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Graham EK, Beck ED, Jackson K, Yoneda T, McGhee C, Pieramici L, Atherton OE, Luo J, Willroth EC, Steptoe A, Mroczek DK, Ong AD. Do We Become More Lonely With Age? A Coordinated Data Analysis of Nine Longitudinal Studies. Psychol Sci 2024:9567976241242037. [PMID: 38687352 DOI: 10.1177/09567976241242037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024] Open
Abstract
Loneliness is a pervasive experience with adverse impacts on health and well-being. Despite its significance, notable gaps impede a full understanding of how loneliness changes across the adult life span and what factors influence these changes. To address this, we conducted a coordinated data analysis of nine longitudinal studies encompassing 128,118 participants ages 13 to 103 from over 20 countries. Using harmonized variables and models, we examined loneliness trajectories and predictors. Analyses revealed that loneliness follows a U-shaped curve, decreasing from young adulthood to midlife and increasing in older adulthood. These patterns were consistent across studies. Several baseline factors (i.e., sex, marital status, physical function, education) were linked to loneliness levels, but few moderated the loneliness trajectories. These findings highlight the dynamic nature of loneliness and underscore the need for targeted interventions to reduce social disparities throughout adulthood.
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Affiliation(s)
- Eileen K Graham
- Department of Medical Social Sciences, Northwestern University
| | - Emorie D Beck
- Department of Psychology, University of California, Davis
| | - Kathryn Jackson
- Department of Medical Social Sciences, Northwestern University
| | - Tomiko Yoneda
- Department of Psychology, University of California, Davis
| | - Chloe McGhee
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
| | | | | | - Jing Luo
- Department of Medical Social Sciences, Northwestern University
| | | | - Andrew Steptoe
- Department of Behavioural Science and Health, University College London
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Northwestern University
- Department of Psychology, Northwestern University
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Willroth EC, Rule PD, Graham EK, Nicholas ML, Hattori R, Thompson T, Connor LT. A Longitudinal Investigation of the Association between Stroke and Loneliness. J Gerontol B Psychol Sci Soc Sci 2024:gbae048. [PMID: 38572592 DOI: 10.1093/geronb/gbae048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Indexed: 04/05/2024] Open
Abstract
OBJECTIVE The present research examined associations between stroke and long-term trajectories of loneliness. METHODS We conducted secondary analyses in three large representative panel studies of adults 50 years and older in the U.S., Europe, and Israel: the English Longitudinal Study of Aging (ELSA; analytic N=14,992); the Survey of Health, Aging, and Retirement in Europe (SHARE; analytic N=103,782); and the Health and Retirement Study (HRS; analytic N=22,179) .Within each sample, we used discontinuous growth curve modeling to estimate loneliness trajectories across adulthood, and the impact of stroke on loneliness trajectories. RESULTS Across all three samples, participants who experienced stroke reported higher levels of loneliness relative to participants who did not experience stroke. In ELSA and HRS (but not SHARE), loneliness levels were higher after stroke onset relative to before stroke onset. DISCUSSION This research adds to a growing body of evidence demonstrating elevated loneliness among stroke survivors and highlights the need for interventions to increase social connectedness after stroke.
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Affiliation(s)
- Emily C Willroth
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
| | - Payton D Rule
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
| | - Eileen K Graham
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Marjorie L Nicholas
- Department of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA, USA
| | - Robin Hattori
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
| | - Tess Thompson
- University of North Carolina at Chapel Hill School of Social Work, Chapel Hill, NC, USA
| | - Lisa Tabor Connor
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
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3
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Pfund GN, Willroth EC, Mroczek DK, Hill PL. Valuing versus having: The contrary roles of valuing and having money and prestige on well-being. Soc Psychol Personal Sci 2024; 15:275-287. [PMID: 38435845 PMCID: PMC10904030 DOI: 10.1177/19485506231166048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
Abstract
Using data from Midlife in the United States (N=3,767), this study investigates how believing having money or occupational prestige is important for a good life is associated with different aspects of well-being. Actual income was positively associated with sense of purpose, personal growth, self-acceptance, environmental mastery, and life satisfaction, negatively associated with negative affect, and was not associated with autonomy, positive relations with others, or positive affect. Meanwhile, perceiving having enough money or extra money as important for a good life predicted poorer well-being across all nine well-being indicators. Occupational prestige was positively associated with sense of purpose, autonomy, personal growth, self-acceptance, environmental mastery, and life satisfaction, while perceiving having occupational prestige as important was negatively associated with autonomy, personal growth, self-acceptance, positive relations with others, and positively with negative affect. The discussion focuses on how desiring money or prestige can influence well-being beyond having-or not having-those desires.
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Affiliation(s)
- Gabrielle N. Pfund
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis; MO, USA
| | - Emily C. Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University; Chicago, IL, USA
| | - Daniel K. Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University; Chicago, IL, USA
| | - Patrick L. Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis; MO, USA
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Kyle KM, Ford BQ, Willroth EC. Personality Trait Change Across a Major Global Stressor. Pers Soc Psychol Bull 2024:1461672241228624. [PMID: 38388368 DOI: 10.1177/01461672241228624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2024]
Abstract
The current research examined three related questions in a 21-month longitudinal study of a diverse sample of U.S. participants (N = 504): (a) How did Big Five traits change during the COVID-19 pandemic? (b) What factors were associated with individual differences in trait change? and (c) How was Big Five trait change associated with downstream well-being, mental health, and physical health? On average, across the 21-month study period, conscientiousness increased slightly, and extraversion decreased slightly. Individual trajectories varied around these average trajectories, and although few factors predicted these individual differences, greater increases in conscientiousness, extraversion, and agreeableness, and greater decreases in neuroticism were associated better well-being and fewer mental and physical health symptoms. The present research provides evidence that traits can change in the context of a major global stressor and that socially desirable patterns of trait change are associated with better health.
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Atherton OE, Willroth EC, Graham EK, Luo J, Mroczek DK, Lewis-Thames MW. Rural-urban differences in personality traits and well-being in adulthood. J Pers 2024; 92:73-87. [PMID: 36725776 PMCID: PMC10390645 DOI: 10.1111/jopy.12818] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 01/26/2023] [Accepted: 01/30/2023] [Indexed: 02/03/2023]
Abstract
OBJECTIVE One large focus of personality psychology is to understand the biopsychosocial factors responsible for adult personality development and well-being change. However, little is known about how macro-level contextual factors, such as rurality-urbanicity, are related to personality development and well-being change. METHOD The present study uses data from two large longitudinal studies of U.S. Americans (MIDUS, HRS) to examine whether there are rural-urban differences in levels and changes in the Big Five personality traits and well-being (i.e., psychological well-being, and life satisfaction) in adulthood. RESULTS Multilevel models showed that Americans who lived in more rural areas tended to have lower levels of openness, conscientiousness, and psychological well-being, and higher levels of neuroticism. With the exception of psychological well-being (which replicated across MIDUS and HRS), rural-urban differences in personality traits were only evident in the HRS sample. The effect of neuroticism was fully robust to the inclusion of socio-demographic and social network covariates, but other effects were partially robust (i.e., conscientiousness and openness) or were not robust at all (i.e., psychological well-being). In both samples, there were no rural-urban differences in Big Five or well-being change. CONCLUSIONS We discuss the implications of these findings for personality and rural health research.
