Using Ecological Momentary Assessments to Study How Daily Fluctuations in Psychological States Impact Stress, Well-Being, and Health

Despite great interest in how dynamic fluctuations in psychological states such as mood, social safety, energy, present-focused attention, and burnout impact stress, well-being, and health, most studies examining these constructs use retrospective assessments with relatively long time-lags. Here, we discuss how ecological momentary assessments (EMAs) address methodological issues associated with retrospective reports to help reveal dynamic associations between psychological states at small timescales that are often missed in stress and health research. In addition to helping researchers characterize daily and within-day fluctuations and temporal dynamics between different health-relevant processes, EMAs can elucidate mechanisms through which interventions reduce stress and enhance well-being. EMAs can also be used to identify changes that precede critical health events, which can in turn be used to deliver ecological momentary interventions, or just-in-time interventions, to help prevent such events from occurring. To enable this work, we provide examples of scales and single-item questions used in EMA studies, recommend study designs and statistical approaches that capitalize on EMA data, and discuss limitations of EMA methods. In doing so, we aim to demonstrate how, when used carefully, EMA methods are well poised to greatly advance our understanding of how intrapersonal dynamics affect stress levels, well-being, and human health.

The Stressful Personality: A Meta-Analytical Review of the Relation Between Personality and Stress

The current study presented the first meta-analytic review on the associations between the Big Five personality traits and stress measured under different conceptualizations (stressor exposure, psychological and physiological stress responses) using a total of 1,575 effect sizes drawn from 298 samples. Overall, neuroticism was found to be positively related to stress, whereas extraversion, agreeableness, conscientiousness, and openness were negatively linked to stress. When stress assessed under different conceptualizations was tested, only neuroticism, agreeableness, and conscientiousness were related to stressor exposure. All of the Big Five personality traits were significantly associated with psychological stress perception, whereas the five personality traits showed weak to null associations with physiological stress response. Further moderation analyses suggested that the associations between personality traits and stress under different conceptualizations were also contingent upon different characteristics of stress, sample, study design, and measures. The results supported the important role of personality traits in individual differences in stress.

Self and partner personality in intimate relationships

Two studies were conducted to examine the relations between both partners' personality and marital quality in married or cohabiting heterosexual couples. In Study 1 (N = 1380, or 690 couples), personality was assessed by means of the Dutch Personality Questionnaire, whereas in Study 2 (N = 564, or 282 couples) personality was assessed by means of the Five‐Factor Personality Inventory. We expected neuroticism to relate negatively, and extraversion positively, to marital quality. Furthermore, we expected that spouses would only marginally resemble each other with regard to personality, and that differences in personality would not affect marital quality, when controlling for the individual's levels of personality. All expectations were confirmed. Copyright © 2005 John Wiley & Sons, Ltd.

The Relative Salience of Daily and Enduring Influences on Off-Job Reactions to Work Stress

Work stress is an important determinant of employee health and wellness. The occupational health community is recognizing that one contributor to these relationships may be the presence of negative off-job reactivity to work, which we argue involves continued thoughts directed towards work (cognitive reactivity), continued negative mood stemming from work (affective reactivity), and the alteration of post-work behaviours in response to work factors (behavioural reactivity). We explored the relative contributions of daily work stressors, affective traits, and subjective job stress perceptions to negative off-job reactivity. These relationships were evaluated in a study of hospital nurses (n = 75), who completed trait measures and then provided self-assessments of daily work stress and off-job reactions for four work days. The results of several multilevel analyses indicated that a main-effects model best described the data when predicting cognitive, affective, and behavioural reactivity from daily work stressors, affective traits, and subjective job stress perceptions. A series of multilevel dominance analyses revealed that subjective job stress perceptions dominated the prediction of behavioural reactivity, while trait negative affect dominated the prediction of affective reactivity. Theoretical implications and the relative salience of daily and enduring contributors to negative off-job reactivity are discussed. Copyright © 2015 John Wiley & Sons, Ltd.

