Problematic Identity Processes: The Role of Identity Distress

This special issue of Identity: An International Journal of Theory and Research explores some of the anxiety, distress, and difficulties that may be encountered in the identity development process. Despite findings documenting the presence of identity distress in samples from a variety of settings and cultures, it has been slowly moving out of direct attention within the world of clinical psychology and psychiatry. This special issue expands on our understanding of identity distress in a number of ways. It adds to our knowledge of prevalence and severity, as well as its psychological correlates. It examines identity distress under the contexts of traumatic exposure and the refugee experience, and it offers some cross-national comparisons. Also offered is a developmental psychopathology perspective as a way to lay the groundwork for increased prevention and intervention work, and an example of such an intervention program for emerging adults. It is hoped that this special issue on identity distress will shine more light on this important, and possibly growing, yet understudied phenomenon, and will contribute toward expanding and enhancing efforts to foster positive youth development.     

Identity Coping in the First Years of University: Identity Diffusion,Adjustment and Identity Distress

In today’s advanced post-capitalist societies, consolidating identity with a view to acquiring adult roles is more complex than in the past. In Italy, the changes in the educational system are also associated with changes in the labor market characterized by lack of opportunity and instability. Therefore, young people on the threshold of university are discouraged from making long-term decisions and developing a coherent identity. The aim of the study was to explore what modalities Italian students adopt in order to cope with developmental tasks and how they proceed to negotiate and resolve identity-related concerns. The participants were 332 Italian students, balanced by gender, attending the first 2 years of university and aged 18–25. We used six self-report measures: Dimensions of Identity Development Scale; Identity Stage Resolution Index; Identity Distress Scale; Locus of Control Scale; Rosenberg Self-Esteem Scale; and Depressive Symptom Subscale and Anxiety Symptom Subscale. Participation was voluntary, and anonymity was guaranteed. Findings indicate that identity processes, identity distress and sense of adulthood are related dimensions. We find five different modalities of identity coping (clusters) that identify different subjects. These retained clusters have also an effect on psychosocial correlates. Results advance the literature linking identity, sense of adulthood and coping with developmental tasks in emerging adulthood. Findings also support previous literature suggesting that coping with identity during first years of university is an important target of prevention efforts aimed at improving academic performance and identification of developmental path, particularly for individuals who exhibit identity diffusion and distress.     

Stressful life events and predictors of post-traumatic growth among high-risk early emerging adults

Stressful life events (SLEs) may elicit positive psychosocial change among youth, referred to as post-traumatic growth (PTG). We assessed types of SLEs experienced, degree to which participants reported PTG, and variables predicting PTG across 24 months among a sample of high-risk, ethnically diverse, early emerging adults. Participants were recruited from alternative high schools (n = 564; mean age = 16.8; 65% Hispanic). Multi-level regression models were constructed to examine the impact of environmental (SLE quantity, severity) and personal factors (hedonic ability, perceived stress, developmental stage, future time orientation) on a composite score of PTG. The majority of participants reported that positive changes resulted from their most life-altering SLE of the past two years. Predictors of PTG included fewer SLEs, less general stress, having a future time perspective, and greater identification with the developmental stage of emerging adulthood. Findings suggest intervention targets to foster positive adaptation among early emerging adults who experience frequent SLEs.     

Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: a cross-sectional study

Hematological cancer patients experience high levels of psychological distress during diagnoses and intensive treatments. The aim of the present study is to explore the effects of positive psychological resources on depressive and anxiety symptoms in hematological cancer patients. This survey was conducted in a hospital during the period from July 2013 to April 2014. A total of 300 inpatients were recruited and finally 227 of them completed the questionnaires. Questionnaires included demographic and clinical variables, the Center for Epidemiologic Studies Depression Scale, the Self-Rating Anxiety Scale, the Life Orientation Scale-Revised, the General Perceived Self-Efficacy Scale, and the Resilience Scale-14. Results showed that the prevalence of depressive and anxiety symptoms was 66.1 and 45.8%, respectively. Both optimism (β = ?.479, p < .001) and resilience (β = ?.174, p < .05) were negatively associated with depressive symptoms, and optimism (β = ?.393, p < .001) was negatively associated with anxiety symptoms. However, resilience (β = ?.133, p > .05) was not significantly associated with anxiety symptoms, and self-efficacy was not significantly associated with depressive (β = ?.032, p > .05) or anxiety symptoms (β = ?.055, p > .05). The results suggest that hematological cancer patients who possess high levels of positive psychological resources may have fewer symptoms of psychological distress. The findings indicate that enhancing positive psychological resources can be considered in developing intervention strategies for decreasing depressive and anxiety symptoms.     

