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Wu H, Yue C, Cao F, Long Y, Wang Y. Self-processing characteristics from first-person and third-person perspectives in individuals with social anxiety disorder: insights into negative bias. Front Psychiatry 2024; 14:1283624. [PMID: 38375515 PMCID: PMC10875139 DOI: 10.3389/fpsyt.2023.1283624] [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] [Received: 08/26/2023] [Accepted: 12/26/2023] [Indexed: 02/21/2024] Open
Abstract
Background As one of the most common psychological problems, social anxiety disorder (SAD) has lots of negative effects on the physical and mental development of individuals, such as decreasing the quality of interpersonal relationships, and even causing depression, suicidal ideation, etc., as well as leads individuals to generate mental illness stigma. The mental illness stigma that individuals perceive affects not only how they perceive themselves (first-person perspective) but also how they perceive others' appraisals of them (third-person perspective), which further exacerbates their anxiety symptoms. Objective The study aims to explore the self-processing characteristics of individuals with social anxiety disorder from the first-person perspective and the third-person perspective. Methods This study adopted the self-referential paradigm to conduct the recognition memory test on individuals with social anxiety disorder (30 participants in experiment 1) and individuals without social anxiety disorder (31 participants in experiment 2) in the two experiments. Results In experiment 1, the recognition rate of individuals with social anxiety disorder under the self-appraisals condition was significantly higher than that under the condition of appraisals on mothers; in the three conditions of self-appraisals, appraisals on mothers and mothers' reflected appraisals, the recognition rate of negative trait adjectives was significantly higher than that of positive trait adjectives. In experiment 2, there was no significant difference in recognition rate of individuals without social anxiety disorder under the three conditions, and the recognition rate of positive trait adjectives was significantly higher than that of negative trait adjectives under the three conditions. Conclusion Individuals with social anxiety disorder have a negative bias in self-processing and are more likely to focus on self-information, which is different from the self-positive bias of individuals without social anxiety disorder. This study can be beneficial to know the self-cognitive characteristics of individuals with social anxiety disorder, help them get rid of negative cognitive patterns, and remove the mental illness stigma.
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Affiliation(s)
- Huating Wu
- College of National Culture and Cognitive Science, Guizhou Minzu University, Guiyang, China
| | - Caizhen Yue
- College of National Culture and Cognitive Science, Guizhou Minzu University, Guiyang, China
| | - Fasheng Cao
- College of National Culture and Cognitive Science, Guizhou Minzu University, Guiyang, China
| | - Yihong Long
- College of National Culture and Cognitive Science, Guizhou Minzu University, Guiyang, China
- School of Public Administration, South China University of Technology, Guangzhou, China
| | - Yan Wang
- The Faculty of Education, Southwest University, Chongqing, China
- International Affairs Office, Chongqing University of Arts and Sciences, Chongqing, China
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Gallagher AG, Washburn D, Jacobson JA, Harkness KL. Negative feedback-seeking in depression: The moderating roles of rumination and interpersonal life stress. J Clin Psychol 2024; 80:471-489. [PMID: 38010741 DOI: 10.1002/jclp.23624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 10/13/2023] [Accepted: 11/05/2023] [Indexed: 11/29/2023]
Abstract
OBJECTIVES Swann's self-verification theory proposes that negative feedback seeking (NFS)-the solicitation of negative feedback from others that confirms one's self-views-works in a negative cycle to maintain and exacerbate depression in the face of interpersonal stress. We propose a cognitive-interpersonal integration account of NFS such that this maladaptive behavior prospectively predicts depression only among those with a trait tendency to ruminate on the causes and consequences of depressed mood and stress. METHOD Participants included 91 young adults who were over-sampled for a lifetime history of a unipolar depressive disorder (age 17-33; 69% women; 67% lifetime depressive disorder). At baseline, participants completed a structured diagnostic interview and self-report measures of NFS, rumination, and depression symptoms. In addition, participants engaged in an interpersonal rejection task (the Yale Interpersonal Stressor) followed by a behavioral measure of NFS. At a 3-month follow-up, depression symptoms were again assessed by self-report and exposure to stressful interpersonal life events in the intervening period were assessed with a rigorous contextual interview and independent rating system. RESULTS Controlling for baseline depression severity, greater self-reported, and behaviorally assessed NFS predicted greater follow-up depression severity, but only among those with higher trait tendency to ruminate. For self-reported NFS, this association was further moderated by level of interpersonal, but not noninterpersonal, life events experienced over follow-up. CONCLUSION These findings suggest that rumination may represent a modifiable intervention target that could break the vicious interpersonal cycle of depression and, thus, mitigate the depressogenic effects of NFS.
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Affiliation(s)
- Anna G Gallagher
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
| | - Dustin Washburn
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
| | - Jill A Jacobson
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
| | - Kate L Harkness
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
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Seeger NA, Brackmann N, Lamm C, Hennig-Fast K, Pfabigan DM. Social exclusion evokes different psychophysiological responses in individuals high on the psychopathy facets fearless dominance and self-centered impulsivity. Front Psychiatry 2024; 14:1197595. [PMID: 38274437 PMCID: PMC10808528 DOI: 10.3389/fpsyt.2023.1197595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 12/19/2023] [Indexed: 01/27/2024] Open
Abstract
Individuals with psychopathic personality traits are generally thought to have difficulties in processing and experiencing emotions. These difficulties could also translate to emotionally charged social situations such as social exclusion. Being socially excluded is often experienced as stressful and unpleasant, potentially even leading to selfish or aggressive behavior-both of which are linked to certain aspects of psychopathy. The current study investigated self-report and physiological responses to social exclusion in the cyberball paradigm in a carefully selected community sample of individuals either scoring high on primary (N = 24) or secondary psychopathy traits (N = 17). Across the sample, the cyberball paradigm decreased experiences of joy and approach motivation, increased subjective anger reports, and induced changes in heart rate. In contrast, individuals scoring high on secondary psychopathy traits (Self-Centered Impulsivity group) displayed stronger physiological reactivity during a habituation phase of prolonged social exclusion than individuals scoring high on primary psychopathy traits (Fearless Dominance group), indexed by changes in skin conductance level. Moreover, a potential mismatch between self-reported and physiological arousal seemed to be only observable in individuals with high secondary psychopathy traits. Overall, the current results suggest diverging patterns of emotional processing and regulation in a social exclusion situation when comparing well-functioning individuals with varying psychopathy traits. It seemed as if individuals high on primary psychopathy traits were insensitive to contextual social cues, while individuals high on secondary psychopathy traits were more affected by the potentially threatening social situation. Cautiously transferring the current findings to forensic samples, they support the idea of moving from a behavioral understanding of the psychopathy construct to a more clinical picture with distinct cognitive and emotional processing patterns in individuals high on either primary or secondary psychopathy traits.
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Affiliation(s)
- Natalia A. Seeger
- Social Cognitive and Affective Neuroscience Unit, Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
- Department of Forensic Psychiatry, University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Nathalie Brackmann
- Department of Forensic Psychiatry, University Hospital of Psychiatry Zurich, Zurich, Switzerland
| | - Claus Lamm
- Social Cognitive and Affective Neuroscience Unit, Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Kristina Hennig-Fast
- Department of Psychiatry and Psychotherapy, University of Bielefeld, Bielefeld, Germany
| | - Daniela M. Pfabigan
- Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway
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Defayette AB, Esposito-Smythers C, Cero I, Kleiman EM, López R, Harris KM, Whitmyre ED. Examination of proinflammatory activity as a moderator of the relation between momentary interpersonal stress and suicidal ideation. Suicide Life Threat Behav 2023; 53:922-939. [PMID: 37578098 PMCID: PMC10840613 DOI: 10.1111/sltb.12993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 07/27/2023] [Accepted: 07/31/2023] [Indexed: 08/15/2023]
Abstract
INTRODUCTION Peer-related interpersonal stress can increase risk for suicidal thoughts among adolescents and young adults. However, not all individuals who undergo peer-related interpersonal stressors experience suicidal thoughts. Heightened proinflammatory activity is one factor that may amplify the relation between interpersonal stress and suicidal thinking. METHODS This pilot study examined the relation between interpersonal stress and suicidal ideation in real time, as well as whether proinflammatory cytokine (IL-6 and TNF-α) activity across a laboratory social stressor moderated this association in a sample of 42 emerging adults with recent suicidal ideation. Participants completed 28 days of 6×/daily ecological momentary assessment that assessed for suicidal ideation (presence vs. absence, ideation intensity), occurrence of negative peer events, and feelings of exclusion. RESULTS There was a trend for within-person increases in feelings of exclusion to be associated with increases in concurrent suicidal ideation intensity. Additionally, within-person increases in negative peer events were associated with increased odds of subsequent suicidal ideation among individuals with very low IL-6 activity. However, this finding is considered preliminary. CONCLUSION Interventions targeting perceptions of exclusion and increasing social support may be of benefit. However, findings require replication in larger samples, and thus must be interpreted with caution.
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Affiliation(s)
- Annamarie B. Defayette
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA
| | | | - Ian Cero
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA
| | - Evan M. Kleiman
- Department of Psychology, Rutgers, The State University of New Jersey, 53 Avenue E., Room 627, Piscataway, NJ 08854, USA
| | - Roberto López
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
| | - Katherine M. Harris
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
| | - Emma D. Whitmyre
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
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Thibault I, Pascuzzo K, Pesant C, Bégin C, Bédard A, Di Meglio G, Meilleur D, Taddeo D, Gingras N. Anorexia Nervosa in Adolescence: A Comprehensive Study of Multidimensional Factors Associated with Symptom Severity 1 Year Following the Diagnosis. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01599-6. [PMID: 37725233 DOI: 10.1007/s10578-023-01599-6] [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] [Accepted: 08/19/2023] [Indexed: 09/21/2023]
Abstract
The overarching goal of this study was to examine the unique contribution of psychological, familial, and friendship factors in explaining anorexia nervosa (AN) symptom severity 1 year following diagnosis among a sample of adolescent girls. A second objective was to determine whether friendship factors mediated the association between psychological and/or familial factors and AN symptom severity. This study included 143 adolescent girls under the age of 18 diagnosed with AN (M = 14.84, SD = 1.31). Participants were recruited from specialized eating disorder treatment programs. At admission (T1), participants completed a set of self-report questionnaires measuring psychological, familial, and friendship factors. AN symptom severity was assessed 1 year later (T2). Results of hierarchical regression analysis revealed that greater general psychological maladjustment at T1 (b = .26; se = .03; p = .00) was associated with greater AN symptom severity at T2. Greater alienation from friends at T1 (b = 1.20, se = .53, p = .03) also predicted greater AN symptom severity at T2, above and beyond the influence of adolescent girls' general psychological maladjustment. Finally, the mediating role of alienation from friends in the association between general psychological maladjustment at T1 and AN symptom severity at T2 was also identified. AN is a multidimensional disorder with a prognosis that involves both psychological and social factors. The results stemming from the present study shed light on the role of peer as a mechanism through which general psychological maladjustment is linked to AN symptom severity 1 year following diagnosis.
