Sex differences in self-disclosure: a meta-analysis

Individual difference factors that predict evaluations and acceptance of authorized concealment for the reduction of nocebo side effects

OBJECTIVES

Authorized concealment is a shared decision-making technique in which a clinician asks a patient if they would prefer not to be informed about all possible treatment side effects, so as to minimize nocebo effects. The present research assessed individual difference variables that predict evaluations and receptivity of authorized concealment.

METHODS

A demographically diverse national community US sample of 1012 adults (ages ranging from 18 to 94; M=43.2) learned about nocebo effects and then evaluated and estimated their likelihood of consenting to four possible methods of authorized concealment. A range of self-reported psychological, health, and demographic variables were tested as predictor variables.

RESULTS

The strongest and most reliable outcomes were that greater trust in doctors and a greater desire to avoid side effect knowledge predicted positive evaluations of authorized concealment and estimated personal use of authorized concealment. There was some evidence that women, those of older age, reporting better health, and using medicine more regularly, had a more positive response to authorized concealment, but these effects were dependent upon the specific method of authorized concealment described.

CONCLUSIONS

Individual difference variables can predict openness to authorized concealment.

PRACTICE IMPLICATIONS

This knowledge may benefit clinicians who consider employing this shared decision-making technique with patients.

An Automated Online Measure for Misophonia: The Sussex Misophonia Scale for Adults

Misophonia is a sound sensitivity disorder characterized by a strong aversion to specific sounds (e.g., chewing). Here we present the Sussex Misophonia Scale for Adults (SMS-Adult), within an online open-access portal, with automated scoring and results that can be shared ethically with users and professionals. Receiver operator characteristics show our questionnaire to be "excellent" and "good-to-excellent" at classifying misophonia, both when dividing our n = 501 adult participants by recruitment stream (self-declared misophonics vs. general population), and again when dividing them with by a prior measure of misophonia (as misophonics vs. non-misophonics). Factor analyses identified a five-factor structure in our 39 Likert-type items, and these were Feelings/Isolation, Life consequences, Intersocial reactivity, Avoidance/Repulsion, and Pain. Our measure also elicits misophonia triggers, each rated for their commonness in misophonia. We offer our open-access online tool for wider use (www.misophonia-hub.org), embedded within a well-stocked library of resources for misophonics, researchers, and clinicians.

"Male athletes play well to feel good, and female athletes feel good to play well": Attitudes, beliefs, and practices pertaining to perceived sex-related differences in communication and interpersonal approach of strength and conditioning coaches in international women's rugby union

Effective communication and rapport building with athletes are key tenets of coaching. As the majority of empirical evidence to date has adopted an androcentric view of strength and conditioning, a potential knowledge gap exists regarding sex-related differences in physical preparation and coaching approaches. Therefore, this study explored the attitudes, beliefs and practices of strength and conditioning coaches (n = 8; M/F, 6/2) in elite level (international) women's rugby union using semi-structured interviews (mean ±standard deviation duration 59 ± 15 min). The interviews explored differences in coaching practices for elite female rugby players compared to males, with a specific focus on the interpersonal aspects of the athlete-coach relationship. Reflexive thematic analysis was used to generate a rich qualitative dataset. The analysis resulted in the identification of higher order themes: athlete engagement, and interpersonal approach. The coaches in this study consistently perceived important differences between male and female players in factors related to engagement and interpersonal approach. Coaches adopted differing coaching practices for male and female athletes. This study provides important contextual evidence for the understanding of differences in the interpersonal relationships of female rugby players compared to male athletes from the perspective of elite-level strength coaches.

Are many sex/gender differences really power differences?

This research addresses the long-standing debate about the determinants of sex/gender differences. Evolutionary theorists trace many sex/gender differences back to natural selection and sex-specific adaptations. Sociocultural and biosocial theorists, in contrast, emphasize how societal roles and social power contribute to sex/gender differences beyond any biological distinctions. By connecting two empirical advances over the past two decades-6-fold increases in sex/gender difference meta-analyses and in experiments conducted on the psychological effects of power-the current research offers a novel empirical examination of whether power differences play an explanatory role in sex/gender differences. Our analyses assessed whether experimental manipulations of power and sex/gender differences produce similar psychological and behavioral effects. We first identified 59 findings from published experiments on power. We then conducted a P-curve of the experimental power literature and established that it contained evidential value. We next subsumed these effects of power into 11 broad categories and compared them to 102 similar meta-analytic sex/gender differences. We found that high-power individuals and men generally display higher agency, lower communion, more positive self-evaluations, and similar cognitive processes. Overall, 71% (72/102) of the sex/gender differences were consistent with the effects of experimental power differences, whereas only 8% (8/102) were opposite, representing a 9:1 ratio of consistent-to-inconsistent effects. We also tested for discriminant validity by analyzing whether power corresponds more strongly to sex/gender differences than extraversion: although extraversion correlates with power, it has different relationships with sex/gender differences. These results offer novel evidence that many sex/gender differences may be explained, in part, by power differences.

The Relationship Between Self-Esteem and Mobile Phone Addiction Among Mainland Chinese Adolescents: A Meta-Analysis

In recent years, the problem of mobile phone addiction (MPA) has become increasingly serious among mainland Chinese adolescents. Studies have found that self-esteem may be related to MPA, but the conclusions are inconsistent. Consequently, this meta-analysis aims to explore the real relationship between self-esteem and MPA, and analyze the moderator variables. The relevant studies used in meta-analysis were obtained by searching China National Knowledge Infrastructure (CNKI), Wan Fang Data, Chongqing VIP Information Co., Ltd. (VIP), PubMed, Web of Science, Scopus, Medline and Embase. Then articles were screened and coded, and statistical analysis was carried out by Stata 16.0 software. A total of 45,765 participants from 64 articles were included in the research. Meta-analysis showed that there was a moderate negative correlation between self-esteem and MPA(r = -.25, 95%CI = -.29, -.21). Subgroup analysis and meta-regression analysis showed that the age and publication time can significantly moderate the relationship between self-esteem and MPA, but MPA measurement instrument, gender, region and publication type have no significant moderating effect. The current meta-analysis provided solid evidence that self-esteem was negatively correlated with MPA. Longitudinal studies are needed to clarify the causality between them, so as to make more specific practice and policy recommendations.

