Defensiveness and symptom reporting

This investigation examined whether high levels of defensiveness were associated with lower levels of reporting symptoms of ill health. Participants completed questionnaires measuring defensiveness, trait anxiety (neuroticism), and health. Analyses revealed that overall high defensiveness was significantly associated with lower levels of symptom reporting, and that among individuals high in neuroticism (a trait normally associated with high levels of symptom reporting), those individuals also high in defensiveness reported significantly lower levels of symptoms. The results suggest that defensiveness may act as a buffer against the perception and reporting of the symptoms of illness.     

Negative mood, self-focused attention, and the experience of physical symptoms: the joint impact hypothesis

A joint impact hypothesis on symptom experience is introduced that specifies the role of negative mood and self-focus, which have been considered independently in previous research. Accordingly, negative affect only promotes symptom experience when people simultaneously focus their attention on the self. One correlational study and 4 experiments supported this prediction: Only negative mood combined with self-focus facilitated the experience (see the self-reports in Studies 1, 2a, & 2b) and the accessibility (lexical decisions, Stroop task in Studies 3 & 4) of physical symptoms, whereas neither positive mood nor negative mood without self-focus did. Furthermore, the joint impact of negative mood and self-focused attention on momentary symptom experience remained significant after controlling for the influence of dispositional symptom reporting and neuroticism.     

Defensiveness and Symptom Reporting

This investigation examined whether high levels of defensiveness were associated with lower levels of reporting symptoms of ill health. Participants completed questionnaires measuring defensiveness, trait anxiety (neuroticism), and health. Analyses revealed that overall high defensiveness was significantly associated with lower levels of symptom reporting, and that among individuals high in neuroticism (a trait normally associated with high levels of symptom reporting), those individuals also high in defensiveness reported significantly lower levels of symptoms. The results suggest that defensiveness may act as a buffer against the perception and reporting of the symptoms of illness.     

Temporal patterns of anxious and depressed mood in generalized anxiety disorder: a daily diary study

Research suggests that anxiety disorders tend to temporally precede depressive disorders, a finding potentially relevant to understanding comorbidity. The current study used diary methods to determine whether daily anxious mood also temporally precedes daily depressed mood. 55 participants with generalized anxiety disorder (GAD) and history of depressive symptoms completed a 21-day daily diary tracking anxious and depressed mood. Daily anxious and depressed moods were concurrently associated. Daily anxious mood predicted later depressed mood at a variety of time lags, with significance peaking at a two-day lag. Depressed mood generally did not predict later anxious mood. Results suggest that the temporal antecedence of anxiety over depression extends to daily symptoms in GAD. Implications for the refinement of comorbidity models, including causal theories, are discussed.     

DIVISION OF HOUSEHOLD LABOR, STRAIN, AND DEPRESSIVE SYMPTOMS AMONG MEXICAN AMERICANS AND NON-HISPANIC WHITES

This article presents preliminary tests of the hypothesis that household labor serves as a source of strain and is indirectly associated with depressive symptoms. It also examines associations of gender and Mexican-American ethnicity with housework, household strain, and depressed mood. Respondents are 668 Mexican Americans and 394 non-Hispanic whites. Because respondents are randomly selected community residents and are married, average strain and depressive symptom levels are low. Results are consistent with the hypothesis that housework affects depressed mood indirectly, through household strain. Among women, housework is associated with an increased likelihood of household strain, which, in turn, is associated with depressive symptoms. Among men, housework is unrelated to household strain, but household strain is associated with depressed mood. Although ethnicity and gender are associated with household division of labor, with more traditional patterns among Mexican Americans, ethnicity does not modify associations among housework, household strain, and depressive symptoms.     

Personality,Resilience, and Psychopathology: A Model for the Interaction between Slow and Fast Network Processes in the Context of Mental Health

Network theories have been put forward for psychopathology (in which mental disorders originate from causal relations between symptoms) and for personality (in which personality factors originate from coupled equilibria of cognitions, affect states, behaviours, and environments). Here, we connect these theoretical strands in an overarching personality–resilience–psychopathology model. In this model, factors in personality networks control the shape of the dynamical landscape in which symptom networks evolve; for example, the neuroticism item ‘I often feel blue’ measures a general tendency to experience negative affect, which is hypothesized to influence the threshold parameter of the symptom ‘depressed mood’ in the psychopathology network. Conversely, events at the level of the fast-evolving psychopathology network (e.g. a depressive episode) can influence the slow-evolving personality variables (e.g. by increasing feelings of worthlessness). We apply the theory to neuroticism and major depressive disorder. Through simulations, we show that the model can accommodate important phenomena, such as the strong relation between neuroticism and depression and individual differences in the change of neuroticism levels and development of depression over time. The results of the simulation are implemented in an online, interactive simulation tool. Implications for research into the relationship between personality and psychopathology are discussed. © 2020 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology     