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Affiliation(s)
- Isabelle Thibault
- Department of Psychoeducation, Université de Sherbrooke, Sherbrooke, QC, Canada.
| | - Katherine Pascuzzo
- Department of Psychoeducation, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Caroline Pesant
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Catherine Bégin
- Department of Psychology, Université Laval, Quebec, QC, Canada
| | | | - Giuseppina Di Meglio
- Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada
| | | | - Danielle Taddeo
- Centre Hospitalier Universitaire Sainte-Justine, Montreal, QC, Canada
| | - Nathalie Gingras
- Centre Hospitalier Universitaire de Québec Université Laval, Quebec, QC, Canada
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Defayette AB, Esposito-Smythers C, Cero I, Harris KM, Whitmyre ED, López R. Interpersonal stress and proinflammatory activity in emerging adults with a history of suicide risk: A pilot study. JOURNAL OF MOOD AND ANXIETY DISORDERS 2023; 2:100016. [PMID: 37693104 PMCID: PMC10486198 DOI: 10.1016/j.xjmad.2023.100016] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
Interpersonal stress during adolescence and young adulthood can threaten healthy developmental trajectories. A "primed" proinflammatory response to acute stress may serve as an underlying process that results in negative outcomes for youth. The present pilot study examined the relation between interpersonal stress and two proinflammatory cytokines in a sample of 42 university-recruited emerging adults with recent suicidal thoughts and behaviors. Participants completed self-report measures of mood, suicidal thoughts and behaviors, recent peer-related stressors, and interpersonal sensitivity. They also participated in an acute laboratory social stress task and provided three saliva samples to measure their proinflammatory responses (IL-6 and TNF-α) to the stressor. Participants reported significant increases in sadness and exclusion, and significant decreases in inclusion, following task participation. Importantly, no participants reported an increase in or onset of suicidal thoughts. No significant associations between interpersonal stress and proinflammatory cytokines were found. Changes in affect during the task coupled with lack of increased suicidal thoughts indicate it is acceptable to use this exclusion and rejection paradigm with this population, with proper debriefing and positive mood induction procedures. Given all other nonsignificant associations, future research considerations are discussed, including impact of COVID-19 on task potency and incorporation of multiple stress response systems.
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Affiliation(s)
- Annamarie B. Defayette
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA
| | | | - Ian Cero
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA
| | - Katherine M. Harris
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
| | - Emma D. Whitmyre
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
| | - Roberto López
- Department of Psychology, George Mason University, 4400 University Drive, 3F5, Fairfax, VA 22030, USA
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7
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Lee SY, Vergara-Lopez C, Bublitz MH, Gaffey AE, D’Angelo C, Stroud LR. Adolescent girls' cardiovascular responses to peer rejection: exploring the impact of early life stress. J Behav Med 2023; 46:451-459. [PMID: 36334168 PMCID: PMC10160243 DOI: 10.1007/s10865-022-00366-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 09/13/2022] [Indexed: 11/09/2022]
Abstract
Detrimental effects of early life stress on cardiovascular health are evident in adolescence. Cardiovascular reactivity and recovery in response to interpersonal stress may be a mechanism. This study aimed to evaluate if adolescent girls with higher early life stress demonstrated greater cardiovascular reactivity and slower recovery to peer rejection. A sample of 92 adolescent girls (age: M = 13.24) self-reported early life stressors. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were continuously measured before, during, and after a laboratory peer rejection paradigm. Counter to hypotheses, adolescent girls with higher early life stress had lower, not higher, HR during the recovery period. Early life stress was not associated with SBP or DBP recovery. Additionally, early life stress was not associated with SBP, DBP, or HR reactivity. Future research is needed to assess if blunted cardiovascular reactivity to interpersonal rejection during adolescence is a mechanism linking early life stress and later cardiovascular disease risk in women.
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Affiliation(s)
- Sharon Y. Lee
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University
- Center for Behavioral and Preventive Medicine, The Miriam Hospital
| | - Chrystal Vergara-Lopez
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University
- Center for Behavioral and Preventive Medicine, The Miriam Hospital
| | - Margaret H. Bublitz
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University
- Department of Medicine, Warren Alpert Medical School, Brown University
- Women’s Medicine Collaborative, The Miriam Hospital
| | - Allison E. Gaffey
- Yale School of Medicine, Department of Internal Medicine (Cardiovascular Medicine)
- VA Connecticut Healthcare System
| | - Christina D’Angelo
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University
- Bradley Hasbro Children’s Research Center, Rhode Island/Hasbro Children’s Hospital
| | - Laura R. Stroud
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University
- Center for Behavioral and Preventive Medicine, The Miriam Hospital
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8
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Sato AF, Darling KE, Ruzicka EB, Fahrenkamp AJ, Shields CV, West CE, Schuler SM. A biobehavioral examination of emotional eating in adolescents: Evaluating the role of acute cortisol stress reactivity in the context of a multi-method assessment of eating in response to stress. Appetite 2023; 184:106486. [PMID: 36746277 DOI: 10.1016/j.appet.2023.106486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 01/26/2023] [Accepted: 02/02/2023] [Indexed: 02/05/2023]
Abstract
Stress is linked to emotional eating among adolescents, which in turn increases risk for overweight/obesity (OW/OB) development and continuation. There is a lack of research disentangling chronic and acute stress as predictors of adolescent emotional eating. Further, there is a corresponding need to understand the effects of acute physiological stress reactivity within the context of adolescent emotional eating. The primary aim of this study was to examine the impact of cortisol stress reactivity on emotional eating in adolescents, above and beyond the effects of perceived chronic stress. The impact of subjective stress reactivity was also explored. Adolescents' (N = 49) intake of highly palatable snack foods was measured on separate control and stress-induction (following the Trier Social Stress Test for Children) days. A multi-method approach was used to assess objective (caloric intake) and subjective (self-report) emotional eating. Results indicated that greater cortisol reactivity, but not subjective stress reactivity, predicted subjective emotional eating, beyond the impact of chronic stress. Neither chronic stress nor subjective or objective stress reactivity predicted objective emotional eating following stress-induction. Findings point to the role of chronic stress and cortisol reactivity as risks for greater perceived emotional eating among adolescents, while elucidating differences between perceived and objective emotional eating. Future research should explore how chronic versus acute stress differentially contribute to adolescent weight management.
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Affiliation(s)
- Amy F Sato
- Department of Psychological Sciences, Kent State University, Kent, OH, USA; Brain Health Research Institute, Kent State University, Kent, OH, USA.
| | - Katherine E Darling
- Weight Control and Diabetes Research Center, The Miriam Hospital, Alpert Medical School of Brown University, Providence, RI, USA
| | - Elizabeth B Ruzicka
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA; Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Amy J Fahrenkamp
- Children's Minnesota Pain and Palliative Care, Minneapolis, MN, USA
| | - Clarissa V Shields
- Department of Psychological Sciences, Kent State University, Kent, OH, USA
| | - Caroline E West
- Department of Psychological Sciences, Kent State University, Kent, OH, USA
| | - Shana M Schuler
- NeuroDevelopmental Science Center, Akron Children's Hospital, Akron, OH, USA
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Moses TE, Gray E, Mischel N, Greenwald MK. Effects of neuromodulation on cognitive and emotional responses to psychosocial stressors in healthy humans. Neurobiol Stress 2023; 22:100515. [PMID: 36691646 PMCID: PMC9860364 DOI: 10.1016/j.ynstr.2023.100515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 12/19/2022] [Accepted: 01/09/2023] [Indexed: 01/12/2023] Open
Abstract
Physiological and psychological stressors can exert wide-ranging effects on the human brain and behavior. Research has improved understanding of how the sympatho-adreno-medullary (SAM) and hypothalamic-pituitary-adrenocortical (HPA) axes respond to stressors and the differential responses that occur depending on stressor type. Although the physiological function of SAM and HPA responses is to promote survival and safety, exaggerated psychobiological reactivity can occur in psychiatric disorders. Exaggerated reactivity may occur more for certain types of stressors, specifically, psychosocial stressors. Understanding stressor effects and how the body regulates these responses can provide insight into ways that psychobiological reactivity can be modulated. Non-invasive neuromodulation is one way that responding to stressors may be altered; research into these interventions may provide further insights into the brain circuits that modulate stress reactivity. This review focuses on the effects of acute psychosocial stressors and how neuromodulation might be effective in altering stress reactivity. Although considerable research into stress interventions focuses on treating pathology, it is imperative to first understand these mechanisms in non-clinical populations; therefore, this review will emphasize populations with no known pathology and consider how these results may translate to those with psychiatric pathologies.
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Affiliation(s)
| | | | | | - Mark K. Greenwald
- Corresponding author. Department of Psychiatry and Behavioral Neurosciences, Tolan Park Medical Building, 3901 Chrysler Service Drive, Suite 2A, Detroit, MI, 48201, USA.