Shared Hearts and Minds: Physiological Synchrony During Empathy

Empathy is a multidimensional construct that includes changes in cognitive, affective, and physiological processes. However, the physiological processes that contribute to empathic responding have received far less empirical attention. Here, we investigated whether physiological synchrony emerged during an empathy-inducing activity in which individuals disclosed a time of suffering while their romantic partner listened and responded (N = 111 couples). Further, we examined the extent to which trait and state measures of cognitive and affective empathy were associated with each other and with physiological synchrony during this activity. We found evidence for physiological synchrony in skin conductance reactivity and also in interbeat interval reactivity, though only when disclosers were women, but not for respiratory sinus arrhythmia reactivity. Physiological synchrony was not consistently associated with other well-established trait and state measures of empathy. These findings identify the nuanced role of physiological synchrony in empathic responding to others' suffering.

Supplementary Information

The online version contains supplementary material available at 10.1007/s42761-023-00210-4.

Privacy Concerns in Group Format Lifestyle Interventions for Obesity

BACKGROUND

Group format weight loss interventions have benefits over individual format, but privacy concerns may limit their uptake.

METHOD

In this study, adults with obesity and interest in losing weight were recruited nationally online and randomly assigned to view one of eight videos describing a hypothetical, group behavioral weight loss intervention. Based on three fully crossed factors, the videos varied on privacy features of intervention (present or not); matching participants to group based on weight loss barriers (matched or not); and intervention format (online or in-person). Participants rated their willingness to join, privacy concerns, and perceived effectiveness of these interventions. They further reported preference for individual or group format interventions and reason for preferences.

RESULTS

Description of privacy features, matching of participants, and format did not affect willingness to join, privacy concerns, or perceived effectiveness of the intervention. Privacy concerns were associated with lower willingness to join and lower perceived intervention effectiveness, and greater social anxiety and weight stigma. More participants preferred individual over group format (40.1% vs 33.9%; 26% selected neither) and preference for individual format was associated with greater privacy concerns.

CONCLUSION

Strategies to address privacy concerns in group-based interventions warrant further attention.

How Conversational Goals Predict Sexual Self-Disclosure Decisions

Communicating verbally about sexual topics is one aspect of sexual communication, and romantic partners have to choose whether to disclose sexual information. The present study used conversational goals - what one hopes to accomplish in the conversation - to examine how people decide whether or not to engage in sexual self-disclosure. In an online survey, romantically involved participants (n = 428) provided data on four conversational goals (instrumental, impression management, identity, and relational), disclosure efficacy, disclosure anxiety, and likelihood to sexually self-disclose. Mediation model results indicated that the instrumental goal was directly associated with greater likelihood to disclose while the impression management goal was directly associated with less likelihood to disclose. The instrumental, impression management, and relational goals were indirectly connected with the likelihood to sexually self-disclose as mediated by disclosure efficacy and anxiety. The results highlight the importance of considering conversational goals perspectives when studying communication about taboo topics. Implications for future research are discussed.

Couple communication quality and family resilience among Chinese gynecologic cancer patients and their spouses: a dyadic study

PURPOSE

The purpose of this study was to explore the couple communication process for gynecologic cancer (GC) patients and their spouses. Particular attention was given to examining the relationship between couple communication quality and family resilience for GC dyads.

METHODS

In this cross-sectional study, 354 dyads were recruited from a gynecology ward of a public hospital in China. The patients and their spouses completed the Couples' Communication Quality Scale and the Family Hardiness Index. This study used the actor-partner interdependence model (APIM) to examine the effect of couple communication quality on family resilience in distinguishable GC dyads.

RESULTS

Both GC patients and their spouses reported a moderate level of couple communication quality and family resilience, but spouses reported better couple communication and family resilience than patients. With the exception of perceived response, for which only a patient actor effect was observed, the factors of couple communication quality had significant actor effects on family resilience for both patients and spouses. Additionally, four significant partner effects were found: spouse self-disclosure, stress coping, and productive action positively predicted patients' family resilience, while patient normalcy crafting positively predicted spouses' family resilience.

CONCLUSION

This study not only highlights the need for couple-based communication strategies for developing family resilience but also identifies differences in the experiences of patients and their partners, which provides a direction for future intervention research. Through the development of interventions at a dyadic level, spouses can be encouraged to actively engage in communication, which may promote mutual family resilience in a larger sense.

Better Data from AI Users: A Field Experiment on the Impacts of Robot Self-Disclosure on the Utterance of Child Users in Home Environment

Data are one of the important factors in artificial intelligence (AI). Moreover, in order for AI to understand the user and go beyond the role of a simple machine, the data contained in the user's self-disclosure is required. In this study, two types of robot self-disclosures (disclosing robot utterance, involving user utterance) are proposed to elicit higher self-disclosure from AI users. Additionally, this study examines the moderating effects of multi-robot conditions. In order to investigate these effects empirically and increase the implications of research, a field experiment with prototypes was conducted in the context of using smart speaker of children. The results indicate that both types of robot self-disclosures were effective in eliciting the self-disclosure of children. The interaction effect between disclosing robot and involving user was found to take a different direction depending on the sub-dimension of the user's self-disclosure. Multi-robot conditions partially moderate the effects of the two types of robot self-disclosures.

Autistic traits, emotion regulation, and sensory sensitivities in children and adults with Misophonia

Misophonia is an unusually strong aversion to everyday sounds such as chewing, crunching, or breathing. Previous studies have suggested that rates of autism might be elevated in misophonia, and here we examine this claim in detail. We present a comprehensive review of the relevant literature, and two empirical studies examining children and adults with misophonia. We tested 142 children and 379 adults for traits associated with autism (i.e., attention-to-detail, attention-switching, social processing, communication, imagination, emotion regulation, and sensory sensitivity across multiple domains). Our data show that autistic traits are indeed elevated in misophonics compared to controls. We discuss our findings in relation to models of the interface between autism, sensory sensitivities, and the specific features of misophonia.

