Threat appraisals, distress and the development of positive life changes after September 11th in a Canadian sample

Several surveys have reported the negative psychological impact on the general public of the terrorist attacks in the USA of September 11th, 2001. Yet the attacks also led many people to make positive changes in their relationships, values and priorities. A survey of 80 adults in Ottawa, Canada demonstrated that greater perceived threat and greater initial distress reactions significantly predicted the extent to which people reported positive changes in their lives (e.g. closer to family, refocused priorities). Initial distress and greater perceived threat also correlated positively with whether people provided help after the disaster. Follow-up data on 40 of these participants 11 months later revealed significant stability over time for the extent of positive life changes reported, and demonstrated that degree of initial distress and perceived threat continued to correlate positively with life change reports at this later point in time. The data are consistent with the argument that the perception of growth may develop out of one's personal experience of emotional pain.     

Bringing Everyday Mind Reading Into Everyday Life: Assessing Empathic Accuracy With Daily Diary Data

ABSTRACT Individual differences in empathic accuracy (EA) can be assessed using daily diary methods as a complement to more commonly used lab‐based behavioral observations. Using electronic dyadic diaries, we distinguished among elements of EA (i.e., accuracy in levels, scatter, and pattern, regarding both positive and negative moods) and examined them as phenomena at both the day and the person level. In a 3‐week diary study of cohabiting partners, we found support for differentiating these elements. The proposed indices reflect differing aspects of accuracy, with considerable similarity among same‐valenced accuracy indices. Overall there was greater accuracy regarding negative target moods than positive target moods. These methods and findings take the phenomenon of “everyday mindreading” ( Ickes, 2003 ) into everyday life. We conclude by discussing empathic accuracies as a family of capacities for, or tendencies toward, accurate interpersonal sensitivity. Members of this family may have distinct associations with the perceiver's, target's, and relationship's well‐being.     

Linguistic markers of psychological change surrounding September 11, 2001

The diaries of 1,084 U.S. users of an on-line journaling service were downloaded for a period of 4 months spanning the 2 months prior to and after the September 11 attacks. Linguistic analyses of the journal entries revealed pronounced psychological changes in response to the attacks. In the short term, participants expressed more negative emotions, were more cognitively and socially engaged, and wrote with greater psychological distance. After 2 weeks, their moods and social referencing returned to baseline, and their use of cognitive-analytic words dropped below baseline. Over the next 6 weeks, social referencing decreased, and psychological distancing remained elevated relative to baseline. Although the effects were generally stronger for individuals highly preoccupied with September 11, even participants who hardly wrote about the events showed comparable language changes. This study bypasses many of the methodological obstacles of trauma research and provides a fine-grained analysis of the time line of human coping with upheaval.     

Interparental Interactions and Adolescent Mood: A Daily Diary Approach

The literature assessing relations between interparental functioning and youth adjustment is extensive. Most of this literature used a between subjects approach and examines youth responses to conflict reported by parents. The current study used a daily diary approach to complement the existing literature by assessing relations between aspects of marital interactions and adolescent reported daily mood using a within-family approach. We hypothesized that parents’ emotionality during interactions, the severity of their marital conflicts, and the degree to which their conflicts were resolved would be associated with their adolescents’ daily moods. To test these hypotheses a diverse sample (N?=?86; 27% Black, 33% White, 26% Hispanic, and 14% another race or families members differed in race) of mothers, fathers, and adolescents drawn from the Supporting Healthy Marriage project completed 15 days of daily diaries. Multilevel modeling results suggested differential associations between mother and father reports of their own emotions during interactions, conflict severity, and conflict resolution and adolescents’ daily moods. Overall, there were more significant results indicating fathers’ compared to mothers’ associations with adolescents’ daily moods, providing support for the need to continue efforts to engage fathers in family strengthening programs.     

