Physical and Mental Health and Functioning Among Traumatic Brain Injury Close Relatives: The Role of Posttraumatic Stress Symptoms

Severe Traumatic brain injury (sTBI) often instigates widespread long-lasting disability and is accompanied by extensive rehabilitation. Unsurprisingly, sTBI also holds malignant consequences for patients’ close relatives. The burden caused by the injury and its severity explains some of the ramifications for the relatives. Additionally, some findings demonstrate that patients with sTBI and their relatives develop posttraumatic stress (PTS) symptoms. However, although the link between PTS symptoms and physical and mental health is well-documented in literature, the effect of PTS symptoms on relatives of patients with sTBI has barely been examined. This study examines the influence of PTS symptoms of patients with sTBI and their relatives on the physical and mental health and functioning of the relatives. Patients who sustained a severe sTBI (Abbreviated Injury Scale of the head region > 3) and close relatives were included in a multi-center, prospective cohort study (TRAST-MI). One-hundred patients and their relatives were assessed at 2, 6, and 12 months post injury. Outcome variables included health-related quality of life (SF-12) as well as emotional, cognitive, interpersonal, and total functioning (PCRS). Relatives’ physical health was predicted by relatives’ PTS symptoms (Slope=−1.76; p = .043), and mental health was predicted by both patients’ (Slope=−2.77; p = .034) and relatives’ (Slope=−6.59; p < .001) PTS symptoms. Functioning level was only predicted by patients’ PTS symptoms (Slope=−.25; p_<.001). The findings emphasize that TBI should be considered a comprehensive traumatic experience reaching further than mere physical damage to the brain and its direct consequences, affecting the injured individual and close relatives.     

Psychosocial Well‐Being and a Multicultural Personality Disposition

This study examined the relationship between psychosocial well‐being and a multicultural personality disposition in undergraduates (N = 124). Measures of universal‐diverse orientation, hardiness, psychosocial‐interpersonal functioning, self‐esteem, and political correctness ideology were administered. Results indicated that the multicultural personality disposition of universal‐diverse orientation significantly predicted psychological hardiness, psychosocial‐interpersonal functioning, and self‐esteem beyond the influence of politically correct responding. These findings suggest that having a multicultural personality disposition (universal‐diverse orientation) may be positively related to psychosocial well‐being.     

The Indirect Nature of Social Motives: The Relation of Social Approach and Avoidance Motives with Likeability via Extraversion and Agreeableness

The current study tested assumptions derived from the whole‐trait theory (Fleeson, 2012), which proposes a connection between personality and motivation. We hypothesized that individual differences in social approach and avoidance motives are associated with personality as observed by others. In addition, we expected that observed personality links social approach and avoidance motives to interpersonal outcomes. The sample was composed of 83 young adults (25.3% males, M_age = 21.66 years) who had recently moved into a shared apartment. Roommates (N = 83; 50.6% males, M_age = 22.83 years) evaluated the newcomers on Extraversion, Agreeableness, and likeability. Approach motives had an indirect positive effect on likeability through other‐reported Extraversion and Agreeableness. Although avoidance motives had some negative effects on likeability mediated through low Extraversion, they were positively associated with Agreeableness. These results demonstrate the complexity of social approach and avoidance motives. Moreover, they highlight the importance of motivational factors for observed personality.     