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Affiliation(s)
- Olivia E. Atherton
- University of Houston, Department of Psychology
- Northwestern University, Feinberg School of Medicine, Department of Medical Social Sciences
| | | | - Eileen K. Graham
- Northwestern University, Feinberg School of Medicine, Department of Medical Social Sciences
| | - Jing Luo
- Northwestern University, Feinberg School of Medicine, Department of Medical Social Sciences
| | - Daniel K. Mroczek
- Northwestern University, Feinberg School of Medicine, Department of Medical Social Sciences
- Northwestern University, Department of Psychology
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Ong AD, Graham EK, Jackson K, Atherton OE, Luo J, Willroth EC, Beck ED, Yoneda T, Cintron DW, Mroczek DK, Steptoe A. Associations Between Generativity and Social Asymmetry Among Older Adults in Japan. J Gerontol B Psychol Sci Soc Sci 2024; 79:gbad183. [PMID: 38149998 PMCID: PMC10798850 DOI: 10.1093/geronb/gbad183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Indexed: 12/28/2023] Open
Abstract
OBJECTIVES Loneliness and social isolation are major public health concerns among older adults in Japan. Generativity, the concern for and commitment to future generations, may buffer older adults from loneliness. This study examined the cross-sectional and longitudinal associations between generativity and social asymmetry (the discrepancy between social isolation and loneliness) among older adults in Japan. METHODS Data were from 2 waves (2008 and 2012) of the Midlife in Japan survey, a nationally representative longitudinal study of 645 adults aged 30-79 residing in the Tokyo metropolitan area. Generativity was measured using the 6-item Loyola Generativity Scale. Social asymmetry was computed as the residual score from regressing loneliness onto social isolation. RESULTS Higher generativity levels were associated with lower social asymmetry scores (B=-0.21, SE=0.04), but generativity change across waves did not predict social asymmetry 4 years later (B=-0.04, SE=0.06). DISCUSSION Generativity may play a protective role in buffering older adults from the adverse effects of social isolation on loneliness. Promoting generativity among older adults may be a potential intervention strategy to reduce loneliness and improve well-being in aging populations in Japan.
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Affiliation(s)
- Anthony D Ong
- Department of Psychology, Cornell University, Ithaca, New York, USA
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York City, New York, USA
| | - Eileen K Graham
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
| | - Kathryn Jackson
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
| | - Olivia E Atherton
- Department of Psychology, University of Houston, Houston, Texas, USA
| | - Jing Luo
- Department of Psychology, Northwestern University, Evanston, Illinois, USA
| | - Emily C Willroth
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Emorie D Beck
- Department of Psychology, University of California, Davis, Davis, California, USA
| | - Tomiko Yoneda
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
- Department of Psychology, University of California, Davis, Davis, California, USA
| | - Dakota W Cintron
- Department of Psychology, Cornell University, Ithaca, New York, USA
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
- Department of Psychology, Northwestern University, Evanston, Illinois, USA
| | - Andrew Steptoe
- Department of Behavioural Science and Health, University College London, London, UK
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Atherton OE, Willroth EC, Weston SJ, Mroczek DK, Graham EK. Longitudinal associations among the Big Five personality traits and healthcare utilization in the U.S. Soc Sci Med 2024; 340:116494. [PMID: 38101170 PMCID: PMC11065195 DOI: 10.1016/j.socscimed.2023.116494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 11/29/2023] [Accepted: 12/02/2023] [Indexed: 12/17/2023]
Abstract
OBJECTIVE One critical component of individual and public health is healthcare utilization, or the extent to which individuals have routine check-ups, schedule treatments, or use emergency services. However, we know little about who uses healthcare services and what types, the conditions that exacerbate utilization, or the factors that explain why people seek out services. The present study fills these gaps in the literature by investigating the role of personality factors in predicting various forms of healthcare utilization, how these associations vary by age, socioeconomic resources, and chronic conditions, as well as one potential psychological mediating mechanism (i.e., sense of control). METHODS We use data from a large longitudinal sample of Americans (N = 7108), with three assessments spanning 20 years. Participants reported on their Big Five personality traits using the Midlife Development Inventory, healthcare utilization across three domains (routine visits, scheduled treatment, urgent care), age, income, insurance, chronic conditions, and sense of control. RESULTS Multilevel models showed that people who were more agreeable and neurotic tended to use more healthcare services. Moreover, on occasions when people were more extraverted and open, they tended to use more healthcare services. There were several nuances in personality-healthcare utilization associations depending on the type of healthcare service, age, and socioeconomic resources. Longitudinal mediation analyses demonstrated sense of control as one mechanism linking personality traits to healthcare utilization in the U.S. CONCLUSIONS We discuss the theoretical and practical implications of interactions between individuals and structural systems for promoting the health of aging U.S. Americans.
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Affiliation(s)
- Olivia E Atherton
- Department of Psychology, University of Houston, Houston, TX, USA; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
| | - Emily C Willroth
- Department of Psychological and Brain Sciences, Washington University in St. Louis, MO, USA
| | - Sara J Weston
- Department of Psychology, University of Oregon, Eugene, OR, USA
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychology, Northwestern University, Chicago, IL, USA
| | - Eileen K Graham
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
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8
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Barlow MA, Willroth EC, Wrosch C, John OP, Mauss IB. When daily emotions spill into life satisfaction: Age differences in emotion globalizing. Psychol Aging 2023; 38:644-655. [PMID: 37616073 PMCID: PMC10841306 DOI: 10.1037/pag0000771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
Although the objective conditions of people's lives are fairly stable from day to day, daily life can feel like an emotional rollercoaster. For some people, life satisfaction hitches a ride on the emotional rollercoaster (i.e., momentary emotions spill over into broader evaluations of life). The extent to which positive and negative emotions spill over into life satisfaction is referred to as positive and negative emotion globalizing. Initial evidence suggests that emotion globalizing varies between individuals and is linked to a maladaptive psychological profile. Integrating a lifespan perspective, this is the first study to identify and describe age differences in emotion globalizing using data from two adult community samples (Study 1: N = 133 women, age range = 23-78; Study 2: N = 137, age range = 18-95). Further, we tested key boundary conditions of emotion globalizing by examining two types of emotions (i.e., current or after most stressful event of the day) and two types of satisfaction (i.e., overall life satisfaction [life satisfaction] or current day satisfaction [day satisfaction]). Specifically, we investigated how younger and older adults differed in the associations of current emotions with life satisfaction (i.e., emotion globalizing; Study 1), stressor-related emotions with life satisfaction (i.e., stressor-related emotion globalizing; Study 1), and stressor-related emotions with day satisfaction (Study 2). Results revealed that older (compared to younger) adults exhibited less negative (but not positive) emotion globalizing and stressor-related emotion globalizing. We found no age differences in the association between stressor-related emotions and day satisfaction. These findings extend insights into emotion globalizing and inform theories of emotional aging. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | - Emily C Willroth
- Department of Psychological and Brain Sciences, Washington University
| | | | - Oliver P John
- Department of Psychology, University of California, Berkeley
| | - Iris B Mauss
- Department of Psychology, University of California, Berkeley
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Abstract
