Enhancing the Benefits of Written Emotional Disclosure Through Response Training

Writing about a personal stressful event has been found to have psychological and physical health benefits, especially when physiological response increases during writing. Response training was developed to amplify appropriate physiological reactivity in imagery exposure. The present study examined whether response training enhances the benefits of written emotional disclosure. Participants were assigned to either a written emotional disclosure condition (n = 113) or a neutral writing condition (n = 133). Participants in each condition wrote for 20 minutes on 3 occasions and received response training (n = 79), stimulus training (n = 84) or no training (n = 83). Heart rate and skin conductance were recorded throughout a 10-minute baseline, 20-minute writing, and a 10-minute recovery period. Self-reported emotion was assessed in each session. One month after completing the sessions, participants completed follow-up assessments of psychological and physical health outcomes. Emotional disclosure elicited greater physiological reactivity and self-reported emotion than neutral writing. Response training amplified physiological reactivity to emotional disclosure. Greater heart rate during emotional disclosure was associated with the greatest reductions in event-related distress, depression, and physical illness symptoms at follow-up, especially among response trained participants. Results support an exposure explanation of emotional disclosure effects and are the first to demonstrate that response training facilitates emotional processing and may be a beneficial adjunct to written emotional disclosure.     

The P-psychopathy continuum: Facets of Psychoticism and their associations with psychopathic tendencies

Eysenck proposed that psychopathy is at the extreme end of the Psychoticism (P) personality dimension (Eysenck & Eysenck, 1976). This study examined (i) whether psychopathy-relevant P items of the EPQ-R can form psychometrically valid facets that map onto the conceptualization of the two-, three- or four-factor models of psychopathy using confirmatory factor analysis (N = 577) in a normal population; and (ii) whether those P-facets have criteria-related validity in associations with self-reported primary and secondary psychopathy, impulsivity (subsample N = 306), and measures of trait empathy and aggression (subsample N = 212). The four-factor model incorporating affective, interpersonal, impulsive, and antisocial facets of P was superior to the two-factor model; however, the three-factor conceptualization excluding the antisocial P-facet was the best fit. The facets show predicted divergent associations with primary and secondary self-reported psychopathy and trait measures. Findings are discussed in light of Eysenck’s P-psychopathy continuity hypothesis and the applicability of facet approaches to the prediction of psychopathic and antisocial tendencies.     

Combined Medication and CBT for Generalized Anxiety Disorder With African American Participants: Reliability and Validity of Assessments and Preliminary Outcomes

Using data from a study of combined cognitive behavioral therapy (CBT) and venlafaxine XR in the treatment of generalized anxiety disorder (GAD), the current article examines the reliability and convergent validity of scales, and preliminary outcomes, for African American compared with European American patients. Internal consistency and short-term stability coefficients for African Americans (n = 42) were adequate and similar or higher compared with those found for European Americans (n = 164) for standard scales used in GAD treatment research. Correlations among outcome measures among African Americans were in general not significantly different for African Americans compared with European Americans. A subset of patients with DSM-IV–diagnosed GAD (n = 24 African Americans; n = 52 European Americans) were randomly selected to be offered the option of adding 12 sessions of CBT to venlafaxine XR treatment. Of those offered CBT, 33.3% (n = 8) of the African Americans and 32.6% (n = 17) of the European Americans accepted and attended at least one CBT treatment session. The outcomes for African Americans receiving combined treatment were not significantly different from European Americans receiving combined treatment on primary or secondary efficacy measures.     

The associations of the Five Factor Model of personality with inflammatory biomarkers: A four-year prospective study

This study evaluated the associations of the Five Factor Model of personality with two inflammation biomarkers, C-reactive protein and fibrinogen, and the possible moderating effects of common health-related behaviors (physical activity and smoking) concurrently and over four years, while adjusting for socio-demographic and health status. Participants were individuals who underwent a health examination at two points of time, T1 (n = 1709) and T2 (n = 923), about four years apart. Regression analyses uncovered positive associations between Neuroticism and Extraversion with two inflammatory biomarkers at baseline (T1) and over time (T2) and increases in their levels over time. Additionally, a synergistic interaction of neuroticism and physical inactivity was associated with higher levels of inflammation biomarkers at both time periods. Openness was negatively associated with inflammation biomarkers at T1 and T2, but not with changes in their levels. No significant associations were found for Agreeableness and Conscientiousness. The results suggest that personality traits might be involved in the inflammatory process both concurrently and over time, and thus indicate a possible mechanism by which personality traits might influence health, especially cardiovascular disease risk.     