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10
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Ford MB. Implicit theories shape responses to social-evaluative threat. Front Psychol 2023; 14:1105721. [PMID: 37179893 PMCID: PMC10172678 DOI: 10.3389/fpsyg.2023.1105721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 04/07/2023] [Indexed: 05/15/2023] Open
Abstract
It is important to understand factors that make one more or less vulnerable to the harmful effects of social threat. This study focuses on the role of implicit theories (also referred to as mindsets) in shaping responses to a potent form of social threat, namely social-evaluative threat (SET). 124 individuals participated in an experimental study in which they were induced to have an incremental theory or an entity theory about their social skills. Next, they were exposed to SET in the laboratory. Psychological and physiological responses were assessed including social self-esteem, rumination, spontaneous mentions of concerns about one's social skills, and heart-rate variability. Compared to those induced to have entity theories, those induced to have incremental theories were buffered from the typical harmful effects of SET on social self-esteem, rumination, and concerns about their social skills. The association between implicit theories and heart-rate variability fell just short of significance.
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11
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Ong WY, Sündermann O. Efficacy of the Mental Health App "Intellect" to Improve Body Image and Self-compassion in Young Adults: A Randomized Controlled Trial With a 4-Week Follow-up. JMIR Mhealth Uhealth 2022; 10:e41800. [PMID: 36409542 PMCID: PMC9723978 DOI: 10.2196/41800] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 10/09/2022] [Accepted: 10/19/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Body image concerns are prevalent among young adults, who may be vulnerable to developing body image concerns because of particular risk factors associated with this life period. With technological advancements, digital mobile health (mHealth) apps are cost-effective and scalable interventions. Thus, mHealth apps can be explored as a form of prevention effort to alleviate body image concerns in young adults. OBJECTIVE In this randomized controlled trial, we examined the effectiveness of a self-guided mHealth app in improving body image and self-compassion in a sample of university students. METHODS Participants (N=310) were randomized to a 9-day self-guided body image and self-compassion mHealth app (n=149) and to an active waitlist control group (n=161), where they completed a similarly structured 9-day program on cooperation. Both programs consisted of content learning and activities such as quizzes, with the number and length of activities matched for both programs. Measures were obtained at baseline, upon completion of the programs (after the intervention), and at 4-week follow-up. RESULTS The intervention group for female participants reported significant reduction in body dissatisfaction (P<.001) and improvements in body appreciation (P<.001) and self-compassion (P=.001) compared with the active waitlist control group after the intervention. Similarly, for male participants after the intervention, a significant reduction was found in the intervention group in body dissatisfaction (P<.001) after the intervention as well as improvements in body appreciation (P=.02) and self-compassion (P=.047). The effects were maintained at 4-week follow-up for female participants on body dissatisfaction (P<.001), body appreciation (P<.001), and self-compassion (P=.02) but not for male participants. On body image risk factors, significant reductions were found for female participants after the intervention for thin-ideal internalization (P<.001), peer pressure (P=.002), and media pressure (P<.001) after the intervention, while the effects were only maintained for thin-ideal internalization (P=.008) and media pressure (P=.01) at 4-week follow-up, compared with the active waitlist control group. As for male participants, no intervention effects were found both after the intervention and at follow-up for all body image risk factors of muscularity internalization, peer pressure, and media pressure. Both apps were acceptable and participants engaged equally across the intervention and active waitlist control groups, as indicated on a measure of app engagement (P=.76). CONCLUSIONS This study provides preliminary evidence for a self-guided mHealth app in improving body image concerns and self-compassion in young adult university students. Future studies should include longer follow-ups, and examine its effects with the wider populations of young adults. TRIAL REGISTRATION ClinicalTrials.gov NCT04977973; https://clinicaltrials.gov/ct2/show/NCT04977973.
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Affiliation(s)
- Wen Yi Ong
- Department of Psychology, National University of Singapore, Singapore, Singapore
| | - Oliver Sündermann
- Department of Psychology, National University of Singapore, Singapore, Singapore
- Intellect, Singapore, Singapore
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12
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Behringer V, Berghänel A, Deschner T, Lee SM, Fruth B, Hohmann G. Transition to siblinghood causes a substantial and long-lasting increase in urinary cortisol levels in wild bonobos. eLife 2022; 11:77227. [PMID: 36040310 PMCID: PMC9489214 DOI: 10.7554/elife.77227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 08/29/2022] [Indexed: 11/26/2022] Open
Abstract
In animals with slow ontogeny and long-term maternal investment, immatures are likely to experience the birth of a younger sibling before reaching maturity. In these species, the birth of a sibling marks a major event in an offspring’s early life as the older siblings experience a decrease in maternal support. The transition to siblinghood (TTS) is often considered to be stressful for the older offspring, but physiological evidence is lacking. To explore the TTS in wild bonobos, we investigated physiological changes in urinary cortisol (stress response), neopterin (cell-mediated immunity), and total triiodothyronine (T3, metabolic rate), as well as changes in behaviors that reflect the mother–offspring relationship. Following a sibling’s birth, urinary cortisol levels of the older offspring increased fivefold, independent of their age, and remained elevated for 7 months. The cortisol level increase was associated with declining neopterin levels; however, T3 levels and behavioral measures did not change. Our results indicate that the TTS is accompanied by elevated cortisol levels and that this change does not coincide with nutritional weaning and attainment of physical independence. Our results suggest that bonobos and humans experience TTS in similar ways and that this developmental event may have emerged in the last common ancestor.
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Affiliation(s)
- Verena Behringer
- Endocrinology Laboratory, German Primate Center, Leibniz Institute for Primate Research, Göttingen, Germany
| | - Andreas Berghänel
- Department of Interdisciplinary Life Sciences, University of Veterinary Medicine Vienna, Vienna, Germany
| | - Tobias Deschner
- Institute of Cognitive Science, University of Osnabrück, Osnabrück, Germany
| | - Sean M Lee
- Department of Anthropology, George Washington University, Washington, United States
| | - Barbara Fruth
- Max Planck Institute of Animal Behavior, Konstanz, Germany
| | - Gottfried Hohmann
- Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
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13
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Yang C, Xia M, Li T, Zhou Y. How Do Specific Social Supports (Family, Friend, and Specialist) Reduce Stress in Patients With Substance Use Disorders: A Multiple Mediation Analysis. Front Psychiatry 2021; 12:618576. [PMID: 34305664 PMCID: PMC8298755 DOI: 10.3389/fpsyt.2021.618576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 05/28/2021] [Indexed: 11/23/2022] Open
Abstract
Perceived social support has been found to reduce the stress of individuals who suffer from substance use disorders. However, the mediating effects of resilience and affect balance in the relationships between specific social supports (family, friend, and significant others) and perceived stress are still unclear. This study focused on substance use disorders (SUD) patients, exploring the mediating roles of resilience and affect balance on the relationships between three dimensions of social supports (family, friend, and specialist) and stress. Three hundred thirty-nine participants completed questionnaires of perceived social support, resilience, affect balance, and stress. After controlling resilience and affect balance, the results suggested the effects of perceived family and specialist supports on perceived stress were fully mediated, and the association between perceived friend support and perceived stress is partially mediated. The multiple mediation analysis showed resilience is significant in mediating the relationship between specific perceived supports in all models, while affect balance is only significant in mediating the relationship between specialist support and perceived stress. Implications for enriching current theoretical research and strategies for government and practitioners were also discussed.
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Affiliation(s)
- Chunyu Yang
- Nanjing University of Information Science and Technology, Research Institute of Climatic and Environmental Governance, Institute of Prison Sociology and Anthropology, College of Law and Political Science, Nanjing, China
| | - Mengfan Xia
- Department of Sociology, Nanjing University, Nanjing, China
| | - Tianshu Li
- Faculty of Arts and Social Science, The University of Sydney, Sydney, NSW, Australia
| | - You Zhou
- The University of Melbourne, Parkville, VIC, Australia
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Sharma N, Dhar RL. From curse to cure of workplace ostracism: A systematic review and future research agenda. HUMAN RESOURCE MANAGEMENT REVIEW 2021. [DOI: 10.1016/j.hrmr.2021.100836] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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15
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Filipkowski KB, Jones DR, Bernstein MJ, Smyth JM. Stress-responses to ostracism: Examining cortisol and affective reactivity to in-person and online exclusion. J Health Psychol 2021; 27:1793-1804. [PMID: 33860689 DOI: 10.1177/13591053211001411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Ostracism is associated with poor outcomes, but it is unclear if online versus in-person ostracism elicits divergent psychological and physiological responses. Participants (N = 54) were randomly assigned to online or in-person ostracism, and provided pre- and post-ostracism measures of affect, self-esteem, self-feelings, and salivary cortisol. No significant changes in negative affect, self-esteem, or self-feelings emerged, nor were there differences by ostracism condition. Both ostracism conditions decreased positive affect (stronger online) and lowered cortisol. Extending prior work, ostracism appears to reliably decrease positive affect (especially online) but may not be threatening to the self; moreover, ostracism may reliably elicit acute cortisol declines.
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16
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Sauer J, Jeanneret A, Smargiassi O, Thuillard S. Human and machine-induced social stress and cognitive performance. ERGONOMICS 2021; 64:440-454. [PMID: 33180679 DOI: 10.1080/00140139.2020.1850883] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 11/07/2020] [Indexed: 06/11/2023]
Abstract
The article examines the effects of social stress on work performance in a laboratory study using a battery of performance tests. Social stress was induced by a combination of negative feedback and ostracism. Participants received negative performance feedback and were ostracised by two confederates of the experimenter. Using a one-way experimental design with three levels (machine-induced stress, human-induced stress, and no stress), 102 participants performed the following tasks: attention, divergent and convergent creativity. Participants also completed questionnaires measuring positive and negative affect, and state self-esteem. The manipulation check confirmed that social stress was successfully implemented. The results showed that social stress increased negative affect and reduced self-esteem. However, performance remained unaffected by social stress on any of the cognitive tasks, with no difference emerging between human-induced and machine-induced stress. The findings provide support for the 'blank-out'-mechanism, which assumes that humans can maintain performance levels even under difficult working conditions. Practitioner summary: Social stress in the form of negative performance feedback and social exclusion has a negative impact on the affect and self-esteem of humans. However, performance on subsequent tasks was not impaired. Abbreviations: TSST: trier social stress test; SSES: state self-esteem scale; PANAS: positive and negative affect schedule; ANOVA: analysis of variance.