Identity Status,Gender, and Social Comparison Among Young Adults

The aim of this study was to investigate identity status globally and across identity domains among young Swedish adult women and men. Also, potential differences in social comparison among identity statuses were evaluated. The results showed that most of the 124 participants (50% women, M_age 33.29 years) were assigned to an achieved global identity and had made identity-defining commitments across domains. Gender differences in identity status were found in the occupational and parenthood domains. In addition, differences in social comparison orientation were found only in the parenthood domain, whereas those assigned to moratorium scored higher in social comparison than did those assigned to foreclosure and diffusion. These results bring important knowledge to our understanding of identity during young adulthood.     

Mediational Role of Identity Commitment in Relationships Between Identity Processing Style and Psychological Well-Being

The present study evaluated the hypothesis that relationships between identity processing styles and Ryff’s (J Pers Soc Psychol 57:1069–1081, 1989) six dimensions of psychological well-being would be mediated by strength of identity commitment. Theoretically predicted relationships were found in a sample of Polish late adolescents (N = 654). The informational identity style was positively associated with five well-being dimensions, the diffuse-avoidant style was negatively associated with all six dimensions, and the normative style was positively associated with self-acceptance, life purpose, and environmental mastery, but negatively associated with autonomy and personal growth. As hypothesized, 14 of these relationships were at least partially mediated by strength of commitment. Identity style and commitment combined accounted for from 18 % (positive interpersonal relations) to 60 % (life purpose) of the variation in the Ryff well-being dimensions (M = 35 %). The pattern of relationships was not moderated by the sex of the participants. The implications of the findings for the role that informed self-exploration and identity commitment may play in psychological well-being are discussed.     

The Complexity of Ethnic Identity Among Jewish American Emerging Adults

Jewish Americans may grapple with issues of ethnic identity differently than the larger White American group. Drawn from a large multisite sample (N = 8,501), 280 Jewish American (207 female, 73 male) emerging adults were compared with White American and ethnic minority samples on ethnic and U.S. identity. Jewish Americans rated themselves as significantly higher on measures of ethnic and U.S. identity compared with White Americans but not as highly as ethnic minorities. Ethnic identity search, affirmation, and resolution also predicted higher self-esteem for Jewish Americans, similar to the pattern for other ethnic groups. In addition, ethnic identity search and affirmation moderated the link between perceived discrimination and depressive symptoms among Jewish Americans.     

The buffering effect of family functioning on the psychological consequences of headache

The current study aimed to examine whether high family functioning mitigates the association between headache intensity and distress. The sample consisted of 124 patients with chronic or recurrent headache. Patients completed validated questionnaires about headache intensity, family functioning, and distress. Hierarchical regression analyses were performed to examine the interaction between headache intensity and family functioning on distress. Headache intensity was positively associated with distress (r = .28, p = .002). As hypothesized, family functioning moderated this association (B = ?.01, p = .023). More specifically, the positive association between headache intensity and distress was significant only among patients with lower family functioning (B = .01, p < .001) and not among patients with higher levels of family functioning (B = .006, p = .075). Functional families appear to buffer the distress level in patients; they showed relatively low levels of distress regardless of the severity of their headache. In contrast, patients with dysfunctional families who experienced more pain reported more distress, presumably because they did not receive adequate help and support from these families. This study underlines the importance of a broader perspective on family dynamics in coping with pain.     

Purpose in life in emerging adulthood: Development and validation of a new brief measure

Accruing evidence points to the value of studying purpose in life across adolescence and emerging adulthood. Research though is needed to understand the unique role of purpose in life in predicting well-being and developmentally relevant outcomes during emerging adulthood. The current studies (total n = 669) found support for the development of a new brief measure of purpose in life using data from American and Canadian samples, while demonstrating evidence for two important findings. First, purpose in life predicted well-being during emerging adulthood, even when controlling for the Big Five personality traits. Second, purpose in life was positively associated with self-image and negatively associated with delinquency, again controlling for personality traits. Findings are discussed with respect to how studying purpose in life can help understand which individuals are more likely to experience positive transitions into adulthood.     

