A Brief Version of the Implicit Positive and Negative Affect Test (IPANAT-18)

Implicit affectivity as the predictor of the relationship between paternal postpartum depression and self-stigma in fathers: A structural equation modeling analysis

OBJECTIVE

To investigate the moderating role of the implicit affect in the relationship between postpartum depression and self-stigma.

METHODS

In this cross-sectional study, data were collected from 233 fathers using the Edinburgh Postpartum Depression Scale (EPDS), Self-Stigma of Depression Scale (SSDS), and Implicit Positive and Negative Affect Test (IPANAT) between July and August 2021. The structural equation model was used in data analysis.

RESULTS

Fathers received the following mean scores from the EPDS, SSDS, Implicit Positive Affect (IPA), and Implicit Negative Affect (INA) tests: 7.36 ± 5.55; 41.44 ± 10.04; 1.84 ± 0.62, and 2.50 ± 0.83, respectively. From the EPDS, 29.2% of the fathers received 10-30. It was found that postpartum depression negatively affects IPA (ß = -0.248, P < 0.001), whereas it positively affects SSDS (ß = 0.333, P < 0.001) and INA (ß = 0.344, P < 0.001). It was concluded that postpartum depression has a significant effect on the SSDS with the partial moderating role based on the IPA (ß = -0.298, P < 0.001).

CONCLUSION

Postpartum depression is an important health problem in fathers. Implicit positive affect partially affects self-stigma in fathers with depressive symptoms. These results will guide the understanding of the stigmatization of fathers who experience depression during the transition to fatherhood.

The effects of coloring therapy on patients with generalized anxiety disorder

Generalized anxiety disorder (GAD) has harmful effects on physical and mental health and quality of life. Coloring therapy has been reported to have a positive effect on improving patient anxiety and depression. But there are no reported clinical trials examining their effectiveness as a treatment for GAD. This study was planned to evaluate the effectiveness of coloring therapy combined with conventional therapy in improving anxiety, depression, and positive and negative emotions with GAD. This randomized controlled study comprising 88 GAD patients was selected for intervention in different wards. The control group (n = 45) was given conventional antianxiety medication and physical therapy, and the experimental group (n = 43) received coloring therapy combined with conventional therapy. The Self-Rating Depression Scale, Self-Rating Anxiety Scale (SAS), Hamilton Depression Scale, Hamilton Anxiety Scale (HAMA), and Positive and Negative Affect Scale were assessed in both groups before and 3 weeks after the intervention. After the intervention, there were statistical differences in intra- and inter-group comparisons of anxiety, depression, and positive and negative mood scales in the experimental and control groups (p < .05). The minus in anxiety/positive emotions pre- and postintervention in the experimental group was statistically significant compared to that in anxiety/positive emotions pre- and postintervention in the control group (HAMA: d = 1.45, 95% confidence interval [CI] (0.34, 2.57), p = .011; SAS: d = 3.87, 95% CI (1.73,6.00), p = .001; positive: d = 1.76, 95% CI (0.17, 3.34), p = .030). The minus in depressive/negative emotions pre- and postintervention in the experimental group was not statistically significant compared with that in depressive/negative emotions pre- and postintervention in the control group (p > .05). For GAD patients, adding coloring therapy based on conventional drug therapy and physical therapy can not only reduce depression and negative emotions but also have better effects on reducing anxiety and improving positive emotions than conventional therapy.

Criterion Validity of the Implicit Positive and Negative Affect Test: Prediction of Facial Affect Perception

This study focused on the criterion-related validity of the Implicit Positive and Negative Affect Test (IPANAT). The IPANAT is thought to be a measure of automatic activation of cognitive representations of affects. In this study, it was investigated whether implicit affect scores differentially predict ratings of facial emotions over and above explicit affectivity. Ninety-six young female participants completed the IPANAT, the Positive and Negative Affect Schedule (PANAS) as an explicit measure of state and trait affectivity, and a task for the perception of facial emotions. Implicit negative affect predicted the perception of negative but not positive facial emotions, whereas implicit positive affect predicted the perception of positive but not negative facial emotions. The observed double-dissociation in the correlational pattern strongly supports the validity of the IPANAT as a measure of implicit affectivity and is indicative of the orthogonality and thus functional distinctness of the two affect dimensions of the IPANAT. Moreover, such affect-congruent correlations were absent for explicit affect scales, which additionally supports the incremental validity of the IPANAT.