Toward Mapping Daily Challenges of Living with ADHD: Maternal and Child Perspectives Using Electronic Diaries

Attention-deficit/hyperactivity disorder (ADHD) has an impact on the family as well as the affected child. This study developed and tested an electronic diary for mapping the challenges of everyday family life in a sample of children with ADHD being treated with pharmacotherapy. Across 7 days, mothers and children (27 ADHD; 25 non-ADHD) independently reported their moods, behaviors, and social contexts every 30 min during nonschool hours. Symptomatic behaviors and negative moods were elevated in the ADHD group, combined with maternal perceptions of lower parenting effectiveness and quality of life. Differences in the contexts of maternal anger were salient, with mothers in the ADHD group more often angry when with their children and comparison mothers more often angry when not. Although mothers' diaries were more informative, children's diaries also distinguished the two groups, especially during mornings and weekends. The need for family-wide interventions, the utility of child self-reports, and the promise of electronic diaries are discussed.     

Changes in ego development in the wake of September 11

In a longitudinal study using the Washington University Sentence Completion Test (WUSCT), we examined changes in ego development in response to the events of September 11, 2001. A sample of 24 individuals responded to the WUSCT in both the summer and fall of 2001, before and after the events of September 11. A significant decrease in mean ego level was found following September 11, as well as more equivocal support for an increase in variability in responses to the WUSCT.     

Factors associated with traumatic symptoms and internalizing problems among adolescents who experienced a traumatic event

The aim of the present study was to identify factors that are related to the traumatic symptoms and problem behavior among adolescents who experienced the New Years fire in 2001 in Volendam, The Netherlands. Three groups of factors were considered: pre-trauma (personality and coping), trauma-related (physical and emotional proximity to disaster), and post-trauma factors (received social support). Forty-five adolescents completed the questionnaire. Two years after the disaster, these adolescents experienced significant traumatic stress reaction (70% within the clinical range) and showed clinically significant levels of internalizing problems (37%). Pre-trauma, individual factors were identified as the most important predictors of distress, followed by received social support. The indicators of physical and emotional proximity to disaster explained little variance in distress.     

Mobile phone mood charting for adolescents

Mobile phones may provide a useful and engaging platform for supporting therapeutic services working with adolescents. This paper examines the potential benefits of the mobile phone for self-charting moods in comparison to existing methods in current practice. The paper describes a mobile phone application designed by the authors which allows adolescents to record moods on their personal mobile phones. The authors propose that a personal mobile device is more suitable for adolescents than other devices. A pilot study with a non-clinical adolescent group in schools comparing a mobile and a paper diary is presented, along with discussion and analysis of the results. The main finding of the study was that compliance was significantly higher on mobile phones than paper, and the task was not found to be any more difficult to complete using mobile phones than with paper charts. A number of salient issues requiring further research are also identified.     

Anxiety, depressed mood, self-esteem, and traumatic stress symptoms among distant witnesses of the 9/11 terrorist attacks: transitory responses and psychological resilience

Posttraumatic stress related to the September 11, 2001 terrorist attacks and general psychological distress were examined in six cohorts of college students (N=5412) enrolled at an American public university between Spring 2000 and Fall 2002 some 2,500 miles from New York. Consistent with data from Schuster et al.'s (2001) national survey, which used a very low threshold criterion, our findings revealed that 44% of women and 32% of men experienced at least one symptom of posttraumatic stress 6-17 days after the attacks. In contrast to these results, depression levels showed only small differences, and self-esteem and trait anxiety showed no changes. Findings indicate that 9/11-related stress responses among distant witnesses were very mild, transitory and focused in scope, suggesting resilience with respect to broader psychological and psychopathological reactions. Findings are discussed with respect to the role of physical and psychological proximity on the reactions to traumatic events in the general population.     

Factors associated with traumatic symptoms and internalizing problems among adolescents who experienced a traumatic event

Abstract

The aim of the present study was to identify factors that are related to the traumatic symptoms and problem behavior among adolescents who experienced the New Years fire in 2001 in Volendam, The Netherlands. Three groups of factors were considered: pre-trauma (personality and coping), trauma-related (physical and emotional proximity to disaster), and post-trauma factors (received social support). Forty-five adolescents completed the questionnaire. Two years after the disaster, these adolescents experienced significant traumatic stress reaction (70% within the clinical range) and showed clinically significant levels of internalizing problems (37%). Pre-trauma, individual factors were identified as the most important predictors of distress, followed by received social support. The indicators of physical and emotional proximity to disaster explained little variance in distress.     