Identity Styles and Religiosity: Examining the Role of Identity Commitment

This study observed the role of identity styles, identity commitment, and identity statuses in predicting religiosity in a sample of undergraduate students attending a Seventh-day Adventist university (N = 138). Two structural models were evaluated via path analysis. Results revealed two strong models for the prediction of religiosity. Identity styles explained 24% of the variance in religiosity, with the relationship mediated by identity commitment. Religious identity status explained 56% of the variance in religiosity, with the relationship not mediated by identity commitment. Implications of these interactions for understanding religious identity development are discussed.     

Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors

Objective: This study sought to investigate the unique contributions of socio-ecological, cultural and cancer treatment-related factors in predicting depressive symptoms and cancer-specific distress among Latinas. Design: Participants were 140 English or Spanish-speaking Latinas (M_age = 50.6) with non-metastatic breast cancer who were assessed within two years of diagnosis (Time 1) and three months later (Time 2).

Main Measures: Hierarchical regression analyses identified predictors of depressive symptoms and cancer-specific distress at Time 1 and 2.

Results: Most women scored above the clinical cut-offs for depressive symptoms and cancer-specific distress. After adjusting for socio-ecological factors, greater Latino enculturation, measured by Latino ethnic identity, was significantly associated with greater cancer-specific distress at Time 1 (β = .20, p < .05). A significant interaction (p < .01) revealed that among women high on Latino identity, lower English language use was associated with more cancer-specific distress than higher English language use. After adjusting for socio-ecological factors, greater satisfaction with surgical treatment predicted improved depressive symptoms and cancer-specific distress across time (β_s range from ?.31 to ?.18, p_s < .01).

Conclusions: Findings elucidate the complex relationship between culture and psychological outcomes in the breast cancer context and suggest that treatment satisfaction might be an important intervention target for Latinas.     

The Integration of Personal Identity,Religious Identity,and Moral Identity in Emerging Adulthood

The present study investigated the relative roles of identity structure (i.e., personal identity) and identity contents (i.e., religious identity and moral identity) in predicting emerging adults’ prosocial and antisocial behaviors. The sample included 9,495 college students. A variable-centered analysis (path analysis) used personal identity, religious identity, and moral identity as predictors of prosocial and antisocial behavior and tested interactions of personal identity with religious identity and moral identity. Moral identity was the strongest predictor of both behaviors, and religious identity and moral identity both interacted with personal identity in predicting antisocial behavior. A person-centered analysis (latent profile analysis) found three classes: integrated, moral identity–focused, and religious identity–focused, with integrated being most adaptive on both outcomes.     

Korean College Students' Personal Perception of Emerging Adulthood and Its Relations with Identity,Psychiatric Symptoms,Smartphone Problems,and Alcohol Problems

Emerging adulthood has recently become one of the hottest topics in the field of adult development, yet the variabilities in the experience of emerging adulthood need further examination. The present study focused on two factors that contribute to the variations of emerging adulthood: first, the impact of personal perception about adulthood; and second, information about Korean college students' identity maturity, depression, anxiety, smartphone problems, and alcohol-related problems. Data from 211 Korean college students indicated that subjective perception of reaching adulthood was significantly related to identity maturity, depression, and anxiety, even after the impacts of chronological age and sex were controlled. Smartphone problems and alcohol-related problems were not associated with the perception of adulthood. These results suggest that the subjective interpretation of reaching adulthood might be more important than chronological age in terms of relationships with psychological well-being.     

Replication of the Self-Concept and Identity Measure (SCIM) Among a Treatment-Seeking Sample

Identity distress occurs within a variety of psychiatric conditions. Reliable tools for assessing identity-related functioning among clinical populations are greatly needed. The Self-Concept and Identity Measure (SCIM) is a brief self-report scale designed to assess healthy and disturbed identity dimensions. This measure has been validated within normative but not treatment-seeking samples. The present study used an a priori confirmatory approach to replicate the SCIM’s factor structure among disadvantaged women enrolled in treatment for chemical dependence (N = 216). The original three-factor structure and item loadings generally replicated within this diagnostically diverse, significantly impaired sample. Higher SCIM scores were also associated with other problems, such as emotion dysregulation and depression. Results support the SCIM’s use and scoring with clinical populations.     