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Affiliation(s)
- Juergen Sauer
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Amélie Jeanneret
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Ondina Smargiassi
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Simon Thuillard
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
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Blumenthal H, Cloutier RM, Douglas ME, Kearns NT, Carey CN. Desire to drink as a function of laboratory-induced social stress among adolescents. J Behav Ther Exp Psychiatry 2021; 70:101617. [PMID: 32980586 PMCID: PMC8628538 DOI: 10.1016/j.jbtep.2020.101617] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Revised: 09/13/2020] [Accepted: 09/21/2020] [Indexed: 01/04/2023]
Abstract
BACKGROUND AND OBJECTIVES Research consistently demonstrates a link between social anxiety and alcohol-related problems; however, the majority of work has been retrospective, and conducted with adults. Despite an extensive literature highlighting coping-related motives as an underlying mechanism, real-time work presents mixed findings, and no published research has examined an adolescent sample using experimental psychopathology techniques. METHODS The current study tested whether (1) history of social anxiety symptoms positively correlated with alcohol-related cognitions following laboratory-induced social stress, (2) state anxiety was positively correlated with alcohol-related cognitions, and (3) whether the nature of the stressor (performance versus rejection) impacted the strength of identified relations, in a sample of community-recruited adolescents reporting recent alcohol use. Participants (n = 114; Mage = 16.01; 64% girls) were randomly assigned to either a performance- or rejection-oriented task. RESULTS Findings indicated that history of social anxiety symptoms was positively correlated with state anxiety elicited by both tasks. Further, history of social anxiety symptoms was not related to change in desire to drink, but was positively related to the belief that alcohol 'would make me feel better.' State anxiety was positively related to both desire to drink and relief outcome expectancies across both tasks. Finally, the nature of the task did not moderate responding. LIMITATIONS Single site, community sampling confines interpretations, and the tasks did not fully perform as expected. CONCLUSIONS Further study is needed; however, the current findings support the contention that socially-oriented distress may be a developmentally-relevant, malleable target for prevention efforts aimed at problematic alcohol use among adolescents.
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Affiliation(s)
- Heidemarie Blumenthal
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, United States.
| | - Renee M Cloutier
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, United States.
| | - Megan E Douglas
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, United States.
| | - Nathan T Kearns
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, United States.
| | - Caitlyn N Carey
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, United States.
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18
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Cloutier RM, Bilsky SA, Baxley C, Anderson KG, Blumenthal H. Development of the A-DISS rejection task to demonstrate the unique and overlapping affective features of social anxiety and depression. COGNITIVE THERAPY AND RESEARCH 2021; 45:74-89. [PMID: 33776170 PMCID: PMC7992050 DOI: 10.1007/s10608-020-10152-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Social anxiety (SA) and depression are prevalent, often comorbid disorders, associated with poor psychosocial functioning. Experimental psychopathology approaches can clarify the transdiagnostic mechanisms underlying these disorders, but most laboratory tasks are limited. We developed and validated the Audio-Dialogue Inductions of Social Stress (A-DISS) experimental task to model real-time rejection sensitivity in a realistic and developmentally relevant context. Participants are asked to imagine overhearing peers at a party talking badly about them (Rejection) or a teacher at their school (Neutral). METHODS Study 1 focused on identifying and refining stimuli that elicited relevant emotional responses for Rejection (e.g., increased anxiety) and Neutral (e.g., no emotional changes) conditions (N=48). Study 2 examined whether participants' SA and depression symptoms moderated the effects of A-DISS condition (N=52). RESULTS The Rejection condition elicited higher negative affect/lower positive affect while the Neutral condition sustained stable affect. Findings were consistent across gender and race/ethnicity. Moderation analyses were statistically significant; participants with elevated SA or depression reported feeling more rejected, insecure, and anxious after Rejection than those with below average symptoms. CONCLUSIONS Findings provide preliminary validation of a novel peer rejection task for research on understanding the affective experience of real-time rejection overall, especially for those with elevated SA and depression. SA and depression symptoms each uniquely moderating the effects of Rejection exposure on similar affective states, suggests individuals with SA or depression may benefit from interventions targeting specific reactions to rejection/stress and transdiagnostic risk factors.
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Affiliation(s)
- Renee M Cloutier
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX 76203, United States of America
- The Methodology Center, The Pennsylvania State University, 423 Health and Human Development Building, University Park, PA 16802, United States of America (Present Address)
| | - Sarah A Bilsky
- Department of Psychology, The University of Mississippi, 302D Peabody Hall, University Park, MS, 38677
| | - Catherine Baxley
- Department of Psychology, Saint Louis University, 3700 Lindell Blvd, St. Louis, MO 63108, United States of America
| | - Kristen G Anderson
- Department of Psychology, Reed College, 3203 SE Woodstock Blvd. Portland, OR 97202
| | - Heidemarie Blumenthal
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX 76203, United States of America
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Lincoln SH, Johnson T, Winters A, Laquidara J. Social exclusion and rejection across the psychosis spectrum: A systematic review of empirical research. Schizophr Res 2021; 228:43-50. [PMID: 33434731 DOI: 10.1016/j.schres.2020.11.056] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 08/29/2020] [Accepted: 11/29/2020] [Indexed: 11/26/2022]
Abstract
Social exclusion and rejection have deleterious effects on psychological well-being. Research documents the negative effects of social exclusion and rejection on psychiatric problems like depression, social anxiety disorder, and non-suicidal self-injury. Additionally, prior research suggests that individuals with and at-risk for psychosis spectrum disorders may also be negatively affected by exclusion and rejection. Moreover, those on the psychosis spectrum may be at an even greater risk to experience social exclusion due to poor social functioning and the stigma surrounding the disorder. This systematic review aimed to investigate how individuals across the psychosis spectrum respond to social exclusion and rejection. We systematically searched PubMed and PsycINFO databases to identify studies that met the following eligibility criteria: 1) investigated social exclusion or rejection, 2) targeted a psychosis-related sample or symptoms, and 3) was an empirical study. 13 studies satisfied our eligibility criteria and were subsequently reviewed. Despite methodological variation and samples spanning the psychosis spectrum, the majority of the literature supports the conclusion that those with psychosis spectrum disorders report similar levels of exclusion-induced distress compared to healthy controls, but process and cope with exclusion differently, both behaviorally and neurobiologically.
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Affiliation(s)
- Sarah Hope Lincoln
- Department of Psychological Sciences, Case Western Reserve University, United States of America.
| | - Taylor Johnson
- Department of Psychological Sciences, Case Western Reserve University, United States of America
| | - Alex Winters
- Department of Psychological Sciences, Case Western Reserve University, United States of America
| | - Jill Laquidara
- Department of Psychological Sciences, Case Western Reserve University, United States of America
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20
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Ford MB. Social distancing during the COVID-19 pandemic as a predictor of daily psychological, social, and health-related outcomes. The Journal of General Psychology 2020; 148:249-271. [PMID: 33355034 DOI: 10.1080/00221309.2020.1860890] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
In the context of the COVID-19 pandemic, striking public health measures have been implemented to encourage physical distancing in order to slow the spread of disease. However, the impact of these measures on health and wellbeing is not well understood. In the current study a daily diary methodology was used to investigate the effects of social isolation due to the COVID-19 pandemic on a variety of outcomes with 230 undergraduate students. Participants completed an online diary for 3 days, reporting on daily social distancing behaviors, psychological wellbeing/resources, social/interpersonal connection with others, health behaviors, and health outcomes. Overall, daily social distancing (close adherence to social distancing guidelines) was associated with decreases in psychological wellbeing/resources, less social/interpersonal connection with others (including technology-mediated communication), fewer positive health behaviors, and increased reports of stress-related physical illness symptoms. Discussion centers on implications of these findings as well as the importance of identifying ways to mitigate the effects of these necessary but costly measures on health and wellbeing.
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21
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Effects of Improvisation Training on Student Teachers’ Behavioral, Neuroendocrine, and Psychophysiological Responses during the Trier Social Stress Test. ADAPTIVE HUMAN BEHAVIOR AND PHYSIOLOGY 2020. [DOI: 10.1007/s40750-020-00145-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Abstract
Objectives
Teaching involves multiple performance situations, potentially causing psychosocial stress. Since the theater-based improvisation method is associated with diminished social stress, we investigated whether improvisation lessened student teachers’ stress responses using the Trier Social Stress Test (TSST; preparatory phase, public speech, and math task). Moreover, we studied the influence of interpersonal confidence (IC) – the belief regarding one’s capability related to effective social interactions – on stress responses.
Methods
The intervention group (n = 19) received a 7-week (17.5 h) improvisation training, preceded and followed by the TSST. We evaluated experienced stress using a self-report scale, while physiological stress was assessed before (silent 30-s waiting period) and during the TSST tasks using cardiovascular measures (heart rate, heart rate variability [HRV]), electrodermal activation, facial electromyography (f-EMG), and EEG asymmetry. Hypothalamus-pituitary-adrenal (HPA-axis) reactivity was assessed through repeated salivary cortisol sampling.
Results
Compared to the control group (n = 16), the intervention group exhibited less f-EMG activity before a public speech and higher HRV before the math task. The low IC intervention subgroup reported significantly less stress during the math task. The controls showed a decreased heart rate before the math task, and controls with a low IC exhibited higher HRV during the speech. Self-reported stress and cortisol levels were positively correlated during the post-TSST preparatory phase.
Conclusions
These findings suggest that improvisation training might diminish stress levels, specifically before a performance. In addition, interpersonal confidence appears to reduce stress responses. The decreased stress responses in the control group suggest adaptation through repetition.