A multimethod investigation of depressive symptoms,perceived understanding,and relationship quality

This research examines whether people who are experiencing more depressive symptoms perceive their partners as less able to understand their thoughts and feelings. Results showed that depressive symptoms (Studies 1 and 3) and depressive mood (Study 2) were negatively associated with perceived understanding in general (Study 1), in daily life (Study 2), and during a conflict conversation (Study 3). Partners of people who were more depressed actually were less empathically accurate during the conflict conversation in Study 3, although they did not recognize that they were being less understanding. Moreover, perceived understanding helped explain the link between depressive symptoms and relationship quality in all three studies, and these effects held when controlling for self‐reported understanding and perceived partner hostility.     

Depressive Rumination and Co-Morbidity: Evidence for Brooding as a Transdiagnostic Process

A sample of 116 patients with unipolar mood disorders referred to a specialist research clinic were assessed to investigate (a) whether rumination is a transdiagnostic process that is related to co-morbid Axis I and II symptoms and diagnosis in depressed patients; (b) whether common findings in the depressive rumination literature could be replicated in a recurrent depressed sample. Consistent with the transdiagnostic hypothesis, rumination was positively associated with both depression and anxiety, brooding was related to co-morbid obsessive-compulsive disorder and generalized anxiety disorder, and rumination was associated with traits associated with borderline personality disorder, most notably self-report of unstable relationships and inconsistent sense of self. As predicted, rumination was equivalent in currently depressed and formerly depressed patients, suggesting that rumination is not simply dependent on mood state or clinical status. As predicted, the brooding subtype most strongly correlated with depressed and anxious symptoms, consistent with previous observations that brooding is the more maladaptive form of rumination. As predicted, rumination was associated with reports of sexual abuse. Inconsistent with previous findings, there was no gender difference in rumination.     

Interactions between emotion regulation strategies and affective style: Implications for trait anxiety versus depressed mood

Affective style reflecting approach and inhibition is thought to be associated in distinct ways with anxious versus depressed mood; relatively few studies, however, consider how the interaction between affective style and the strategies individuals use to regulate mood and emotion might influence these associations. Sixty-seven non-disordered adults self-reported on their use of two emotion regulation strategies (cognitive reappraisal and expressive suppression), behavioral approach (BAS) and behavioral inhibition sensitivity (BIS) dimensions of affective style, and anxious and depressed mood (trait anxiety and symptoms of depression). Trait anxiety versus depressed mood was associated with unique interactive patterns of emotion regulation and affective style: enhanced use of reappraisal was linked to less depressed mood in those reporting low BAS, whereas high suppression was linked to greater trait anxiety in those reporting low BIS. The implications of findings for typical emotional processes and for clinical disorders and interventions are discussed.     

Depression history and coping with chronic pain: a daily process analysis.

This study examined how a previous episode of depression is related to daily pain and reactions to pain among individuals with fibromyalgia, a chronic pain syndrome. Seventy-one women with fibromyalgia (including 30 who were previously depressed) rated their pain and mood 3 times daily for 30 days. Each night, participants rated the extent to which they responded to pain by catastrophizing, how much control they had over that day's pain, their ways of coping with pain that day, and the effectiveness of their coping efforts. Multivariate multilevel regression models revealed that after controlling for neuroticism and current depressive symptoms, formerly depressed and never-depressed individuals differed in how they coped with increased pain and in how they appraised the efficacy of their coping efforts. Formerly depressed participants who also reported more current depressive symptoms showed a greater decline in pleasant mood on more painful days than did formerly depressed participants who were experiencing fewer current depressive symptoms. These findings illustrate how a history of depression can be captured in the dynamics of daily life.     