The Influence of Interpersonal Style on the Appraisal of Intimate Partner Violence

Intimate partner violence (IPV) is a common type of violence that is associated with a number of psychological problems among women who experience it. Recent research suggests that interpersonal style may influence the degree to which women exhibit psychological problems following IPV exposure. One possible mechanism through which interpersonal style may exert its effects is by influencing appraisals of the violence they experience, although this has not yet been tested empirically. In this study, we examined the effects of dimensions of interpersonal style (dominance and warmth) on IPV appraisals in a sample of young adult women (N = 219) who reported experiencing physical and/or sexual violence from their romantic partner in the past year using a Bayesian approach to multiple linear regression. Our results indicated that both dominance and warmth were associated with less negative (i.e., less betrayed, self-blaming, fearful, alienated, angry, and shameful) appraisals of IPV, exhibiting small- to medium-sized effects when controlling for severity of violence. However, this effect was more prominent for dominance than for warmth. These findings shed light on the role of interpersonal style in the response to IPV and indicate directions for future research.

Interpersonal Affect and Peer Rating Bias in Teams

This study assessed the consequences of performance feedback received from peers on a team member’s subsequent ratings of others, and the mediating influence of interpersonal affect. Undergraduate participants ( N = 142) working in 30 teams during a 7-week period were assigned collective bargaining and arbitration tasks. We found that a team member’s prior positive or negative peer feedback resulted in increased leniency or severity, respectively, and increased restriction in range when these same members subsequently rated fellow team members. Interrater agreement on ratings of peers at Time 3 was higher when raters received similar feedback (i.e., both received positive or negative feedback) from their peers at the Time 1. The mechanism through which feedback at Time 1 influenced rating biases at Time 3 was found to be interpersonal affect (measured at Time 2).

A Review of Instruments on Cognitive Appraisal of Stress

PURPOSE

The purpose of this paper is to present a review of theoretically based measures of cognitive appraisal, and discuss psychometric strengths and limitations.

BACKGROUND

Understanding how an individual appraises stressful events becomes important when faced with alterations in mental health. Cognitive appraisals influence how an individual copes with stressful events and life crises that leads to changes in mental health. Measures on how an individual appraises a stressful event lack conceptual soundness and are limited by weak psychometric properties.

DATA SOURCES

Health and Psychosocial Instruments (HAPI) electronic database was searched using combinations of the key words cognitive appraisal, primary appraisal, secondary appraisal, appraisal of illness, appraisal of health, and stress appraisal. The quality of these instrument sources was assessed by published psychometric data in the primary source.

RESULTS

Five instruments were found that measure cognitive appraisal as theoretically described: the Meaning of Illness Questionnaire, the Stress Appraisal Measure, the Appraisal of Illness Scale, the Cognitive Appraisal of Health Scale, and the Primary Appraisal/Secondary Appraisal scale. A description of each tool, including purpose, scoring, and psychometric support, is provided.

CONCLUSION

There are a limited number of instruments that measure cognitive appraisal as theoretically described. Theoretically sound instruments with established psychometric support are needed to make accurate inferences about the role of cognitive appraisal in the mental and physical health of individuals experiencing stress.

Personality Traits Moderate the Effect of Workload Sources on Perceived Workload in Flying Column Police Officers

Previous research has suggested that personality traits of the Five Factor Model play a role in worker's response to workload. The aim of this study was to investigate the association of personality traits of first responders with their perceived workload in real-life tasks. A flying column of 269 police officers completed a measure of subjective workload (NASA-Task Load Index) after intervention tasks in a major public event. Officers' scores on a measure of Five Factor Model personality traits were obtained from archival data. Linear Mixed Modeling was used to test the direct and interaction effects of personality traits on workload scores once controlling for background variables, task type and workload source (mental, temporal and physical demand of the task, perceived effort, dissatisfaction for the performance and frustration due to the task). All personality traits except extraversion significantly interacted at least with one workload source. Perceived workload in flying column police officers appears to be the result of their personality characteristics interacting with the workload source. The implications of these results for the development of support measures aimed at reducing the impact of workload in this category of workers are discussed.

