily worry on negative affect and positive affect on daily worry. However, the low compliance rate and the small sample size precludes drawing firm conclusions. Implications for further EMA research among refugees are discussed.
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219
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Schmiedek F, Neubauer AB. Experiments in the Wild: Introducing the Within-Person Encouragement Design. MULTIVARIATE BEHAVIORAL RESEARCH 2020; 55:256-276. [PMID: 31264902 DOI: 10.1080/00273171.2019.1627660] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The within-person encouragement design introduced here combines methodological approaches from three research traditions: (a) the analysis of within-person couplings using multilevel models, (b) the experimental manipulation of a treatment variable at the within-person level, and (c) the use of random encouragements as instrumental variables to induce exogenous experimental variation when strict treatment adherence is unrealistic. The proposed combination of these approaches opens up new possibilities to study treatment effects of a broad range of behavioral variables in realistic everyday contexts. We introduce this new research design together with a corresponding data analysis framework: instrumental variable estimation with two-level structural equation models. Using simulations, we show that the approach is applicable with feasible design dimensions regarding numbers of measurement occasions and participants and realistic assumptions about adherence to the encouragement conditions. Possible applications and extensions, as well as potential problems and limitations are discussed.
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Affiliation(s)
- Florian Schmiedek
- Goethe University, Frankfurt am Main, Germany
- IDeA (Individual Development and Adaptive Education of Children at Risk) Center, Frankfurt am Main, Germany
- DIPF | Leibniz Institute for Research and Information in Education, Frankfurt am Main, Germany
| | - Andreas B Neubauer
- IDeA (Individual Development and Adaptive Education of Children at Risk) Center, Frankfurt am Main, Germany
- DIPF | Leibniz Institute for Research and Information in Education, Frankfurt am Main, Germany
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220
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Bar-Kalifa E, Sened H. Using Network Analysis for Examining Interpersonal Emotion Dynamics. MULTIVARIATE BEHAVIORAL RESEARCH 2020; 55:211-230. [PMID: 31179758 DOI: 10.1080/00273171.2019.1624147] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Several contemporary models conceptualize emotion as inherently interpersonal. We demonstrate how network analysis, a class of statistical methods often used to examine intrapersonal dynamic processes, provides a potential avenue for parameterizing interpersonal emotion dynamics (and interpersonal dynamics in general). We claim that this method allows (a) observing interpersonal dynamics at various temporal levels; (b) examining interpersonal dynamics occurring through various emotional pathways; and (c) capturing variations in interpersonal networks, which can subsequently be used to predict changes in outcomes. To demonstrate the potential of this method, we used dyadic daily diary data on emotion dynamics from two samples; Sample 1 involved couples in their routine daily lives, whereas Sample 2 involved couples in their transition to parenthood. Graphical Multilevel-Vector-Autoregressive modeling was used to estimate partners' emotional networks, whereas in a second step, LASSO was used to test the predictive value of couple-level differences of the obtained networks. The analysis revealed several patterns. For example, the between-couple network of Sample 1 was more interpersonally dense, but couple-level differences in the networks' interpersonal associations were predictive of partners' relationship satisfaction over time only in Sample 2. We also include commented code implementing a new dyadmlvar R package developed for conducting this analysis.
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Affiliation(s)
- Eran Bar-Kalifa
- The Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Haran Sened
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
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221
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Monk RL, Qureshi A, Heim D. An examination of the extent to which mood and context are associated with real-time alcohol consumption. Drug Alcohol Depend 2020; 208:107880. [PMID: 32004997 DOI: 10.1016/j.drugalcdep.2020.107880] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Revised: 01/14/2020] [Accepted: 01/16/2020] [Indexed: 01/06/2023]
Abstract
AIM To assess the effects of mood, social and environmental contexts and alcohol-related beliefs on alcohol consumption. METHOD Participants (N = 69) recorded their positive and negative outcome expectancies and self-reported mood prior to drinking (Time 1 mood). A Smartphone App then enabled alcohol consumption (total number of drinks aggregated from reports throughout a drinking occasion, current mood (Time 2 mood), social context e.g., with friends and environmental location e.g., in a bar/pub to be documented in de facto real-time a total of 3009 data points. RESULTS Feeling unhappy prior to consumption onset was associated with a significant increase in drinking. During a drinking occasion, feeling happy was a significant predictor of drinking larger quantities. Interestingly, however, an interaction between T1 and T2 mood suggested it is not mood prior to consumption which drives drinking, but rather that alcohol consumption elevates mood. Being with two or more friends (relative to being alone) also predicted increased consumption. Positive and negative expectancies were not found to be significant predictors within these models. CONCLUSION By showing that both mood and social context may shape alcohol behaviors distinctly, the current study suggests that alcohol research and intervention efforts may benefit from greater consideration of the temporally-mediated contextual influences on alcohol consumption.
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Affiliation(s)
- Rebecca L Monk
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, UK.
| | - Adam Qureshi
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, UK
| | - Derek Heim
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, UK
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222
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Judge ST, Clasey JL, Crofford LJ, Segerstrom SC. Optimism and Pain Interference in Aging Women. Ann Behav Med 2020; 54:202-212. [PMID: 31634392 PMCID: PMC7309584 DOI: 10.1093/abm/kaz040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Pain interferes with people's daily lives and often limits the extent to which they can pursue goals and engage in activities that promote well-being. However, people vary in how much interference they experience at a given level of pain. PURPOSE The present study tested how optimism affects and is affected by pain interference and goal-directed activity among older women. METHODS Every 3 months for 2 years, community-dwelling middle- and older-age women (N = 199) completed online daily diaries at home for a 7 day period, in which they reported their daily pain, pain interference, and goal-directed activity. Optimism was measured at the start and end of the study. Multilevel models tested the between- and within-person relationships among pain, optimism, and pain interference or goal-directed activity. Linear regression predicted change in optimism over 2 years from pain interference and goal-directed activity. RESULTS Pain best predicted pain interference and optimism best predicted goal-directed activity. There were subtle interactions between optimism and pain-predicting interference and goal-directed activity. Accumulated goal-directed activity and pain interference across the study predicted longitudinal changes in optimism, with higher activity and lower pain interference predicting increased optimism over 2 years. CONCLUSIONS Optimism may play a protective role in disruptions caused by pain on a day-to-day basis, leading to increased goal-directed activity and possibly decreased pain interference. In turn, less interference and more goal-directed activity feed forward into increased optimism, resulting in a virtuous cycle that enhances optimism and well-being among older women.
