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Kuroda Y. Interpersonal stress generation among young adolescents: vulnerable and resilient interpersonal behaviors and the generation of negative and positive interpersonal events. Front Psychol 2023; 14:1246927. [PMID: 38023014 PMCID: PMC10664565 DOI: 10.3389/fpsyg.2023.1246927] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 10/09/2023] [Indexed: 12/01/2023] Open
Abstract
Background Theoretical and empirical studies on stress generation suggest four event generation processes: (1) vulnerability factors predict more negative interpersonal events; (2) vulnerability factors predict fewer positive interpersonal events; (3) resiliency factors predict fewer negative interpersonal events; and (4) resiliency factors predict more positive interpersonal events. However, few studies have examined these four processes simultaneously within a single analytic model. Therefore, it is unclear whether vulnerability and resiliency factors make unique and differential contributions to the occurrences of negative and positive interpersonal events. General objectives This study aimed to fill this important gap by examining whether social withdrawal and excessive reassurance-seeking (vulnerable interpersonal behaviors) and prosocial behaviors (a resilient interpersonal behavior) uniquely and differentially predict the occurrences of negative and positive peer events among young adolescents. This study also examined the sex differences in these relationships. Methods One hundred and ninety-eight students (109 girls) were recruited from a public middle school in Japan. A multiple-group path analysis was conducted to examine possible sex differences. Results Social withdrawal uniquely predicted more negative peer events for boys and fewer positive peer events for boys and girls. Excessive reassurance-seeking uniquely predicted both more negative peer events and more positive peer events for boys and girls. Prosocial behavior uniquely predicted more positive peer events for boys and girls. Conclusion This study underscores the unique and differential roles of vulnerable and resilient interpersonal behaviors in predicting negative and positive peer events among young adolescents. These findings not only advance our understanding of stress generation processes but also have broader implications for adolescent development and well-being.
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Affiliation(s)
- Yuji Kuroda
- Center for Arts and Sciences, Fukui Prefectural University, Fukui, Japan
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2
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Goemans A, Viding E, McCrory E. Child Maltreatment, Peer Victimization, and Mental Health: Neurocognitive Perspectives on the Cycle of Victimization. Trauma Violence Abuse 2023; 24:530-548. [PMID: 34355601 PMCID: PMC10009486 DOI: 10.1177/15248380211036393] [Citation(s) in RCA: 21] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Children who experience maltreatment are at increased risk of revictimization across the life span. In childhood, this risk often manifests as peer victimization. Understanding the nature of this risk, and its impact on mental health, is critical if we are to provide effective support for those children who are most vulnerable. A systematic scoping review was conducted using Google Scholar and PsycINFO. Studies on adults, psychiatric, and/or inpatient populations were excluded. Included studies concerned all forms of child maltreatment and peer victimization. We found 28 studies about the association between maltreatment experience and peer victimization as well as peer rejection. We review the evidence documenting the relation between these adverse childhood experiences and mental health. The evidence suggests that maltreatment and peer victimization have additive effects on mental health outcomes. A number of theoretical developmental frameworks that delineate putative mechanisms that might account for an association are considered. Building on prior research, we then discuss the role of recent neurocognitive findings in providing a multilevel framework for conceptualizing mental health vulnerability following maltreatment. In addition, we consider how altered neurocognitive functioning following maltreatment may shed light on why affected children are more likely to be victimized by their peers. Specifically, we consider the threat, reward, and autobiographical memory systems and their role in relation to stress generation, stress susceptibility, and social thinning. Such a mechanistic understanding is necessary if we are to reduce the likelihood of peer victimization in children exposed to maltreatment, and move to a preventative model of mental health care.
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Affiliation(s)
- Anouk Goemans
- Leiden University, the Netherlands
- University College London, United Kingdom
| | | | - Eamon McCrory
- University College London, United Kingdom
- Anna Freud National Centre for Children and Families, London, United
Kingdom
- Eamon McCrory, Division of Psychology and
Language Science, University College London, 26 Bedford Way, London, United
Kingdom.
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Uliaszek AA, Hamdullahpur K, Amestoy ME, Carnovale M. Longitudinal pathways between suicidal ideation and life stress. Anxiety Stress Coping 2023:1-13. [PMID: 36629459 DOI: 10.1080/10615806.2023.2165646] [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] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
While much research exists linking stress and suicidality in cross-sectional paradigms, little is known regarding the longitudinal interplay of stress and suicidality across time. In addition, less research exists on suicidal ideation - a transdiagnostic precursor to suicidal behavior. Two competing, though not mutually exclusive, explanations relate to stress exposure, where stress causes suicidal ideation, and stress generation, where suicidal ideation causes stress. The present study examined 101 adults self-reporting symptoms of borderline personality disorder. Participants completed a self-report measure of suicidal ideation and a life stress interview in a three-wave design over the course of one year. Cross-lagged panel analyses were used to examine the longitudinal relationships between suicidal ideation and interpersonal/non-interpersonal chronic life stress, as well as dependent/interpersonal episodic life stress. Results supported chronic and episodic interpersonal stress generation for suicidal ideation, although not across all timepoints.
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Affiliation(s)
- Amanda A Uliaszek
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
| | - Kevin Hamdullahpur
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
| | - Maya E Amestoy
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
| | - Michael Carnovale
- Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4, Canada
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Arpawong TE, Mekli K, Lee J, Phillips DF, Gatz M, Prescott CA. A longitudinal study shows stress proliferation effects from early childhood adversity and recent stress on risk for depressive symptoms among older adults. Aging Ment Health 2022; 26:870-880. [PMID: 33784211 PMCID: PMC8673399 DOI: 10.1080/13607863.2021.1904379] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [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] [Indexed: 10/21/2022]
Abstract
Objectives: We evaluated whether the effects of recent stressful life events (SLEs) and early childhood adversities (ECAs) on depressive symptoms are consistent between men and women and across older age, and whether there was evidence for the following: stress sensitization, whereby the psychological impact of SLEs is greater for individuals with ECAs compared with those without; or stress proliferation effect, whereby those with ECAs are more likely to report more SLEs than those without ECAs to effect depressive symptoms.Method: ECAs, SLEs in the past two years, and current depressive symptoms through a modified CES-D were obtained from 11,873 individuals participating in a population representative study of older adults, yielding 82,764 observations. Mixed-effects regression models on depressive symptoms were constructed to control for multiple observations per participant and evaluate within-person effects over time, thereby reducing bias from reverse causation.Results: Results suggest a stress proliferation effect and do not support stress sensitization. ECAs contribute to vulnerability for depressive symptoms, with a dosage effect for each additional ECA. Recent SLEs result in greater depressive symptom risk, with stable effects over age and dosage effects for each additional SLE that were smaller than the effects of ECAs among men, but not women. Belonging to an ethnic minority group, having less education, and less household income at baseline were associated with greater depressive symptom risk.Conclusions: Findings suggest the importance of addressing early childhood adversity and sociodemographic factors, among at-risk older adults to mitigate life-course stress proliferative processes and thereby reduce disparate risk for depression in older age.