People differ in their initial emotional responses to events, and we are beginning to understand these responses and their pervasive implications for psychological health. However, people also differ in how they think about and react to their initial emotions (i.e., emotion judgments). In turn, how people judge their emotions-as predominantly positive or negative-may have crucial implications for psychological health. Across five MTurk and undergraduate samples collected between 2017 and 2022 (total N = 1,647), we investigated the nature of habitual emotion judgments (Aim 1) and their associations with psychological health (Aim 2). In Aim 1, we found four distinct habitual emotion judgments that differ according to the valence of the judgment (positive or negative) and the valence of the emotion being judged (positive or negative). Individual differences in habitual emotion judgments were moderately stable across time and were associated with, but not redundant with, conceptually related constructs (e.g., affect valuation, emotion preferences, stress mindsets, meta-emotions) and broader traits (i.e., extraversion, neuroticism, trait emotions). In Aim 2, positive judgments of positive emotions were uniquely associated with better psychological health and negative judgments of negative emotions were uniquely associated with worse psychological health concurrently and prospectively, above and beyond the other types of emotion judgments, and above and beyond conceptually related constructs and broader traits. This research gives insight into how people judge their emotions, how these judgments relate to other emotion-related constructs, and their implications for psychological health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Emily C Willroth
- Department of Psychological & Brain Sciences, Washington University in St. Louis
| | - Gerald Young
- Department of Psychology, University of California Berkeley
| | - Maya Tamir
- Department of Psychology, Hebrew University of Jerusalem
| | - Iris B Mauss
- Department of Psychology, University of California Berkeley
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10
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Willroth EC, Luo J, Atherton OE, Weston SJ, Drewelies J, Batterham PJ, Condon DM, Gerstorf D, Huisman M, Spiro A, Mroczek DK, Graham EK. Personality traits and health care use: A coordinated analysis of 15 international samples. J Pers Soc Psychol 2023; 125:629-648. [PMID: 37338439 PMCID: PMC10524692 DOI: 10.1037/pspp0000465] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
Some people use health care services more than others. Identifying factors associated with health care use has the potential to improve the effectiveness, efficiency, and equity of health care. In line with the Andersen behavioral model of health care utilization and initial empirical findings, personality traits may be key predisposing factors associated with health care use. Across 15 samples, the present study examined cross-sectional and prospective associations between Big Five personality traits and the likelihood of dental visits, general medical practitioner visits, and hospitalizations. Using coordinated data analysis, we estimated models within each of 15 samples individually (sample Ns ranged from 516 to 305,762), and then calculated weighted mean effect sizes using random-effects meta-analysis across samples (total N = 358,803). According to the synthesized results, people higher in conscientiousness, agreeableness, extraversion, and openness, and lower in neuroticism were more likely to visit the dentist; people higher in neuroticism were more likely to visit general medical practitioners; and people lower in conscientiousness and agreeableness and higher in neuroticism were more likely to be hospitalized. Associations tended to be small with odds ratios around 1.20 (rs ≈ .05). These findings provide evidence across 15 international samples for small but consistent associations between personality traits and health care use and demonstrate that personality-health care associations differ by type of care. We discuss directions for future research, including examining more specific personality facets (e.g., productiveness vs. responsibility) as well as important dimensions of health care (e.g., preventative vs. reactive care; acute vs. chronic care). (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Emily C Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Jing Luo
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Olivia E Atherton
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | | | | | | | | | | | - Martijn Huisman
- Department of Epidemiology and Data Science, Amsterdam University Medical Center, Vrije Universiteit Amsterdam
| | - Avron Spiro
- Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Eileen K Graham
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
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Willroth EC, Smith AM, Graham EK, Mroczek DK, Shallcross AJ, Ford BQ. Emotional responses to a global stressor: Average patterns and individual differences. Eur J Pers 2023; 37:418-434. [PMID: 38603127 PMCID: PMC9111916 DOI: 10.1177/08902070221094448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 03/28/2022] [Accepted: 03/28/2022] [Indexed: 11/17/2022]
Abstract
Major stressors often challenge emotional well-being-increasing negative emotions and decreasing positive emotions. But how long do these emotional hits last? Prior theory and research contain conflicting views. Some research suggests that most individuals' emotional well-being will return to, or even surpass, baseline levels relatively quickly. Others have challenged this view, arguing that this type of resilient response is uncommon. The present research provides a strong test of resilience theory by examining emotional trajectories over the first 6 months of the COVID-19 pandemic. In two pre-registered longitudinal studies (total N =1147), we examined average emotional trajectories and predictors of individual differences in emotional trajectories across 13 waves of data from February through September 2020. The pandemic had immediate detrimental effects on average emotional well-being. Across the next 6 months, average negative emotions returned to baseline levels with the greatest improvements occurring almost immediately. Yet, positive emotions remained depleted relative to baseline levels, illustrating the limits of typical resilience. Individuals differed substantially around these average emotional trajectories and these individual differences were predicted by socio-demographic characteristics and stressor exposure. We discuss theoretical implications of these findings that we hope will contribute to more nuanced approaches to studying, understanding, and improving emotional well-being following major stressors.
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Affiliation(s)
- Emily C Willroth
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | - Eileen K Graham
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Daniel K Mroczek
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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12
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Jackson KL, Luo J, Willroth EC, Ong AD, James BD, Bennett DA, Wilson R, Mroczek DK, Graham EK. Associations Between Loneliness and Cognitive Resilience to Neuropathology in Older Adults. J Gerontol B Psychol Sci Soc Sci 2023; 78:939-947. [PMID: 36789449 PMCID: PMC10214654 DOI: 10.1093/geronb/gbad023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Indexed: 02/16/2023] Open
Abstract
OBJECTIVES Loneliness in the aging population is associated with decreased cognitive function and increased neuropathology; less is understood about the association of loneliness and cognitive resilience (CR), defined as the discordance between a person's actual and expected cognition given their neuropathology. Here we assess the effect of loneliness and change in loneliness on CR at end of life and across older adulthood. METHODS Data were combined from 2 longitudinal studies of older adults. CR proximate to death (CRlast_level) and across time (CRslope) was obtained by independently regressing global cognition and change in cognition onto multiple neuropathology indicators and extracting the resulting residuals. We used a series of simple linear regression models to assess the effect of loneliness level and change on CRlast_level and CRslope. RESULTS Higher baseline loneliness was associated with lower CRlast_level (β = -0.11, 95% confidence interval [95% CI; -0.18, -0.04], p < .01); higher baseline loneliness and increasing loneliness over time was associated with lower CRslope (β = -0.13, 95% CI [-0.22, -0.05], p < .01 and β = -0.12, 95% CI [-0.20, -0.04], p < .01, respectively). Results were robust to covariate inclusion and independent of objective social isolation. DISCUSSION Higher and increasing loneliness was associated with lower CR in the face of neuropathology. These results suggest that some individuals are less resilient to the accumulation of neuropathology than others, and experiencing high/increasing loneliness is a key factor putting some at risk. Interventions aimed at optimizing cognitive function across older adults should include loneliness reduction as a potential area of focus.