Subtitled speech: Phenomenology of tickertape synesthesia

With effort, most literate persons can conjure more or less vague visual mental images of the written form of words they are hearing, an ability afforded by the links between sounds, meaning, and letters. However, as first reported by Francis Galton, persons with ticker-tape synesthesia (TTS) automatically perceive in their mind's eye accurate and vivid images of the written form of all utterances which they are hearing. We propose that TTS results from an atypical setup of the brain reading system, with an increased top-down influence of phonology on orthography. As a first descriptive step towards a deeper understanding of TTS, we identified 26 persons with TTS. Participants had to answer to a questionnaire aiming to describe the phenomenology of TTS along multiple dimensions, including visual and temporal features, triggering stimuli, voluntary control, interference with language processing, etc. We also assessed the synesthetic percepts elicited experimentally by auditory stimuli such as non-speech sounds, pseudowords, and words with various types of correspondence between sounds and letters. We discuss the potential cerebral substrates of those features, argue that TTS may provide a unique window in the mechanisms of written language processing and acquisition, and propose an agenda for future research.

A Collector Deceives-About the Ways of Deceiving Women by Men and Men by Women as far as Spending Money on Collecting Items Is Concerned

The presented research shows that neither women nor men are honest with their partners when informing them about the amount of money spent on collecting items. Their behaviour may show signs of addiction to collecting. Men in comparison to women spend more and are less likely to lower the amounts of money spent on collected items. Those who earn more spend more on their collections. Women and men also use different techniques of hiding their expenses. Women do not inform about their expenses using denying techniques (such as saying that it was bought/borrowed a long time ago, etc.), whereas men inform about expenses but use preventive techniques (such as exchange). What is more, men tend to use a technique of lowering real costs "by a given amount", whilst women use a technique "up to a given amount"; that is, they inform that they did not spend more than a given amount. In addition, the partners of collectors are aware that they are being cheated. On the other hand, collectors see the motivation for their lies in the misunderstanding of the hobby by their partners.

Lawyers' experience questioning children in Canadian court

BACKGROUND

International research has explored lawyer-child interactions in court; however, little focus has been spent examining other aspects of lawyers' interactions with children (e.g., interview preparation; building rapport).

OBJECTIVE

The present study investigated lawyer's self-reported interactions with child witnesses.

PARTICIPANTS AND SETTING

Participants included 96 lawyers (M_age = 40.34, SD = 11.07; 52 % female) practicing in Canada with experience questioning child witnesses (under 18 years old).

METHODS

A survey was used to gather self-reported data on how lawyers prepare for, question, and respond to children as witnesses in court. We then explored whether these strategies differed depending on the role of the Canadian lawyer (i.e., prosecution or defence), experience, or gender.

RESULTS

Results indicate that lawyers report and demonstrate knowledge consistent with current best practices in questioning children. While gender and experience did not appear to play a strong role in lawyer-child interactions, prosecutors reported behavior more consistent with best practices compared to defence lawyers.

CONCLUSIONS

These findings provide important insight into strengths and weaknesses of lawyer-child interactions in court as well as highlight a strong need for future research to examine the link between self-reported behavior (i.e., perceived behavior) with observable behavior (i.e., actual behavior) in lawyer-child interactions.

Linguistic Variation in Iranian University Student Graffiti: Examining the Role of Gender

Research on the discursive features of graffiti in institutional settings is in its infancy and few studies have investigated the phenomenon and its implications in educational contexts. In this paper, we report on a study in which we employed systemic functional linguistics (Halliday in Learning how to mean, Edward Arnold, 1975). to probe communicative functions and gender differences in Iranian university student graffiti that appeared in all-male and all-female locations. The data comprised authentic instances of graffiti generated by students, analysis of which suggests that male and female university students each have their own distinctive motives for using graffiti, as realised in significant differences observed in the context-specific functions they perform. Graffiti pieces represented a distinctive and meaningful way of communicating, and its most salient features were creativity, simplicity and variation. Indications are that university students' graffiti reflects psychological and social challenges, and the thoughts, attitudes and feelings expressed through it serve students' personal and interactional purposes.

Exploring the Psychological Impacts of COVID-19 Social Restrictions on International University Students: A Qualitative Study

The global COVID-19 pandemic has impacted on the mental well-being of university students, but little attention has been given to international students, who may have a unique experience and perspective. The aim of this study was to explore the views of international students and university staff towards COVID-19 restrictions, self-isolation, their well-being, and support needs, through eight online focus groups with international students (n = 29) and semi-structured interviews with university staff (n = 17) at a higher education institution in England. Data were analysed using an inductive thematic approach, revealing three key themes and six subthemes: (1) practical, academic, and psychological challenges faced during self-isolation and the COVID-19 pandemic; (2) coping strategies to self-isolation and life during the pandemic; and (3) views on further support needed for international students. International students faced practical, academic, and psychological challenges during the COVID-19 pandemic, particularly relating to the rapid transition to online learning and the impact of social restrictions on integration with peers and well-being. Online social connections with peers, family, or new acquaintances reduced feelings of isolation and encouraged involvement in university life. Despite raising mental health concerns, most international students did not access mental health support services. Staff related this to perceived stigma around mental health in certain cultural groups. In conclusion, international students experienced specific practical and emotional challenges during the pandemic, and are at risk of mental ill-health, but may not actively seek out support from university services. Proactive and personalised approaches to student support will be important for positive student experiences and the retention of students who are studying abroad in the UK higher education system.

Gender differences in the physiological effects of emotional regulation

Previous research has established that emotional regulation impacts our health; emotional expression is associated with a host of psychological and physiological benefits whereas emotional suppression has negative health consequences. Given that emotional-display rules restrict the range of emotion that men feel comfortable expressing, we hypothesized that gender might moderate the health outcomes associated with emotional regulation strategies. In a laboratory experiment, we instructed participants to either suppress or express their feelings in an interview with a researcher about a film they had watched. These participants provided saliva samples at four different points during the procedure for the later determination of cortisol. A Mixed Model ANOVA revealed that participant gender moderated the effect of emotional regulation strategy on cortisol. Contrary to the health consequences typically associated with emotional regulation strategies, men benefited more from emotional suppression than they did from emotional expression. These findings have important implications for future research and clinical work.