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Affiliation(s)
- Thalida Em Arpawong
- Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Krisztina Mekli
- Cathie Marsh Institute for Social Research, The University of Manchester, Manchester, UK
| | - Jinkook Lee
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA
| | - Drystan F. Phillips
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA
| | - Margaret Gatz
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA
| | - Carol A. Prescott
- Department of Psychology, Dornsife College of Arts and Sciences, University of Southern California, Los Angeles, CA, USA
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5
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Abstract
Objective: Depression and attention-deficit hyperactivity disorder (ADHD) are prevalent and highly comorbid. ADHD symptoms are associated with specific dependent (i.e., self-generated) stressors in children, and there is a strong link between dependent stress and depression. Despite continued comorbidity of ADHD and depressive symptoms into adulthood, it is unknown whether stress generation mediates the relation between ADHD and subsequent depressive symptoms in emerging adulthood, a period of heightened stress. Method: We tested this mediation model in a semester-long longitudinal study of 224 college students (aged 18-23 years). We additionally tested whether this model differed between inattentive versus hyperactive/impulsive ADHD symptoms given evidence that they vary in their relations to stress and depression. Results: Dependent stress mediated the association between total ADHD symptoms at baseline and later depressive symptoms; these effects were equivalent for inattentive versus hyperactive/impulsive ADHD symptoms. Conclusion: These findings suggest stress generation as a mechanism for increased depression in individuals with ADHD symptoms.
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Affiliation(s)
- Natali Rychik
- Departments of Psychology and Neuroscience, Brandeis University, Waltham, USA;,Corresponding author,
| | | | - Hannah R. Snyder
- Departments of Psychology and Neuroscience, Brandeis University, Waltham, USA
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6
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Hasegawa A, Somatori K, Nishimura H, Hattori Y, Kunisato Y. Depression, Rumination, and Impulsive Action: A Latent Variable Approach to Behavioral Impulsivity. J Psychol 2021; 155:717-737. [PMID: 34424143 DOI: 10.1080/00223980.2021.1956871] [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: 10/20/2022] Open
Abstract
Previous research on the relationship between rumination and behavioral impulsivity has been limited because impulsivity was assessed by using individual tasks. This study examined the concurrent associations of a latent variable named impulsive action with rumination and depression to alleviate the task-impurity problem and the low reliability of laboratory tasks assessing impulsivity. This study also examined whether stressors mediated the association between impulsive action and rumination. University students in Japan (N = 176) conducted three laboratory tasks assessing impulsive action: the Go/No-Go Task, the Stop Signal Task, and the Conners Continuous Performance Test 3rd Edition. They also completed self-report measures of rumination, stressors, and depression. Results indicated that the latent variable named impulsive action constructed from the performance in these three tasks was positively associated with rumination. Moreover, stressors mediated this association. Also, impulsive action was positively associated with depression via the increase in stressors and rumination. These findings and those of previous studies examining associations between rumination and self-reported impulsivity suggest that impulsivity might be a determinant of rumination.
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7
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Goldstein BL, Armeli S, Adams RL, Florimon MA, Hammen C, Tennen H. Patterns of stress generation differ depending on internalizing symptoms, alcohol use, and personality traits in early adulthood: a five year longitudinal study. Anxiety Stress Coping 2021; 34:612-625. [PMID: 33818193 DOI: 10.1080/10615806.2021.1910677] [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] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Depression is thought to generate stressful life events. However, other internalizing symptoms such as anxiety or post-traumatic stress and individual difference variables such as personality traits and alcohol use may contribute to stressful life events. Whether stress generation is specific to depression or generalized to these other variables is unclear. Therefore, we tested whether stress generation was depression specific or generalizable to anxiety, PTSD, alcohol use, neuroticism, and extraversion. DESIGN Two-wave longitudinal study with a five-year follow-up. METHODS 917 young adults completed measures of internalizing symptoms, alcohol use, neuroticism, and extraversion during college and five years later along with an interview-based measure of life events. RESULTS Symptoms of depression, anxiety, PTSD, and neuroticism exhibited bivariate predictive effects on interpersonal-dependent events. When considering internalizing symptoms in the aggregate, stress generation was specific to symptoms rather than neuroticism. Furthermore, interpersonal-dependent life events mediated Time 1 internalizing symptoms predicting Time 2 symptoms. CONCLUSION Our results indicate that stress generation applies to internalizing symptoms broadly rather than specifically to depression. Moreover, neuroticism was no longer a significant predictor of life events when examined with internalizing symptoms simultaneously. These results support the value of integrative models that test numerous factors predicting stressful life events.
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Affiliation(s)
- Brandon L Goldstein
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, USA
| | - Stephen Armeli
- Department of Psychology, Fairleigh Dickinson University, Teaneck, USA
| | - Rachel L Adams
- Department of Psychology, Fairleigh Dickinson University, Teaneck, USA
| | - Martin A Florimon
- Department of Psychology, Fairleigh Dickinson University, Teaneck, USA
| | - Constance Hammen
- Department of Psychology, University of California, Los Angeles, USA
| | - Howard Tennen
- Public Health Sciences, University of Connecticut School of Medicine, Farmington, USA
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8
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Goldstein BL, Perlman G, Eaton NR, Kotov R, Klein DN. Testing explanatory models of the interplay between depression, neuroticism, and stressful life events: a dynamic trait- stress generation approach. Psychol Med 2020; 50:2780-2789. [PMID: 31615596 DOI: 10.1017/s0033291719002927] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND Classic conceptual frameworks explaining the relationship of personality traits to depression include the precursor and predisposition models. The former hypothesizes that depression is predicted by traits alone whereas the latter hypothesizes that stress, together with personality, predicts depression. Dynamic vulnerability models (DVM) expand on these perspectives by incorporating fluctuations in personality over time. The stress generation model provides an alternative view, positing that depression generates stress, creating a self-perpetuating cycle. However, these conceptual models are rarely directly compared. METHOD We tested these models, focusing on neuroticism and stressful life events that the participant may have contributed to, using path analysis in a sample of 550 never-depressed, adolescent females assessed five times over 3 years. RESULTS A dynamic precursor model with stress generation was best supported. For the precursor component, neuroticism predicted subsequent depression across four assessment intervals. For the dynamic trait component, stressful life events predicted subsequent neuroticism at three of four intervals. Finally, in line with stress generation, depression consistently predicted subsequent stressful life events, and life events then predicted depression. CONCLUSIONS Finding support for the DVM is noteworthy, as this is the first comprehensive test of this model. Moreover, results supported integrating stress generation with trait vulnerability. Continued use of integrated approaches and refining the statistical implementation of these theories is necessary to advance understanding of the development of depression.