The response styles theory of depression: A test of specificity and causal mediation

This prospective study tested the diathesis-stress and causal mediation components of the response styles theory of depression. In addition, it examined whether rumination predicts increases in anxious as well as depressive symptoms. At Time 1, 87 college students completed measures of rumination, hopelessness, depressive symptoms, and anxious symptoms. Participants also completed measures of hopelessness, depressive symptoms, and anxious symptoms at three time points later in the semester: immediately after receiving their most difficult midterm exam grade (Time 2), 4–8 hours later (Time 3), and 4 days later (Time 4). Regardless of exam outcome, the tendency to ruminate in response to depressed mood was associated with: (1) increases in anxious symptoms between Time 1 and Time 3; and (2) increases in both anxious and depressive symptoms between Time 1 and Time 4. In addition, the relationship between rumination and increases in both depressive and anxious symptoms was mediated by hopelessness. In other words, individuals with a ruminative response style exhibited increases in both depressive and anxious symptoms because they exhibited increases in hopelessness.     

A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung, or prostate.

This study mapped the trajectory of depression and its components (depressive mood, somatic expression of depression, and lack of positive affect) for 1 year after an initial cancer diagnosis, revealing the complex nature of the psychological response to the cancer experience. The analysis was based on 4 waves of panel data from 860 older patients with incident breast, colon, lung, or prostate cancer. Predictors of depressive symptoms included cancer site; stage; comorbidities; sociodemographic characteristics; and indicators of physical functioning, symptom severity, and treatment. Patients' overall depressive symptoms declined, especially depressive mood and somatic indicators. By contrast, the sense of well-being did not recover; in fact, it would have deteriorated without improvements in physical functioning and physical symptoms. The present findings show the importance of psychological assessments and symptom management during cancer treatment.     

Am I the typical student? Perceived similarity to student prototypes predicts success

Two studies assessed the relationships between perceived similarity to the college student prototype and academic outcomes. In Study 1, students' similarity to the prototypical good student and their levels of depressed mood were assessed. A year later, students high in depressed mood who did not see themselves as similar to the good student prototype did worse academically. In Study 2, students' perceived favorability and similarity to the prototypical student at their university were assessed along with their levels of neuroticism. Enrollment at their university was then tracked for 5 semesters. Students high in neuroticism who perceived the typical student as both favorable and dissimilar to themselves were less likely to stay enrolled. These findings highlight the importance of perceived dissimilarity in prototype perception, particularly among those high in negative affect.     

Dampening of positive affect prospectively predicts depressive symptoms in non-clinical samples

Past research has convincingly shown that a ruminative response style to negative affect (NA) predicts concurrent and prospective levels of depressive symptoms. Recent findings suggest that how people respond to positive affect (PA) might also be involved in the development of depressive symptoms, although this has heretofore not been tested prospectively. Participants from two non-clinical samples (total N=487) completed measures of depressive symptoms, response styles to NA (negative rumination) and response styles to PA (positive rumination and mood dampening) at two assessments separated by a 3-month (Sample 1) and 5-month period (Sample 2). Results in both samples showed that increased dampening responses to PA predict depressive symptoms at follow-up, even when taking into account baseline depressive symptoms and ruminative responses to NA. The results suggest that (dampening) responses to PA add useful information above and beyond (ruminative) responses to NA in predicting depression symptoms prospectively.     

Dampening of positive affect prospectively predicts depressive symptoms in non-clinical samples

Past research has convincingly shown that a ruminative response style to negative affect (NA) predicts concurrent and prospective levels of depressive symptoms. Recent findings suggest that how people respond to positive affect (PA) might also be involved in the development of depressive symptoms, although this has heretofore not been tested prospectively. Participants from two non-clinical samples (total N=487) completed measures of depressive symptoms, response styles to NA (negative rumination) and response styles to PA (positive rumination and mood dampening) at two assessments separated by a 3-month (Sample 1) and 5-month period (Sample 2). Results in both samples showed that increased dampening responses to PA predict depressive symptoms at follow-up, even when taking into account baseline depressive symptoms and ruminative responses to NA. The results suggest that (dampening) responses to PA add useful information above and beyond (ruminative) responses to NA in predicting depression symptoms prospectively.     

Prediction of symptoms of emotional distress by mood regulation expectancies and affective traits

Three studies examined negative mood regulation expectancies (NMRE) and affective traits as independent predictors of self‐reported symptoms of emotional distress. NMRE represent individuals' beliefs that they can alleviate unpleasant emotional states. Stronger NMRE are associated with more adaptive coping, more positive cognition during negative moods, more effective responses under stress and less emotional distress. Affective traits represent long‐term tendencies toward particular affective experiences; they confer risk for specific symptoms of emotional distress. In Study 1, NMRE, trait negative affect (TNA) and trait positive affect (TPA) were all independently associated with depression among students and staff of a German university. In Study 2, in prospective analyses among U.S. college students traits exhibited hypothesised relationships with anxiety and depressive symptoms, and NMRE uniquely predicted anhedonic depression. Study 3 revealed independent prediction of change in symptoms over time by NMRE among U.S. college students, whereas traits were not associated with change in distress, anxiety and depression symptoms. Results suggest independent roles for NMRE and traits in the development of depression and anxiety symptoms and highlight the importance of NMRE as a potential target of therapeutic intervention in the process of symptom change.     