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Affiliation(s)
- Kathryn L Jackson
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
| | - Jing Luo
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
| | - Emily C Willroth
- Department of Psychological and Brain Sciences, Washington University in St. Louis, Missouri, USA
| | - Anthony D Ong
- Department of Psychology, Cornell University, Ithaca, New York, USA
| | - Bryan D James
- Rush Alzheimer’s Disease Center, RUSH University Medical Center, Chicago, Illinois, USA
- Department of Internal Medicine, RUSH Medical Center, Chicago, Illinois, USA
| | - David A Bennett
- Rush Alzheimer’s Disease Center, RUSH University Medical Center, Chicago, Illinois, USA
- Department of Neurological Sciences, RUSH Medical Center, Chicago, Illinois, USA
| | - Robert Wilson
- Rush Alzheimer’s Disease Center, RUSH University Medical Center, Chicago, Illinois, USA
- Department of Neurological Sciences, RUSH Medical Center, Chicago, Illinois, USA
- Department of Psychiatry and Behavioral Sciences, RUSH Medical Center, Chicago, Illinois, USA
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
- Department of Psychology, Northwestern University, Chicago, Illinois, USA
| | - Eileen K Graham
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
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13
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Willroth EC. The Benefits and Challenges of a Unifying Conceptual Framework for Well-being Constructs. Affect Sci 2023; 4:41-44. [PMID: 37070007 PMCID: PMC10104975 DOI: 10.1007/s42761-022-00152-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 09/12/2022] [Indexed: 04/19/2023]
Abstract
Centuries of philosophical debate and decades of empirical research have sought to characterize what it means to be psychologically well. A unifying conceptual framework to organize these diverse perspectives is needed to facilitate clear communication and cumulative science within the field of well-being science. Although a handful of overarching theoretical and measurement models of well-being have been proposed, they typically make strong claims about which constructs should be included or excluded as well as the manner and degree to which well-being constructs are related to one another. Thus, these models are often not widely adopted as organizational or communicative tools, due to their exclusion of particular theoretical perspectives or disagreement among researchers about the empirical structure of well-being. While the field continues to grapple with these issues, it would benefit from a unifying conceptual framework that is broad in scope and that can flexibly accommodate diverse theoretical perspectives and new empirical advances. In this paper, I discuss the benefits of a unifying conceptual framework for well-being, as well as the challenges in its construction. Specifically, I review strengths and limitations of Park et al.'s proposed framework of "emotional well-being," and suggest an alternative framework of "psychosocial well-being" that encompasses the diverse array of constructs that have been proposed as positive psychological aspects of well-being.
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14
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Benkley D, Willroth EC, Ayduk O, John OP, Mauss IB. Short-term implications of long-term thinking: Temporal distancing and emotional responses to daily stressors. Emotion 2023; 23:595-599. [PMID: 35939603 PMCID: PMC9905369 DOI: 10.1037/emo0001140] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Temporal distancing (TD) is a promising yet understudied emotion regulation strategy that involves reflecting on how one will feel much later in the future. Although limited, the available evidence suggests that TD is a beneficial way to appraise negative events. Experimental studies have demonstrated causality: Situational use of TD (e.g., when thinking about a negative event) confers short-term emotional benefits in the laboratory. In addition, correlational studies show that habitual use predicts better long-term well-being. However, several open questions remain. First, we do not fully understand associations between habitual TD and emotions in daily life. Second, we do not fully understand daily TD, either on average across days or fluctuating within person. We conducted an 8-day diary study to test associations between TD and emotional responses to daily stressful events for three distinct measures at two levels of analysis: habitual TD assessed with a survey, average daily TD across days, and within-person fluctuations in TD across days (N = 155 participants, 837 observations). TD was associated with lower negative emotion at the within-person level and with greater positive emotion at both levels. Overall, these findings suggest that TD-on average and fluctuating within person-is associated with a beneficial pattern of daily emotional experiences, which may support overall well-being. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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15
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Willroth EC, James BD, Graham EK, Kapasi A, Bennett DA, Mroczek DK. Well-Being and Cognitive Resilience to Dementia-Related Neuropathology. Psychol Sci 2023; 34:283-297. [PMID: 36473124 PMCID: PMC10068507 DOI: 10.1177/09567976221119828] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Accepted: 07/15/2022] [Indexed: 12/12/2022] Open
Abstract
Not all older adults with dementia-related neuropathology in their brains experience cognitive decline or impairment. Instead, some people maintain relatively normal cognitive functioning despite neuropathologic burden, a phenomenon called cognitive resilience. Using a longitudinal, epidemiological, clinical-pathologic cohort study of older adults in the United States (N = 348), the present research investigated associations between well-being and cognitive resilience. Consistent with preregistered hypotheses, results showed that higher eudaimonic well-being (measured via the Ryff Psychological Well-Being Scale) and higher hedonic well-being (measured via the Satisfaction with Life Scale) were associated with better-than-expected cognitive functioning relative to one's neuropathological burden (i.e., beta-amyloid, neurofibrillary tangles, Lewy bodies, vascular pathologies, hippocampal sclerosis, and TDP-43). The association of eudaimonic well-being in particular was present above and beyond known cognitive resilience factors (i.e., socioeconomic status, education, cognitive activity, low neuroticism, low depression) and dementia risk factors (i.e., apolipoprotein E [ApoE] genotype, medical comorbidities). This research highlights the importance of considering eudaimonic well-being in efforts to prevent dementia.
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Affiliation(s)
| | - Bryan D. James
- Department of Internal Medicine, Rush
Medical College, Rush University
- Rush Alzheimer’s Disease Center, Rush
University
| | | | - Alifiya Kapasi
- Rush Alzheimer’s Disease Center, Rush
University
- Department of Pathology, Rush Medical
College, Rush University
| | - David A. Bennett
- Rush Alzheimer’s Disease Center, Rush
University
- Department of Neurological Sciences,
Rush Medical College, Rush University
| | - Daniel K. Mroczek
- Department of Medical Social Sciences,
Northwestern University
- Department of Psychology, Northwestern
University
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16
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Abstract
Exposure to adversity (e.g., poverty, bereavement) is a robust predictor of disruptions in psychological functioning. However, people vary greatly in their responses to adversity; some experience severe long-term disruptions, others experience minimal disruptions or even improvements. We refer to the latter outcomes-faring better than expected given adversity-as psychological resilience. Understanding what processes explain resilience has critical theoretical and practical implications. Yet, psychology's understanding of resilience is incomplete, for two reasons: (a) We lack conceptual clarity, and (b) two major approaches to resilience-the stress and coping approach and the emotion and emotion-regulation approach-have limitations and are relatively isolated from one another. To address these two obstacles,we first discuss conceptual questions about resilience. Next, we offer an integrative affect-regulation framework that capitalizes on complementary strengths of both approaches. This framework advances our understanding of resilience by integrating existing findings, highlighting gaps in knowledge, and guiding future research.