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Affiliation(s)
- Brandon L Goldstein
- Department of Psychology, Stony Brook University, NY, USA
- Department of Psychiatry, University of Connecticut School of Medicine, CT, USA
| | - Greg Perlman
- Department of Psychiatry, Stony Brook Medicine, NY, USA
| | | | - Roman Kotov
- Department of Psychology, Stony Brook University, NY, USA
- Department of Psychiatry, Stony Brook Medicine, NY, USA
| | - Daniel N Klein
- Department of Psychology, Stony Brook University, NY, USA
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Schneider RL, Long EE, Arch JJ, Hankin BL. The relationship between stressful events, emotion dysregulation, and anxiety symptoms among youth: longitudinal support for stress causation but not stress generation. Anxiety Stress Coping 2020; 34:157-172. [PMID: 33156724 DOI: 10.1080/10615806.2020.1839730] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION There is a clear bi-directional link between stressful events and depressive symptoms in adolescence, but the directionality of this link for anxiety symptoms remains underexamined. We critically evaluate the longitudinal relationship between stressors and anxiety among youth. Specifically, we examine whether stressors predict anxiety symptoms over a 1.5-year period (stress causation), and whether anxiety symptoms predict stressors over this period (stress generation). We examine potential influencing factors, including stressor type (independent vs. dependent) and emotion dysregulation (nonacceptance; goal-directed difficulty). METHODS Social, separation, and physical anxiety symptoms, and frequency and stressor type, were assessed every 3 months for 1.5 years among community youth (n = 528, ages 8-17). Baseline emotion dysregulation was assessed. Time-lagged analyses evaluated the bi-directional relationship of stress and anxiety over time, controlling for previous anxiety and depression. RESULTS Interpersonal stressors predicted subsequent physical and social anxiety symptoms, but anxiety did not predict subsequent stressors. Both nonacceptance and goal-directed difficulties predicted subsequent anxiety symptoms and stressors, but did not moderate the relationship. CONCLUSION The findings supported the stress causation model for youth anxiety, but not the stress generation model. Nonacceptance and goal-directed difficulty predicted greater subsequent anxiety symptoms and stressors. We discuss implications for prevention and intervention.
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Affiliation(s)
- Rebecca L Schneider
- University of Colorado Boulder, Psychology and Neuroscience, Boulder, CO, USA
| | - Erin E Long
- University of Illinois, Psychology, Champaign, IL, USA
| | - Joanna J Arch
- University of Colorado Boulder, Psychology and Neuroscience, Boulder, CO, USA
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10
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Jenness JL, Peverill M, King KM, Hankin BL, McLaughlin KA. Dynamic associations between stressful life events and adolescent internalizing psychopathology in a multiwave longitudinal study. J Abnorm Psychol 2019; 128:596-609. [PMID: 31368736 PMCID: PMC6802743 DOI: 10.1037/abn0000450] [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] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Associations between stressful life events (SLEs) and internalizing psychopathology are complex and bidirectional, involving interactions among stressors across development to predict psychopathology (i.e., stress sensitization) and psychopathology predicting greater exposure to SLEs (i.e., stress generation). Although stress sensitization and generation theoretical models inherently focus on within-person effects, most previous research has compared average levels of stress and psychopathology across individuals in a sample (i.e., between-person effects). The present study addressed this gap by investigating stress sensitization and stress generation effects in a multiwave, prospective study of SLEs and adolescent depression and anxiety symptoms. Depression, anxiety, and SLE exposure were assessed every 3 months for 2 years (8 waves of data) in a sample of adolescents (n = 382, aged 11 to 15 at baseline). Multilevel modeling revealed within-person stress sensitization effects such that the association between within-person increases in SLEs and depression, but not anxiety, symptoms were stronger among adolescents who experienced higher average levels of SLEs across 2 years. We also observed within-person stress generation effects, such that adolescents reported a greater number of dependent-interpersonal SLEs during time periods after experiencing higher levels of depression at the previous wave than was typical for them. Although no within-person stress generation effects emerged for anxiety, higher overall levels of anxiety predicted greater exposure to dependent-interpersonal SLEs. Our findings extend prior work by demonstrating stress sensitization in predicting depression following normative forms of SLEs and stress generation effects for both depression and anxiety using a multilevel modeling approach. Clinical implications include an individualized approach to interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
- Jessica L. Jenness
- Department of Psychiatry and Behavioral Sciences,
University of Washington
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11
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Bart CP, Abramson LY, Alloy LB. Impulsivity and Behavior-Dependent Life Events Mediate the Relationship of Reward Sensitivity and Depression, but Not Hypomania, Among at-Risk Adolescents. Behav Ther 2019; 50:531-543. [PMID: 31030871 PMCID: PMC6494114 DOI: 10.1016/j.beth.2018.09.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 04/08/2018] [Revised: 09/04/2018] [Accepted: 09/07/2018] [Indexed: 12/12/2022]
Abstract
Both reward sensitivity and impulsivity are related to the development and course of bipolar spectrum disorders (BSDs) and have been implicated in other disorders and negative functional outcomes such as substance abuse, obesity, suicidal behaviors, and risk-taking. Furthermore, according to the transactional component of the Behavioral Approach System (BAS)/reward hypersensitivity theory of BSDs, people with reward hypersensitivity should experience more BAS-relevant events, and thus, are more vulnerable to mood symptoms and episodes via stress generation. Impulsivity may exacerbate stress generation in individuals at risk for BSDs based on exhibiting reward hypersensitivity. The current study examined whether impulsivity explained the generation of stress and subsequent mood symptoms beyond what is explained by reward sensitivity alone. Participants were 131 Moderate BAS and 216 High BAS sensitivity adolescents (M = 18.43 years, SD = 1.40), who completed baseline measures of reward sensitivity and impulsivity, as well as follow-up measures of life events and mood symptoms. Results from linear regression analyses indicated that higher baseline impulsivity predicted behavior-dependent, but not behavior-independent, life events. Furthermore, path analyses suggested that the effect of BAS group on depression symptoms at next follow-up was partly explained via the indirect effect of impulsivity and negative behavior-dependent life events. We did not find these effects for behavior-independent or positive-dependent events or for prediction of hypomanic symptoms. The findings suggest that impulsivity may account for stress generation of negative events that precede depression.
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Affiliation(s)
- Corinne P. Bart
- Department of Psychology, Temple University, Philadelphia, PA
| | - Lyn Y. Abramson
- Department of Psychology, University of Wisconsin-Madison, Madison, WI
| | - Lauren B. Alloy
- Department of Psychology, Temple University, Philadelphia, PA
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Mackin DM, Kotov R, Perlman G, Nelson BD, Goldstein BL, Hajcak G, Klein DN. Reward processing and future life stress: Stress generation pathway to depression. J Abnorm Psychol 2019; 128:305-314. [PMID: 31045413 PMCID: PMC6586409 DOI: 10.1037/abn0000427] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Blunted reward sensitivity and life stress are each depressogenic. Additionally, individuals with clinical and psychosocial vulnerabilities are prone to experience or evoke dependent life stressors (e.g., interpersonal conflict) that, in turn, increase depression risk. However, no previous study has investigated the role of neural vulnerability factors in generating life stress. Therefore, the current study investigated whether a neural measure of reward sensitivity prospectively predicts the generation of life stress, which in turn mediates effects of these neural processes on subsequent depression. Participants were 467 never-depressed adolescent girls. Using event-related potentials, neural sensitivity to the difference between monetary reward and loss (the Reward Positivity [RewP]) was assessed at baseline. Negative life events were assessed twice via interview over the ensuing 18 months, yielding an index of total life stress over the follow-up period. A self-report dimensional measure of depression symptoms was administered at baseline and follow-up. After accounting for baseline age, depression, and race, a blunted RewP predicted greater dependent, but not independent, life stress over the follow-up. Mediation analyses revealed a significant indirect effect of the RewP on follow-up depression through dependent, but not independent, life stress. Our results suggest that neural processing reward and loss plays a crucial role in depressogenic stress generation. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
| | - Roman Kotov
- Stony Brook University, Department of Psychology
- Stony Brook University, Department of Psychiatry
| | - Greg Perlman
- Stony Brook University, Department of Psychiatry
| | | | | | - Greg Hajcak
- Florida State University, Department of Psychology
| | - Daniel N. Klein
- Stony Brook University, Department of Psychology
- Stony Brook University, Department of Psychiatry
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Abstract
Stress generation has potential to account for recurrent suicidal behavior. The current study represents a first step toward evaluating this possibility in a sample of adolescent psychiatric inpatients (n = 99; 79.80% female) followed over six months. At index admission, participants completed baseline measures of depressive symptom severity, suicidal ideation, lifetime history of suicide attempts, and negative life events using a contextual threat life stress interview. Negative life events since baseline were assessed at the follow-up assessment. Consistent with the stress generation hypothesis, lifetime number of suicide attempts prospectively predicted higher rates of dependent, but not independent, stress. Bayesian analyses also yielded substantial support for an association with overall dependent stress, but provided more modest support for specificity to this form of life stress relative to independent stress. Implications of these findings and directions for future research further clarifying the role of stress generation in suicidal behavior are discussed.