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Affiliation(s)
- Stephanie T Judge
- Department of Psychology, University of Kentucky, Lexington, KY, USA
| | - Jody L Clasey
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA
| | - Leslie J Crofford
- Departments of Medicine and Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA
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223
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Scott SB, Mogle JA, Sliwinski MJ, Jim HSL, Small BJ. Memory lapses in daily life among breast cancer survivors and women without cancer history. Psychooncology 2020; 29:861-868. [PMID: 32040229 PMCID: PMC10141683 DOI: 10.1002/pon.5357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 01/22/2020] [Accepted: 02/05/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Cancer-associated cognitive decline is a concern among cancer survivors. Survivors' memory lapses (eg, location of keys, names, and reason entered room) may negatively impact quality of life. This study used smartphone-based surveys to compare cancer survivors to those without cancer history on frequency of, severity of, and affective response to daily memory lapses. METHODS For 14 evenings, breast cancer survivors (N = 47, M age = 52.9) and women without a cancer history (N = 105, M age = 51.8) completed smartphone-based surveys on memory lapse occurrence and severity and negative and positive affect. RESULTS Survivors were nearly three times more likely to report a daily memory lapse but did not differ from comparison group on memory lapse severity. Negative affect was significantly higher on days with memory lapses associated with doing something in the future (eg, appointments) but this did not differ across groups. Positive affect was not significantly related to survivorship status or the occurrence of daily memory lapses. CONCLUSION Survivors may be at-risk for more frequent memory lapses. Both survivors and women without a history of cancer reported greater negative affect on days when memory lapses occurred, suggesting that daily cognitive functioning may have important implications for quality of life.
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Affiliation(s)
- Stacey B Scott
- Department of Psychology, Stony Brook University, Stony Brook, New York
| | - Jacqueline A Mogle
- Edna Bennett Pierce Prevention Research Center, Pennsylvania State University, University Park, Pennsylvania
| | - Martin J Sliwinski
- Department of Human Developmental & Family Studies, Center for Healthy Aging, Pennsylvania State University, University Park, Pennsylvania
| | - Heather S L Jim
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, Florida
| | - Brent J Small
- School of Aging Studies, University of South Florida and H. Lee Moffitt Cancer, Tampa, Florida
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224
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Pollack S, Herres J. Prior Day Negative Affect Influences Current Day Procrastination: A Lagged Daily Diary Analysis. ANXIETY STRESS AND COPING 2020; 33:165-175. [PMID: 32008351 DOI: 10.1080/10615806.2020.1722573] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background and objectives: Procrastination is a common problem among college students. Negative affect associated with stress and anxiety is linked to higher levels of procrastination. Although there is a relationship between procrastination and affect, little is known about the direction of this relationship. The current study explored whether changes in daily negative affect (NA) or positive affect (PA) preceded procrastination or whether procrastination preceded changes in affect. Method and design: The current study is a secondary data analysis of a larger study. After completing an initial survey assessing students' emotional well-being, students were asked to participate in a follow-up daily diary survey. Participants in the daily diary (N = 53) completed a brief survey each weekday evening for two weeks that assessed daily affect and events. Multilevel regression tested whether NA and PA predicted next-day procrastination and vice versa. Results: Cross-lag panel analysis demonstrated that students reported more procrastination following days they experienced higher levels of NA. However, procrastination did not predict changes in NA. PA was not associated with prior day or next day procrastination experiences when controlling for NA. Conclusions: These findings demonstrate that negative emotions motivate procrastination behavior. Implications for helping students cope with and regulate NA are discussed.
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Affiliation(s)
- Shira Pollack
- Psychology Department, The College of New Jersey, Ewing, New Jersey, USA
| | - Joanna Herres
- Psychology Department, The College of New Jersey, Ewing, New Jersey, USA
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225
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Wolford-Clevenger C, Stuart GL, Elledge LC, McNulty JK, Spirito A. Proximal Correlates of Suicidal Ideation and Behaviors: A Test of the Interpersonal-Psychological Theory of Suicide. Suicide Life Threat Behav 2020; 50:249-262. [PMID: 31503359 PMCID: PMC7021570 DOI: 10.1111/sltb.12585] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 05/28/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE The interpersonal-psychological theory of suicide hypothesizes proximal causes of suicidal ideation and behaviors; however, past studies have generally tested distal relations. The present study tested the proximal nature of the theory's hypotheses. METHODS A repeated-measures design collected daily survey data on the theory constructs over 90 days from 206 (150 women) college students with previous histories of suicidal ideation. Participants completed 7,342 (39.6%) of the 18,540 surveys sent. RESULTS Thwarted belongingness and perceived burdensomeness both positively associated with passive suicidal ideation at the daily level. A statistical trend revealed that perceived burdensomeness was associated with daily active suicidal ideation only at high levels of thwarted belongingness and hopelessness. Active suicidal ideation, but not capability for suicide, was positively associated with suicidal behavior at the daily level. CONCLUSIONS These results support the theory's predictions regarding passive and active suicidal ideation, with limited support regarding suicidal behaviors. The proximal associations of the IPTS constructs with daily suicidal ideation suggest areas for potential intervention with suicidal clients.
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Affiliation(s)
| | | | | | | | - Anthony Spirito
- Alpert Medical School of Brown University, Providence, RI, USA
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226
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Munion AK, Butner JE, Kelly CS, Wiebe DJ, Turner SL, Lansing AH, Berg CA. The separation in coordination between social- and self-regulation for emerging adults with type 1 diabetes. J Behav Med 2020; 43:892-903. [PMID: 31974750 DOI: 10.1007/s10865-020-00134-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 01/10/2020] [Indexed: 10/25/2022]
Abstract
To examine how self-regulation and social-regulation surrounding type 1 diabetes (T1D) management are coordinated during early emerging adulthood and whether classes of coordination relate to HbA1c and executive functioning (EF). Emerging adult participants (N = 212) with T1D (M age = 18.8 years, SD = .40) completed a 14-day diary to capture components of self-regulation and social-regulation. A mixture multi-level latent coordination model first determined the separate but coordinated factor structure of self- and social-regulation, then determined the number of distinct classes of coordination and how those classes linked to HbA1c and EF. The best-fitting model included three coordinative factors (self, mother, and father) of regulation and two distinct classes. The class with lower HbA1c and higher EF had more stable self- and social-regulation, more connections between self- and social-regulation and reflected more adaptive patterns, consistent with medical management goals. Social connection with parents may aid in regulation during this at-risk transitional time of emerging adulthood.