Autonomic impairment in Borderline Personality Disorder: A laboratory investigation

Recent research suggests that emotional dysfunction in psychiatric disorders can be reflected in autonomic abnormalities. The present study examines sympathetic and parasympathetic autonomic nervous system activity in individuals with Borderline Personality Disorder (BPD) before, during, and following a social stressor task. Data were obtained from an analogue sample of participants screening positive for BPD (n = 12) and healthy controls (n = 28). In general, BPD participants exhibited increased sympathetic activity (indexed by Cardiac Sympathetic Index, CSI; Toichi et al., 1997) and decreased parasympathetic activity (indexed by Respiratory Sinus Arrhythmia, RSA) compared to controls. During the stressful task, BPD and control participants exhibited different trajectories of sympathetic activation: estimates of sympathetic activity increased for BPD participants and decreased for controls. Furthermore, BPD participants reported the task (but not baseline or recovery phases) to be more frustrating than controls. Findings are interpreted in the context of Polyvagal theory.     

Reactive and proactive control in incarcerated and community adolescents and young adults

This study compared the cognitive control skills of male incarcerated adolescents (n = 44), male control adolescents (n = 33), male incarcerated young adults (n = 41), and male control young adults (n = 35) using the AX-continuous performance test (AX-CPT). This test measures proactive control (the ability to maintain a mental representation of goal-related information in preparation for a behavioral response) and reactive control (the ability to activate goal-related information in response to an external trigger). Incarcerated individuals had more difficulty implementing proactive control, whereas control individuals had more difficulty implementing reactive control. Adolescents had more difficulty with both reactive and proactive control compared with young adults, suggesting that both skills improve with age. Additional analyses indicated that the effect of age on proactive control was due to the presence of attention-deficit/hyperactivity disorder, whereas the effect of age on reactive control appeared to be a natural developmental trend that could not be explained by other variables. These findings are considered in relation to the dual mechanisms of control theory [Braver, T. S., Gray, J. R., & Burgess, G. C. (2007). Explaining the many varieties of working memory variation: Dual mechanisms of cognitive control. In A. R. A. Conway, C. Jarrold, M. J. Kane, A. Miyake, & J. N. Towse (Eds.), Variation in Working Memory. New York: Oxford University Press.].     

Social skills and social phobia: An investigation of DSM-IV subtypes

Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n = 60) or generalized (GSP; n = 119) subtype of social phobia and adults with no psychological disorder (n = 200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an Impromptu Speech Task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia.     

Rethinking the Role of Worry in Generalized Anxiety Disorder: Evidence Supporting a Model of Emotional Contrast Avoidance

The Contrast Avoidance model (Newman & Llera, 2011) proposes that individuals with generalized anxiety disorder (GAD) are hypersensitive to sharp upward shifts in negative emotion that typically accompany negative events, and use worry to maintain sustained intrapersonal negativity in an attempt to avoid these shifts. Although research shows that worry increases negative emotionality and mutes further emotional reactivity to a stressor when compared to the worry period (e.g., Llera & Newman, 2010), no study has tracked changes in negative emotionality from baseline to worry inductions followed by a range of emotional exposures. Further, no study has yet assessed participants’ subjective appraisals of prior worry on helping to cope with such exposures. The present study tested the main tenets of the Contrast Avoidance model by randomly assigning participants with GAD (n = 48) and nonanxious controls (n = 47) to experience worry, relaxation, and neutral inductions prior to sequential exposure to fearful, sad, and humorous film clips. Both physiological (nonspecific skin conductance responses [NS-SCRs]) and self-reported emotional changes were observed. Results indicated that worry boosted negative emotionality from baseline, which was sustained across negative exposures, whereas low negative emotionality during relaxation and neutral inductions allowed for sharp increases in response to exposures. Furthermore, GAD participants found worry to be more helpful than other conditions in coping with exposures, whereas control participants reported the opposite pattern. Results provide preliminary support for the Contrast Avoidance model. This suggests that treatment should focus on underlying avoidance patterns before attempting to reduce worry behavior.     

Reinforcement sensitivity theory and symptoms of personality disorder: Specificity of the BIS in Cluster C and BAS in Cluster B

Gray’s reinforcement sensitivity theory, consisting of the behavioral inhibition (BIS) and behavioral activation (BAS), is frequently used to represent basic dimensions of psychopathology. However, notably few investigations have examined the link between the BIS/BAS and symptoms of personality disorder (PD). Although the Fight-Flight-Freeze System has emerged in the revised model as an important aspect of motivation, the BIS (linked to anxiety) and BAS (linked to impulsivity) have been the primary foci. The current investigation uses a dimensional measure of PD, the schedule for nonadaptive and adaptive personality (SNAP; Clark, 1993) applied to two independent samples of English-speaking participants: undergraduates (n = 276) and clinical patients (n = 47). Results were consistent across both samples, demonstrating that symptoms of Cluster B PDs are indicative of high BAS levels whereas symptoms of Cluster C PDs are characterized by high BIS levels.     