How Inclusion of Other in the Self Relates to Couple's Sexuality and Functioning - Results from the German Health and Sexuality Survey (GeSiD)

Closeness, in the sense of inclusion of other in the self, has been found to be an important factor for relationship well-being, satisfaction and pair-bonding. In the past ten years, the self-expansion theory has also been incorporated into sex research, although studies are still very scarce and not without limitations. The present research aimed at further elucidating the relevance of relational factors for couple's sexuality, and to clarify the role inclusion of other in the self plays for sexual satisfaction and sexual distress. A broadly representative sample of 3,046 men and women aged 18 to 75 was taken from the German Health and Sexuality Survey (GeSiD). Throughout analyses, inclusion of other in the self and love were positively related to sexual satisfaction. Furthermore, inclusion of other in the self was negatively related to how strongly someone was distressed by experiencing sexual problems. Closeness seems to have a compensatory role especially for women with sexual problems, protecting them from experiencing sexual distress. In future research, couple's sexual satisfaction should not be compartmentalized from relational aspects. Results clearly promote the Inclusion of Other in the Self Scale as an interesting tool for both research and treatment.

Attention, flexibility, and imagery in misophonia: Does attention exacerbate everyday disliking of sound?

INTRODUCTION

Misophonia is an unusually strong aversion to everyday sounds, such as chewing, crunching, or breathing. Here, we ask whether misophonia might be tied to an unusual profile of attention (and related traits), which serves to substantially heighten an otherwise everyday disliking of sounds.

METHODS

In Study 1, we tested 136 misophonics and 203 non-misophonics on self-report measures of attention to detail, cognitive inflexibility, and auditory imagery, as well as collecting details about their misophonia. In Study 2, we administered the Embedded Figures task to 20 misophonics and 36 non-misophonics.

RESULTS

We first showed that the degree to which sounds trigger misophonia reflects the pattern by which they are (more mildly) disliked by everyone. This suggests that misophonia is scaffolded onto existing mechanisms rather than qualitatively different ones. Compared to non-misophonics, we also found that misophonics self-reported greater attention to detail, cognitive inflexibility, and auditory imagery. As their symptoms worsen, they also become more accurate in an attentional task (Embedded Figures).

CONCLUSIONS

Our findings provide a better understanding of misophonia and support the hypothesis that dispositional traits of attention to detail may be key to elevating everyday disliking of sound into the more troubling aversions of misophonia.

A behavioral approach to sexual function: testing a moderation mediation model with expression of feelings, sexual self-disclosure and gender

Little is known about specific intimacy dimensions' role in sexual function. In the current study, we aimed to gain more insight into how expression of feelings and sexual self-disclosure (a mediator) might potentially affect sexual functioning testing a theoretically based moderated mediation model, that uses gender as a moderator. A total of 661 participants, of which 211 were men (31,90%) and 450 were women (68,10%) aged 18-74 years involved in a monogamous committed relationship participated in the study. We used macro PROCESS 3.2 for IBM - SPSS to test simple mediation and moderated mediation models. The data revealed a significant overall effect of expression of feelings on sexual function, supporting that sexual self-disclosure mediates this relationship. We found that gender does not moderate either the relationship between expression of feelings and sexual self-disclosure nor the trajectory between sexual self-disclosure and sexual function. Our results highlight the importance of taking an interpersonal behavioral approach to sexual function, namely one that focuses on communication behaviors. However, these results need to be explored with clinical samples to understand their full potential for clinical interventions within a behavioral paradigm to partnered people's sexual problems.

Visual responses of patients with generalized anxiety disorder who cycling in the virtual sportscapes with different tree cover densities

The tree density of virtual sportscape is the main factor that determines the benefits that generalized anxiety disorder (GAD) patients can obtain when they exercise with virtual environment. By using pupil size, fixation count and time as metrics, this research aimed to clarify the relationship between tree cover density and stress in the virtual environment. Ninety GAD patients were randomly grouped into the 36-60% tree density (high tree density, HTDS), 20-35% tree density (medium tree density, MTDS), or control groups (n = 30). Researchers used eye-tracking technology to analyze fixation time, fixation count and changes in pupil size to evaluate the stress changes of participants after 20 min of aerobic exercise in a virtual environment. The results showed that pupil size expanded in GAD patients after exercising in the virtual environment. Furthermore, GAD patient cycling in the MTDS group can show smaller pupil size than those in HTDS. Those results suggest that GAD patient cycling 20 min in the MTDS group can perceived lower stress. The results of eye tracking analysis showed that GAD patients spend more time and counts observing tree elements in HTDS and MTDS sportscapes. Specifically, they spent more 48% and 27% time on tree and green plants in the HTDS condition and MTDS condition, respectively, than in non-natural sportsscapes. Although 36-60% tree density of virtual natural sportscape can get more visual attention from GAD patients, 20-35% tree density of virtual natural sportscape is more capable of reducing their stress.

You Mean the World to Me: The Role of Residential Mobility in Centrality of Romantic Relationships

Integrating the suffocation model of marriage with research on residential mobility, the current studies examined for the first time whether long-term romantic relationships are more central for residentially mobile (vs. stable) individuals (total N across three studies = 5,366; age range = 18–95). In Study 1, individuals who moved away from their place of birth (vs. not) were more likely to first confide in their spouse over other network members on important matters. In Study 2, history of frequent residential moves was associated with greater importance ascribed to romantic partners in the attachment hierarchy. In Study 3, the slope of perceived partner responsiveness predicting eudaimonic well-being got steeper as residential mobility increased. By showing the role of residential mobility in romantic relationships, our findings highlight the importance of studying socioecological factors to gain a deeper understanding of how relationship processes unfold.

Are You Willing to Self-Disclose for Science? Effects of Privacy Awareness and Trust in Privacy on Self-Disclosure of Personal and Health Data in Online Scientific Studies-An Experimental Study

Digital interactions via the internet have become the norm rather than the exception in our global society. Concerns have been raised about human-centered privacy and the often unreflected self-disclosure behavior of internet users. This study on human-centered privacy follows two major aims: first, investigate the willingness of university students (as digital natives) to disclose private data and information about their person, social and academic life, their mental health as well as their health behavior habits, when taking part as a volunteer in a scientific online survey. Second, examine to what extent the participants' self-disclosure behavior can be modulated by experimental induction of privacy awareness (PA) or trust in privacy (TIP) or a combination of both (PA and TIP). In addition, the role of human factors such as personality traits, gender or mental health (e.g., self-reported depressive symptoms) on self-disclosure behavior was explored. Participants were randomly assigned to four experimental groups. In group A (n = 50, 7 males), privacy awareness (PA) was induced implicitly by the inclusion of privacy concern items. In group B (n = 43, 6 males), trust in privacy (TIP) was experimentally induced by buzzwords and by visual TIP primes promising safe data storage. Group C (n = 79, 12 males) received both, PA and TIP induction, while group D (n = 55, 9 males) served as control group. Participants had the choice to answer the survey items by agreeing to one of a number of possible answers including the options to refrain from self-disclosure by choosing the response options "don't know" or "no answer." Self-disclosure among participants was high irrespective of experimental group and irrespective of psychological domains of the information provided. The results of this study suggest that willingness of volunteers to self-disclose private data in a scientific online study cannot simply be overruled or changed by any of the chosen experimental privacy manipulations. The present results extend the previous literature on human-centered privacy and despite limitations can give important insights into self-disclosure behavior of young people and the privacy paradox.