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Affiliation(s)
- A K Munion
- Department of Psychology, University of Utah, Salt Lake City, USA.
| | | | - Caitlin S Kelly
- Department of Psychology, University of Utah, Salt Lake City, USA
| | - Deborah J Wiebe
- Psychological Sciences, University of California-Merced, Merced, USA
| | - Sara L Turner
- Department of Psychology, University of Utah, Salt Lake City, USA
| | - Amy Hughes Lansing
- Department of Psychology, University of Utah, Salt Lake City, USA.,Department of Psychology, University of Nevada-Reno, Reno, USA
| | - Cynthia A Berg
- Department of Psychology, University of Utah, Salt Lake City, USA
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227
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Seah THS, Aurora P, Coifman KG. Emotion Differentiation as a Protective Factor Against the Behavioral Consequences of Rumination: A Conceptual Replication and Extension in the Context of Social Anxiety. Behav Ther 2020; 51:135-148. [PMID: 32005331 DOI: 10.1016/j.beth.2019.05.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2018] [Revised: 05/16/2019] [Accepted: 05/22/2019] [Indexed: 10/26/2022]
Abstract
Rumination is thought to play a central role in affective disorders such as social anxiety disorder (SAD). Past research indicates that rumination tends to exacerbate negative emotions and increase the risk of engaging in maladaptive coping behaviors (e.g., avoiding social activities). However, little is known on how to effectively protect against the negative outcomes of rumination. Previously, Zaki, Coifman, Rafaeli, Berenson, and Downey (2013) found that negative emotion differentiation (NED) protected against rumination and nonsuicidal self-injury in borderline personality disorder. Nevertheless, it is unclear whether this protective effect would extend to other populations and behaviors. Therefore, the present investigation sought to replicate and extend Zaki et al.'s (2013) findings in the context of SAD. In two studies, we examined if NED would moderate the positive association between rumination and frequency of social avoidance. Study 1 involved 29 individuals who met criteria for SAD with or without co-occurring major depressive episode, while Study 2 involved a nonclinical sample of 190 college students. All participants completed a measure of rumination and an experience-sampling diary which provided indices of NED and social avoidance. The results from both studies were unanimous: NED significantly moderated the relationship between rumination and social avoidance such that the positive association between rumination and social avoidance was significant for low but not moderate to high NED. Overall, the findings provide a conceptual replication of Zaki et al. (2013) and further evidence for the protective effects of NED against the maladaptive behavioral consequences of rumination across populations.
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228
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Cloos M, Di Simplicio M, Hammerle F, Steil R. Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) - a daily diary study. Borderline Personal Disord Emot Dysregul 2020; 7:4. [PMID: 32071721 PMCID: PMC7014591 DOI: 10.1186/s40479-019-0117-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 11/12/2019] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND Incidents of nonsuicidal self-injury (NSSI) are often accompanied by mental images which could be perceived as distressing and/or soothing; yet existing data is derived from participants with a history of NSSI using retrospective methods. This study investigated mental images related to NSSI ("NSSI-images"), and their relationship to the proposed Nonsuicidal Self-Injury Disorder (NSSID). METHODS An e-mail was sent to all female students of the local University providing the link to an online screening and 201 students with a history of repetitive NSSI responded. Nineteen eligible participants meeting criteria of NSSID (mean age = 25; 32% with migrant background) further completed a baseline interview and a ten-day-diary protocol. RESULTS Among the sample of N = 201, 83.6% reported NSSI-images. In the subsample of n = 19 diagnosed with NSSID, the frequencies of NSSI and NSSI-images were correlated; about 80% of the most significant NSSI-images were either of NSSI or of an instrument associated with NSSI (i.e., a razorblade). In the diary, 53% of the sample self-injured. NSSI-images were reported on 94% of NSSI-days, and on days with NSSI and NSSI-images, the images almost always occurred first; the images were overall perceived as twice more distressing than comforting. Images on NSSI-days were characterized by more comfort, intrusiveness and compellingness yet less vividness, and increased subsequent positive and negative affect compared to non-NSSI days. NSSI-days were further marked by increased entrapment beliefs and increased negative yet decreased positive affect at night. These results were non-significant. LIMITATIONS Due to non-significant results among a small sample size and a low rate of NSSI among the NSSID-group, results remain preliminary. CONCLUSIONS The study provides information on feasibility and methodological challenges such as intervention effects of the diary. NSSI-images may be common among individuals who engage in NSSI; they may capture ambivalent (positive and negative) appraisals of NSSI and thus play a role in NSSI and possibly a disorder such as NSSID. The preoccupation with NSSI (Criterion C of NSSID in DSM-5) may as well be imagery-based. REGISTRATION The study was retrospectively registered with the DRKS under the number DRKS00011854.
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Affiliation(s)
- Marie Cloos
- 1Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University, Frankfurt Main, Germany
| | - Martina Di Simplicio
- 2Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK
| | - Florian Hammerle
- 3Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany
| | - Regina Steil
- 1Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University, Frankfurt Main, Germany
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McKinney TL, Euler MJ, Butner JE. It’s about time: The role of temporal variability in improving assessment of executive functioning. Clin Neuropsychol 2019; 34:619-642. [DOI: 10.1080/13854046.2019.1704434] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Ty L. McKinney
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
| | - Matthew J. Euler
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
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230
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Carpenter RW, Lane SP, Bruehl S, Trull TJ. Concurrent and lagged associations of prescription opioid use with pain and negative affect in the daily lives of chronic pain patients. J Consult Clin Psychol 2019; 87:872-886. [PMID: 31556664 DOI: 10.1037/ccp0000402] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Prescribed opioids for chronic pain management contribute significantly to the opioid crisis. There is a need to understand the real-world benefits that, despite risks, lead chronic pain patients to persist in opioid use. Negative reinforcement models of addiction posit that individuals use substances to reduce aversive states but have seldom been applied to prescribed opioids. Using ecological momentary assessment, we examined reciprocal associations between opioid use and physical pain, for which opioids are prescribed, and negative affect (NA), for which they are not. METHOD Chronic low back pain patients on long-term opioid therapy (n = 34) without significant past-year opioid misuse reported multiple times daily via smartphone over 2 weeks (nobservations = 2,285). We hypothesized that pain and NA would be positively associated with subsequent opioid use, and that use would be negatively associated with subsequent pain and NA. RESULTS Time-lagged multilevel models indicated that participants were more likely to use opioids and in larger doses following elevated pain and NA. There was also an interaction of concurrent pain and NA on opioid dose. In turn, participants reported reduced pain and NA following larger doses. Additionally, individuals at high risk for opioid misuse, compared with low risk, took larger doses following pain, but also experienced smaller subsequent pain and NA reductions. CONCLUSIONS Opioid use was bidirectionally associated with pain and NA. Findings fit negative reinforcement models associated with risk of developing opioid use disorder. Educating patients and providers about negative reinforcement may help reduce opioid use and opioid-associated risks. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | - Sean P Lane
- Department of Psychological Sciences, Purdue University
| | - Stephen Bruehl
- Department of Anesthesiology, Vanderbilt University Medical Center
| | - Timothy J Trull
- Department of Psychological Sciences, University of Missouri
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231
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Statistical Guideline #2: Report Appropriate Reliability for your Sample, Measure, and Design. Int J Behav Med 2019; 26:455-456. [PMID: 31290077 DOI: 10.1007/s12529-019-09803-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
From the Editors: This is the second column from the Statistics Guru. The Statistics Guru will appear in every issue. In these columns, we briefly discuss appropriate ways to analyze and present data in the journal. As such, the Statistics Guru can be seen both as an editorial amuse bouche and a set of guidelines for reporting data in the International Journal of Behavioral Medicine. If you have ideas for a column, please email the Statistical Editor, Suzanne Segerstrom at segerstrom@uky.edu.