Non-Suicidal Self-Injury and Adolescents Attachment with Peers and Mother: The Mediating Role of Identity Synthesis and Confusion

Non-suicidal self-injury (NSSI) is highly prevalent in adolescents. Secure attachment with family and peers can reduce vulnerability to NSSI and can optimize the outcomes of developmental challenges such as identity formation. Problems experienced in these developmental processes and contexts can increase vulnerability to NSSI. Hence, the present study examined associations between attachment with mother and peers, identity formation, and NSSI, using self-report questionnaires in 528 high school students (Mean age = 15.0 years, SD = 1.84, 11–19 years, 50.4 % females). The lifetime prevalence of NSSI was found to be 14.2 %. Mediation analyses indicated that peer trust had a significant negative indirect effect on NSSI via identity synthesis and confusion. The positive association between peer alienation and NSSI was partially mediated by a lack of identity synthesis. Further, the pathways from maternal trust and alienation to NSSI were fully mediated by both identity confusion and synthesis. Clinical implications and suggestions for future research are discussed.     

Addressing the role of personality,ability, and positive and negative affect in positive psychology interventions: Findings from a randomized intervention based on the authentic happiness theory and extensions

The present study explores the role of personality, ability, and affect in a randomized, group-based positive psychology intervention program based on Seligman’s authentic happiness theory and extensions. A total of 100 adults (M = 45.7, SD = 12.8) were randomly assigned to the 12-week intervention program (five training sessions) or a waiting list control group. The intervention consisted of basic information, group activities, and homework assignments. Participants in the intervention group demonstrated higher levels of happiness, pleasure, and engagement after completion of the program. Baseline levels of psychometric intelligence moderated the intervention effectiveness (greater effects for those higher in reasoning, vocabulary, and general intelligence). There were no effects for the big five personality traits. Finally, increases in positive affect before and after the homework assignment were associated with greater levels of happiness after the program. The relevance of these findings for the development of new programs is discussed.     

Friendship and Romantic Relationship Qualities in Emerging Adulthood: Differential Associations with Identity Development and Achieved Adulthood Criteria

This study examined how emerging adults’ identity development and achievement of adulthood criteria were related to qualities of their friendships and romantic relationships. Participants included 710 emerging adults (ages 18–26). Results indicated that identity achievement was related positively to four romantic relationship qualities, but not to any friendship qualities. Several achieved adulthood criteria were related positively to romantic relationship qualities; however, achieved adulthood criteria were related negatively to friendship qualities. It appears that progress on salient developmental tasks of adulthood carries important implications for emerging adults’ social relationships, but in ways that are more differentiated than commonly assumed.     

The Path from Identity Commitments to Adjustment: Motivational Underpinnings and Mediating Mechanisms

The present study focused on motivational underpinnings of identity commitments and mediating mechanisms underlying their effects on well‐being and distress in a sample of college freshmen (N = 399). Using a path model in a structural equation modeling approach, the authors found that causality orientations appeared to serve as motivational antecedents of identity commitments. Identity integration mediated the pathway from identity commitments to adjustment (i.e., well‐being and absence of distress). Suggestions for future research and implications for counseling are provided.     

Evaluating a novel intervention to reduce trauma symptoms and sexual risk taking: qualitative exit interviews with sexual minority men with childhood sexual abuse

Childhood sexual abuse (CSA) continues to affect sexual minority men (SMM) at disproportionate levels and contributes to multiple negative health outcomes, including sexual-risk taking and HIV acquisition. This paper presents qualitative evaluative feedback from SMM (N = 9) who participated in a 10-session Cognitive Behavioral Therapy-Trauma and Sexual Health (CBT-TSH) intervention to reduce CSA-related posttraumatic stress reaction and distress. The treatment was designed to increase accurate sexual risk appraisals and to improve self-care health behaviors related to HIV/STI acquisition. The researchers identified four emerging themes: (1) motivation to participate, (2) response to cognitive therapy, (3) process of change, and (4) considerations for intervention improvement. These qualitative findings provide useful feedback on the acceptability of an innovative program that integrates CBT for trauma related to CSA with sexual risk-reduction counseling.