To mention or not to mention? The inclusion of self-reported most traumatic and most positive memories in the life story

Many theories on Posttraumatic Stress Disorder (PTSD) make assumptions on the relationship between PTSD and centrality of traumas to the life story and identity. Although the Centrality of Event Scale (CES) is a popular measure of centrality of personally experienced events to the life story, no studies have examined whether self-rated "central" events are mentioned, when individuals recount their lives. It is also unknown if mentioning specific event types in the life story is related to psychological health or life story coherence. We asked 386 adults to write their life stories, nominate their most traumatic and positive events, rate these events on the CES, and complete measures of PTSD and depression. Two-thirds of the sample mentioned at least one event, with the positive event being mentioned twice as often as the trauma. Mentioned events were more central than non-mentioned events. Participants who mentioned their trauma scored higher on symptoms of PTSD and depression than participants who only mentioned their positive event, but did not write less coherent life stories. Further, death- and illness-related traumas were mentioned more often than accidents and disasters. Findings are discussed in relation to theories on trauma memory in PTSD.

The relation between young adults' trust beliefs in others and interpersonal hostility

The research examined whether, and if so how, young adults' trust beliefs in others were associated with interpersonal hostility. The participants in Study 1 were 139 young adults from the UK (76 women; Mage = 20.8). In Study 2, 88 young adult women from the UK (Mage = 21.5) served as participants. The participants completed a standardized measure of trust beliefs in others (total with reliability, honesty, and emotional subscales). In Study 1, participants imagined they were victims of peer provocation. They were required to judge the intention for the provocation and their retaliation to it. In Study 2, the participants were engaged in a lab-based acquaintanceship interaction that involved the exchange of disclosures. They completed an adjective checklist that assessed anger and evaluated the quality of the conversation. Trust beliefs were linearly and negatively associated with the attribution of hostile intentions, retaliation, anger toward others, and critical evaluation of a developing peer relationship. As expected though, quadratic relations were found. Young adults with very low and those with very high trust beliefs (primarily emotionally based) showed greater attribution of hostile intentions, retaliation, anger toward others, and critical evaluation of a developing peer relationship than did young adults with the middle range of trust beliefs. The linear relations supported the hypothesis that trust promotes psychosocial adjustment. The quadratic relations supported the deviation from the normative trust (centralist) approach primarily for emotional trust beliefs in others.

The effect of physician self-disclosure on patient self-disclosure and patient perceptions of the physician

OBJECTIVES

Physician self-disclosure is typically seen as patient-centered communication because it creates rapport and is seen as an expression of empathy. Given that many physician behaviors affect patients differently depending on whether they are shown by a female or male physician, we set out to test whether physician self-disclosure affects patients' intentions to self-disclose and patients' perceptions of their physicians depending on physicians' gender.

METHOD

Two hundred and forty-four participants were recruited and randomly assigned to read one of 4 vignettes as if they were the patient in the dialogue (analogue patient design). They were then asked to report how they would react to the physician and how they perceived the him or her.

RESULTS

Physicians who self-disclosed were perceived as more empathic than physicians who did not, regardless of physician and patient gender. Physician self-disclosure had an effect on the behavioral intentions of the analogue patients, and this was moderated by physician gender. Analogue patients indicated to be more willing to self-disclose to female than to male physicians who self-disclosed.

CONCLUSION

It is important to consider physician gender when training physicians in patient-centered communication because the same behavior can have different effects on patients depending on whether it originates from a female or a male physician.

PRACTICAL IMPLICATIONS

Physicians can use self-disclosure to express empathy. When female physicians do so, they might obtain more personal information from patients, which can positively affect diagnosis and treatment.

Taking Your Team Behind the Curtain: The Effects of Leader Feedback-Sharing and Feedback-Seeking on Team Psychological Safety

Although scholars have highlighted the benefits of psychological safety, relatively few studies have examined how leaders establish it. Whereas existing research points to the importance of seeking feedback, we draw on theories of self-disclosure, trust, and implicit voice to propose that leaders can also promote psychological safety by sharing feedback—openly discussing criticisms and suggestions they have already received about their own performance. In Study 1, naturally-occurring feedback-seeking and feedback-sharing by CEOs independently predicted board member ratings of top management team psychological safety. In Study 2, a longitudinal field experiment, randomly assigning leaders to share feedback had a positive effect on team psychological safety one year later, whereas assigning leaders to seek feedback did not. In Study 3, to explore the processes through which feedback-sharing had an enduring effect but feedback-seeking did not, we conducted qualitative interviews with participating leaders and employees two years later. We found that leaders initiated vulnerability through seeking feedback, but it dissolved due to defensiveness and inaction. In contrast, sharing feedback normalized and crystallized vulnerability as leaders made a public commitment to keep sharing and employees reciprocated, which opened the door for more actionable feedback, greater accountability, and ongoing practices that allowed psychological safety to endure. Our research suggests that to achieve enduring improvements in psychological safety, it may be particularly effective for leaders to share criticism they have received—and that doing so does not jeopardize their reputations as effective and competent.