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Social exclusion and adolescent wellbeing: Stress, school satisfaction, and academic self-efficacy as multiple mediators. THE EDUCATIONAL AND DEVELOPMENTAL PSYCHOLOGIST 2020. [DOI: 10.1017/edp.2020.7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
Emotional experiences are known to be both perceived and remembered differently from nonemotional experiences, often leading to heightened encoding of salient visual details and subjectively vivid recollection. The vast majority of previous studies have used static images to investigate how emotional event content modulates cognition, yet natural events unfold over time. Therefore, little is known about how emotion dynamically modulates continuous experience. Here we report a norming study wherein we developed a new stimulus set of 126 emotionally negative, positive, and neutral videos depicting real-life news events. Participants continuously rated the valence of each video during its presentation and judged the overall emotional intensity and valence at the end of each video. In a subsequent memory test, participants reported how vividly they could recall the video details and estimated each video's duration. We report data on the affective qualities and subjective memorability of each video. The results replicate the well-established effect that emotional experiences are remembered more vividly than nonemotional experiences. Importantly, this novel stimulus set will facilitate research into the temporal dynamics of emotional processing and memory.
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Juster RP, de Torre MB, Kerr P, Kheloui S, Rossi M, Bourdon O. Sex Differences and Gender Diversity in Stress Responses and Allostatic Load Among Workers and LGBT People. Curr Psychiatry Rep 2019; 21:110. [PMID: 31630247 DOI: 10.1007/s11920-019-1104-2] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Measuring biological sex differences and socio-cultural gender diversity provides insights into individual variation in stress physiology and the development of "sex-specific" diseases. PURPOSE OF REVIEW: In this selective review, we summarize recent findings that assess sex and gender in relation to the stress hormone cortisol and multi-systemic physiological dysregulation called allostatic load. The focus of this research centers on workers as well as sexual and gender minorities as these populations provide unique insights into sex and gender at various levels of analysis from the micro-level to the macro-level. RECENT FINDINGS: Male/female sex, sex hormones, gender identity, gender roles, and sexual orientation are all variables that are distinctly correlated with stress physiology. Beyond identifying patterns of vulnerability to stress-related diseases, pathways towards resilience are of high priority in emerging literature. Stress scientists must account for both sex and gender in biobehavioral research. Future directions should assess macro-level constructs like institutionalized gender, occupational sex composition, and structural stigma to better understand the social determinants of health.
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Affiliation(s)
- Robert-Paul Juster
- Department of Psychiatry and Addiction, University of Montreal, Montreal, Canada.
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada.
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada.
- , Montréal, Canada.
| | - Margot Barbosa de Torre
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada
- Department of Biomedical Sciences, University of Montreal, Montreal, Canada
| | - Philippe Kerr
- Department of Psychiatry and Addiction, University of Montreal, Montreal, Canada
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada
| | - Sarah Kheloui
- Department of Psychiatry and Addiction, University of Montreal, Montreal, Canada
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada
| | - Mathias Rossi
- Department of Psychiatry and Addiction, University of Montreal, Montreal, Canada
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada
| | - Olivier Bourdon
- Research Center of the Montreal Mental Health University Institute, Montreal, Canada
- Center on Sex*Gender, Allostasis, and Resilience (CESAR), Montreal, Canada
- Department of Psychology, University of Quebec in Montreal, Montreal, Canada
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Abstract
OBJECTIVE This set of studies examines the bidirectional links between social rejection and poor sleep, a ubiquitous and increasingly problematic health behavior. METHODS In study 1, a multiday field experiment, 43 participants completed a neutral task just before sleep on night 1 and a social rejection task on night 2. Objective and subjective sleep, postrejection affect, and physiological responses were measured. In study 2, 338 participants reported typical sleep quality before coming to the laboratory where they received social rejection or social acceptance feedback from a stranger. Physiological and affective responses were measured throughout the session. RESULTS In study 1, after social rejection, participants took longer going to bed (M [SD] = 38.06 [48.56] versus 11.18 [15.52], t(42) = 3.86, p < .001) and had shorter sleep durations (6:46 [1:27] versus 7:19 [1:38], t(41) = 2.92, p = .006) compared with the baseline night. Trait rumination moderated these effects, with high ruminators taking the longest to go to bed postrejection (t(38) = 2.90, p = .006). In both studies, there was (inconsistent) evidence that sleep influences reactions to rejection: some sleep measures predicted physiological reactivity during the rejection task in study 1 and greater negative affect after social rejection in study 2. CONCLUSIONS These studies provide evidence that social rejection may affect sleep outcomes, particularly for trait ruminators, and poor sleep in turn may exacerbate affective responses to social rejection. Given the mixed findings, small sample size, and no active control condition, more work is needed to confirm and build on these findings.
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Tops S, Habel U, Abel T, Derntl B, Radke S. The Verbal Interaction Social Threat Task: A New Paradigm Investigating the Effects of Social Rejection in Men and Women. Front Neurosci 2019; 13:830. [PMID: 31440131 PMCID: PMC6692967 DOI: 10.3389/fnins.2019.00830] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 07/25/2019] [Indexed: 01/11/2023] Open
Abstract
In recent years, digital communication and social media have taken an indispensable role in human society. Social interactions are no longer bound to real-life encounters, but more often happen from behind a screen. Mimicking an online communication platform, we developed a new, fMRI compatible, social threat paradigm to investigate sex differences in reactions to social rejection. During the Verbal Interaction Social Threat Task (VISTTA), participants initiate 30 short conversations by selecting one of four predefined opening sentences. Two computerized interlocutors respond to the opening sentence mostly with negative comments and rejections toward the participant, which should induce social-evaluative threat. Physiological and subjective responses were measured, before, during, and after the VISTTA in 61 (29 male and 32 female) first year students who received either mostly negative (n = 31; threat group) or neutral comments (n = 30; control group). Two-level behavioral validation included social threat-induced mood changes in participants, and interlocutor evaluation. The latter consisted of multiple variables such as "willingness to cooperate" after every conversation, an overall fairness evaluation of interlocutors, and evaluations per reaction indicating how positive or negative it was received. We acquired additional physiological measures including cortisol assays via saliva samples, heart rate, and blood pressure. Confirming our hypotheses, peer rejection and exclusion during the VISTTA led to less willingness to cooperate and lower fairness evaluation of interlocutors. It also induced feelings of anger and surprise and lower happiness in the social-threat group. Women showed overall higher emotion ratings compared to men. Contrary to our a priori hypothesis, the VISTTA did not induce cortisol and heart rate increases. However, the stable cortisol response in women in the threat group does not follow the circadian decline and might reflect an endocrinological response. The decline in cortisol response in men in both the threat and control group could indicate faster habituation to the VISTTA. Taken together, these findings indicate effects of social-evaluative threat on a behavioral level, and more moderate effects on the emotional and physiological level. Sex differences in affective and cortisol responses may indicate that women are more susceptible for the social-evaluative threat than men. With a realistic implementation of verbal, interactive, and social components, the VISTTA is designed as an fMRI paradigm that can be applied to elucidate the neural representation of social-evaluative threat.
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Affiliation(s)
- Sanne Tops
- Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Aachen, Germany
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Aachen, Germany
- Jülich Aachen Research Alliance – BRAIN Institute I: Brain Structure–Function Relationships: Decoding the Human Brain at Systemic Levels, Research Center Jülich GmbH and RWTH Aachen University, Aachen, Germany
| | - Ted Abel
- Department of Molecular Physiology and Biophysics, Iowa Neuroscience Institute, Carver College of Medicine, The University of Iowa, Iowa City, IA, United States
| | - Birgit Derntl
- Department of Psychiatry and Psychotherapy, Medical School, University of Tübingen, Tübingen, Germany
| | - Sina Radke
- Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Aachen, Germany
- Jülich Aachen Research Alliance – BRAIN Institute I: Brain Structure–Function Relationships: Decoding the Human Brain at Systemic Levels, Research Center Jülich GmbH and RWTH Aachen University, Aachen, Germany
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27
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Travers JL, Le C, Desai MM, Merrill JA. Factors Associated with Dissatisfaction in Medical Care Quality among Older Medicare Beneficiaries Suffering from Mental Illness. J Aging Soc Policy 2019; 33:51-66. [DOI: 10.1080/08959420.2019.1628624] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Jasmine L. Travers
- Postdoctoral Fellow, National Clinician Scholars Program, Yale Schools of Medicine and Nursing, New Haven, Connecticut, USA
| | - Cindy Le
- MPH Candidate, Department of Health Behavior and Health Education, University of Michigan, School of Public Health, Ann Arbor, Michigan, USA
| | - Mayur M. Desai
- Associate Professor of Epidemiology, Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, USA
| | - Jacqueline A. Merrill
- Professor of Nursing,Department of Biomedical Informatics at Columbia University Medical Center, Columbia University School of Nursing, New York, New York, USA
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28
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Zhao M, Chen Z, Glambek M, Einarsen SV. Leadership Ostracism Behaviors From the Target's Perspective: A Content and Behavioral Typology Model Derived From Interviews With Chinese Employees. Front Psychol 2019; 10:1197. [PMID: 31178804 PMCID: PMC6543915 DOI: 10.3389/fpsyg.2019.01197] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 05/07/2019] [Indexed: 11/24/2022] Open
Abstract
Leadership ostracism denotes a severe work stressor, potentially entailing more serious negative effects than other types of workplace ostracism. However, scholars have paid relatively little attention to ostracism carried out by leaders, leaving the phenomenon insufficiently accounted for in the literature. Hence, the present study aims to explore the content and typology of leadership ostracism behavior by in-depth interviews and inductive analyses based on grounded theory, in order to give a thorough presentation and description of the leadership ostracism concept as perceived and construed by Chinese subordinates. Respondents were invited using a snowball sampling technique, and the final sample consisted of 26 individuals employed in different Chinese firms. Based on the reported experience of the interviewees, 11 concrete leadership ostracism behaviors emerged from the data. Further analyses revealed a leadership ostracism behavioral typology model reflecting five core categories, i.e., general ignoring, neglect, exclusion, differential treatment, and undermining. These findings appear to partly replicate and partly expand on previous conceptualizations of workplace ostracism, indicating that leadership ostracism may reflect a distinct variant of the phenomenon, eligible to be studied in its own right. The present study also discusses certain culture-specific aspects of leadership ostracism that can be taken into consideration in future studies.