Diurnal Patterns of Unpleasant Mood: Associations with Neuroticism, Depression, and Anxiety

The literature on symptoms of depression has included diurnal changes in mood. The morning-worse pattern is commonly mentioned. This pattern is often associated with endogenous or vegetative symptoms (e.g., weight and appetite loss, loss of pleasure, psychomotor retardation). However, depression researchers have also identified an evening-worse pattern of mood. This pattern is sometimes thought to be associated with milder depressive symptoms, and may characterize chronic dysthymia rather than clinical depression. The present study examines a nonclinical sample to test the hypothesis that an evening-worse diurnal pattern of mood would be associated with trait neuroticism, anxiety, and subclinical depressive symptoms. An experience sampling methodology was employed to assess mood three times a day for 60 consecutive days. This allowed us to calculate a reliable aggregate score for diurnal mood patterns. The evening-worse pattern was associated with many neurotic features, with scores on depression and anxiety measures, and with a cognitive style indicative of hopelessness. Discussion focuses on how an evening-worse diurnal pattern of mood may be indicative of mild subclinical depression, chronic dysthymia, or personality traits associated with negative affectivity.     

Poverty and Depressed Mood Among Urban African-American Adolescents: A Family Stress Perspective

We examined the role of family stress as a mediator of the relationship between poverty and depressed mood among 1,704 low-income, inner-city African- American adolescents. Nearly half of participants (47%) reported clinically significant levels of depressive symptoms. Being female, reporting higher levels of family stress, and scoring higher on a poverty index were significantly associated with increased reports of depressed mood. Family stress significantly mediated the relationship between poverty and adolescent depressed mood, explaining 50% of the total effect. Sex-specific analyses revealed that this relationship only held for females, and there was no direct relationship between poverty and depressed mood for males. Results lend further support to family stress theory, although they suggest that the model may be more relevant for females than males. Implications for community-based preventive intervention and social policy are discussed.     

Anxiety sensitivity as a specific and unique marker of anxious symptoms in youth psychiatric inpatients

We addressed several questions regarding the relation of anxiety sensitivity to anxious symptoms among 47 youth psychiatric inpatients (18 boys, 29 girls), ages 9–17 (M = 14.23, SD = 1.89). Participants completed measures of anxiety sensitivity, anxious and depressive symptoms, trait anxiety, and positive and negative affect; chart diagnoses were available. Consistent with hypotheses, we found that (a) anxiety sensitivity was associated with anxious symptoms, even controlling for trait anxiety and depressive symptoms; and (b) anxiety sensitivity displayed symptom specificity to anxious versus depressive symptoms (i.e., was associated with anxiety controlling for depression but not with depression controlling for anxiety). Furthermore, regarding factors of anxiety sensitivity, we obtained mixed support for our prediction that phrenophobia would be associated with both depression and anxiety, whereas fear of physical arousal would be associated with anxiety but not depression. Implications for the construct validity of anxiety sensitivity were discussed.     

Emotion regulation and mood brightening in daily life vary with depressive symptom levels

Naturalistic studies of emotional reactivity in depression have repeatedly found larger decreases in negative affect (NA) among depressed individuals in response to daily positive events. This so-called mood-brightening (MB) effect represents a theoretical and empirical oddity. The current study is a secondary analysis investigating whether the MB effect is moderated by spontaneous use of emotion regulation strategies, which have been implicated in the maintenance and modulation of NA in prior work. Participants (N?=?95) representing a large spectrum of depressive symptom severity reported their experiences of NA and the occurrence of positive events in daily life over the course of seven days using the experience sampling method. Our findings replicate and build upon those of prior studies relating to the MB effect in the following ways: (1) we observed the MB effect for specific negative emotions of sadness, anger, anxiety; and (2) we found evidence that the MB effect is moderated by spontaneous use of rumination, distraction, and expressive suppression, which have been shown to enhance or dampen NA. The role of emotion regulation strategies in daily emotional reactivity to pleasant events is discussed.