Psychological Morbidity among University Students in Hong Kong (2014-2018): Psychometric Properties of the Depression Anxiety Stress Scales (DASS) and Related Correlates

Although mental health problems among Hong Kong university students are serious, there is a lack of studies examining the psychometric properties of related assessment scales and correlates. This study attempted to validate the Depression Anxiety Stress Scales (DASS) in Hong Kong university students and examine the demographic (gender), time (cohort), and well-being correlates (positive youth development attributes and life satisfaction) of psychological morbidity. Confirmatory factor analysis (CFA) was used to examine the factor structure of the DASS (n = 6704). Gender and cohort invariance were further established using a multigroup CFA. The three-factor model of the DASS showed a superior fit and factorial invariance across gender and five different cohorts. Regarding gender and cohort correlates of psychological morbidity, males exhibited more depression, anxiety, and stress symptoms than their female counterparts. The intensity of psychological distress also escalated after the Umbrella Movement in 2014. Furthermore, well-being measures (positive youth development and life satisfaction) were negatively associated with depression, anxiety, and stress. In short, the Chinese DASS demonstrated good psychometric properties. This study also showed that gender, cohort (occurrence of political events), and well-being were associated with psychological morbidity indexed by the DASS measures.

General Practice Patients' Readiness to be Treated With Brief Intervention to Reduce Alcohol Consumption: A Cross-Sectional Study With Between-Subject Design

AIMS

To treat excessive alcohol consumption, general practices (GPs) are recommended to use non-directive implementation strategies. Directive implementation, however, may be perceived by general practice patients as something positive because of possibly indicating higher GP engagement and a more consistent treatment. In our study, we aimed to assess the readiness of patients to be treated with BI in the hypothetical event of excessive alcohol consumption either by a GP using non-directive recommendations according to WHO or by a GP using directive instructions. Additionally, we assessed the patients' dispositional readiness to disclose alcohol-associated personal information, termed alcohol consumption self-disclosure, in order to analyze its influence on their readiness to be treated with brief intervention (BI).

METHODS

When consulting their GP, a convenience sample of general practice patients was asked by questionnaire. By means of a between-subject design, they were asked for the readiness to be treated either with non-directive BI or with directive BI. Repeated-measure ANCOVA was used to analyze the main- and interaction effects.

RESULTS

A sample of 442 general practice patients preferred the non-directive BI, F(1, 423) = 5.56, P < 0.05. We found moreover a two-way interaction between implementation and alcohol consumption self-disclosure, F(1, 423) = 18.89, P < 0.001, showing that only patients with low self-disclosure preferred the non-directive BI, t(428) = 3.99, P < 0.001.

CONCLUSIONS

Future research should investigate the reasons for the patients' preference for the non-directive BI and may develop strategies to overcome the possibly low readiness of general practice patients to be treated with BI.

Will you agree to treat a suicidal adolescent? A comparative study among mental health professionals

The effect of a therapist's personal and professional variables on their decision to treat or refer a suicidal adolescent was studied. 242 mental health professionals were randomly exposed to one of four case descriptions of an adolescent in crisis. The cases shared a common background story, however differed in suicidal condition (high vs. low) and gender. The questionnaires employed aimed to reflect the subject's evaluation of the patient's suicidal severity, countertransference, suicidal ideation, depression, professional competence, and seniority. Subjects were asked about their willingness to treat or likeliness to refer the case. Results indicate a lower willingness to treat and higher tendency to refer highly suicidal adolescents regardless of gender. Professional factors, countertransference, and trait-like suicide ideations positively contributed to willingness to accept the patient. Mental health professionals are unwilling to accept adolescents at risk for suicide for treatment. Nevertheless, professional factors contribute to the willingness to treat such adolescents, thereby underlining the importance of improving skills and tools with regard to the treatment of suicidal behavior. Acquaintance with a similar adolescent is a positive contributor for accepting a potentially suicidal adolescent patient to therapy.

The Role of Relational Entitlement, Self-Disclosure and Perceived Partner Responsiveness in Predicting Couple Satisfaction: A Daily-Diary Study

Recent research has investigated how the sense of relational entitlement (SRE, the extent to which a person expects that his/her needs and wishes will be fulfilled by the romantic partner) diminishes couple satisfaction, but little is known about how SRE affects the daily quality of close, romantic relationships. Moreover, the evidence on how SRE interacts with other features of a satisfying relationship (such as the variables of the interpersonal process model of relationships-self-disclosure, perceived partner disclosure, and perceived partner responsiveness) is scarce. Using an electronic daily diary, we examined 99 couples (198 participants) for 7 days, with two daily measurements for each partner. We used a dyadic double intercept multilevel model, which simultaneously computes effects for men and women. We tested a model where one partner's daily couple satisfaction was predicted by their overall levels of SRE (excessive, restricted, and assertive) and by their daily and overall levels of self-disclosure, perceived partner self-disclosure, and perceived partner responsiveness. The model also included person-level interactions and cross-level interactions between the SRE types and variables of the interpersonal process model of relationships for each gender. The analysis indicated that person-level excessive SRE lowers couple satisfaction. Also, day and person-level perceived partner responsiveness and person-level self-disclosure are related to couple satisfaction, but the latter association is significant only for men. Finally, we found some significant person-level interactions that account for changes in couple satisfaction. For men, the links between couple satisfaction, excessive and restricted SRE were moderated by self-disclosure and perceived partner responsiveness, respectively, perceived partner self-disclosure and perceived partner responsiveness. For women, the associations between couple satisfaction, restricted and assertive SRE were moderated by self-disclosure, respectively, perceived partner self-disclosure. This study advances our understanding of the general implications of SRE in the dynamics of couple relationships. More specifically, it shows how SRE interacts with other couple-specific variables in shaping day-to-day couple satisfaction. The theoretical and clinical implications for couple therapy are discussed.

Trauma-Related Disclosure in Sexual Assault Survivors' Intimate Relationships: Associations With PTSD, Shame, and Partners' Responses

Relative to survivors of other traumatic events, survivors of sexual assault have an increased likelihood of meeting criteria for posttraumatic stress disorder (PTSD). They are also comparatively more likely to exhibit higher levels of PTSD symptom severity. Recent research has highlighted the importance of trauma-related disclosure within the context of intimate relationships for posttrauma functioning and recovery, but this phenomenon has yet to be examined specifically in sexual assault survivor samples. Accordingly, this study examines the association of PTSD symptom severity with disclosure about one's experience of sexual assault to one's intimate partner, as well as the association of such disclosure with trauma-related shame and perception of partners' negative and positive responses to trauma-related disclosure. A sample of 104 female participants who had disclosed their experience of sexual assault to their current romantic partner provided survey data. On average, these participants reported a moderate amount of trauma-related disclosure. Counter to hypotheses, level of engagement in trauma-related disclosure was not significantly correlated with PTSD symptom severity, shame, or perceived negative responses to disclosure. Only perceived positive responses to disclosure demonstrated a significant, bivariate association with overall level of engagement in trauma-related disclosure. Similarly, when trauma-related shame, negative responses, and positive responses were accounted for simultaneously, only positive responses were related to level of disclosure. Overall, results suggest that intimate relationships may serve as a unique context for disclosure about one's history of sexual assault, with perceived positive responses demonstrating particularly strong associations with level of engagement in trauma-related disclosure.