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232
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Lay JC, Fung HH, Jiang D, Lau CH, Mahmood A, Graf P, Hoppmann CA. Solitude in context: On the role of culture, immigration, and acculturation in the experience of time to oneself. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2019; 55:562-571. [PMID: 31853988 DOI: 10.1002/ijop.12641] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 11/19/2019] [Indexed: 11/08/2022]
Abstract
Older adults spend much time in solitude (without social interaction), putting them at risk of loneliness, especially if aging outside their country of origin (e.g., Chinese immigrants to Canada). Yet, cultural contextual factors that may reduce loneliness in moments of solitude are poorly understood. This study sought to disentangle the roles of culture, immigration, and acculturation in solitude-loneliness associations across two countries. Community-dwelling adults aged 51-85 in Vancouver (N = 58 East Asian, N = 37 European/North American) and in Hong Kong (N = 56 East/Southeast Asian) completed approximately 30 ecological momentary assessments over 10 days on their current affect and social situations. Participants in Vancouver spent more time in solitude, desired solitude more, and felt less lonely overall than those in Hong Kong. Multilevel models revealed that moments of solitude felt lonelier than moments spent in social interaction, but only for individuals less acculturated to their host culture or not concurrently desiring solitude. Associations held regardless of host culture, cultural heritage, or immigration status. Findings suggest that solitude need not feel lonely if it happens by choice and if individuals feel connected with their host culture, for both immigrant older adults and those aging in their birth country.
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Affiliation(s)
- Jennifer C Lay
- Department of Psychology, Chinese University of Hong Kong, Hong Kong
| | - Helene H Fung
- Department of Psychology, Chinese University of Hong Kong, Hong Kong
| | - Da Jiang
- Department of Special Education and Counselling, Education University of Hong Kong, Hong Kong
| | - Chun Hoi Lau
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Atiya Mahmood
- Department of Gerontology, Simon Fraser University, Vancouver, Canada
| | - Peter Graf
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Christiane A Hoppmann
- Department of Psychology, University of British Columbia, Vancouver, Canada.,Centre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada
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233
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Xu F, Hilpert P, Bodenmann G. Daily and long-term consequences of support seeking in Chinese couples: Between-person differences and within-person processes. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2019; 55:801-811. [PMID: 31833066 DOI: 10.1002/ijop.12644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 11/23/2019] [Indexed: 11/10/2022]
Abstract
It is widely accepted that support-seeking behaviour is culture-specific, such that Asians are less likely to seek support when stressed compared with Westerners. However, mounting evidence is based on the vignette methodology or the cross-sectional survey and utilised students sample. Little is known about how such behaviour manifests in real life and incurs relational consequences. Moreover, psychological theories predict both differences in support-seeking behaviour between persons and the variability of such behaviour within persons. The current study aims to explore between-and within-person associations between support seeking and relationship satisfaction in Chinese couples. Eighty-four Chinese couples reported their daily stressors, support seeking behaviour, and relationship satisfaction every evening for 7 days and overall relationship satisfaction before the diary study and 1 year later. We found that support seeking matters in Asian couples: On days when couples sought more support, they would be more satisfied with their relationship. Notably, no negative associations between couples' own support seeking and partners' relationship satisfaction were found. This study advances our understanding of general and temporal support-seeking processes in Asian couples in the course of everyday life and over time. Results entail important theoretical and practical implications.
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Affiliation(s)
- Feng Xu
- College of Economics and Management, South China Agricultural University, Guangzhou, China
| | - Peter Hilpert
- Department of Psychology, University of Surrey, Guildford, UK
| | - Guy Bodenmann
- Department of Psychology, University of Zurich, Zurich, Switzerland
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234
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Lydon-Staley DM, Falk EB, Bassett DS. Within-person variability in sensation-seeking during daily life: Positive associations with alcohol use and self-defined risky behaviors. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 34:257-268. [PMID: 31815502 DOI: 10.1037/adb0000535] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Sensation-seeking is the seeking of varied, novel, and intense experiences and the willingness to take risks to engage in these experiences. Sensation-seeking is associated with engagement in risky behaviors but questions remain concerning the role of within-person variability in sensation-seeking. We use data from a 21-day daily diary from 167 participants (mean age = 25.37, SD = 7.34) to test within-person associations between sensation-seeking and both alcohol use and self-reported risk-taking. Participants also reported the riskiest behavior they engaged in each day, allowing insight into the perceived risky behaviors that participants take during daily life. Results indicate those days of higher than usual sensation-seeking are more likely to be days on which alcohol is consumed relative to days of no alcohol use. The association between day's sensation-seeking and alcohol use does not extend to the quantity of alcohol consumed. Risk-taking is higher than usual on days of higher than usual sensation-seeking. Using network science tools, we reduce 2,490 self-reports of the day's riskiest behavior to 20 communities reflecting a wide range of risk domains, including social, school, work, and drug use risks. Creating a risk-taking diversity score based on the identified domains of risk behaviors, we find that trait sensation-seeking is positively associated with greater diversity in the types of risks reported. In summary, we observe that sensation-seeking and both alcohol use and other risky behaviors are associated at the within-person level, and provide insight into the types of risks taken during the course of daily life. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
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235
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Kolar DR, Neumayr C, Roth M, Voderholzer U, Perthes K, Schlegl S. Testing an emotion regulation model of physical activity in adolescents with anorexia nervosa: A pilot ecological momentary assessment. EUROPEAN EATING DISORDERS REVIEW 2019; 28:170-183. [PMID: 31802577 DOI: 10.1002/erv.2706] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 08/14/2019] [Accepted: 09/29/2019] [Indexed: 01/02/2023]
Abstract
OBJECTIVE Adolescents with anorexia nervosa (AN) often show increased levels of exercise and physical activity. Psychological models suggest that physical activity in AN might attenuate momentary negative affect. However, this has not been directly tested in adolescents with AN, and it remains unclear whether this is a distinct mechanism of physical activity in AN compared with healthy controls (HCs). METHOD In a 1-day ecological momentary assessment, 32 adolescent inpatients with AN and 30 HCs responded to hourly questions on momentary affect while wearing an actigraph to objectively assess physical activity. RESULTS Linear mixed models identified that adolescents with AN experienced more aversive tension, more negative affect, and less positive affect throughout the day than HCs. Preliminary evidence for a momentary association of higher levels of physical activity with positive affect were found for both groups, whereas higher levels of physical activity were associated with less negative affect in adolescents with AN only. When correcting for multiple testing, interactions did not hold statistical significance. DISCUSSION Our results indicate a down-regulation effect of physical activity on negative affect for AN and a more general up-regulation effect of positive affect. However, our sample size was small, and replication of our findings is needed.