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Affiliation(s)
- Mengchu Zhao
- Department of Public Administration, College of Public Administration, Huazhong University of Science and Technology, Wuhan, China
| | - Zhixia Chen
- Department of Public Administration, College of Public Administration, Huazhong University of Science and Technology, Wuhan, China
| | - Mats Glambek
- Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway
| | - Ståle V. Einarsen
- Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway
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Cloutier RM, Blumenthal H, Trim RS, Douglas ME, Anderson KG. Real-time social stress response and subsequent alcohol use initiation among female adolescents. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 33:254-265. [PMID: 30869921 PMCID: PMC6483836 DOI: 10.1037/adb0000454] [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] [Indexed: 11/08/2022]
Abstract
Adolescents who are particularly sensitive to social stress may be vulnerable to earlier alcohol consumption and related problems. Although a small literature supports this contention, previous studies mostly relied on retrospective self-report. The current study used discrete-time survival analysis (DTSA) to test whether real-time social stress responding (via laboratory induction) and social anxiety symptoms predicted 12-month alcohol onset in an alcohol-naïve sample of young female adolescents. Anxiety elicited by the task was expected to predict greater and earlier rates of alcohol incidence, particularly among girls with higher levels of self-reported social anxiety symptoms. Participants were 104 community-recruited girls (ages 12-15 years) who completed a modified Trier Social Stress Test and questionnaires; follow-up calls were conducted at 3, 6, 9, and 12 months after the laboratory visit. Self-reported anxiety was assessed in response to the stressor following acclimation (baseline), instruction (anticipation), and speech (posttask). By 12 months, 30.8% of the sample had consumed a full alcoholic beverage. The DTSA revealed that girls with higher levels of social anxiety and greater elevations in anticipatory (but not posttask) anxiety compared to baseline had earlier alcohol initiation. This is the first study to examine the role of both laboratory-induced anxious responding and retrospective reports of social anxiety as prospective predictors of alcohol incidence. These preliminary findings suggest that adolescent girls who are more sensitive to social stress may be at risk for experimenting with alcohol earlier than their peers. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
- Renee M Cloutier
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas
| | - Heidemarie Blumenthal
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas
| | - Ryan S Trim
- Department of Psychiatry, University of California San Diego
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Exposure to a sex-specific stressor mitigates sex differences in stress-induced eating. Physiol Behav 2019; 202:26-35. [DOI: 10.1016/j.physbeh.2019.01.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 01/17/2019] [Accepted: 01/17/2019] [Indexed: 01/23/2023]
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Effects of Social Exclusion on Cardiovascular and Affective Reactivity to a Socially Evaluative Stressor. Int J Behav Med 2019; 25:410-420. [PMID: 29616454 DOI: 10.1007/s12529-018-9720-5] [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] [Indexed: 10/17/2022]
Abstract
PURPOSE Socially disconnected individuals have worse health than those who feel socially connected. The mechanisms through which social disconnection influences physiological and psychological outcomes warrant study. The current study tested whether experimental manipulations of social exclusion, relative to inclusion, influenced subsequent cardiovascular (CV) and affective reactivity to socially evaluative stress. METHODS Young adults (N = 81) were assigned through block randomization to experience either social exclusion or inclusion, using a standardized computer-based task (Cyberball). Immediately after exposure to Cyberball, participants either underwent a socially evaluative stressor or an active control task, based on block randomization. Physiological activity (systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR)) and state anxiety were assessed throughout the experiment. RESULTS Excluded participants evidenced a significant increase in cardiovascular and affective responses to a socially evaluative stressor. Included participants who underwent the stressor evidenced similar increases in anxiety, but systolic blood pressure, diastolic blood pressure, and heart rate did not change significantly in response to the stressor. CONCLUSIONS Results contribute to the understanding of physiological consequences of social exclusion. Further investigation is needed to test whether social inclusion can buffer CV stress reactivity, which would carry implications for how positive social factors may protect against the harmful effects of stress.
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Social support buffers acute psychological stress in individuals with high interdependent self-construal. ACTA PSYCHOLOGICA SINICA 2019. [DOI: 10.3724/sp.j.1041.2019.00497] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Radke S, Seidel EM, Boubela RN, Thaler H, Metzler H, Kryspin-Exner I, Moser E, Habel U, Derntl B. Immediate and delayed neuroendocrine responses to social exclusion in males and females. Psychoneuroendocrinology 2018; 93:56-64. [PMID: 29702443 DOI: 10.1016/j.psyneuen.2018.04.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 04/09/2018] [Accepted: 04/09/2018] [Indexed: 01/22/2023]
Abstract
Social exclusion is a complex phenomenon, with wide-ranging immediate and delayed effects on well-being, hormone levels, brain activation and motivational behavior. Building upon previous work, the current fMRI study investigated affective, endocrine and neural responses to social exclusion in a more naturalistic Cyberball task in 40 males and 40 females. As expected, social exclusion elicited well-documented affective and neural responses, i.e., increased anger and distress, as well as increased exclusion-related activation of the anterior insula, the posterior-medial frontal cortex and the orbitofrontal cortex. Cortisol and testosterone decreased over the course of the experiment, whereas progesterone showed no changes. Hormone levels were not correlated with subjective affect, but they were related to exclusion-induced neural responses. Exclusion-related activation in frontal areas was associated with decreases in cortisol and increases in testosterone until recovery. Given that results were largely independent of sex, the current findings have important implications regarding between-sex vs. within-sex variations and the conceptualization of state vs. trait neuroendocrine functions in social neuroscience.
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Affiliation(s)
- S Radke
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany; Jülich Aachen Research Alliance (JARA) - BRAIN Institute 1, Brain Structure-Function Relationships: Decoding the Human Brain at Systemic Levels, Pauwelsstr. 30, 52074 Aachen, Germany.
| | - E M Seidel
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria; Social, Cognitive and Affective Neuroscience Unit, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria
| | - R N Boubela
- MR Centre of Excellence, Medical University of Vienna, Lazarettgasse 14, 1090 Vienna, Austria; Centre for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
| | - H Thaler
- Social, Cognitive and Affective Neuroscience Unit, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria; Max Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, Germany
| | - H Metzler
- Social, Cognitive and Affective Neuroscience Unit, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria; Laboratoire de neurosciences cognitives, Département d'études cognitives, École normale supérieure, INSERM, PSL Research University, 29 rue d'Ulm, 75005 Paris, France
| | - I Kryspin-Exner
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010 Vienna, Austria
| | - E Moser
- MR Centre of Excellence, Medical University of Vienna, Lazarettgasse 14, 1090 Vienna, Austria; Centre for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
| | - U Habel
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany; Jülich Aachen Research Alliance (JARA) - BRAIN Institute 1, Brain Structure-Function Relationships: Decoding the Human Brain at Systemic Levels, Pauwelsstr. 30, 52074 Aachen, Germany
| | - B Derntl
- Department of Psychiatry and Psychotherapy, University of Tübingen, Calwerstr. 14, 72076 Tübingen, Germany; Werner Reichardt Center for Integrative Neuroscience, University of Tübingen, Otfried-Müller-Str. 25, 72076 Tübingen, Germany; LEAD Graduate School, University of Tübingen, Gartenstr. 29, 72074 Tübingen,Germany
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Cook EC, Duncan O, Fernandez ME, Mercier B, Windrow J, Stroud LR. Affective and physiological response to a novel parent-adolescent conflict stressor. Stress 2018; 21:312-322. [PMID: 29557286 PMCID: PMC6112983 DOI: 10.1080/10253890.2018.1453494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
Few laboratory paradigms exist that expose adolescents to conflict that might commonly be experienced in parent-adolescent relationships. Given the continued importance of parent-adolescent relationships on adolescent development, as well as the changing expectations in these relationships, we examined the effect of a novel parent-adolescent conflict paradigm on physiological and affective response in a sample of 52 adolescents. The parent-adolescent conflict stressor (PACS) involved adolescent participants (50% girls; M = 14.75, SD = 0.88) watching a 12-minute scripted video that asked youth to imagine that they were the teenager in the video, which consisted of parent and adolescent actors having discussions about conflict in their relationship and solving this conflict in either a positive, typical, or hostile manner. Cortisol, alpha amylase, and self-report of negative and positive affect were collected at baseline, following the video, and during a recovery period. Heart rate also was taken continuously while adolescents watched the videos. Hierarchical linear modeling (HLM) analyses indicated significant linear change in alpha amylase and linear and quadratic change in negative affect to the PACS. There also was a significant linear and quadratic change in heart rate during the portion of the video where teens and parents discussed issues of personal responsibility. The PACS marks a preliminary but important first step in developing a parent-adolescent conflict paradigm that can be used across studies to understand the impact of parent-adolescent conflict on affective and physiological markers associated with stress response.
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Affiliation(s)
- Emily C Cook
- a Department of Psychology , Rhode Island College , Providence , RI , USA
| | - Orianna Duncan
- a Department of Psychology , Rhode Island College , Providence , RI , USA
| | | | - Bryan Mercier
- a Department of Psychology , Rhode Island College , Providence , RI , USA
| | - Jason Windrow
- a Department of Psychology , Rhode Island College , Providence , RI , USA
| | - Laura R Stroud
- b Psychiatry and Human Behavior , Warren Alpert Brown Medical School , Providence , RI , USA
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Bacon AK, Engerman B. Excluded, then inebriated: A preliminary investigation into the role of ostracism on alcohol consumption. Addict Behav Rep 2018; 8:25-32. [PMID: 29977993 PMCID: PMC6026723 DOI: 10.1016/j.abrep.2018.05.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Revised: 05/18/2018] [Accepted: 05/19/2018] [Indexed: 11/17/2022] Open
Abstract
Introduction Ostracism has only recently been investigated as a relevant social stressor that might precede college student alcohol use. The present study continues initial efforts to examine the effects of ostracism on subsequent alcohol consumption in the laboratory. A 2 (sex: male, female) × 2 (condition: ostracism, control) between-subjects experimental design was conducted to examine the effects of these variables on alcohol consumption in the laboratory. Methods Social drinking college students (N = 40; 43% female) were randomly assigned to one of two social interaction tasks: either an in-person conversation from which the participant was excluded by two confederates, or independently rating neutrally valenced photographs alongside confederates. Participants then consumed a priming drink (targeted dose = 0.03 BrAC) before completing a mock taste test of up to 710 ml of light beer. Amount consumed (in ml) during the mock taste test served as the primary dependent variable. Results The ostracism condition was effective at decreasing mood and psychological need variables (i.e., control, belonging) compared to the control condition. After removing from analyses those who identified the confederates as part of the study (n = 7; 3 control, 4 ostracism), results indicated that males consumed more beer than females, and that ostracized participants trended toward consuming more beer than control participants. Conclusions Findings contribute important methodological additions to a burgeoning literature on the effects of ostracism on drinking, and suggest that ostracism may be a valuable addition to studies examining drinking to cope behaviors.