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Affiliation(s)
- Richard T Liu
- Department of Psychiatry and Human Behavior Alpert Medical School of Brown University
| | - Anthony Spirito
- Department of Psychiatry and Human Behavior Alpert Medical School of Brown University
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Abstract
Nolen-Hoeksema proposed that rumination increases stressful events and circumstances; however, few studies have examined this question. Thus, we explored whether (a) rumination predicted increases in the generation of chronic and acute stress, (b) excessive reassurance seeking (ERS) mediated links between rumination and stress generation, (c) rumination increased exposure to acute independent (uncontrollable) stress, and (d) rumination predicted chronic stress generation in certain domains, but not others. These questions were examined in a 1-year study of 126 early adolescent girls ( M age = 12.39 years) using contextual objective stress interviews. Findings indicated that rumination predicted increases in acute dependent interpersonal stress and chronic interpersonal stress, and ERS mediated these associations. Moreover, rumination was not associated with acute independent stress. Finally, the effect of rumination on chronic stress generation was most salient in adolescents' romantic lives and in parent-adolescent relationships. These findings suggest that ruminators create stressful interpersonal environments.
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Affiliation(s)
| | - Effua E. Sosoo
- Williams College, Williamstown, MA, USA
- The University of North Carolina at Chapel Hill, USA
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15
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Shih JH, Barstead MG, Dianno N. Interpersonal predictors of stress generation: Is there a super factor? Br J Psychol 2017; 109:466-486. [PMID: 29226316 DOI: 10.1111/bjop.12278] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 07/10/2017] [Revised: 10/30/2017] [Indexed: 11/28/2022]
Abstract
Hammen's (1991, Journal of Abnormal Psychology, 100, 555-561) seminal paper on stress generation highlighted the reciprocal relationship between stress and depression. Not only does stress predict depression, but women with a diagnosis of depression also experienced subsequent increased levels of stress. In the ensuing years, depression researchers have moved beyond clinical predictors and examined whether depression vulnerability factors also contribute to stress generation. This interest has led to a growing focus on interpersonal vulnerability factors that contribute to stress generation. To date, the research examining interpersonal predictors of stress generation has tended to examine vulnerability factors singly and thus potential overlap and unique predictions among vulnerability factors have not been determined. This study examines interpersonal vulnerability factors from various schools of thought (dependency, attachment, and unmitigated communion) as predictors of interpersonal stress generation. Three hundred and sixty-four young adults completed baseline measures of interpersonal vulnerabilities and provided weekly reports of depressive symptoms and stressful life events. Multilevel models were estimated to examine their unique predictions of interpersonal stress generation. Despite converging theories, there does not appear to be a single super factor. Of the interpersonal vulnerability factors tested, anxious attachment emerged as a consistent predictor of interpersonal stress generation both when examined singly and when in combination with related variables.
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Affiliation(s)
- Josephine H Shih
- Department of Psychology, Saint Joseph's University, Philadelphia, Pennsylvania, USA
| | | | - Nicole Dianno
- Department of Psychology, Saint Joseph's University, Philadelphia, Pennsylvania, USA
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16
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Abstract
Abnormalities in parasympathetic nervous system activity have been linked to depression, but less is known about processes underlying this relationship. The present study evaluated resting and stress-reactive respiratory sinus arrhythmia (RSA) to a laboratory stressor as predictors of daily interpersonal stress generation and depressive symptoms, whether stress generation mediated the relationship between RSA and depressive symptoms, and potential sex differences. A sample of formerly depressed 102 emerging adults (18-22 years; 78% female) completed a laboratory stressor and daily assessments of stressors and depressive symptoms over two weeks. Multilevel modeling revealed that: 1) lower resting RSA predicted daily depressive symptoms; 2) less RSA reactivity predicted interpersonal stress generation, 3) interpersonal dependent stressors mediated the relationship between RSA reactivity and daily depressive symptoms, and 4) sex differences occurred in the resting RSA-depression relationship. These findings highlight the importance of resting RSA and RSA reactivity in the examination of depression and interpersonal processes.
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Chen T, Zhao P, Guo X, Zhang S. Two-Fold Anisotropy Governs Morphological Evolution and Stress Generation in Sodiated Black Phosphorus for Sodium Ion Batteries. Nano Lett 2017; 17:2299-2306. [PMID: 28181809 DOI: 10.1021/acs.nanolett.6b05033] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Phosphorus represents a promising anode material for sodium ion batteries owing to its extremely high theoretical capacity. Recent in situ transmission electron microscopy studies evidenced anisotropic swelling in sodiated black phosphorus, which may find an origin from the two intrinsic anisotropic properties inherent to the layered structure of black phosphorus: sodium diffusional directionality and insertion strain anisotropy. To understand the morphological evolution and stress generation in sodiated black phosphorus, we develop a chemo-mechanical model by incorporating the intrinsic anisotropic properties into the large elasto-plastic deformation. Our modeling results reveal that the apparent morphological evolution in sodiated black phosphorus is critically controlled by the coupled effect of the two intrinsic anisotropic properties. In particular, sodium diffusional directionality generates sharp interphases along the [010] and [001] directions, which constrain anisotropic development of the insertion strain. The coupled effect renders distinctive stress-generation and fracture mechanisms when sodiation starts from different crystal facets. In addition to providing a powerful modeling framework for sodiation and lithiation of layered structures, our findings shed significant light on the sodiation-induced chemo-mechanical degradation of black phosphorus as a promising anode for the next-generation sodium ion batteries.