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Affiliation(s)
- David R Kolar
- Department of Child and Adolescent Psychiatry, University Medicine of the Johannes Gutenberg-University, Mainz, Germany
| | | | - Melina Roth
- Department of Child and Adolescent Psychiatry, University Medicine of the Johannes Gutenberg-University, Mainz, Germany
| | - Ulrich Voderholzer
- Schoen Clinic Roseneck, Prien am Chiemsee, Germany.,Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Freiburg, Germany.,Department of Psychiatry and Psychotherapy, University Hospital of the Ludwig-Maximilians-University, Munich, Germany
| | - Karin Perthes
- Department of Child and Adolescent Psychiatry, University Medicine of the Johannes Gutenberg-University, Mainz, Germany
| | - Sandra Schlegl
- Department of Psychiatry and Psychotherapy, University Hospital of the Ludwig-Maximilians-University, Munich, Germany
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236
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Fosco GM, LoBraico EJ. Elaborating on premature adolescent autonomy: Linking variation in daily family processes to developmental risk. Dev Psychopathol 2019; 31:1741-1755. [PMID: 31455441 PMCID: PMC8719457 DOI: 10.1017/s0954579419001032] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This study revisits the premature autonomy model by examining parents' use of positive behavior support (PBS) practices on a daily timescale to better understand underlying processes in developmental changes in family disengagement and the implications for adolescent problem behavior and substance use. This study included 151 9th and 10th grade adolescents (61.5% female) and their caregivers, who participated in a baseline assessment, a 21-day daily diary burst, and a 1-year follow-up assessment. Four key findings emerged: (a) on days when parents used more PBS, adolescents felt more close and connected to their caregivers; (b) adolescents who exhibited a larger-magnitude of change in connectedness with caregivers in relation to variation in positive parenting (termed fragile connectedness) were at higher risk for antisocial behavior, deviant peer involvement, and substance use one year later; (c) individual differences in initial levels of antisocial behavior and effortful control accounted for between-person variation in fragile connectedness; and (d) day-level adolescent anger and parent-adolescent conflict predicted within-family variation in parents' use of PBS. Implications for the premature autonomy model and intervention science are discussed.
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Affiliation(s)
- Gregory M. Fosco
- Human Development and Family Studies, Pennsylvania State University
- Prevention Research Center, Pennsylvania State University
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237
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Wright AGC, Zimmermann J. Applied ambulatory assessment: Integrating idiographic and nomothetic principles of measurement. Psychol Assess 2019; 31:1467-1480. [PMID: 30896209 PMCID: PMC6754809 DOI: 10.1037/pas0000685] [Citation(s) in RCA: 87] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Ambulatory assessment (AA; also known as ecological momentary assessment) has enjoyed enthusiastic implementation in psychological research. The ability to assess thoughts, feelings, behavior, physiology, and context intensively and repeatedly in the moment in an individual's natural ecology affords access to data that can answer exciting questions about sequences of events and dynamic processes in daily life. AA also holds unique promise for developing personalized models of individuals (i.e., precision or person-specific assessment) that might be transformative for applied settings such as clinical practice. However, successfully translating AA from bench to bedside is challenging because of the inherent tension between idiographic and nomothetic principles of measurement. We argue that the value of applied AA will be most fully realized by balancing the ability to develop personalized models with ensuring comparability among individuals. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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238
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Marcusson-Clavertz D, West M, Kjell ONE, Somer E. A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations. PLoS One 2019; 14:e0225529. [PMID: 31774836 PMCID: PMC6880993 DOI: 10.1371/journal.pone.0225529] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 11/06/2019] [Indexed: 12/31/2022] Open
Abstract
Cross-sectional and experimental research have shown that task-unrelated thoughts (i.e., mind wandering) relate to sleep disturbances, but there is little research on whether this association generalizes to the day-level and other kinds of task-unrelated mentation. We employed a longitudinal daily diary design to examine the within-person and between-person associations between three self-report instruments measuring mind wandering, maladaptive daydreaming (a condition characterized by having elaborate fantasy daydreams so insistent that they interfere with daily functioning) and sleep disturbances. A final sample of 126 participants self-identified as experiencing maladaptive daydreaming completed up to 8 consecutive daily reports (in total 869 daily observations). The scales showed acceptable-to-excellent within-person reliability (i.e., systematic day-to-day change) and excellent between-person reliability. The proportion of between-person variance was 36% for sleep disturbances, 57% for mind wandering, and 75% for maladaptive daydreaming, respectively (the remaining being stochastic and systematic within-person variance). Contrary to our pre-registered hypothesis, maladaptive daydreaming did not significantly predict sleep disturbances the following night, B = -0.00 (SE = 0.04), p = .956. Exploratory analyses indicated that while nightly sleep disturbances predicted mind wandering the following day, B = 0.20 (SE = 0.04), p < .001, it did not significantly predict maladaptive daydreaming the following day, B = -0.04 (SE = 0.05), p = .452. Moreover, daily mind wandering did not significantly predict sleep disturbances the following night, B = 0.02 (SE = 0.05), p = .731. All variables correlated at the between-person level. We discuss the implications concerning the differences between maladaptive daydreaming and mind wandering and the possibility of targeting sleep for mind wandering interventions.
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Affiliation(s)
- David Marcusson-Clavertz
- Department of Psychology, Lund University, Lund, Sweden
- Department of Psychology, Ludwig Maximilian University of Munich, Munich, Germany
- * E-mail:
| | - Melina West
- Department of Psychological Sciences, University of Connecticut, Connecticut, United States of America
| | | | - Eli Somer
- School of Social Work, University of Haifa, Israel
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239
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Levavi-Francy N, Lazarus G, Rafaeli E. Relational events are more consequential when accompanied by emotional similarity. Cogn Emot 2019; 34:859-874. [PMID: 31726944 DOI: 10.1080/02699931.2019.1691979] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Shared experience - i.e. commonality in inner states such as feelings, beliefs, or concerns - plays an important role in establishing and maintaining close relationships. Emotional Similarity (ES) can be thought of as one type of shared experience, but the exact role it plays in our responses to specific contexts (objects, events, circumstances) is not well understood. We sought to examine the day-level context-dependent roles of romantic partners' ES. We hypothesised that relational events (i.e. conflict and sexual activity) occurring on days with high ES would be more consequential. Two samples (N = 44, N = 80) of committed couples completed daily diaries for three and five weeks, respectively. Each evening, partners reported their currently-felt moods, relationship quality, and the occurrence of conflict and/or sex in the preceding 24 h. ES was operationalised as the profile similarity between the partners' moods on each day. Generally, ES moderated the associations between conflict or sex and relational outcomes: on days marked by greater ES, conflict and sex had stronger negative/positive outcomes, respectively. These findings highlight the importance of considering ES on a momentary basis and suggest that it may function as an amplifier of charged relational events.