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Affiliation(s)
- Allison S Troy
- Popular Comms Institute, Lancaster, Pennsylvania, USA; .,Department of Psychology, Franklin & Marshall College, Lancaster, Pennsylvania, USA
| | - Emily C Willroth
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA;
| | - Amanda J Shallcross
- Department of Population Health, New York University School of Medicine, New York, NY, USA;
| | | | - James J Gross
- Department of Psychology, Stanford University, Stanford, California, USA;
| | - Iris B Mauss
- Department of Psychology, University of California, Berkeley, California, USA;
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17
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Sisson NM, Willroth EC, Le BM, Ford BQ. The Benefits of Living With Close Others: A Longitudinal Examination of Mental Health Before and During a Global Stressor. Clin Psychol Sci 2022; 10:1083-1097. [PMID: 36398105 PMCID: PMC9663493 DOI: 10.1177/21677026211053320] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 06/17/2021] [Indexed: 11/22/2023]
Abstract
For better or worse, the people one lives with may exert a powerful influence on one's mental health, perhaps especially during times of stress. The COVID-19 pandemic-a large-scale stressor that prompted health recommendations to stay home to reduce disease spread-provided a unique context for examining how the people who share one's home may shape one's mental health. A seven-wave longitudinal study assessed mental health month to month before and during the pandemic (February through September 2020) in two diverse samples of U.S. adults (N = 656; N = 544). Preregistered analyses demonstrated that people living with close others (children and/or romantic partners) experienced better well-being before and during the pandemic's first 6 months. These groups also experienced unique increases in ill-being during the pandemic's onset, but parents' ill-being also recovered more quickly. These findings highlight the crucial protective function of close relationships for mental health both generally and amid a pandemic.
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Affiliation(s)
| | - Emily C. Willroth
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine
| | - Bonnie M. Le
- Department of Psychology, University of Rochester
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18
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Willroth EC, Gatchpazian A, Thai S, Lassetter B, Feinberg M, Ford BQ. The Insulating Function of Sleep for Well-being: Daily Sleep Quality Attenuates the Link Between Current Affect and Global Life Satisfaction. Affect Sci 2022; 3:318-329. [PMID: 36045999 PMCID: PMC9382925 DOI: 10.1007/s42761-021-00092-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 11/02/2021] [Indexed: 06/03/2023]
Abstract
Transient affect can be tightly linked with people's global life satisfaction (i.e., affect globalizing). This volatile judgment style leaves life satisfaction vulnerable to the inevitable highs and lows of everyday life, and has been associated with lower psychological health. The present study examines a potentially fundamental but untested regulatory role of sleep: insulating people's global life satisfaction from the affective highs and lows of daily life. We tested this hypothesis in two daily diary samples (N 1 = 3,011 daily diary observations of 274 participants and N 2 = 12,740 daily diary observations of 811 participants). Consistent with preregistered hypotheses, following nights of reported high-quality sleep, the link between current affect and global life satisfaction was attenuated (i.e., lower affect globalizing). Sleep-based interventions are broadly useful for improving psychological health and the current findings suggest another avenue by which such interventions may improve well-being: by providing crucial protection against the risks associated with affect globalizing. Supplementary Information The online version contains supplementary material available at 10.1007/s42761-021-00092-4.
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Affiliation(s)
| | - Arasteh Gatchpazian
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C1A4 Canada
| | - Sabrina Thai
- Brock University, St. Catharines, Ontario, Canada
| | - Bethany Lassetter
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C1A4 Canada
| | - Matthew Feinberg
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C1A4 Canada
| | - Brett Q. Ford
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C1A4 Canada
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19
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Abstract
The credibility revolution in social science has led to the recommendation and adoption of practices to increase the replicability of scientific findings. Many of the recommended practices, such as replication and preregistration, present unique challenges for aging research given its reliance on long-term longitudinal data. In this tutorial, we propose preregistered coordinated data analysis as a promising approach that involves both replication and preregistration, but that overcomes the aforementioned challenges by using existing data. We discuss the benefits of preregistering coordinated data analysis and provide an add-on template to be used in conjunction with existing preregistration templates for preregistering coordinated data analysis. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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20
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Abstract
Aging and lifespan development researchers have been fortunate to have public access to many longitudinal datasets. These data are valuable and see high utilization, yet this has a considerable downside. Many of these are heavily overused. Overuse of publicly available datasets creates dependency among published research papers giving the false impression of independent contributions to knowledge by reporting the same associations over multiple papers. This is a potentially serious problem in the aging literature given the high use of a relatively small number of well-known studies. Any irregularities or sampling biases in this relatively small number of samples have outsize influence on perceived answers to key aging questions. We detail this problem, focusing on issues of dependency among studies, sampling bias and overfitting, and contradictory estimates of the same effect from the same data in independent publications. We provide solutions, including greater use of data sharing, pre-registrations, holdout samples, split-sample cross-validation, and coordinated analysis. We argue these valuable datasets are public resources that are being diminished by overuse, with parallels in environmental science. Taking a conservation perspective, we hold that these practices (pre-registration, holdout samples) can preserve data resources for future generations of researchers. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Daniel K. Mroczek
- Northwestern University, Feinberg School of Medicine, Dept. of Medical Social Sciences
- Northwestern University, Weinberg College of Arts & Sciences, Dept. of Psychology
| | | | - Eileen K. Graham
- Northwestern University, Feinberg School of Medicine, Dept. of Medical Social Sciences
| | - Emily C. Willroth
- Northwestern University, Feinberg School of Medicine, Dept. of Medical Social Sciences
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21
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Graham EK, Willroth EC, Weston SJ, Muniz-Terrera G, Clouston SA, Hofer SM, Mroczek DK, Piccinin AM. Coordinated data analysis: Knowledge accumulation in lifespan developmental psychology. Psychol Aging 2022; 37:125-135. [PMID: 35113619 PMCID: PMC8814465 DOI: 10.1037/pag0000612] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Coordinated analysis is a powerful form of integrative analysis, and is well suited in its capacity to promote cumulative scientific knowledge, particularly in subfields of psychology that focus on the processes of lifespan development and aging. Coordinated analysis uses raw data from individual studies to create similar hypothesis tests for a given research question across multiple datasets, thereby making it less vulnerable to common criticisms of meta-analysis such as file drawer effects or publication bias. Coordinated analysis can sometimes use random effects meta-analysis to summarize results, which does not assume a single true effect size for a given statistical test. By fitting parallel models in separate datasets, coordinated analysis preserves the heterogeneity among studies, and provides a window into the generalizability and external validity of a set of results. The current article achieves three goals: First, it describes the phases of a coordinated analysis so that interested researchers can more easily adopt these methods in their labs. Second, it discusses the importance of coordinated analysis within the context of the credibility revolution in psychology. Third, it encourages the use of existing data networks and repositories for conducting coordinated analysis, in order to enhance accessibility and inclusivity. Subfields of research that require time- or resource- intensive data collection, such as longitudinal aging research, would benefit by adopting these methods. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Graciela Muniz-Terrera
- University of Edinburgh, Centre for Clinical Brain Sciences, Edinburgh, Scotland, UK,University of Edinburgh, Centre for Dementia Prevention, Edinburgh, Scotland, UK
| | - Sean A.P. Clouston
- Department of Family, Population, and Preventive Medicine; Program in Public Health, University of Stony Brook
| | - Scott M. Hofer
- University of Victoria, Department of Psychology, Victoria, BC, Canada
| | - Daniel K. Mroczek
- Department of Medical Social Sciences, Northwestern University,Department of Psychology, Northwestern University
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22