Smoking and moods in adolescents with depressive and aggressive dispositions: evidence from surveys and electronic diaries.

Surveys and electronic diaries were used to examine depressive and extemalizing dispositions as they relate to smoking and moods in 170 early adolescents. Negative moods were prevalent, with anger and anxiety reported on 26%-60% and sadness on 16%-40% of occasions. The risk of smoking, urges to smoke, and alcohol intake were elevated in teens with aggressive and depressive dispositions, as were diary reports of feeling hassled, angry, and sad. Girls high in depression and aggression also reported more anxiety, stress, and fatigue and less happiness and well-being than did their peers. For boys, depression seemed to dampen the elevated smoking risks associated with externalizing behaviors. Discussion focuses on gender differences in personality-smoking linkages, adolescent negative affectivity, the unique contributions of survey and diary methods, and the promise of targeted preventive interventions such as affect regulation training.     

Are real moods required to reveal mood-congruent and mood-dependent memory?

While simulating, or acting as if, they were either happy or sad, university students recounted emotionally positive, neutral, or negative events from their personal past. Two days later, subjects were asked to freely recall the gist of all of these events, and they did so while simulating a mood that either did or did not match the one they had feigned before. By comparing the present results with those of a previous study, in which affectively realistic and subjectively convincing states of happiness and sadness had been engendered experimentally, we searched for—and found—striking differences between simulated and actual moods in their impact on autobiographical memory. In particular, it appears that the mood-congruent effects elicited by simulated moods are qualitatively different from those evoked by induced moods, and that only authentic affects have the power to produce mood-dependent effects.     

Stress symptoms of two groups before and after the terrorist attacks of 9/11/01

This study investigated stress symptoms before and after the September 11, 2001 terrorist attack on the World Trade Center. Responses to the Smith Stress Symptoms Inventory were compared for Chicago area college students assessed 1 to 5 weeks after 9/11 (n=149) and a comparable sample tested up to 5 months prior to 9/11 (n=320). Post-9/11 participants scored higher on Attention Deficit. Contrary to prior research, post-9/11 participants did not score higher on distress, including Worry, Autonomic Arousal/Anxiety, Striated Muscle Tension, Depression, and Anger. It is suggested that those indirectly exposed to a terrorist attack may display traditional symptoms of distress and arousal (as suggested by previous research). Later symptoms of attention deficit and distancing may emerge. This work was based on independent pre- and post-9/11 samples and must be replicated longitudinally as a test-retest to draw conclusions regarding change over time.     

Effects of negative mood states on risk in everyday decision making

How does negative mood affect risk taking? A brief questionnaire was used to measure state anxiety, depression, and fatigue, and a daily mood diary allowed state and trait (average level) mood to be separated. Studies 1 and 2 used natural moods and Study 3 a mood induction procedure. Risk was assessed using hypothetical everyday choice scenarios. Study 1 showed that riskiness was affected by state fatigue, but not by anxiety and depression. Study 2 showed that increased riskiness over a two - week period was predicted by fatigue changes, after controlling for riskiness and trait and state mood at time 1. Fatigue effects were stronger for more important scenarios, and when state anxiety was also high. In Study 3, covariance analyses showed that the observed increased in riskiness was related to induced fatigue, rather than to anxiety or depression. The effects are discussed in relation to the literature on fatigue effects, and models of mood and cognition.     

Development of a diary for use with ambulatory monitoring of mood,activities, and physiological function

This paper describes three studies developed and providing preliminary validation for a pocket-size, self-monitoring diary suitable for use infield research on relationships among psychological states, activities, and physiological events. In the first study, a principal-components analysis of the diary's mood and cognition scales yielded three factors—negative affect, engagement, and predictability. These showed moderate concordance across two samples. In the second study, diary self-ratings of events, moods, and cognitions were shown to be meaningfully correlated with ratings made by spouse observers, providing evidence of concurrent validity of the diary. In the third study, diary ratings made by the same subjects at home, at work, and in other locations differed from each other in expected ways, providing evidence for discriminative validity. Modifications to the diary are suggested, and possible uses and limitations of the instrument are discussed.This research was supported by USUHS protocol RO7233 and a grant from the John D. and Catherine T. MacArthur Foundation. The opinions and assertions expressed herein are those of the authors and should not be construed as reflecting those of the USUHS or the Department of Defense.     