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Affiliation(s)
- Tianwu Chen
- Department of Engineering Science and Mechanics, and Materials Research Institute, The Pennsylvania State University , University Park, Pennsylvania 16802, United States
| | - Peng Zhao
- Department of Engineering Science and Mechanics, and Materials Research Institute, The Pennsylvania State University , University Park, Pennsylvania 16802, United States
| | - Xu Guo
- State Key Laboratory of Structural Analysis for Industrial Equipment, Department of Engineering Mechanics, International Research Center for Computational Mechanics, Dalian University of Technology , Dalian 116023, People's Republic of China
| | - Sulin Zhang
- Department of Engineering Science and Mechanics, and Materials Research Institute, The Pennsylvania State University , University Park, Pennsylvania 16802, United States
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Howe GW, Cimporescu M, Seltzer R, Neiderhiser JM, Moreno F, Weihs K. Combining Stress Exposure and Stress Generation: Does Neuroticism Alter the Dynamic Interplay of Stress, Depression, and Anxiety Following Job Loss? J Pers 2016; 85:553-564. [PMID: 27197979 DOI: 10.1111/jopy.12260] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Emerging models of stress point to a dynamic formulation where stressors and internalizing symptoms reciprocally influence each other. This study tested whether this dynamic interplay is the result of a general internalizing process underlying both depression and anxiety, and whether it varies with neuroticism. METHOD A total of 426 adults (51% female; 47% White, 42% African American) were assessed five times over 6 months following loss of employment, using repeated measurements of stressors, depression, anxiety, and neuroticism. RESULTS Latent growth across 6 months and multilevel cross-lagged regressions across 6 weeks supported the hypothesis that stressors and internalizing symptoms have reciprocal effects after job loss. Findings for unique variation in depression paralleled those for general internalizing, whereas few findings emerged for general or social anxiety after controlling for internalizing. Neuroticism strengthened the association of change in stressors with change in symptoms across 6 months. Those with high neuroticism showed less reduction in internalizing following reemployment and were less likely to be reemployed when starting with higher internalizing. CONCLUSIONS The moderated reciprocal effects model helps account for onset, maintenance, and resolution of symptoms following job loss. We speculate that these findings may be due in part to differential emotion regulation and reductions in motivation.
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Abstract
Previous studies have indicated that objective stress-negative events that have actually occurred outside of individuals-is involved in processes of dysfunctional attitudes leading to depression. Subjective stress-individuals' perception of negative events that have not actually occurred outside of them-is also predicted to be involved in these processes. However, few studies have empirically investigated this prediction. The primary purpose of this study was to fill this gap by testing the hypothesis that dysfunctional attitudes lead to depression by generating subjective stress. A longitudinal design was employed and initial depression was controlled. The results supported the hypothesis. It was also found that initial depression fostered subsequent depression by generating subjective stress. This study contributes to the literature on depression mechanisms by elucidating that subjective stress plays an important role in the development and exacerbation of depression. This study also has important clinical implications as it suggests that preventing subjective stress in individuals with dysfunctional attitudes or depression helps to protect the development or exacerbation of their depression.
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Abstract
BACKGROUND AND OBJECTIVES Stressful life events are known to contribute to development of depression; however, it is possible this link is bidirectional. The present study examined whether such stress generation effects are greater than the effects of stressful life events on depression, and whether stress generation is also evident with anxiety. DESIGN Participants were two large age cohorts (N = 732 aged 44 years; N = 705 aged 63 years) from the West of Scotland Twenty-07 study. METHODS Stressful life events, depression, and anxiety symptoms were measured twice five years apart. Cross-lagged panel analysis examined the mutual influences of stressful life events on depression and on anxiety over time. RESULTS Life events predicted later depressive symptomatology (p = .01), but the depression predicting life events relationship was less strong (p = .06), whereas earlier anxiety predicted life events five years later (p = .001). There was evidence of sex differences in the extent to which life events predicted later anxiety. CONCLUSIONS This study provides evidence of stress causation for depression and weaker evidence for stress generation. In contrast, there was strong evidence of stress generation for anxiety but weaker evidence for stress causation, and that differed for men and women.
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Affiliation(s)
- Anna C. Phillips
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, UK
| | - Douglas Carroll
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, UK
| | - Geoff Der
- MRC Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow, G12 8RZ, UK
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Liu RT, Alloy LB, Mastin BM, Choi JY, Boland EM, Jenkins A. Vulnerability-specific stress generation: an examination of depressogenic cognitive vulnerability across multiple domains. Anxiety Stress Coping 2014; 27:695-711. [PMID: 24679143 DOI: 10.1080/10615806.2014.909927] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND AND OBJECTIVES Although there is supporting evidence for the stress generation hypothesis (i.e., the tendency for depression-prone individuals to experience more negative dependent events influenced by their behaviors and characteristics), additional research is required to advance current understanding of the specific types of dependent events relevant to this effect. The present study elaborated on the stress generation hypothesis, in which the content of negative dependent events experienced by individuals is contingent upon, and matches, the nature of their particular vulnerabilities. This extension was tested within the context of Cole's competency-based model of depression. DESIGN Participants (n=185) were assessed at two time-points separated by a four-month interval. METHODS Self-perceived competence in academic, social, and appearance domains at the initial time-point were examined in relation to negative life events prospectively occurring over the four-month follow-up period, assessed using the "contextual threat" method. RESULTS Partial support was obtained for vulnerability-specific stress generation. Stress-generation specificity was found for self-perceived competence in appearance and academic domains, but not for self-perceived social competence. CONCLUSIONS The current findings are consistent with the possibility of a more complex relation between self-perceived social competence and domain-congruent stress generation. Individuals may be more likely to experience negative dependent events in domains matching their specific vulnerabilities.
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Affiliation(s)
- Richard T Liu
- a Department of Psychiatry and Human Behavior , Alpert Medical School of Brown University , Providence , RI , USA
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22
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Abstract
There are stable individual differences in exposure to stressful circumstances over time. The current study employed a latent trait-state model to estimate the magnitude of that stability and its sources. Adults (N = 327; age M = 43.9 years, SD = 6.15) provided reports of hassles and depressive symptoms every three months for two years. A Trait-State-Error model suggested that 60% of the variance in self-reports of hassles was attributable to stable, between-persons factors. Of the remaining variance, 20% was attributable to an autoregressive factor and 20% was attributable to either unique state factors or error. Moreover, average depressive symptoms, family income, and family conflict reported at baseline were significant predictors of the stable trait factor. These findings suggest that adults' self-reports of stressful experiences show marked stability over time, and that this stability may have significant implications for understanding the occurrence and impact of stress.
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Kleiman EM, Liu RT, Riskind JH, Hamilton JL. Depression as a mediator of negative cognitive style and hopelessness in stress generation. Br J Psychol 2014; 106:68-83. [PMID: 24460788 DOI: 10.1111/bjop.12066] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [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: 03/27/2012] [Revised: 10/28/2013] [Indexed: 10/25/2022]
Abstract
Over the past 20 years, there has been considerable interest in the role of cognitive factors in the stress generation process. Generally, these studies find that depressed individuals, or individuals at cognitive risk for depression, are more likely to experience stressful life events that are in part influenced by their own characteristics and behaviours (i.e., negative dependent events). However, there is still much to be learnt about the mediators of these effects. For example, does the development of depression symptoms explain why individuals at cognitive risk for depression experience increased negative dependent events? Or, is it that increases in cognitive risk explain why depressed individuals experience increased negative dependent events? To explore these questions, a short-term prospective study was conducted with 209 college students who were given measures of depression, depressogenic risk factors (i.e., negative cognitive style and hopelessness), and negative dependent events at two time points 6 weeks apart. Support was found for three models: (1) depression symptoms mediated the relationship between negative cognitive style and negative dependent events; (2) depression symptoms mediated the relationship between hopelessness and negative dependent events; and (3) first hopelessness and then depression symptoms mediated the relationship between negative cognitive style and negative dependent events in a multiple-step model. In contrast, the reverse models were not confirmed, suggesting specificity in the direction of the mediational sequence.