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Yoneda T, Marroig A, Graham EK, Willroth EC, Watermeyer T, Beck ED, Zelinski EM, Reynolds CA, Pedersen NL, Hofer SM, Mroczek DK, Muniz-Terrera G. Personality predictors of cognitive dispersion: A coordinated analysis of data from seven international studies of older adults. Neuropsychology 2021; 36:103-115. [PMID: 34807640 PMCID: PMC8994477 DOI: 10.1037/neu0000782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES Dispersion in cognitive test performance within a single testing session is proposed as an early marker of poor brain health. Existing research, however, has not investigated factors that may explain individual differences in cognitive dispersion. We investigate the extent to which the Big Five personality traits are associated with cognitive dispersion in older adulthood. METHOD To promote transparency and reliability, we applied preregistration and conceptual replication via coordinated analysis. Drawing data from seven longitudinal studies of aging (Ntotal = 33,581; Mage range = 56.4-71.2), cognitive dispersion scores were derived from cognitive test results. Independent linear regression models were fit in each study to examine personality traits as predictors of dispersion scores, adjusting for mean cognitive performance and sociodemographics (age, sex, education). Results from individual studies were synthesized using random effects meta-analyses. RESULTS Synthesized results revealed that openness was positively associated with cognitive dispersion, 0.028, 95% CI [0.003, 0.054]. There was minimal evidence for associations between cognitive dispersion and the other personality traits in independent analyses or meta-analyses. Mean cognitive scores were negatively associated with cognitive dispersion across the majority of studies, while sociodemographic variables were not consistently associated with cognitive dispersion. CONCLUSION Higher levels of openness were associated with greater cognitive dispersion across seven independent samples, indicating that individuals higher in openness had more dispersion across cognitive tests. Further research is needed to investigate mechanisms that may help to explain the link between openness and cognitive dispersion, as well as to identify additional individual factors, beyond personality traits, that may be associated with cognitive dispersion. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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23
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Atherton OE, Willroth EC, Schwaba T, Goktan AJ, Graham EK, Condon DM, Rao MB, Mroczek DK. Personality predictors of emergency department post-discharge outcomes. Personal Sci 2021; 2. [PMID: 35356090 PMCID: PMC8963191 DOI: 10.5964/ps.7193] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Personality traits are important predictors of health behaviors, healthcare utilization, and health outcomes. However, we know little about the role of personality traits for emergency department outcomes. The present study used data from 200 patients (effective Ns range from 84 to 191), who were being discharged from the emergency department at an urban hospital, to investigate whether the Big Five personality traits were associated with post-discharge outcomes (i.e., filling prescriptions, following up with primary care physician, making an unscheduled return to the emergency department). Using logistic regression, we found few associations among the broad Big Five domains and post-discharge outcomes. However, results showed statistically significant associations between specific Big Five items (e.g., “responsible”) and the three post-discharge outcomes. This study demonstrates the feasibility of assessing personality traits in an emergency medicine setting and highlights the utility of having information about patients’ personality tendencies for predicting post-discharge compliance.
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Affiliation(s)
- Olivia E. Atherton
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Emily C. Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Ted Schwaba
- Department of Psychology, University of Texas Austin, Austin, TX, USA
| | - Ayla J. Goktan
- College of Education and Human Development, University of Louisville, Louisville, KY, USA
| | - Eileen K. Graham
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - David M. Condon
- Department of Psychology, University of Oregon, Eugene, OR, USA
| | - Mitesh B. Rao
- Department of Emergency Medicine, Stanford University, Palo Alto, CA, USA
| | - Daniel K. Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
- Department of Psychology, Northwestern University, Evanston, IL, USA
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24
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Luo J, Zhang B, Willroth EC, Mroczek DK, Roberts BW. The Roles of General and Domain-Specific Perceived Stress in Healthy Aging. J Gerontol B Psychol Sci Soc Sci 2021; 77:536-549. [PMID: 34265038 DOI: 10.1093/geronb/gbab134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Theoretical and empirical evidence suggests the existence of a general perceived stress factor overarching different life domains. The present study investigated the general perceived stress relative to domain-specific perceived stress as predictors of 26 diverse health outcomes, including mental and physical health, health behaviors, cognitive functioning, and physiological indicators of health. METHOD A bifactor exploratory structural equational modelling (BiESEM) approach was adopted in two aging samples from the Health and Retirement Study (HRS; N = 8325 in Sample 1, N = 7408 in Sample 2). RESULTS Across the two samples, perceived stress was well-represented by a bifactor structure where there was a robust general perceived stress factor representing a general propensity towards stress perception. Meanwhile, after controlling for the general perceived stress factor, specific factors that represent perceived stress in different life domains were still clearly present. Results also suggested age, sex, race, education, personality traits, and past and recent stressor exposure as possible factors underlying individual differences in the general perceived stress factor. The general perceived stress factor was the most robust predictor of the majority of health outcomes, as well as changes in mental health outcomes. The specific factor of perceived neighborhood stress demonstrated incremental predictive effects across different types of health outcomes. DISCUSSION The current study provides strong evidence for the existence of a general perceived stress factor that captures variance shared among stress across life domains, and the general perceived stress factor demonstrated substantial prospective predictive effects on diverse health outcomes in older adulthood.
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Affiliation(s)
- Jing Luo
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Bo Zhang
- Department of Psychological and Brain Sciences, Texas A&M University, TAMU, College Station, TX, USA
| | - Emily C Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Brent W Roberts
- Department of Psychology, University of Illinois at Urbana-Champaign, 603 E. Daniel St., Champaign, IL, USA
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25
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Abstract
How people respond to health threats can influence their own health and, when people are facing communal risks, even their community’s health. We propose that people commonly respond to health threats by managing their emotions with cognitive strategies such as reappraisal, which can reduce fear and protect mental health. However, because fear can also motivate health behaviors, reducing fear may also jeopardize health behaviors. In two diverse U.S. samples (N = 1,241) tracked across 3 months, sequential and cross-lagged panel mediation models indicated that reappraisal predicted lower fear about an ongoing health threat (COVID-19) and, in turn, better mental health but fewer recommended physical health behaviors. This trade-off was not inevitable, however: The use of reappraisal to increase socially oriented positive emotions predicted better mental health without jeopardizing physical health behaviors. Examining the costs and benefits of how people cope with health threats is essential for promoting better health outcomes for individuals and communities.
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Affiliation(s)
| | - Emily C Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
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26
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Graham EK, James BD, Jackson KL, Willroth EC, Luo J, Beam CR, Pedersen NL, Reynolds CA, Katz M, Lipton RB, Boyle P, Wilson R, Bennett DA, Mroczek DK. A coordinated analysis of the associations among personality traits, cognitive decline, and dementia in older adulthood. J Res Pers 2021; 92:104100. [PMID: 34083845 PMCID: PMC8168939 DOI: 10.1016/j.jrp.2021.104100] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
There are individual differences in the rates of cognitive decline across later adulthood. Personality traits are among the factors that may account for these differences. The current project investigated whether personality traits were associated with trajectories of cognitive decline, and whether the associations were different before and after dementia diagnosis. The data was analyzed using linear mixed effects regression. Across study aims is a focus on replicability and generalizability. Each question was addressed in four independent longitudinal studies (EAS, MAP, ROS, SATSA), then meta-analyzed, providing estimates of replicability. Results indicated that low neuroticism and high openness were associated with total cognitive function. We detected evidence for cognitive decline in all four samples, and openness was associated with decline post dementia diagnosis.