Ruminative self-focus, negative life events, and negative affect

Ruminative thinking is believed to exacerbate the psychological distress that follows stressful life events. An experience-sampling study was conducted in which participants recorded negative life events, ruminative self-focus, and negative affect eight times daily over one week. Occasions when participants reported a negative event were marked by higher levels of negative affect. Additionally, negative events were prospectively associated with higher levels of negative affect at the next sampling occasion, and this relationship was partially mediated by momentary ruminative self-focus. Depressive symptoms were associated with more frequent negative events, but not with increased reactivity to negative events. Trait rumination was associated with reports of more severe negative events and increased reactivity to negative events. These results suggest that the extent to which a person engages in ruminative self-focus after everyday stressors is an important determinant of the degree of distress experienced after such events. Further, dispositional measures of rumination predict mood reactivity to everyday stressors in a non-clinical sample.     

Identity Distress Among Youth Exposed to Natural Disasters: Associations with Level of Exposure,Posttraumatic Stress,and Internalizing Problems

Identity distress involves intense or prolonged upset or worry about personal identity issues including long-term goals, career choice, friendships, sexual orientation and behavior, religion, values and beliefs, and group loyalties. Research suggests that trauma exposure and subsequent posttraumatic stress disorder (PTSD) symptoms may negatively affect identity development and psychological adjustment. However, little is known about their specific associations with identity distress and internalizing problems among disaster-exposed adolescents. This study aimed to examine these associations in a sample of 325 adolescents (60% female; 89% African American) who experienced a major natural disaster and its aftermath. The results indicated that identity distress was positively associated with age, hurricane exposure, PTSD symptoms, and internalizing problems. Linear regression analyses also showed that identity distress was uniquely associated with internalizing symptoms and that there was an indirect effect of hurricane exposure on identity distress via PTSD symptoms. PTSD symptoms moderated the link between identity distress and internalizing symptoms, with a significant positive slope found for youth with more PTSD symptoms. Findings were generally consistent with previous work and predictions, and they add to the extant knowledge about identity distress by providing data on the linkages among disaster exposure, posttraumatic stress, and internalizing problems in adolescents.     

Psychological effects of attack on the World Trade Center: analysis before and after

Four different studies using a total sample of 711 from the same New York City student population tested a model that has emerged from previous research on disasters. The model suggests that postdisaster psychological distress is a function of exposure to the disaster, predisaster psychological distress, acute distress following the disaster, time elapsed between disaster and observation of distress, and additional traumatic experiences since the disaster. Although findings replicate those of previous cross-sectional studies regarding association of exposure and distress after the disaster, before and after studies did not detect an effect on postdisaster psychological distress of the World Trade Center attack. Great caution must be used in attributing elevated psychological distress observed postdisaster to the effects of the disaster.     

Sad Kids,Sad Media? Applying Mood Management Theory to Depressed Adolescents' Use of Media

Mood management studies typically have found that adults will select media that enhance positive moods and reduce negative moods. In this study, adolescents diagnosed with major depressive disorder and control adolescents without psychiatric disorders were called on customized cell phones up to 4 times a day and asked about their current mood state and media use for five extended weekends across an 8-week period. Mood effects on subsequent media use, mood during media consumption, and media effects on subsequent mood were examined. Results indicated that adolescents who consumed fun media tended to do so in a way that sustained, rather than enhanced their prior positive mood levels during and after consumption-if they turned to media. Adolescents in more negative moods did not often use media to improve their moods. When they did, boys were more likely than girls to use media that ultimately reduced negative mood levels. Findings are discussed in light of the literature on mood management, adolescence, and depression.