Personality and political orientation: Meta-analysis and test of a Threat-Constraint Model

We synthesized and meta-analyzed 73 studies (N = 71,895) examining the associations between Big-Five personality and single-item self-placement measures of political orientation. Openness to Experience (r = −.18) and Conscientiousness (r = .10) were significantly but weakly correlated with political conservatism. The weak Openness-political orientation link was moderated by systemic threat and uncertainty (indexed by nation-wide homicide and unemployment). We propose a Threat-Constraint Model explaining this previously undetected Person × Situation interaction. The model shows that there was a moderately-sized negative correlation between Openness and political conservatism when systemic threat was low (r = −.422) but that this association was negligible at only moderate levels of threat (r = −.066). These findings highlight the economic and societal constraints of personality-political ideology associations.     

Establishing construct validity for Openness-to-Experience in middle childhood: Contributions from personality and temperament

Controversy exists over the validity of child Openness-to-Experience (OE). To establish construct validity for child OE, data were collected for 346 children (51% girls) aged 9-to-10-years (M = 9.92, SD = 0.83). Parents completed questionnaires about their children’s personality, temperament, and behavioral problems and competencies. Factor analyses of relevant personality and temperament facets revealed a robust OE factor made up of three facets: Intellect, Imagination, and Sensitivity. Evidence for convergent and discriminant validity was established via associations with other personality traits, and behavioral problems and competencies. Results underscore the importance of drawing from both temperament and personality literatures in attempts to establish construct validity for child trait domains as well as examining facet-level associations between OE and child behavior.     

Expanding the Limits of Bibliotherapy for Panic Disorder: Randomized Trial of Self-Help Without Support but With a Clear Deadline

Cognitive behavioral bibliotherapy for panic disorder has been found to be less effective without therapist support. In this study, participants were randomized to either unassisted bibliotherapy (n = 20) with a scheduled follow-up telephone interview or to a waiting list control group (n = 19). Following a structured psychiatric interview, participants in the treatment group were sent a self-help book consisting of 10 chapters based on cognitive behavioral strategies for the treatment of panic disorder. No therapist contact of any kind was provided during the treatment phase, which lasted for 10 weeks. Results showed that the treatment group had, in comparison to the control group, improved on all outcome measures at posttreatment and at 3-month follow-up. The tentative conclusion drawn from these results is that pure bibliotherapy with a clear deadline can be effective for people suffering from panic disorder with or without agoraphobia.     

Differentiating challenge reactivity from psychomotor activity in studies of children's psychophysiology: considerations for theory and measurement

Current methods of assessing children’s physiological “stress reactivity” may be confounded by psychomotor activity, biasing estimates of the relation between reactivity and health. We examined the joint and independent contributions of psychomotor activity and challenge reactivity during a protocol for 5- and 6-year-old children (N = 338). Measures of parasympathetic reactivity (respiratory sinus arrhythmia [RSA]) and sympathetic reactivity (preejection period [PEP]) were calculated for social, cognitive, sensory, and emotional challenge tasks. Reactivity was calculated relative to both resting and a paired comparison task that accounted for psychomotor activity effects during each challenge. Results indicated that comparison tasks themselves elicited RSA and PEP responses, and reactivity adjusted for psychomotor activity was incongruent with reactivity calculated using rest. Findings demonstrate the importance of accounting for confounding psychomotor activity effects on physiological reactivity.     

On the relationship between explicit and implicit self-concept of extraversion and neuroticism

Indirect methods such as the implicit association test (IAT) could complement traditional self-report questionnaires of personality traits. However, it is unclear whether IAT scores and self-report scores of nominally the same personality trait measure the same construct or overlapping but distinct constructs. To investigate how IAT and self-report personality scores relate to each other, we conducted a web-based data collection where participants completed self-report personality questionnaires (n = 432) and IATs for extraversion (n = 393) and neuroticism (n = 385). We found that extraversion self-report and IAT scores were more strongly correlated with each other than corresponding neuroticism scores. Overall, our findings suggest that although extraversion and neuroticism self-report and implicit measures are related, they do measure distinct constructs.     