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27
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Willroth EC, Mroczek DK, Hill PL. Maintaining sense of purpose in midlife predicts better physical health. J Psychosom Res 2021; 145:110485. [PMID: 33845946 PMCID: PMC8114231 DOI: 10.1016/j.jpsychores.2021.110485] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Having a sense of purpose in life is fundamental to psychological and physical well-being. Despite the benefits of purpose, it may be difficult to hold onto purpose as people age. The present research addressed four aims: (1) to estimate average change in sense of purpose during midlife; (2) to test associations between purpose levels and later physical health; (3) to test associations between purpose change and later physical health; (4) to examine the cross-cultural generalizability of findings. METHODS We used reliable change indices to estimate change in sense of purpose during midlife in three prospective cohorts: one comprised predominately of White participants in the U.S. (N = 2692), a second predominately of African American participants in the U.S. (N = 248), and a third of Japanese participants in Tokyo (N = 644). Next, we used linear regression to examine associations between purpose levels and purpose change and later self-reported general health and chronic health conditions. RESULTS At the group level, purpose declined slightly across time (Cohen's ds = -0.08 to -0.17). At the individual level, 10-14% of participants reliably decreased in purpose, whereas only 6-8% of participants reliably increased in purpose. Consistent with our preregistered hypotheses, higher purpose levels predicted better health in the two larger samples (βs = 0.10-0.18, small effects) and more positive purpose change predicted better health in all three samples (βs = 0.08--0.22., small to medium effects). CONCLUSION Together, these findings suggest that both having a sense of purpose and holding onto it may be important for physical health in middle to older adulthood.
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Affiliation(s)
- Emily C. Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Daniel K. Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University,Department of Psychology, Northwestern University
| | - Patrick L. Hill
- Department of Psychological & Brain Sciences, Washington University in St. Louis
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28
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Abstract
OBJECTIVE The US Centers for Disease Control and Prevention recommended behavioral measures to slow the spread of COVID-19, such as social distancing and wearing masks. Although many individuals comply with these recommendations, compliance has been far from universal. Identifying predictors of compliance is crucial for improving health behavior messaging and thereby reducing disease spread and fatalities. METHODS We report preregistered analyses from a longitudinal study that investigated personality predictors of compliance with behavioral recommendations in diverse US adults across five waves from March to August 2020 (n = 596) and cross-sectionally in August 2020 (n = 405). RESULTS Agreeableness-characterized by compassion-was the most consistent predictor of compliance, above and beyond other traits, and sociodemographic predictors (sample A, β = 0.25; sample B, β = 0.12). The effect of agreeableness was robust across two diverse samples and sensitivity analyses. In addition, openness, conscientiousness, and extraversion were also associated with greater compliance, but effects were less consistent across sensitivity analyses and were smaller in sample A. CONCLUSIONS Individuals who are less agreeable are at higher risk for noncompliance with behavioral mandates, suggesting that health messaging can be meaningfully improved with approaches that address these individuals in particular. These findings highlight the strong theoretical and practical utility of testing long-standing psychological theories during real-world crises.
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Affiliation(s)
- Emily C Willroth
- From the Northwestern University (Willroth, Graham, Mroczek), Evanston, Illinois; University of Toronto (Smith, Ford), Toronto, Canada; and New York University School of Medicine (Shallcross), New York City, New York
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29
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Willroth EC, Atherton OE, Robins RW. Life satisfaction trajectories during adolescence and the transition to young adulthood: Findings from a longitudinal study of Mexican-origin youth. J Pers Soc Psychol 2021; 120:192-205. [PMID: 32271086 PMCID: PMC7544637 DOI: 10.1037/pspp0000294] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Despite the importance of life satisfaction for health and well-being, there is a paucity of longitudinal studies tracking changes in life satisfaction in ethnic minority youth. In a sample of 674 Mexican-origin youth, the present research examined life satisfaction trajectories from middle (age 14) to late adolescence (age 17) and from late adolescence to young adulthood (age 21). On average, life satisfaction did not change significantly from age 14 to 17, and then decreased from age 17 to 21 (d = .30), perhaps reflecting difficulties transitioning into adult roles. Drawing on ecological systems theory, we examined both proximal (i.e., family) and distal (i.e., social-contextual) environmental factors (measured via self- and parent-reports) that may account for between-person variation in life satisfaction trajectories. Youth with more positive family environments in middle adolescence (age 14) had higher mean life satisfaction from middle adolescence to young adulthood (age 21). In contrast, youth with more negative family environments and who experienced greater economic hardship and more ethnic discrimination in middle adolescence (age 14) had lower life satisfaction during this period. Many of these factors also predicted change in life satisfaction from middle (age 14) to late adolescence (age 17), but not from late adolescence to young adulthood (age 21). This research extends the current understanding of life satisfaction during a critical developmental period in an understudied population. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Graham EK, James BD, Jackson KL, Willroth EC, Boyle P, Wilson R, Bennett DA, Mroczek DK. Associations Between Personality Traits and Cognitive Resilience in Older Adults. J Gerontol B Psychol Sci Soc Sci 2021; 76:6-19. [PMID: 32969474 PMCID: PMC8574296 DOI: 10.1093/geronb/gbaa135] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVES The goal of this paper was to examine associations between personality traits and resilience to neuropathologic burden. METHOD Using data from the Religious Orders Study and the Rush Memory and Aging Project, we identified a total of 1,375 participants with personality, cognitive, and post-mortem neuropathology data. We regressed cognition onto pathology and extracted the residuals as an indicator of cognitive resilience. We then modeled the effect of Big Five personality traits on cognitive resilience, adjusting for demographics, APOE status, medical comorbidities, and cognitive activity. The analytic plan was preregistered prior to data access or analysis, and all scripts and outputs are available online. RESULTS Higher neuroticism was associated with greater vulnerability to pathology. Results from exploratory analyses suggest that higher conscientiousness was associated with less cognitive decline relative to the amount of pathology, or greater resilience. Education and cognitive activity did not moderate these associations. DISCUSSION Personality may have a pathoplastic effect on neuropathology, as low neuroticism and high conscientiousness are associated with better function despite neuropathologic burden.
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Affiliation(s)
- Eileen K Graham
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
| | - Bryan D James
- Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, Illinois
| | - Kathryn L Jackson
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
| | - Emily C Willroth
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
| | - Patricia Boyle
- Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, Illinois
| | - Robert Wilson
- Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, Illinois
| | - David A Bennett
- Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, Illinois
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
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Willroth EC, Graham EK, Mroczek DK. Comparing the Predictive Validity of Trait Affect and Average Daily Affect for the Prospective Prediction of Health Outcomes. J Res Pers 2020; 87. [PMID: 32606483 DOI: 10.1016/j.jrp.2020.103966] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In preregistered secondary data analyses, we compared the predictive utility of trait affect and average daily affect for predicting three health outcomes across nine years (N = 1,376). Trait positive and negative affect were assessed using a 25-item dispositional questionnaire. Average daily affect was assessed as the mean of eight daily diary reports of the same items. Trait affect and average daily affect both had medium associations with self-reported general health and chronic health conditions. Moreover, both types of affect predicted mortality when adjusting for baseline health and demographics. Effect sizes were comparable for trait compared to daily affect. These findings demonstrate convergent predictive validity of trait and daily affect measures.