Pain appraisal and quality of life in 108 outpatients with rheumatoid arthritis

Individual differences in emotional functioning, pain appraisal processing, and perceived social support may play a relevant role in the subjective experience of pain. Due to the paucity of data regarding individuals with Rheumatoid Arthritis (RA), the present study aimed to examine pain intensity, emotional functioning (psychological distress and alexithymia), pain appraisal (pain beliefs, pain catastrophizing, and pain-related coping strategies) and social support, and their relationships with the health-related quality of life (HRQoL) in patients with RA. Data were collected from 108 female patients diagnosed with RA. Clinically relevant levels of depressive and anxiety symptoms assessed by the HADS subscales were present in 34% and 41% of the patients, respectively, and about 24% of them exhibited the presence of alexithymia. The results of hierarchical multiple regression analyses showed that pain intensity, alexithymia, the maladaptive beliefs regarding the stability of pain and the coping strategy of guarding explained 54% of the variance in the physical component of HRQoL (p < 0.001). Depression subscale of the HADS, alexithymia, the coping strategy of resting, and the rumination factor of pain catastrophizing significantly explained 40% of the variance in the mental component of HRQoL (p < 0.001). The present findings provide evidence regarding the importance of emotional functioning and pain appraisal in the negative impact of RA on patients’ quality of life. These findings provide additional evidence for the biopsychosocial model of chronic pain, further supporting the complex interaction between emotional, cognitive, and behavioral processes in patients with chronic pain.     

Social Exchange at Work and Emotional Exhaustion: The Role of Personality1

Unbalanced social‐exchange processes at work have been linked to emotional exhaustion. In addition to organizational factors, individual differences are important determinants of reciprocity perceptions. This study explored whether broad and narrow personality traits were associated with perceived lack of reciprocity (organizational and interpersonal levels), and whether personality moderated the relationship between reciprocity and emotional exhaustion, in a sample of 322 civil servants. Extraversion, agreeableness, emotional stability, internal locus of control, and Type A behavior predicted reciprocity. The relationship between perceived lack of reciprocity with the organization and emotional exhaustion was stronger for individuals reporting lower negative affect or higher extraversion. These findings highlight the importance of personality for understanding perceived reciprocity at work and its impact on emotional exhaustion.     

Adolescent Personality: Associations With Basal,Awakening, and Stress‐Induced Cortisol Responses

The purpose of the present study was to investigate the associations between personality facets and hypothalamic‐pituitary‐adrenal (HPA) axis functioning. Previous studies have mainly focussed on stress‐induced HPA‐axis activation. We hypothesized that other characteristics of HPA‐axis functioning would have a stronger association with personality based on the neuroendocrine literature. Data (n = 343) were used from the TRacking Adolescents' Individual Lives Survey (TRAILS), a large prospective cohort study of Dutch adolescents. We studied the association between facets of Neuroticism, Extraversion, and Conscientiousness and basal cortisol, the cortisol awakening response (CAR), and four measures of stress‐induced HPA‐axis activity. Basal cortisol levels were related to facets of all three personality traits. The CAR and stress‐induced cortisol were not related to personality. Possibly due to its more trait‐like nature, basal cortisol seems more informative than stress‐induced cortisol when investigating trait‐like characteristics such as personality facets.     

Subscales of the Barratt Impulsiveness Scale differentially relate to the Big Five factors of personality

The place of impulsiveness in multidimensional personality frameworks is still unclear. In particular, no consensus has yet been reached with regard to the relation of impulsiveness to Neuroticism and Extraversion. We aim to contribute to a clearer understanding of these relationships by accounting for the multidimensional structure of impulsiveness. In three independent studies, we related the subscales of the Barratt Impulsiveness Scale (BIS) to the Big Five factors of personality. Study 1 investigated the associations between the BIS subscales and the Big Five factors as measured by the NEO Five‐Factor Inventory (NEO‐FFI) in a student sample (N = 113). Selective positive correlations emerged between motor impulsiveness and Extraversion and between attentional impulsiveness and Neuroticism. This pattern of results was replicated in Study 2 (N = 132) using a 10‐item short version of the Big Five Inventory. In Study 3, we analyzed BIS and NEO‐FFI data obtained from a sample of patients with pathological buying (N = 68). In these patients, the relationship between motor impulsiveness and Extraversion was significantly weakened when compared to the non‐clinical samples. At the same time, the relationship between attentional impulsiveness and Neuroticism was substantially stronger in the clinical sample. Our studies highlight the utility of the BIS subscales for clarifying the relationship between impulsiveness and the Big Five personality factors. We conclude that impulsiveness might occupy multiple places in multidimensional personality frameworks, which need to be specified to improve the interpretability of impulsiveness scales.     