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Affiliation(s)
- Amy K. Bacon
- Corresponding author at: Department of Psychology, Bradley University, 1501 W. Bradley Ave., Peoria, IL, USA.
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The Use of Smartphones as a Digital Security Blanket: The Influence of Phone Use and Availability on Psychological and Physiological Responses to Social Exclusion. Psychosom Med 2018. [PMID: 29521885 DOI: 10.1097/psy.0000000000000568] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Mobile phones are increasingly becoming a part of the social environment, and when individuals feels excluded during a socially stressful situation, they often retreat to the comfort of their phone to ameliorate the negativity. This study tests whether smartphone presence does, in fact, alter psychological and physiological responses to social stress. METHODS Participants (N = 148, 84% female, mean age = 20.4) were subjected to a peer, social-exclusion stressor. Before exclusion, participants were randomized to one of the following three conditions: (1) phone-present with use encouraged, (2) phone-present with use restricted, or (3) no phone access. Saliva samples and self-report data were collected throughout the study to assess salivary alpha amylase (sAA), cortisol, and feelings of exclusion. RESULTS Participants in both phone-present conditions reported lower feelings of exclusion compared with individuals who had no access to their phone (F(2,143) = 5.49, p = .005). Multilevel modeling of sAA responses revealed that the individuals in the restricted-phone condition had a significantly different quadratic trajectory after the stressor compared with the phone use (υ = -0.12, z = -2.15, p = .032), and no-phone conditions (υ = -0.14, z = -2.64, p = .008). Specifically, those in the restricted-phone condition showed a decrease in sAA after exclusion, those in the no-phone condition showed a gradual increase, and phone users exhibited little change. Cortisol responses to the stressor did not vary by condition. CONCLUSIONS Taken together, these results suggest that the mere presence of a phone (and not necessarily phone use) can buffer against the negative experience and effects of social exclusion.
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McDonald K, Newby-Clark IR, Walker J, Henselwood K. It is written all over your face: Socially rejected people display microexpressions that are detectable after training in the Micro Expression Training Tool (METT). EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2017. [DOI: 10.1002/ejsp.2301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Ford MB. A Nuanced View of the Benefits of Mindfulness: Self-Esteem as a Moderator of the Effects of Mindfulness on Responses to Social Rejection. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2017. [DOI: 10.1521/jscp.2017.36.9.739] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Power BT, Kiezebrink K, Allan JL, Campbell MK. Understanding perceived determinants of nurses' eating and physical activity behaviour: a theory-informed qualitative interview study. BMC OBESITY 2017; 4:18. [PMID: 28491327 PMCID: PMC5422972 DOI: 10.1186/s40608-017-0154-4] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Accepted: 04/13/2017] [Indexed: 11/10/2022]
Abstract
BACKGROUND Unhealthy eating and physical activity behaviours are common among nurses but little is known about determinants of eating and physical activity behaviour in this population. The present study used a theoretical framework which summarises the many possible determinants of different health behaviours (the Theoretical Domains Framework; TDF) to systematically explore the most salient determinants of unhealthy eating and physical activity behaviour in hospital-based nurses. METHODS Semi-structured qualitative interviews based on the TDF were conducted with nurses (n = 16) to explore factors that behavioural theories suggest may influence nurses' eating and physical activity behaviour. Important determinants of the target behaviours were identified using both inductive coding (of categories emerging from the data) and deductive coding (of categories derived from the TDF) of the qualitative data. RESULTS Thirteen of the fourteen domains in the TDF were found to influence nurses' eating and physical activity behaviour. Within these domains, important barriers to engaging in healthy eating and physical activity behaviour were shift work, fatigue, stress, beliefs about negative consequences, the behaviours of family and friends and lack of planning. Important factors reported to enable engagement with healthy eating and physical activity behaviours were beliefs about benefits, the use of self-monitoring strategies, support from work colleagues, confidence, shift work, awareness of useful guidelines and strategies, good mood, future holidays and receiving compliments. CONCLUSIONS This study used a theory-informed approach by applying the TDF to identify the key perceived determinants of nurses' eating and physical activity behaviour. The findings suggest that future efforts to change nurses' eating and physical activity behaviours should consider targeting a broad range of environmental, interpersonal and intrapersonal level factors, consistent with a socio-ecological perspective.
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Affiliation(s)
- Brian T. Power
- School of Life and Medical Sciences, University of Hertfordshire, Hatfield, AL10 9AB UK
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
- Health Psychology, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, AB25 2ZD UK
| | - Kirsty Kiezebrink
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - Julia L. Allan
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
- Health Psychology, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, AB25 2ZD UK
| | - Marion K. Campbell
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
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Gerber J, Wheeler L. On Being Rejected: A Meta-Analysis of Experimental Research on Rejection. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2017; 4:468-88. [DOI: 10.1111/j.1745-6924.2009.01158.x] [Citation(s) in RCA: 273] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This article presents the first meta-analysis of experimental research on rejection, sampling 88 studies. The results are consistent with a needs account, which states that rejection frustrates basic psychological needs, but not with a numbness account, which states that rejection causes physical and emotional numbness. Rejection moderately lowers mood (d = −0.50) and self-esteem (d = −0.70), but does not decrease arousal or flatten affect. Both belonging (d = 0.69) and control (d = 1.16) are frustrated by rejection. Aggressive responses to rejection, considered paradoxical by some, appear to be due to attempts to gain control; measures that contrast belonging and control (d = −1.17) cause antisocial responding, whereas measures that do not allow for control to be restored cause prosocial responding (d = 1.21). These findings suggest that rejection makes individuals feel bad—ready to act to restore control or belonging—and that they will prioritize restoring control even if it requires being antisocial.
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Sleegers WW, Proulx T, van Beest I. The social pain of Cyberball: Decreased pupillary reactivity to exclusion cues. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2017. [DOI: 10.1016/j.jesp.2016.08.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rajchert J, Winiewski M. Strength of Excitation Is Negatively Associated with Aggressive Behavior after Interpersonal Rejection. Front Psychol 2017; 8:296. [PMID: 28293212 PMCID: PMC5328967 DOI: 10.3389/fpsyg.2017.00296] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 02/16/2017] [Indexed: 11/29/2022] Open
Abstract
This study explored how the Pavlovian temperamental traits strength of excitation (SE) and strength of inhibition (SI) were related to rejection and aggression. We predicted that rejection would increase aggression, but that higher SE and SI would mitigate this effect. Participants (n = 117) completed Strelau and Zawadzki's (1998) Pavlovian Temperament Survey. A week later they were told that a peer wanted (acceptance) or did not want (rejection) to work with them and they were given a chance to react aggressively by damaging that person's chance of getting a job. We found that only high SE was negatively related to rejected individuals' aggression. The results are related to the diathesis-stress and catalyst models' accounts of the role of temperament in shaping experience of social stress.
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Affiliation(s)
- Joanna Rajchert
- Institute of Psychology, The Maria Grzegorzewska UniversityWarsaw, Poland
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Sex differences in biological response to peer rejection and performance challenge across development: A pilot study. Physiol Behav 2017; 169:224-233. [DOI: 10.1016/j.physbeh.2016.12.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 11/23/2016] [Accepted: 12/02/2016] [Indexed: 01/20/2023]
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Abstract
Stress, whether daily stress, work stress or traumatic stress, is unhealthy. This lecture covers three recent theoretical approaches in explaining the mechanisms underlying the influence of psychological stress on somatic health. It is argued that stress research should focus less on stressors themselves and put more emphasis on prolonged stress responses. Three mechanisms are identified that cause this unhealthy prolonged stress response: first, the partly-proven mechanism of perseverative cognition; second, the mechanism of unconscious stress, which is currently being explored; and third, the notion of the stress response being a default response that is inhibited only when safety is perceived. All three mechanisms are deeply rooted in millions of years of our evolution. Although the dangers of the past have virtually disappeared, many of us remain ever at the ready for events that never happen.
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Affiliation(s)
- Jos F Brosschot
- Institute of Psychology, Health, Medical and Neuropsychology Unit, Leiden University, RB Leiden, The Netherlands
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Cackowski S, Krause-Utz A, Van Eijk J, Klohr K, Daffner S, Sobanski E, Ende G. Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder - does stress matter? Borderline Personal Disord Emot Dysregul 2017; 4:6. [PMID: 28331620 PMCID: PMC5356413 DOI: 10.1186/s40479-017-0057-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Accepted: 03/10/2017] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND The impact of stress on anger and aggression in Borderline Personality Disorder (BPD) and Attention Deficit Hyperactivity Disorder (ADHD) has not been thoroughly investigated. The goal of this study was to investigate different aspects of anger and aggression in patients with these disorders. METHODS Twenty-nine unmedicated female BPD patients, 28 ADHD patients and 30 healthy controls (HC) completed self-reports measuring trait anger, aggression and emotion regulation capacities. A modified version of the Point Subtraction Aggression Paradigm and a state anger measurement were applied under resting and stress conditions. Stress was induced by the Mannheim Multicomponent Stress Test (MMST). RESULTS Both patient groups scored significantly higher on all self-report measures compared to HCs. Compared to ADHD patients, BPD patients reported higher trait aggression and hostility, a stronger tendency to express anger when provoked and to direct anger inwardly. Furthermore, BPD patients exhibited higher state anger than HCs and ADHD patients under both conditions and showed a stress-dependent anger increase. At the behavioral level, no significant effects were found. In BPD patients, aggression and anger were positively correlated with emotion regulation deficits. CONCLUSIONS Our findings suggest a significant impact of stress on self-perceived state anger in BPD patients but not on aggressive behavior towards others in females with BPD or ADHD. However, it appears to be pronounced inwardly directed anger which is of clinical importance in BPD patients.