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Affiliation(s)
- Evan M Kleiman
- Department of Psychology, George Mason University, Fairfax, Virginia, USA
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Abstract
After participating in this educational activity, the physician should be better able to 1. Evaluate the relationship between reward processes, stress, and depression. 2. Assess the characteristics of the three etiological models of stress and reward processes. 3. Identify the biological basis for stress and reward processes. Adolescence is a peak period for the onset of depression, and it is also a time marked by substantial stress as well as neural development within the brain reward circuitry. In this review, we provide a selective overview of current animal and human research investigating the relationship among reward processes, stress, and depression. Three separate, but related, etiological models examine the differential roles that stress may play in relation to reward dysfunction and adolescent depression. First, the reward mediation model suggests that both acute and chronic stress contribute to reward deficits, which, in turn, potentiate depressive symptoms or increase the risk for depression. Second, in line with the stress generation perspective, it is plausible that premorbid reward-related dysfunction generates stress--in particular, interpersonal stress--which then leads to the manifestation of depressive symptoms. Third, consistent with a diathesis-stress model, the interaction between stress and premorbid reward dysfunction may contribute to the onset of depression. Given the equifinal nature of depression, these models could shed important light on different etiological pathways during adolescence, particularly as they may relate to understanding the heterogeneity of depression. To highlight the translational potential of these insights, a hypothetical case study is provided as a means of demonstrating the importance of targeting reward dysfunction in both assessment and treatment of adolescent depression.
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Abstract
Rejection sensitivity has been found to confer risk for depression. The process through which this occurs remains unclear. This risk factor also has been associated with negative behavioral tendencies and interpersonal difficulties. Drawing on these different lines of research, the current investigation aimed to evaluate stress generation, the tendency for depression-prone individuals to experience higher rates of life stressors that are at least in part influenced by their own behavior, as a potential mechanism mediating the link between rejection sensitivity and subsequent depressive symptoms. Sixty-six adults with a history of depression were followed over a 4-month interval and completed assessments of rejection sensitivity and depressive symptoms at baseline, and depressive symptoms, a diagnostic interview for depression, and a contextual threat life stress interview at 4-month follow-up. Consistent with the stress generation hypothesis, rejection sensitivity predicted higher rates of dependent stressors, but not independent ones, over the 4-month prospective follow-up period. Furthermore, prospectively occurring dependent stressors mediated the relationship between baseline rejection sensitivity and depressive symptoms at follow-up. The finding that stress generation may operate as a mediating mechanism underlying the pathway between rejection sensitivity and depression lends preliminary support for the importance of targeting maladaptive behavioral tendencies in rejection-sensitive individuals in clinical settings.
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Affiliation(s)
- Richard T. Liu
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, Rhode Island, USA,Corresponding author. Richard T. Liu, Department of Psychiatry and Human Behavior, Brown University, 1011 Veterans Memorial Parkway, East Providence, RI 02915 (address: )
| | - Morganne A. Kraines
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, Rhode Island, USA
| | - Maya Massing-Schaffer
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, Rhode Island, USA
| | - Lauren B. Alloy
- Department of Psychology, Temple University, Philadelphia, Pennsylvania, USA
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Hamilton JL, Stange JP, Shapero BG, Connolly SL, Abramson LY, Alloy LB. Cognitive vulnerabilities as predictors of stress generation in early adolescence: pathway to depressive symptoms. J Abnorm Child Psychol 2013; 41:1027-39. [PMID: 23624770 PMCID: PMC3758373 DOI: 10.1007/s10802-013-9742-z] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [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: 11/30/2022]
Abstract
Although individuals with depression have been found to experience a higher rate of stress in their lives, it remains unclear to what extent other personal characteristics may contribute to stress generation. The current study extended past research by examining the effects of two theoretically and empirically supported cognitive vulnerabilities to depression (negative cognitive style and rumination) as predictors of dependent interpersonal and achievement events, independent events, and relational peer victimization. In a diverse sample of 301 early adolescents (56 % female; M(age) = 12.82 years), we found that negative cognitive style prospectively predicted the experience of dependent interpersonal stress and relational victimization, and that rumination did not predict stress in any of the domains. Furthermore, the occurrence of intervening stress mediated the associations between negative cognitive style and subsequent depressive symptoms. Additionally, whereas negative cognitive style predicted relational victimization among both boys and girls, girls were particularly vulnerable to developing depressive symptoms following the occurrence of relational victimization. Thus, a negative cognitive style may contribute to the occurrence of stressful events, which in turn increases depressive symptoms. Girls may be particularly reactive to relational victimization, representing one pathway through which sex differences in depression may emerge.
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Affiliation(s)
- Jessica L Hamilton
- Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
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27
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Kim HC, Sung SY, Ha JH, Solomonov M, Lee JM, Lee CJ, Kim BM. Stress generation during self-adjusting file movement: minimally invasive instrumentation. J Endod 2013; 39:1572-5. [PMID: 24238449 DOI: 10.1016/j.joen.2013.07.021] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [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: 02/14/2013] [Revised: 07/02/2013] [Accepted: 07/14/2013] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Although nickel-titanium (NiTi) rotary instruments may produce a well- tapered root canal with a low tendency of aberrations, these are generally perceived to have a high fracture risk during use and may produce significant forces on root dentin during instrumentation, which may induce a dentinal defect or crack in the apical part of the root. This study compared mathematically the stress generated by the Self-Adjusting File (ReDent-Nova, Ra'anana, Israel) with conventional rotary instruments during the movement of 3 NiTi endodontic file designs in a curved root canal. METHODS Stresses were calculated using finite element analysis. Three file designs with tip size ISO #20 were used in this study. Finite element models of ProFile #20/.06 (Dentsply Maillefer, Ballaigues, Switzerland) (a constant tapered shaft), ProTaper Universal F1 (Dentsply Maillefer) (a progressively changing taper shaft), and SAF 1.5 mm (a mesh shaft) were activated within a curved root canal model. The stress generations resulting from the simulated shaping movement were evaluated in the apical root dentin area. RESULTS The SAF induced the lowest von Mises stress concentration and the lowest tensile principal stress component in root dentin. The calculated stress values from ProTaper Universal F1 and ProFile #20/.06 were approximately 8 to 10 times bigger than that of the SAF. CONCLUSIONS Stress levels during shaping and the susceptibility to apical root cracks after shaping vary with instrument design. The design of the SAF may produce minimal stress concentrations in the apical root dentin during shaping of the curved canal, which may increase the chance of preservation of root dentin integrity with a reduced risk of dentinal defects and apical root cracking.
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Affiliation(s)
- Hyeon-Cheol Kim
- Department of Conservative Dentistry, School of Dentistry, Pusan National University, Yangsan, Korea.
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Liu RT, Choi JY, Boland EM, Mastin BM, Alloy LB. Childhood abuse and stress generation: the mediational effect of depressogenic cognitive styles. Psychiatry Res 2013; 206:217-22. [PMID: 23273609 PMCID: PMC4081492 DOI: 10.1016/j.psychres.2012.12.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [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: 01/05/2012] [Revised: 11/13/2012] [Accepted: 12/02/2012] [Indexed: 01/01/2023]
Abstract
According to the stress generation hypothesis (Hammen, 1991), depressed and depression-prone individuals experience higher rates of negative life events influenced by their own behaviors and characteristics (i.e., dependent events), which in part may account for the often recurrent nature of depression. Relatively little is known about the interrelation between stress generation predictors, and distal risk factors for this phenomenon. This study examined whether childhood emotional, sexual, and physical abuse, each uniquely predicted negative dependent events in individuals with a history of depression. The role of negative inferential styles as a potential mediator was also assessed. A sample of 66 adults with a history of depression completed self-report measures of childhood abuse history and negative inferential styles at baseline. The "contextual threat" method was used to assess the occurrence of negative life events over a 4-month prospective follow-up period. Childhood emotional abuse, but not sexual or physical abuse, prospectively predicted greater stress generation. Negative inferential styles mediated this relation. These findings suggest that targeting negative cognitive styles in clinical settings, especially in patients with a history of childhood emotional abuse, may be important for reducing the occurrence of negative life events, thereby possibly decreasing risk for depression recurrence.