Associations between personality traits, physical activity level, and muscle strength

Associations among personality as measured by the Five Factor Model, physical activity, and muscle strength were assessed using data from the Baltimore Longitudinal Study of Aging (N = 1220, age: mean = 58, SD = 16). General linear modeling with adjustment for age, sex, race, and body mass index, and bootstrapping for mediation were used. We found neuroticism and most of its facets to negatively correlate with strength. The extraversion domain and its facets of warmth, activity, and positive-emotions were positively correlated with strength, independent of covariates. Mediation analysis results suggest that these associations are partly explained by physical activity level. Findings extend the evidence of an association between personality and physical function to its strength component and indicate health behavior as an important pathway.     

The effect of prenatal androgen exposure on the development of neural reactivity systems: A study of the HEXACO Personality Inventory

The ratio of the lengths of the second and fourth digits of hands (2D:4D) seems to vary as a function of systematic differences in prenatal androgen exposure (Hönekopp & Watson, 2010). The 2D:4D ratio has been shown to be related to a variety of personality attributes. This study predicted that 2D:4D would covary with scores on the emotionality dimension of the six-facet HEXACO personality assessment, due to emotionality’s relationship with neural reactivity systems controlled by the amygdala (Hines, Allen, & Gorski, 1992), but that 2D:4D would relate to no other facet. Consistent with hypotheses, data showed that men had smaller ratios than women on both the right, t(405) = 2.84, p < .05, d = .28, and left hands, t(405) = 4.51, p < .05, d = .45, and the relationship between 2D:4D and emotionality was outside of sampling error of zero, r = .18, p < .001. Additionally, 2D:4D was unrelated to the remaining HEXACO facets. Findings suggest that prenatal testosterone exposure has an organizing effect on personality traits.     

Decoupling between physiological,self-reported,and expressed emotional responses in alexithymia

Alexithymia is characterized by difficulties identifying, describing, and expressing emotions and is associated with mental health problems involving emotion dysregulation. To understand the relationship between alexithymia and health, researchers have predominately examined group differences in physiological arousal and self-reported experience. The present study extends this research by examining differences in physiological arousal, self-reported experience, and observed expression. In addition to this between-subjects approach the present study examined within-person difference scores to better understand individual differences in decoupling between all three emotional response domains. Participants (N = 106; M = 18.00 years), classified as alexithymic (males = 17, females = 34) or non-alexithymic (males = 23, females = 32), gave an impromptu 3-min speech while measures of heart rate and galvanic skin response were continuously recorded. Participants completed self-report measures of self-conscious affect and their behavior was later coded for self-conscious affect. Alexithymic participants: (1) had significantly higher heart rate during baseline however physiological responses were indistinguishable during arousal and recovery, (2) experienced greater self-consciousness collapsing across the tasks, and (3) expressed more self-consciousness as a result of the speech. In addition, findings support the decoupling hypothesis. Alexithymic males experienced and expressed greater self-consciousness compared to their physiological arousal. Results are discussed in terms of the underlying mechanisms of alexithymia.     

Personality traits and subjective health in the later years: The association between NEO-PI-R and SF-36 in advanced age is influenced by health status

This study examined the association between personality traits (as measured by the NEO-PI-R) and subjective ratings of mental and physical health (as measured by the SF-36) in two samples of older adults differing in health status (Baltimore Longitudinal Study of Aging, BLSA, n = 393, vs. Medicare Primary and Consumer-Directed Care Demonstration, Medicare PCC, n = 648). The association between personality traits and subjective mental health did not differ significantly across samples. The association between personality and subjective physical health, however, was significantly stronger in the healthy BLSA sample than in the medically challenged Medicare PCC sample. Differences in health conditions and recent hospitalizations partially accounted for this effect. Lifespan developmental considerations and implications for the use of subjective health ratings as outcome measures in clinical studies are discussed.     

The Five Factor Model in personnel selection: Measurement equivalence between applicant and non-applicant groups

This study investigates the measurement equivalence of a Five Factor measure of personality between applicant and non-applicant samples. The Big Five Questionnaire-2 was administered in two samples: A group of volunteers (n = 903), who completed the test for research purposes, and a group applying for jobs, who completed the test during hiring procedures (n = 401). Multiple-group confirmatory factor analysis on item composites was conducted to test for the equivalence of factor covariance and mean structures of twenty facets of the Five Factors. Item-level analyses were carried out through analysis of variance to further examine the issue of measurement invariance. Findings suggested that personality facets have the same measurement unit across applicants and non-applicants, while a lack of equivalence was found in the origin of the scales. Similar results were found at the item-level. Implications for personality assessment are advanced and discussed.