Inclusion of Other in the Self and Couple's Sexuality: A Scoping Review

To better understand the effect relationship closeness has on couple's sexuality a scoping review was conducted, that focused on the inclusion of other in the self scale (IOS). Authors reviewed quantitative journal articles published between 2000 and 2020 by searching PsychInfo, Medline, and PubMed, resulting in 24 studies. Results suggest positive associations between IOS and sexual well-being, functioning, desire, frequency and satisfaction, and negatively related to sexual distress. Also, the benefits of positive sexual experiences expand well beyond the sexual domain onto different personal and relational factors of health and well-being. Sampling designs considerably limit the generalizability of results.

Separation, self‐disclosure, and social evaluation anxiety as facets of trait social anxiety

In the current article, we propose an expansion of the trait anxiety concept to include interpersonal or social facets of trait anxiety involving separation from significant others and disclosing aspects of the self to others, as a supplement to the existing focus on social evaluation anxiety. Participants in three studies completed a modified version of the Endler Multidimensional Anxiety Scales that included a measure of trait social evaluation anxiety, as well as new measures of trait separation anxiety and trait self‐disclosure anxiety (i.e., three measures of trait social anxiety). Results showed that the social evaluation, separation, and self‐disclosure trait anxiety scales have strong psychometric properties and that they represent distinct but related components of trait anxiety. With respect to validity, the facets of trait social anxiety were predictive of related variables including self‐concealment, anxiety sensitivity, and trait worry. The theoretical and practical implications of a multifaceted approach to trait social anxiety are discussed in terms of an expanded multidimensional interaction model of anxiety. Copyright © 2002 John Wiley & Sons, Ltd.

Childhood Trauma, Trait Anxiety, and Anxious Attachment as Predictors of Intimate Partner Violence in College Students

The current study investigates the relationship between intimate partner violence (IPV), childhood trauma, trait anxiety, depression, and anxious attachment in college students. Ninety-three male and 161 female undergraduate students at Fairfield University, ranging in age from 17 to 23, with a mean age of 18.8 years, participated. Participants completed five self-report inventories: The Conflict in Adolescent Dating Relationships Inventory (CADRI), the Childhood Trauma Questionnaire (CTQ), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI), and the Adult Attachment Scale (AAS). IPV perpetration in college dating relationships was related to childhood emotional and physical abuse, emotional and physical neglect, and trait anxiety. IPV victimization in college dating relationships was related to childhood emotional and physical abuse, childhood emotional and physical neglect, and an anxious attachment style. IPV perpetration and victimization were also significantly correlated with one another. Subscale analyses suggest that childhood emotional abuse was related to being both the perpetrator and victim of verbal or emotional abuse in dating relationships. Childhood physical abuse, physical neglect, and emotional abuse were related to both perpetration and victimization of physical IPV. Threatening behavior perpetration in dating relationships was related to childhood emotional abuse, emotional neglect, physical abuse, and physical neglect; however, being the victim of threatening behavior was only related to childhood emotional abuse, physical neglect, and emotional neglect, not childhood physical abuse. These results support the relationship between childhood trauma and dating violence in college students. They also support a role for anxiety in IPV, although trait anxiety was related to perpetration and an anxious attachment style was correlated with IPV victimization. In addition, they suggest that different experiences of childhood trauma may relate to different aspects of IPV in college dating relationships.

Responses to perceived intimate partner rejection among individuals with social anxiety disorder and healthy controls

Individuals with social anxiety disorder (SAD) demonstrate impaired functioning in intimate relationships, yet little is known about how socially anxious individuals respond to perceived intimate partner rejection. In the present study, individuals with SAD (n = 30) and healthy controls (HCs; n = 33) who were involved in current intimate relationships completed daily diaries each evening for 14 days. Daily diaries assessed the extent to which participants experienced feelings of rejection in their intimate relationships, as well as the extent to which they responded to feelings of rejection by using behaviors characterized by withdrawal ("withdrawal" processes) versus efforts to reaffiliate with their partners ("approach" processes). Results revealed that overall, individuals with SAD exhibited greater use of withdrawal-focused processes, whereas HC participants exhibited greater use of approach-focused processes. However, on days following intimate partner rejection, only individuals with SAD restricted their use of withdrawal-focused processes. These findings provide insight into the nature of rejection concerns and responses to rejection among individuals with SAD as compared with HC participants.

Psychological and Physiological Responses in Patients with Generalized Anxiety Disorder: The Use of Acute Exercise and Virtual Reality Environment

Virtual exercise therapy is considered a useful method by which to encourage patients with generalized anxiety disorder (GAD) to engage in aerobic exercise in order to reduce stress. This study was intended to explore the psychological and physiological responses of patients with GAD after cycling in a virtual environment containing natural images. Seventy-seven participants with GAD were recruited in the present study and randomly assigned to a virtual nature (VN) or a virtual abstract painting (VAP) group. Their electroencephalogram alpha activity, perceived stress, and levels of restorative quality and satisfaction were assessed at baseline and after an acute bout of 20 min of moderate-intensity aerobic exercise. The results showed that both the VN and VAP groups showed significantly higher alpha activity post-exercise as compared to pre-exercise. The VN group relative to the VAP group exhibited higher levels of stress-relief, restorative quality, and personal satisfaction. These findings imply that a virtual exercise environment is an effective way to induce a relaxing effect in patients with GAD. However, they exhibited more positive psychological responses when exercising in such an environment with natural landscapes.