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Affiliation(s)
- Sylvia Cackowski
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim/Heidelberg University, J5, D-68159 Mannheim, Germany
| | - Annegret Krause-Utz
- Department of Clinical Psychology, Faculty of Social and Behavioural Science, Leiden University, Leiden, The Netherlands
| | - Julia Van Eijk
- Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
| | - Katrin Klohr
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim/Heidelberg University, J5, D-68159 Mannheim, Germany
| | - Stephanie Daffner
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim/Heidelberg University, J5, D-68159 Mannheim, Germany
| | - Esther Sobanski
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
| | - Gabriele Ende
- Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
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Helpman L, Penso J, Zagoory-Sharon O, Feldman R, Gilboa-Schechtman E. Endocrine and emotional response to exclusion among women and men; cortisol, salivary alpha amylase, and mood. ANXIETY STRESS AND COPING 2016; 30:253-263. [PMID: 27925794 DOI: 10.1080/10615806.2016.1269323] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND OBJECTIVES Social exclusion is ubiquitous and painful. Evolutionary models indicate sex differences in coping with social stress. Recent empirical data suggest different sex patterns in hypothalamic-pituitary-adrenal (HPA) and sympathetic-adrenal-medullary (SAM) reactivity. The present study sought to test this hypothesis. DESIGN We examined differences in endocrine and emotional response to exclusion by using a virtual ball tossing paradigm (Cyberball). Saliva samples and mood ratings were collected to reflect levels before, and repeatedly following, exclusion. METHODS The sample included 21 women and 23 men. Cortisol and salivary alpha amylase (sAA), biomarkers of the HPA and SAM systems, respectively, were used as indices of two arms of stress response. RESULTS Following exclusion, all participants experienced mood worsening followed by mood improvement, with men reporting less distress than women. Women evinced decline in cortisol following the Cyberball task, whereas men's cortisol levels showed a non-significant rise, and then decline, following exclusion. CONCLUSIONS Our results concur with previous findings showing SAM reactivity to be gender-neutral and HPA reactivity to be gender-divergent. Additional studies are needed to examine sex-specific response to social exclusion. Implications for individual differences in recovery from stress are discussed.
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Affiliation(s)
- Liat Helpman
- a Columbia University Psychiatry , New York , NY , USA.,b New York State Psychiatric Institute , New York , NY , USA
| | - Julia Penso
- c Bar Ilan University , Ramat Gan , Israel.,d Sami Shamoon College of Engineering , Ashdod , Israel
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Wirth JH, Bernstein MJ, LeRoy AS. Atimia: A New Paradigm for Investigating How Individuals Feel When Ostracizing Others. The Journal of Social Psychology 2016; 155:497-514. [PMID: 26267130 DOI: 10.1080/00224545.2015.1060934] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
To date, researchers studying ostracism (being excluded and ignored) focused on examining the consequences of ostracism. However, researchers have not yet systematically investigated why individuals ostracize others. One impediment to this research is lacking multiple means to successfully induce individuals to be sources, those who ostracize others. Using Cyberball, researchers found participants ostracized a player delaying the game. To aid in systematic research on sources, we developed the game Atimia. In Atimia, players took turns solving remote associate word items and we varied the performance of a computer-controlled player to perform equal to or significantly worse than the group. Without prompting, participants ostracized a poor- versus equal-performing player more and found the poor-performing player burdensome, less likable, and less desirable to work with on a future task. Study outcomes suggest Atimia is a viable paradigm for investigating sources of ostracism.
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Allen AP, Kennedy PJ, Dockray S, Cryan JF, Dinan TG, Clarke G. The Trier Social Stress Test: Principles and practice. Neurobiol Stress 2016; 6:113-126. [PMID: 28229114 PMCID: PMC5314443 DOI: 10.1016/j.ynstr.2016.11.001] [Citation(s) in RCA: 240] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Revised: 11/03/2016] [Accepted: 11/07/2016] [Indexed: 12/19/2022] Open
Abstract
Researchers interested in the neurobiology of the acute stress response in humans require a valid and reliable acute stressor that can be used under experimental conditions. The Trier Social Stress Test (TSST) provides such a testing platform. It induces stress by requiring participants to make an interview-style presentation, followed by a surprise mental arithmetic test, in front of an interview panel who do not provide feedback or encouragement. In this review, we outline the methodology of the TSST, and discuss key findings under conditions of health and stress-related disorder. The TSST has unveiled differences in males and females, as well as different age groups, in their neurobiological response to acute stress. The TSST has also deepened our understanding of how genotype may moderate the cognitive neurobiology of acute stress, and exciting new inroads have been made in understanding epigenetic contributions to the biological regulation of the acute stress response using the TSST. A number of innovative adaptations have been developed which allow for the TSST to be used in group settings, with children, in combination with brain imaging, and with virtual committees. Future applications may incorporate the emerging links between the gut microbiome and the stress response. Future research should also maximise use of behavioural data generated by the TSST. Alternative acute stress paradigms may have utility over the TSST in certain situations, such as those that require repeat testing. Nonetheless, we expect that the TSST remains the gold standard for examining the cognitive neurobiology of acute stress in humans. The TSST is the human experimental gold standard for evaluating the neurobiology of acute stress. The HPA axis response to the TSST is higher in males and lower in older adults. Genotype and epigenetic factors moderate the neurobiological response to the TSST. Multiple adaptations of the TSST are available for different testing contexts.
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Affiliation(s)
- Andrew P Allen
- APC Microbiome Institute, Biosciences Building, University College Cork, Cork, Ireland; Department of Psychiatry & Neurobehavioural Science, University College Cork, Cork, Ireland
| | - Paul J Kennedy
- APC Microbiome Institute, Biosciences Building, University College Cork, Cork, Ireland; Department of Psychiatry & Neurobehavioural Science, University College Cork, Cork, Ireland
| | - Samantha Dockray
- School of Applied Psychology, Enterprise Centre, University College Cork, North Mall, Cork, Ireland
| | - John F Cryan
- APC Microbiome Institute, Biosciences Building, University College Cork, Cork, Ireland; Department of Anatomy & Neuroscience, Western Gateway Building, University College Cork, Cork, Ireland
| | - Timothy G Dinan
- APC Microbiome Institute, Biosciences Building, University College Cork, Cork, Ireland; Department of Psychiatry & Neurobehavioural Science, University College Cork, Cork, Ireland
| | - Gerard Clarke
- APC Microbiome Institute, Biosciences Building, University College Cork, Cork, Ireland; Department of Psychiatry & Neurobehavioural Science, University College Cork, Cork, Ireland
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Blumenthal H, Ham LS, Cloutier RM, Bacon AK, Douglas ME. Social anxiety, disengagement coping, and alcohol-use behaviors among adolescents. ANXIETY, STRESS, AND COPING 2016; 29:432-46. [PMID: 26235528 PMCID: PMC4751071 DOI: 10.1080/10615806.2015.1058366] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND AND OBJECTIVES Although research indicates that social anxiety (SA) is associated with problematic drinking, few studies have examined these relations among adolescents, and all alcohol-related assessments have been retrospective. Socially anxious youth may be at risk to drink in an effort to manage negative affectivity, and a proclivity toward disengagement coping (e.g. avoidance of aversive stimuli) may enhance the desire to drink and learning of coping-related use. DESIGN Adding to research addressing adolescent SA and alcohol use, the current study examined (1) proportional drinking motives (subscale scores divided by the sum of all subscales), (2) current desire to drink in a socially relevant environment (introduction to research laboratory), and (3) the indirect effect of retrospectively reported disengagement in social stress contexts on proportional coping motives and desire to drink. METHOD Participants were 70 community-recruited adolescents who reported recent alcohol use. Level of SA, disengagement coping, drinking motives, and desire to drink following laboratory introduction were assessed. RESULTS Proclivity toward disengagement in prior socially stressful contexts accounted for significant variance in the positive relations between SA and both proportional coping motives and current desire to drink. CONCLUSIONS These data complement existing work. Continued efforts in building developmentally sensitive models of alcohol use are needed.
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Affiliation(s)
- Heidemarie Blumenthal
- Department of Psychology, University of North Texas, Denton, USA, 1155 Union Circle #311280, Denton TX 76201
| | - Lindsay S. Ham
- Department of Psychological Science, University of Arkansas, Fayetteville, USA, 216 Memorial Hall, Fayetteville AR 72701
| | - Renee M. Cloutier
- Department of Psychology, University of North Texas, Denton, USA, 1155 Union Circle #311280, Denton TX 76201
| | - Amy K. Bacon
- Department of Psychology, Bradley University, Peoria, USA, 1501 W. Bradley Ave, Peoria IL 61625
| | - Megan E. Douglas
- Department of Psychology, University of North Texas, Denton, USA, 1155 Union Circle #311280, Denton TX 76201
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Taylor CJ. "Relational by Nature"? Men and Women Do Not Differ in Physiological Response to Social Stressors Faced by Token Women. AJS; AMERICAN JOURNAL OF SOCIOLOGY 2016; 122:49-89. [PMID: 29873457 DOI: 10.1086/686698] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Women in male-dominated occupations report negative workplace social climates, whereas most men in female-dominated occupations report positive workplace social climates. Using a laboratory experiment mimicking the negative workplace social climates experienced by these token women, the author examines whether women are more sensitive to negative workplace social climates than men are or if, instead, men and women react similarly. Using salivary cortisol, the author finds that token men and token women are equally likely to exhibit a physiological stress response to social exclusion on the basis of gender. A second experiment shows that token men and token women who are socially included do not exhibit physiological stress response. Findings imply that(1) social exclusion on the basis of gender may be associated with physiological stress response and consequent negative health outcomes and (2) combined social-structural and social-interactional components of token women's workplace climates would be stressors to both men and women workers.
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