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Affiliation(s)
| | - Gal Lazarus
- Psychology Department, Bar-Ilan University, Ramat-Gan, Israel
| | - Eshkol Rafaeli
- Psychology Department, Bar-Ilan University, Ramat-Gan, Israel.,Barnard College, Columbia University, New York, USA
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240
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DePasquale N, Crain T, Buxton OM, Zarit SH, Almeida DM. Tonight's Sleep Predicts Tomorrow's Fatigue: A Daily Diary Study of Long-Term Care Employees With Nonwork Caregiving Roles. THE GERONTOLOGIST 2019; 59:1065-1077. [PMID: 30657892 PMCID: PMC6858829 DOI: 10.1093/geront/gny176] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2018] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Long-term care employees and employees with nonwork caregiving roles are at high risk for sleep problems and fatigue. Little is known, however, about relationships between sleep and fatigue among long-term care employees who occupy nonwork caregiving roles. This study examined whether longer sleep duration and better sleep quality reduce fatigue occurrence and severity within and between long-term care employees with nonwork caregiving roles, and investigated nonwork caregiving role occupancy as a moderator of these relationships. RESEARCH DESIGN AND METHODS The sample comprised 166 women working in U.S.-based nursing homes. All women had children aged 9-17 years and some also had nonwork caregiving responsibilities for adult relatives. Sleep (duration and quality) and fatigue (occurrence and severity) were assessed via telephone interviews for eight consecutive evenings. Multilevel modeling was used to examine within-person and between-person associations. RESULTS At the within-person level, nights characterized by longer-than-usual sleep duration or better-than-usual sleep quality were followed by days with lower odds of reporting fatigue; these same sleep characteristics predicted less severe next-day fatigue. At the between-person level, employees with better average sleep quality, but not longer sleep duration, had lower odds of experiencing fatigue. Relationships between sleep and fatigue were generally similar regardless of nonwork caregiving responsibilities for children or for both children and adults. DISCUSSION AND IMPLICATIONS Findings suggest that tonight's sleep predicts tomorrow's fatigue. Given the serious and wide-ranging consequences of fatigue, sleep constitutes a worthwhile intervention target with potential benefits for employees, care recipients, and organizations.
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Affiliation(s)
- Nicole DePasquale
- Division of General Internal Medicine, Duke University School of Medicine, Durham, North Carolina
| | - Tori Crain
- Department of Psychology, Colorado State University, Fort Collins
| | - Orfeu M Buxton
- Department of Biobehavioral Health, The Pennsylvania State University, University Park
| | - Steven H Zarit
- Department of Human Development & Family Studies, The Pennsylvania State University, University Park
| | - David M Almeida
- Department of Human Development & Family Studies, The Pennsylvania State University, University Park
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241
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Krauss A, Jouriles EN, McDonald R, Rosenfield D. Measuring Teen Dating Violence Perpetration: A Comparison of Cumulative and Single Assessment Procedures. PSYCHOLOGY OF VIOLENCE 2019; 10:10.1037/vio0000268. [PMID: 32322436 PMCID: PMC7175748 DOI: 10.1037/vio0000268] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE There are concerns about the measurement of teen dating violence (TDV) perpetration. The current study compares data on TDV perpetration derived from a cumulative assessment procedure and a single assessment procedure. The prevalence and frequency of TDV perpetration are examined, as well as their associations with hypothesized precursors of TDV. METHOD A sample of court-referred adolescents (n = 147, Mage = 15.85) completed a baseline assessment that included measures of three hypothesized precursors to TDV: externalizing problems, exposure to community violence, and attitudes about dating violence. For the cumulative assessment procedure, adolescents then completed up to 6 phone interviews on their TDV perpetration (physical, sexual, and emotional), once every 2 weeks over the course of a 3-month period. Data from these interviews were aggregated to form a cumulative measure of TDV perpetration over the 3 months. For the single assessment procedure, adolescents completed an identical interview on their TDV perpetration in a lab assessment 3 months after baseline, but were asked about perpetration over the entire 3 months. RESULTS Results of within-subjects comparisons indicated that, compared to the single assessment procedure, the cumulative assessment procedure yielded higher prevalence and greater frequency of physical, sexual, and emotional TDV. Across analytic methods, all types of TDV perpetration were more strongly related to externalizing problems, and sexual TDV perpetration was more strongly related to exposure to community violence, when measured cumulatively. CONCLUSIONS Cumulative assessment procedures might provide a more sensitive and valid measurement of TDV perpetration than single assessment procedures.
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Affiliation(s)
- Alison Krauss
- Department of Psychology, Southern Methodist University
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242
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Tracing Metacognition in Psychotherapy: Associations With Symptoms of General Distress and Depression. J Nerv Ment Dis 2019; 207:936-943. [PMID: 31503181 DOI: 10.1097/nmd.0000000000001051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Deficits in metacognition have often been identified as a central feature in various forms of psychopathology. The current study explores changes in metacognition and symptoms during the process of psychodynamic-oriented psychotherapy conducted in a community setting among people with diverse psychological challenges. We examined the associations between metacognition and symptoms at both the within-client and the between-clients level. Nine good-outcome and nine poor-outcome cases of psychodynamic treatment were analyzed. In terms of metacognitive abilities, results showed that clients who were part of the good-outcome group had higher levels of decentration than did clients who were part of the poor-outcome group. In addition, clients' ability to understand the other's mind improved significantly only for clients in the good-outcome group. Furthermore, sessions in which clients' self-reflectivity was higher were followed by increased symptom levels (in the next session) beyond group (poor or good outcome group). Clinical implications regarding the improvement of metacognitive abilities and their associations with outcome measures are discussed.
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243
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Van Vleet M, Helgeson VS, Berg CA. The importance of having fun: Daily play among adults with type 1 diabetes. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2019; 36:3695-3710. [PMID: 34054178 PMCID: PMC8158911 DOI: 10.1177/0265407519832115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Although play has been linked to psychological and physical well-being in childhood, little work has examined benefits of play in adulthood. Play may be especially important in the context of coping with a chronic illness such as type 1 diabetes as self-care involves a difficult daily process. We hypothesized that daily play with one's romantic partner would be linked to better mood, greater diabetes disclosure, greater support receipt, greater perceived coping effectiveness with one's most important daily stressors, and better self-care regarding type 1 diabetes. We examined these hypotheses in a sample of 199 adults with type 1 diabetes. Participants completed daily diary measures of play with their partner and proposed outcomes for 14 days. Daily play was linked to better mood, greater diabetes disclosure to one's partner, greater support received from one's partner, and greater perceived coping effectiveness with the day's most important diabetes and general stressors. However, daily play was unrelated to self-care. Mediation analyses further indicated that positive mood explained links from daily play to perceived coping effectiveness, and diabetes disclosure explained links from daily play to support. These findings indicate that having fun with one's partner may have important psychological and relationship benefits for individuals with chronic illness. More work needs to be conducted to examine links from daily play to self-care. Implications are discussed.