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Affiliation(s)
- Richard T. Liu
- Department of Psychiatry and Human Behavior, Brown University, 1011 Veterans Memorial Parkway, East Providence, RI 02915, USA,Corresponding author. (R.T. Liu)
| | - Jimmy Y. Choi
- Department of Psychology, Binghamton University, Binghamton, NY, USA
| | - Elaine M. Boland
- Department of Psychology, Temple University, Philadelphia, PA, USA
| | - Becky M. Mastin
- Department of Psychology, Temple University, Philadelphia, PA, USA
| | - Lauren B. Alloy
- Department of Psychology, Temple University, Philadelphia, PA, USA
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Molz AR, Black CL, Shapero BG, Bender RE, Alloy LB, Abramson LY. Aggression and impulsivity as predictors of stress generation in bipolar spectrum disorders. J Affect Disord 2013; 146:272-80. [PMID: 22871530 DOI: 10.1016/j.jad.2012.07.022] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2012] [Revised: 07/03/2012] [Accepted: 07/17/2012] [Indexed: 11/21/2022]
Abstract
BACKGROUND Some evidence suggests that individuals with bipolar spectrum disorders (BSD) generate stressful life events, contributing to a more severe course of disorder. A recent update to the Behavioral Approach System (BAS) dysregulation theory of BSD highlights the need to investigate anger as approach motivation. Although research has shown that individuals with BSD generate stress, it is unclear whether personality traits characteristic of BSD, such as aggression and impulsivity, are related to this stress generation. METHODS The current longitudinal study employed multilevel modeling to examine stress generation in a sample of 104 individuals with BSD and 96 healthy controls. We examined rates of BAS-deactivating, BAS-activating, and Anger-evoking life events over a period of up to 4.5 years as a function of levels of aggression and impulsivity. RESULTS Individuals with BSD reported significantly higher numbers of dependent Anger-evoking events and BAS-deactivating events, but not dependent BAS-activating events, than controls. Trait levels of hostility and impulsivity predicted all types of events, although bipolar diagnosis remained a significant predictor of BAS-deactivating and Anger-evoking events. LIMITATIONS The life events measures were not designed to assess Anger-evoking events; further research should replicate these findings and develop more finely tuned assessments of stressful anger events. In addition, the sample was not a clinical sample. CONCLUSIONS This study adds to the literature on stress generation in BSD; trait level personality differences predict stress generation, beyond bipolar diagnosis. This also further establishes the importance of including anger-evoking events in the BAS model of BSDs and stress generation.
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Starr LR, Hammen C, Brennan PA, Najman JM. Relational security moderates the effect of serotonin transporter gene polymorphism (5-HTTLPR) on stress generation and depression among adolescents. J Abnorm Child Psychol 2013; 41:379-88. [PMID: 23080078 PMCID: PMC3568231 DOI: 10.1007/s10802-012-9682-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [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: 01/08/2023]
Abstract
Previous research demonstrates that carriers of the short allele of the serotonin transporter gene (5-HTTLPR) show both greater susceptibility to depression in response to stressful life events and higher rates of generation of stressful events in response to depression. The current study examines relational security (i.e., self-reported beliefs about attachment security) as a moderator of these effects, building on emerging research suggesting that the short allele acts as a marker of sensitivity to the social environment. Participants were 354 Caucasian adolescents oversampled for maternal depression (137 male, 217 female), assessed at ages 15 and 20. Results indicated that the short allele predicted increased stress generation at age 20 among those with low age 15 security but decreased stress generation among those with high security, and revealed a three-way interaction between age 15 depression, age 15 security, and genotype, where depression predicted stress generation only among short allele carriers with low security. Further, among boys only, security interacted with genotype to predict longitudinal changes in depression diagnosis, with the s-allele predicting relative increases in probability of depression among boys with low security but decreases among boys with high security. Results support the notion of the short allele as a marker of social reactivity, and suggest that attachment security may buffer against the genetic vulnerability introduced by the short allele, in line with predictions of the differential susceptibility theory.
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Affiliation(s)
- Lisa R Starr
- Department of Psychology, University of California-Los Angeles, Los Angeles, CA, 90095-1563, USA.
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Abstract
Originally formulated to understand the recurrence of depressive disorders, the stress generation hypothesis has recently been applied in research on anxiety and externalizing disorders. Results from these investigations, in combination with findings of extensive comorbidity between depression and other mental disorders, suggest the need for an expansion of stress generation models to include the stress generating effects of transdiagnostic pathology as well as those of specific syndromes. Employing latent variable modeling techniques to parse the general and specific elements of commonly co-occurring Axis I syndromes, the current study examined the associations of transdiagnostic internalizing and externalizing dimensions with stressful life events over time. Analyses revealed that, after adjusting for the covariation between the dimensions, internalizing was a significant predictor of interpersonal dependent stress, whereas externalizing was a significant predictor of noninterpersonal dependent stress. Neither latent dimension was associated with the occurrence of independent, or fateful, stressful life events. At the syndrome level, once variance due to the internalizing factor was partialed out, unipolar depression contributed incrementally to the generation of interpersonal dependent stress. In contrast, the presence of panic disorder produced a "stress inhibition" effect, predicting reduced exposure to interpersonal dependent stress. Additionally, dysthymia was associated with an excess of noninterpersonal dependent stress. The latent variable modeling framework used here is discussed in terms of its potential as an integrative model for stress generation research.
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Affiliation(s)
- Christopher C Conway
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA 90095-1563, USA.
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Abstract
BACKGROUND Children of depressed mothers not only have higher risk of depression, but also may experience both elevated and continuing exposure to stressful experiences. The study tested hypotheses of the intergenerational transmission of stress and depression and examined the role of early childhood adversity and maternal depression in the interplay between youth depression and stress over 20 years. METHOD In a longitudinal community study of 705 families selected for history or absence of maternal depression, mothers and youth were studied from pregnancy to age 5 years and at youth ages 15 and 20 years. Youth and maternal depression were assessed with diagnostic interviews, acute and chronic interview-based stress assessment in the youth and contemporaneous measures of childhood adversity obtained between pregnancy and youth age 5 years. RESULTS Regression analyses indicated evidence of intergenerational transmission and continuity of depression over time, continuity of acute and chronic stress and reciprocal predictive associations between depression and stress. Maternal depression and exposure to adversities by child's age 5 years contributed to the youth's continuing experiences of depression and stress. An overall path model was consistent with stress continuity and intergenerational transmission and highlighted the mediating role of age 15 youth chronic interpersonal stress. CONCLUSIONS Youth of depressed mothers are at risk not only for depression but also for continuing experiences of acute and chronic stress from childhood to age 20. The associations among depression and stress are bidirectional and portend continuing experiences of depression and further stress.
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Affiliation(s)
- C Hammen
- Department of Psychology, University of California, Los Angeles, CA 90095, USA.