Self-report methodology is insufficient for improving the assessment and classification of Axis II personality disorders

Current approaches to the assessment and classification of personality disorders (PDs) rely almost exclusively on self-report methodology. In this paper, we document the many difficulties with self-reports, including limitations in their accuracy, the confounding effect of mood state, and problems with the selection and retention of factors in factor analytic approaches to self-report questionnaires. We also discuss the role of implicit processes in self-reports, with special attention directed to the phenomenon of priming and its effect on outcome. To rectify these issues, we suggest a transtheoretical, multimethod, multimodal approach to personality pathology assessment and diagnosis, which utilizes the richness of prototypes and empirical findings on PD categories and pathologies.

Do DSM-5 personality disorder proposals meet criteria for clinical utility?

The Work Group for the DSM-5 personality disorders has submitted their proposal to the professional community. In this paper, we consider the proposal in light of its ability to meet criteria for clinical utility as proposed by First and colleagues (2004). While the Work Group's proposal has addressed some of these concerns, we conclude that there remain several unanswered problems with how the proposal will improve the clinical utility of personality disorders section of the DSM-5. Though these concerns can be addressed to some extent in the field trials, it is incumbent upon the Work Group and clinical researchers to attend carefully to these issues so that shortcomings of previous diagnostic manuals are not repeated in the future.

Individual differences in executive functioning: implications for stress regulation

BACKGROUND

Executive functioning (EF) refers to the set of neurocognitive processes that facilitate novel problem solving, modification of behavior in response to environmental changes, planning and generating strategies for complex actions, and ability to override pre-potent behavioral and emotional responses to engage in goal-directed behavior.

PURPOSE

To provide an overview of research on individual differences in EF and examine the extent to which these individual differences confer risk and resilience for poor stress regulation.

RESULTS

Review of the literature suggests that individual differences in EF are evident at multiple levels of analysis including genotype, endophenotype (e.g., performance on cognitive tasks), and phenotype (e.g., temperament and personality). These individual differences are associated with differential stress exposure, reactivity, recovery, and restorative processes.

CONCLUSIONS

A theoretical framework that includes individual differences in EF will inform behavioral medicine research on stress risk and resilience.

Stop the sadness: Neuroticism is associated with sustained medial prefrontal cortex response to emotional facial expressions

Neuroticism is a personality trait associated with negative mood states, sensitivity to negative information, negative appraisal and vulnerability to psychopathology. Previous studies have associated the sustained processing of negative information (words) with individual differences such as rumination and depression but not with personality. In the current study, we aimed to investigate the relationship between neuroticism and changes in sustained patterns of activity within a brain region implicated in emotional self-evaluation and appraisal, the Medial Prefrontal Cortex (MedPFC), when responding to emotional facial expressions (happy, fearful, and sad). We tested whether higher scores of neuroticism are associated with greater sustained patterns of brain activity in the MedPFC when responding to blocks of negative facial expressions. We found that higher scores of neuroticism were associated with greater sustained MedPFC activity throughout blocks of sad facial expressions, but not fearful or happy facial expressions. Based on the relationship between neuroticism and sensitivity to negative information, the current finding identifies a sustained temporal mechanism to this relationship.

Daily Affect and Daily Beliefs

Human resource directorate employees of a large United Kingdom public hospital (N=36) completed an initial questionnaire and then participated in a daily diary study. The questionnaire included measures of affect and beliefs about high work demands' influence on affect and work performance. The diary included measures of affect, extent of high work demands, and daily beliefs, corresponding to those measured in the questionnaire. Participants were required to complete the diary twice daily, before and after work over a 2-week period. Measures of affect after work were associated with beliefs concerning work demands' influence on work performance and on affect measured after work. Beliefs about work demands measured in the questionnaire were associated with subsequent daily assessments of beliefs.