Japanese Young Women Did not Discriminate between Robots and Humans as Listeners for Their Self-Disclosure -Pilot Study-

Disclosing personal matters to other individuals often contributes to the maintenance of our mental health and social bonding. However, in face-to-face situations, it can be difficult to prompt others to self-disclose because people often feel embarrassed disclosing personal matters to others. Although artificial agents without strong social pressure for listeners to induce self-disclosure is a promising engineering method that can be applied in daily stress management and reduce depression, gender difference is known to make a drastic difference of the attitude toward robots. We hypothesized that, as compared to men, women tend to prefer robots as a listener for their self-disclosure. The experimental results that are based on questionnaires and the actual self-disclosure behavior indicate that men preferred to self-disclose to the human listener, while women did not discriminate between robots and humans as listeners for their self-disclosure in the willingness and the amount of self-disclosure. This also suggests that the gender difference needs to be considered when robots are used as a self-disclosure listener.

Online/offline self-disclosure to offline friends and relational outcomes in a diary study: The moderating role of self-esteem and relational closeness

Previous work suggests that the experiences of online and offline self-disclosure are heterogeneous among individuals. Yet little work has been done to identify the moderating role of individual characteristics and pre-existing relationship characteristics on the diverse relational outcomes. The present study using a 7-day diary design examined whether individuals' self-esteem level and relational closeness would moderate the relationships between online and offline self-disclosure to offline friends and two relational outcomes, that is, relationship satisfaction and trust in friendships. The analyses on 686 diary responses from 98 participants revealed that offline self-disclosure generally predicted greater relationship satisfaction and trust in friendships, whereas the role of online self-disclosure was not statistically significant. More importantly, self-esteem moderated the pattern associated with offline self-disclosure but not that with online self-disclosure. Specifically, offline self-disclosure predicted greater benefits to people with lower self-esteem relative to people with higher self-esteem. Moreover, pre-existing relational closeness moderated the relationship between offline self-disclosure and trust in friendships such that casual friendships benefited more from offline self-disclosure than close friendships did. The present study highlights the importance of personal characteristics and relationship characteristics in understanding the heterogeneous relational influence of different communication modes.

An Explanatory Model of Sexual Satisfaction in Adults with a Same-Sex Partner: An Analysis Based on Gender Differences

This study aimed to develop an explanatory model of sexual satisfaction in same-sex attracted individuals with a partner, based on personal and interpersonal variables. The participants were 410 men (mean age = 29.24, SD = 9.84) and 410 women (mean age = 29, SD = 8.57) who maintained a relationship with another person of the same sex. Internalized homophobia was considered as a personal variable, and as interpersonal variables, the dimensions of attachment (anxiety and avoidance), sexual functioning, dyadic adjustment, relationship satisfaction, the components of the Interpersonal Exchange Model of Sexual Satisfaction, the number of sexual costs and the number of sexual rewards were considered. The degree to which sexual satisfaction was related to these variables was examined separately, for both men and women, through multiple linear regression models within the framework of structural equation models. The results indicated that sexual satisfaction is associated in a negative sense with internalized homophobia, the number of sexual costs, anxiety, and avoidance, and in a positive sense with the remaining variables. Relational variables were more relevant in the explanation of sexual satisfaction. The clinical implications are discussed.

Friends, Lovers or Nothing: Men and Women Differ in Their Perceptions of Sex Robots and Platonic Love Robots

Physical and emotional intimacy between humans and robots may become commonplace over the next decades, as technology improves at a rapid rate. This development provides new questions pertaining to how people perceive robots designed for different kinds of intimacy, both as companions and potentially as competitors. We performed a randomized experiment where participants read of either a robot that could only perform sexual acts, or only engage in non-sexual platonic love relationships. The results of the current study show that females have less positive views of robots, and especially of sex robots, compared to men. Contrary to the expectation rooted in evolutionary psychology, females expected to feel more jealousy if their partner got a sex robot, rather than a platonic love robot. The results further suggests that people project their own feelings about robots onto their partner, erroneously expecting their partner to react as they would to the thought of ones’ partner having a robot.

The impacts of relational capital on self-disclosure in virtual communities

Purpose

This study examines whether relational capital influences self-disclosure behavior through the mechanism of needs-based motivation in virtual communities.

Design/methodology/approach

This study adopts hierarchical linear model (HLM) to differentiate between the relationships at different levels, with 378 online questionnaires recovered from 42 virtual communities.

Findings

The results show that group-level relational capital is positively related to self-disclosure and affects it through the partially mediating mechanism of motivation. Relational capital also strengthens the positive influence of the need to be on trend on individual self-disclosure behavior.

Originality/value

This study makes four research contributions. Firstly, we identify the means by which relational capital established within a virtual community influences user disclosure behavior. This focus differs from those of previous studies, which have emphasized privacy and security of information systems, cost–benefit considerations, and/or adopted personality traits as the research basis. Secondly, this study examines and verifies the mediating mechanism of motivation, establishing an alternative perspective for theoretical studies, and providing future studies with a reference for investigating the self-disclosure behavior of members. Thirdly, this research introduces and verifies the moderating effects of relational capital based on member relationships, thus making further theoretical and empirical contributions. Finally, we adopt HLM to conduct our analyses, thereby ensuring higher precision regarding the explanatory power of group-level explanatory variables for individual-level dependent variables.

Parental disclosure of positive BRCA1/2 mutation status to children 10 years after genetic testing

The disclosure of genetic information is an important issue in cancer prevention. This study based on a French national cohort of BRCA1/2 mutation carriers (GENEPSO-PS cohort, N=233) aimed to assess the prevalence of parental disclosure of genetic information to children 10 years after genetic testing, with a focus on gender differences. Most participants (n = 193, 131 women) reported having children. A total of 72.0% of offspring had received genetic information (88.8% for adult offspring, p < .001), with no differences according to the gender of the mutation-carrying parent. While female carriers disclosed genetic information more often than male carriers (54.1% versus 38.3%, p = .029), they did so irrespective of the gender of their offspring. Moreover, female carriers who had developed incident cancer after genetic testing disclosed genetic information more frequently than unaffected female carriers (70.7% versus 48.5%, p = .005). A multivariate analysis confirmed the effects of both gender and cancer on disclosure to offspring. The same results were obtained when the analysis was restricted to adult offspring. This study reveals high rates of disclosure of positive BRCA1/2 mutation status to children 10 years after genetic testing, irrespective of the gender of the carrier/offspring. However, female carriers disclosed genetic information more frequently than male carriers.