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244
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Mogle J, Muñoz E, Hill NL, Smyth JM, Sliwinski MJ. Daily Memory Lapses in Adults: Characterization and Influence on Affect. J Gerontol B Psychol Sci Soc Sci 2019; 74:59-68. [PMID: 28329832 DOI: 10.1093/geronb/gbx012] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Accepted: 01/18/2017] [Indexed: 11/14/2022] Open
Abstract
Objective The current analyses examined the impact of daily memory lapses on daily affect and whether this impact varied across age. Method One hundred sixty-six adults (ages 20-79) completed assessments of memory lapses and affect each day for 7 consecutive days. Assessments included retrospective and prospective memory lapses as well as the impact of these lapses (how irritating, interfering, and consequential). Affect was assessed using ratings of daily positive and negative affect. Results Participants reported memory lapses on 33.3% of days. Prospective lapses were consistently rated as more consequential. Regardless of age, participants had significantly lower in positive affect and significantly higher in negative affect on days with a prospective lapse. Effects of retrospective lapses depended on age: compared to older adults, younger adults reported lower positive affect on days with a retrospective lapse. Discussion Previous work on daily memory lapses has focused on prospective lapses. Although retrospective lapses occurred more frequently in this sample, prospective lapses appeared to have a greater impact on daily experiences regardless of age. By measuring daily memory lapses and affect over consecutive days, we can begin to understand how the experience of forgetting impacts individuals at a micro-level.
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Affiliation(s)
- Jacqueline Mogle
- Pennsylvania State University College of Nursing, University Park
| | - Elizabeth Muñoz
- Department of Psychology, University of California-Riverside
| | - Nikki L Hill
- Pennsylvania State University College of Nursing, University Park
| | - Joshua M Smyth
- Pennsylvania State University Biobehavioral Health, University Park
| | - Martin J Sliwinski
- Pennsylvania State University Human Development and Family Studies, University Park
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245
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Turner BJ, Baglole JS, Chapman AL, Gratz KL. Experiencing and Resisting Nonsuicidal Self-injury Thoughts and Urges in Everyday Life. Suicide Life Threat Behav 2019; 49:1332-1346. [PMID: 30152181 DOI: 10.1111/sltb.12510] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 07/30/2018] [Indexed: 12/01/2022]
Abstract
OBJECTIVE We used a daily diary to examine (1) the frequency of three types of NSSI thoughts and urges (fleeting thoughts, persistent thoughts, and intense urges), (2) the correlates of NSSI thought and urges within and across days, (3) strategies that aid in resisting NSSI thoughts and urges, and (4) the prospective association of daily NSSI thoughts and urges with NSSI behavior over 12 months. METHOD Sixty adults (aged 18-35) completed a two-week daily diary and follow-ups every 3 months for one year. RESULTS Fleeting NSSI thoughts were reported on 48% of days, whereas persistent thoughts (11%) and intense urges (17%) were less common. Within days, earlier stress predicted more persistent NSSI thoughts, whereas earlier perceived support predicted less intense NSSI urges. Furthermore, NSSI thoughts and urges were positively associated with same-day stress and avoidant coping. Problem-focused coping was associated with greater success resisting same-day fleeting thoughts and intense urges, as well as success resisting next-day persistent thoughts. Perceived support was associated with less intense same-day urges, but also less success resisting these urges. Over the follow-up, persistent thoughts predicted less frequent NSSI, whereas intense urges predicted more frequent NSSI. CONCLUSIONS NSSI thoughts and urges are commonly experienced and deserve further attention.
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Affiliation(s)
- Brianna J Turner
- Department of Psychology, University of Victoria, Victoria, BC, Canada
| | | | | | - Kim L Gratz
- Department of Psychology, University of Toledo, Toledo, OH, USA
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246
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Negative Emotion Differentiation through a Developmental Lens: Associations with Parental Factors and Age in Adolescence. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019; 152. [PMID: 32863504 DOI: 10.1016/j.paid.2019.109597] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Negative emotion differentiation (NED) is the ability to precisely discern negatively-valenced emotional states. Low NED has been linked to numerous negative outcomes. However, little is known about the conditions under which individual differences in NED emerge, particularly during adolescence, a potentially important developmental stage. We examined associations between NED (assessed using intraclass correlations between negative emotion [NE] ratings collected via intensive longitudinal methods), parental variables, and age. Adolescents (N=233, M age=15.90, 53% female) and their parents completed interview measures of depression and self-report questionnaires; adolescents then completed a seven-day ecological momentary assessment. Lower NED was associated with greater parental depression, greater authoritarian parenting style, and lower parental attachment security. Age was negatively and linearly associated with NED. Results held controlling for mean NE and adolescent depression, although authoritarian parenting was non-significant controlling for other developmental variables. Findings suggest healthy parent-child relationships may relate to adolescents' ability to perceive NEs with nuance.
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247
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Stull SW, Panlilio LV, Moran LM, Schroeder JR, Bertz JW, Epstein DH, Preston KL, Phillips KA. The chippers, the quitters, and the highly symptomatic: A 12-month longitudinal study of DSM-5 opioid- and cocaine-use problems in a community sample. Addict Behav 2019; 96:183-191. [PMID: 31108264 DOI: 10.1016/j.addbeh.2019.04.030] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 04/25/2019] [Accepted: 04/26/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND Individual trajectories of drug use and drug-related problems are highly heterogeneous. There is no standard taxonomy of these trajectories, but one could be developed by defining natural categories based on changes in symptoms of substance-use disorders over time. METHODS Our study was conducted in a community sample in Baltimore, Maryland. At baseline, all participants were using opioids and/or cocaine, but none were in treatment. Drug use and symptomatology were assessed again at 12 months (N = 115). RESULTS We defined Quitters as participants who had not used for at least 30 days at follow-up (17%). For the remaining participants, we performed longitudinal cluster analysis on DSM symptom-counts, identifying three trajectory clusters: newly or persistently Symptomatic (40%) participants, Chippers (21.5%) with few symptoms, and Converted Chippers (21.5%) with improved symptom counts. Logistic regression showed that profiles of Quitters did not resemble Chippers, but instead resembled Symptomatic participants, having high probability of disorderly home neighborhood, nonwhite race, and negative mood. Quitters tended to have two protective factors: initiating opioid-agonist treatment during the study (reffect = 0.25, CL95 0.02-0.48) and lack of polydrug use (reffect = 0.25, CL95 0.004-0.49). Converted Chippers tended to be white, with orderly home neighborhoods and less negative mood (reffects 0.24 to 0.31, CL95 0.01-0.54). CONCLUSIONS Changes in DSM symptomology provided a meaningful measure of individual trajectories. Quitters shared psychosocial characteristics with Symptomatic participants, but not with participants who continued to use with few symptoms. This suggests that Quitters abstained out of necessity, not because their problems were less severe.