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Affiliation(s)
- Emily C Willroth
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Eileen K Graham
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
| | - Daniel K Mroczek
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University.,Department of Psychology, Northwestern University
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Willroth EC, John OP, Biesanz JC, Mauss IB. Understanding short-term variability in life satisfaction: The Individual Differences in Evaluating Life Satisfaction (IDELS) model. J Pers Soc Psychol 2019; 119:229-248. [PMID: 31478706 DOI: 10.1037/pspp0000261] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Daily life is full of emotional ups and downs. In contrast, the objective conditions of our lives usually remain relatively stable from day to day. The degree to which emotional ups and downs influence life satisfaction-which prima facie should be relatively stable-remains a puzzle. In the present article, we propose the Individual Differences in Evaluating Life Satisfaction (IDELS) model to address this puzzle. The IDELS model posits that people differ in the processes by which they evaluate their life satisfaction: Some people's life satisfaction is more strongly associated with their current emotions (i.e., "emotion globalizing") whereas other people maintain a filter between their life satisfaction and current emotions. These individual differences should have important implications for the degree of short-term variability in life satisfaction and, in turn, for psychological health. In 3 diverse samples of women (total N = 536), we assessed life satisfaction and emotions daily or multiple times per day for 2 weeks. We tested 4 hypotheses derived from the IDELS model. First, participants differed substantially in the degree of short-term variability in life satisfaction, and these individual differences were moderately stable. Second, participants differed substantially in emotion globalizing, and these individual differences were moderately stable. Third, higher emotion globalizing predicted greater short-term variability in life satisfaction. Fourth, greater short-term variability in life satisfaction was associated with a maladaptive profile of greater neuroticism and worse psychological health. We discuss implications for life satisfaction theory and measurement. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Willroth EC, Flett JAM, Mauss IB. Depressive symptoms and deficits in stress-reactive negative, positive, and within-emotion-category differentiation: A daily diary study. J Pers 2019; 88:174-184. [PMID: 30927441 DOI: 10.1111/jopy.12475] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Revised: 02/15/2019] [Accepted: 03/21/2019] [Indexed: 01/22/2023]
Abstract
OBJECTIVE The present research aimed to better understand deficits in emotion differentiation that accompany depressive symptoms. Depressive symptoms have been associated with more undifferentiated negative emotion experiences-experiencing multiple negative emotions simultaneously. We extend previous research by asking: (a) Are depressive symptoms and negative and positive emotion differentiation related above and beyond emotion intensity? (b) Are deficits in negative emotion differentiation specific to distinct categories of negative emotions (sadness, guilt, anger, and anxiety)? and (c) Do age or gender predict emotion differentiation or its associations with depressive symptoms? METHOD In 220 community participants (59% female; 21-60 years), we assessed depressive symptoms using surveys and emotion differentiation using daily diary emotion ratings in response to daily stressful events. RESULTS Greater depressive symptoms were associated with lower negative, but not positive, emotion differentiation, above and beyond emotion intensity. Depressive symptoms were specifically related to lower differentiation among sadness-related emotions, and this sadness-specific deficit accounted for the deficit in negative emotion differentiation. Age and gender did not predict or moderate associations with emotion differentiation. CONCLUSION Depressive symptoms are associated with undifferentiated negative emotions above and beyond emotion intensity, and this association appears to be driven by undifferentiated sadness-related emotions, across gender and age.
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Affiliation(s)
- Emily C Willroth
- Department of Psychology, University of California, Berkeley, Berkeley, California
| | - Jayde A M Flett
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Iris B Mauss
- Department of Psychology, University of California, Berkeley, Berkeley, California
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Shallcross AJ, Willroth EC, Fisher A, Dimidjian S, Gross JJ, Visvanathan PD, Mauss IB. Relapse/Recurrence Prevention in Major Depressive Disorder: 26-Month Follow-Up of Mindfulness-Based Cognitive Therapy Versus an Active Control. Behav Ther 2018; 49:836-849. [PMID: 30146148 PMCID: PMC6112178 DOI: 10.1016/j.beth.2018.02.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 01/23/2018] [Accepted: 02/02/2018] [Indexed: 12/18/2022]
Abstract
We conducted a 26-month follow-up of a previously reported 12-month study that compared mindfulness-based cognitive therapy (MBCT) to a rigorous active control condition (ACC) for depressive relapse/recurrence prevention and improvements in depressive symptoms and life satisfaction. Participants in remission from major depression were randomized to an 8-week MBCT group (n = 46) or the ACC (n = 46). Outcomes were assessed at baseline; postintervention; and 6, 12, and 26 months. Intention-to-treat analyses indicated no differences between groups for any outcome over the 26-month follow-up. Time to relapse results (MBCT vs. ACC) indicated a hazard ratio = .82, 95% CI [.34, 1.99]. Relapse rates were 47.8% for MBCT and 50.0% for ACC. Piecewise analyses indicated that steeper declines in depressive symptoms in the MBCT vs. the ACC group from postintervention to 12 months were not maintained after 12 months. Both groups experienced a marginally significant rebound of depressive symptoms after 12 months but were still improved at 26 months compared to baseline (b = -4.12, p <= .008). Results for life satisfaction were similar. In sum, over a 26-month follow-up, MBCT was no more effective for preventing depression relapse/recurrence, reducing depressive symptoms, or improving life satisfaction than a rigorous ACC. Based on epidemiological data and evidence from prior depression prevention trials, we discuss the possibility that both MBCT and ACC confer equal therapeutic benefit. Future studies that include treatment as usual (TAU) control conditions are needed to confirm this possibility and to rule out the potential role of time-related effects. Overall findings underscore the importance of comparing MBCT to TAU as well as to ACCs.
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Willroth EC, Koban L, Hilimire MR. Social information influences emotional experience and late positive potential response to affective pictures. ACTA ACUST UNITED AC 2017; 17:572-576. [PMID: 28206797 DOI: 10.1037/emo0000289] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Emotion experience and regulation frequently occur in social settings. Social influence is a common source of unconscious change in judgment in many contexts, but it has yet to be investigated as a form of automatic emotion regulation. Here, we demonstrate that nonpredictive social information (i.e., high or low "emotion intensity ratings from other people" that were not related to the actual intensity of the pictures) about the intensity of pleasant and unpleasant picture stimuli can influence self-reported emotional experience and the magnitude of the late positive potential, an event-related potential associated with the detection of emotional salience and sustained attention to motivationally significant stimulus features. These results show that emotional responses to pleasant and unpleasant affective pictures can be altered by nonpredictive social information on both the behavioral and the neurophysiological level. (PsycINFO Database Record
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Affiliation(s)
| | - Leonie Koban
- Department of Psychology and Neuroscience, University of Colorado
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Abstract
In the present research, we investigated the effects of self- and situation-focused reappraisal, which are 2 distinct types of cognitive reappraisal, on emotion experiences, memory, and electrocortical responses to unpleasant pictures. In Study 1, situation-focused reappraisal was found to improve recall accuracy, whereas self-focused reappraisal had no effect. Both strategy types were associated with reductions in self-reported negative emotion, with larger reductions during situation-focused reappraisal. In Study 2, event-related potentials (ERPs) were measured while participants engaged in the 2 strategy types. Situation-focused, but not self-focused, reappraisal was associated with reductions in the late positive potential, an ERP that reflects facilitated attention to emotional stimuli. Taken together, these findings suggest that reappraisal is not a homogenous regulation strategy; on the contrary, subtypes of reappraisal elicit distinct consequence profiles. (PsycINFO Database Record
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