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Trombello JM, Schoebi D, Bradbury TN. Relationship functioning moderates the association between depressive symptoms and life stressors. J Fam Psychol 2011; 25:58-67. [PMID: 21355647 PMCID: PMC5582690 DOI: 10.1037/a0022138] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Data from 172 newlywed couples were collected over the first 4 years of marriage to test how behaviors demonstrated during marital interactions moderate associations between depressive symptoms and subsequent life stressors. Depressive symptoms and behaviors coded from problem-solving and social support interactions were analyzed as predictors of nonmarital stressors that were interpersonal and dependent on the participant's actions. Behavioral codes were found to moderate 3 of 16 symptom-to-life event associations for husbands. Husbands' reports of more depressive symptoms predicted greater levels of stress when husbands' positive affect and hard negative affect during problem-solving were relatively infrequent and when wives made frequent displays of positive behaviors during husbands' support topics. These effects remained after controlling for marital satisfaction. For wives, behavioral moderators did not interact with depressive symptoms to predict changes in stress, but marital satisfaction consistently interacted with depressive symptoms to predict future stressors beyond interpersonal behaviors. Specifically, for wives, stress generation was more evident when relationship satisfaction was low than when it was high. Our results, though different for men and women, suggest that relationship functioning can alter associations between depressive symptoms and life stress in the early years of marriage. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
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Affiliation(s)
- Joseph M Trombello
- Department of Psychology, University of California, Los Angeles, CA, USA.
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Abstract
Individuals with a history of depression experience more stress that is dependent in part on their own actions. However, it is unclear whether stress generation is a unique feature of depression, or a universal process that is also present in other types of psychopathology, such as anxiety disorders. The current study addressed this issue by comparing adolescents with a history of "pure" (i.e., non-comorbid) depressive disorders, pure anxiety disorders, comorbid depression and anxiety, and no disorder, on their levels of dependent and independent stress. Results indicated that adolescents with pure depression experienced more dependent stress than adolescents with pure anxiety, and adolescents with any internalizing diagnosis experienced more dependent stress than controls. Further, adolescents with comorbid depression and anxiety reported the highest levels of stress generation. The results suggest that while stress generation may be more strongly associated with depression than anxiety in adolescence, it is not unique to depression.
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Affiliation(s)
- Nicole P. Connolly
- Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA 90095-1563
| | - Nicole K. Eberhart
- RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138
| | - Constance L. Hammen
- Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA 90095-1563
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Abstract
Depressive symptoms are frequently elevated following breast cancer diagnosis. The stress generation hypothesis states that people with depression generate stressful events and these stressors lead to subsequent depression. This study tested the stress generation hypothesis over the first 5 years of cancer survivorship. Women with stage II or III breast cancer (N = 113) were accrued. Five mediation models were constructed, one for each year. Each model tested whether stressful events in each year mediated the relationship between depression at the beginning and end of that year. Stress generation was observed in the first 2 years following cancer diagnosis but not from 2 to 5 years after diagnosis. The relationship of depression to future stress in breast cancer patients may be moderated by phase of survivorship. Screening and treatment of depressive symptoms in cancer survivors may need to consider the generation of stressful events.
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Affiliation(s)
- Salene M. Wu
- Department of Psychology, The Ohio State University, 159 Psychology Building, 1835 Neil Ave, Columbus, OH 43210, USA
| | - Barbara L. Andersen
- Department of Psychology, The Ohio State University, 159 Psychology Building, 1835 Neil Ave, Columbus, OH 43210, USA
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Hankin BL. Personality and depressive symptoms: Stress generation and cognitive vulnerabilities to depression in a prospective daily diary study. J Soc Clin Psychol 2010; 29:369-401. [PMID: 25435650 PMCID: PMC4245036 DOI: 10.1521/jscp.2010.29.4.369] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [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: 11/20/2022]
Abstract
Personality and psychopathology have long been associated, however the mechanisms that account for this link are less understood. Stress generation was examined as a potential mechanism to explain the association between personality traits, especially negative emotionality, and depressive symptoms. In addition, the moderating influence of cognitive vulnerabilities to potentiate the relation between stressors and depressive symptoms was investigated. These hypothesized processes were evaluated in a prospective daily diary study in which young adults (N=210) completed baseline measures of personality, dysfunctional attitudes, negative cognitive style, and depressive symptoms. The participants then recorded their levels of depressive symptoms and the occurrence of stressors daily for 35 days. Negative Emotionality-Stress Reaction (NEM-SR) predicted initial levels and trajectories of depressive symptoms and stressors over time. Daily stressors partially mediated the longitudinal association between baseline NEM-SR and trajectories of daily depressive symptoms. Both dysfunctional attitudes and negative cognitive style interacted with these additional stressors to predict prospective fluctuations of daily depressive symptoms.
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Abstract
Although bias towards perceiving spousal criticism is related to dysphoria and marital discord (Smith & Peterson, 2008), the bias construct has received insufficient elaboration. We explicated the criticality bias construct by exploring its correlates and incremental validity relative to perceived criticism, marital attributions, and negative affect. 118 couples completed self-report measures and undertook a videotaped discussion task. Signal detection analyses of both spouses' and outside observers' ratings of discussions produced bias indices. Criticality bias evidenced a pattern of convergent and discriminant validity mirroring perceived criticism's (Renshaw, 2008). Bias also provided incremental validity beyond perceived criticism, marital attributions, and negative affect to the prediction of behavior. Bias may be a dysfunctional way to view marital events and a stress generation process.
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Affiliation(s)
- Kristina M Peterson
- Department of Psychology, University of Notre Dame, Notre Dame, IN 46556, USA.
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Safford SM, Alloy LB, Abramson LY, Crossfield AG. Negative cognitive style as a predictor of negative life events in depression-prone individuals: a test of the stress generation hypothesis. J Affect Disord 2007; 99:147-54. [PMID: 17030064 PMCID: PMC1989149 DOI: 10.1016/j.jad.2006.09.003] [Citation(s) in RCA: 114] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2006] [Revised: 07/24/2006] [Accepted: 09/05/2006] [Indexed: 11/28/2022]
Abstract
BACKGROUND Stress generation effects in depressed individuals have been well-documented. However, less is known about what personal attributes of depression-prone individuals may contribute to the stress generation effect. This study investigated the role of negative cognitive style in predicting the occurrence of negative life events. METHODS Undergraduates identified as either high (n=76) or low (n=81) in negative cognitive style were assessed for lifetime history of depression followed by periodic assessment over the course of six months for the occurrence of negative life events and depressive episodes. RESULTS Individuals with negative cognitive styles generated more negative life events (dependent events and interpersonal events, but not more independent or achievement-related events) than individuals with more positive cognitive styles. These results appear to be unique to women. LIMITATIONS Utilizing participants specifically chosen to be high or low in negative cognitive style may limit generalizability to other individuals. CONCLUSIONS Results suggest that an underlying negative cognitive style may account for the stress generation effect often found in depressed individuals, particularly for women. Adequately addressing cognitive patterns in treatment or prevention programs may not only effectively reduce depression, but may also reduce the likelihood of experiencing negative life events that often serve as precipitants for depression.
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Affiliation(s)
- Scott M Safford
- Department of Psychology, 204C Moreland Hall, Oregon State University, Corvallis, Oregon 97331, United States.
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