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Affiliation(s)
- Samuel W Stull
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA.
| | - Leigh V Panlilio
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
| | - Landhing M Moran
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
| | | | - Jeremiah W Bertz
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
| | - David H Epstein
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
| | - Kenzie L Preston
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
| | - Karran A Phillips
- National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, 251 Bayview Blvd., BRC Building, Suite 200, Baltimore, MD 21224, USA
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248
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Jiang D, Fung HH, Lay JC, Ashe MC, Graf P, Hoppmann CA. Everyday solitude, affective experiences, and well-being in old age: the role of culture versus immigration. Aging Ment Health 2019; 23:1095-1104. [PMID: 30621431 DOI: 10.1080/13607863.2018.1479836] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objectives: Being alone is often equated with loneliness. Yet, recent findings suggest that the objective state of being alone (i.e. solitude) can have both positive and negative connotations. The present research aimed to examine (1) affective experience in daily solitude; and (2) the association between everyday affect in solitude and well-being. We examined the distinct roles of culture and immigration in moderating these associations. Method: Using up to 35 daily life assessments of momentary affect, solitude, and emotional well-being in two samples (Canada and China), the study compared older adults who aged in place (local Caucasians in Vancouver , Canada and local Hong Kong Chinese in Hong Kong, China) and older adults of different cultural heritages who immigrated to Canada (immigrated Caucasians and immigrated East Asians). Results: We found that older adults of East Asian heritage experienced more positive and less negative affect when alone than did Caucasians. Reporting positive affect in solitude was more positively associated with well-being in older adults who had immigrated to Canada as compared to those who had aged in place. Conclusions:These findings speak to the unique effects of culture and immigration on the affective correlates of solitude and their associations with well-being in old age.
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Affiliation(s)
- Da Jiang
- a Department of Special Education and Counselling , Education University of Hong Kong , Hong Kong , China.,f Integrated Centre for Wellbeing (I-WELL) , Education University of Hong Kong , Hong Kong.,g China Centre for Psychosocial Health , Education University of Hong Kong , Hong Kong , China
| | - Helene H Fung
- b Department of Psychology , Chinese University of Hong Kong , Hong Kong , China
| | - Jennifer C Lay
- b Department of Psychology , Chinese University of Hong Kong , Hong Kong , China
| | - Maureen C Ashe
- d Centre for Hip Health and Mobility , University of British Columbia , Vancouver , Canada.,e Department of Family Practice , University of British Columbia , Vancouver , Canada
| | - Peter Graf
- c Department of Psychology , University of British Columbia , Vancouver , Canada
| | - Christiane A Hoppmann
- c Department of Psychology , University of British Columbia , Vancouver , Canada.,d Centre for Hip Health and Mobility , University of British Columbia , Vancouver , Canada
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249
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Galili-Weinstock L, Chen R, Atzil-Slonim D, Rafaeli E, Peri T. Enhancement of self compassion in psychotherapy: The role of therapists' interventions. Psychother Res 2019; 30:815-828. [PMID: 31380731 DOI: 10.1080/10503307.2019.1650979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Aim: Self Compassion (SC) has been consistently linked to decreased emotional distress and is offered as a mechanism of change in several therapeutic approaches. The current study aimed to identify therapists' interventions that enhance clients' SC within individual psychodynamic psychotherapy. We examined a diverse set of interventions as predictors of clients' SC, on treatment and session levels. We hypothesized that improvement in SC will be associated with greater use of directive or common factor interventions. Method: Client/therapist (N = 89) dyads from a university-based community clinic participated in the study. Therapists' interventions and changes in clients' SC level were monitored at each psychotherapy session. Results: Clients' SC in a given session was not predicted by therapist use of interventions from any of the three clusters in the previous session. However, positive change in SC across treatment was predicted by greater use of directive interventions. Furthermore, among clients with low pretreatment SC, a positive change in SC across treatment was predicted by lesser use of common factor interventions. Discussion: The results highlight the importance of understanding clients' pretreatment characteristics when selecting therapeutic interventions and suggest that the integration of directive interventions into the psychodynamic therapeutic practice may be beneficial in enhancing clients' SC.
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Affiliation(s)
| | - Roei Chen
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | | | - Eshkol Rafaeli
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Tuvia Peri
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
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Victor SE, Scott LN, Stepp SD, Goldstein TR. I Want You to Want Me: Interpersonal Stress and Affective Experiences as Within-Person Predictors of Nonsuicidal Self-Injury and Suicide Urges in Daily Life. Suicide Life Threat Behav 2019; 49:1157-1177. [PMID: 30159910 PMCID: PMC6395579 DOI: 10.1111/sltb.12513] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2017] [Accepted: 07/13/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To investigate near-term risk for self-injurious urges, we evaluated how within-person changes in internalizing and externalizing negative affect, as well as interpersonal rejection and criticism, impact subsequent nonsuicidal self-injury (NSSI) and suicide urges in daily life. METHOD Young adult women (N = 62) from an ongoing community cohort study with past-year self-injurious thoughts completed a 21-day ecological momentary assessment protocol. We used multilevel path analyses to model within-person effects of negative affect and interpersonal stress on subsequent suicide and NSSI urges within several hours. RESULTS When modeled simultaneously, within-person changes in internalizing, but not externalizing, negative affect predicted later self-injurious urges. Rejection and criticism predicted later self-injurious urges, with rejection showing a unique relationship to NSSI urges specifically. Effects of rejection and criticism on later NSSI and suicide urges were mediated by internalizing negative affect; rejection also retained a significant direct effect on NSSI urges. CONCLUSION Interpersonal stressors may be potent near-term risk factors for self-injurious urges by increasing internalizing negative affect among vulnerable individuals. The direct role of rejection and criticism on self-injurious urges is less clear, particularly for suicide. These findings have implications for understanding processes underlying self-injurious urges, as well as designing real-time interventions for these experiences in daily life.
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Affiliation(s)
- Sarah E. Victor
- University of Pittsburgh School of Medicine, Department of Psychiatry
| | - Lori N. Scott
- University of Pittsburgh School of Medicine, Department of Psychiatry.,Corresponding Author: Lori N. Scott, Western Psychiatric Institute and Clinic, 3811 O’Hara St., Pittsburgh, PA 15213. ; Telephone: 412-383-5016; Fax: 412-383-5068
| | | | - Tina R. Goldstein
- University of Pittsburgh School of Medicine, Department of Psychiatry
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