Emotional intelligence and health‐related quality of life in institutionalised Spanish older adults

This study explores the relationship between emotional intelligence (EI) and health‐related quality of life (HRQoL) in a sample of Spanish older adults who are institutionalised in long‐term care (LTC) facilities. One hundred fifteen institutionalised individuals (47.82% women; 88.3 ± 7.9 years) from southern Spain completed a set of questionnaires that included measures of EI, health and personality. Data were analysed via hierarchical regression. After controlling for personality and sociodemographic variables, the EI dimensions, emotional comprehension and emotional facilitation, accounted for part of the variance in several HRQoL facets. These dimensions could have an important role in the HRQoL of residents in LTC. Moreover, the use of a performance measure addresses the limitations of previous studies that have relied on self‐report measures. These aspects underscore the importance of the results of this study.     

Injury Representations,Coping, Emotions,and Functional Outcomes in Athletes With Sports‐Related Injuries: A Test of Self‐Regulation Theory1

This study examined the influence of injury representations on emotions and outcomes of athletes with sports‐related musculoskeletal injuries using self‐regulation theory. Participants were athletes (N= 220; M age = 23.44 years, SD= 8.42) with a current sports‐related musculoskeletal injury. Participants self‐reported their cognitive and emotional injury representations, emotions coping procedures, physical and sports functioning, attendance at treatment centers, and 3‐week follow‐up attendance. Participants’ negative and positive affect were influenced by emotional representations. Identity, causal attributions, and emotional representations influenced physical functioning; and identity, serious consequences, causal attributions, and emotional representations predicted sports functioning. Injury severity, identity, and personal control predicted attendance at treatment centers, but the effect of personal control was mediated by problem‐focused coping. Problem‐focused coping predicted 3‐week follow‐up attendance. Results support self‐regulation theory for examining injury representations in athletes.     

Relationship of Prosody Perception to Personality and Aggression

One-hundred-fifteen participants (73 female, 42 male) were evaluated for prosody, or vocal emotion, perception, personality factors, relational aggression and physical aggression. The male participants reported higher levels of physical aggression, and the female participants reported greater Neuroticism, consistent with other data. For the male participants, better perception of prosody was related to both greater Extraversion and greater Conscientiousness, all involved in interpersonal functioning. These relationships were not found in the female participants, but there was a relationship between perception of prosody and relational aggression. Women who were better at perceiving the emotional status of others based on vocal cues were less relationally aggressive. Perhaps greater relational aggression reflects a poor adaptation to diminished ability to perceive emotional status.     

Personality and work-home interaction among dual-earner couples in South Africa: Testing an actor-partner interdependence model

This study aimed to investigate the effect of personality on work-home interaction crossover effects among dual-earner couples in South Africa. The participants were dual-earner couples (n = 264; 132 couples) with young children. They completed measures on work-home interaction and personality. Multilevel modelling was used to analyse predictions for six personality variables and four work-home interaction outcome variables. Additionally, we examined interaction effects between husbands’ and wives’ actor effects, as well as between their partner effects. Results suggest only wives’ Extraversion, Emotional Stability, and Openness positively influenced husbands’ experience of work-home interaction. Work-home personality crossover actor effects were more pronounced for wives. Partner effects were stronger for husbands in that an increase in Extraversion in wives will increase husbands’ experience of positive home-work interaction. A gendered effect appears to influence work-home interaction among South African working couples; this knowledge is important for interventions to establish balanced work and home lives.     

The five-factor model of personality and physical inactivity: A meta-analysis of 16 samples

A sedentary lifestyle is harmful for health; personality traits may contribute to physical (in)activity. With participant-level data from 16 samples (N > 125,000), we examined the personality correlates of physical inactivity, frequency of physical activity, and sedentary behavior (in a subset of samples). Lower Neuroticism and higher Conscientiousness were associated with more physical activity and less inactivity and sedentary behavior. Extraversion and Openness were also associated with more physical activity and less inactivity, but these traits were mostly unrelated to specific sedentary behaviors (e.g., TV watching). The results generally did not vary by age or sex. The findings support the notion that the interest, motivational, emotional, and interpersonal processes assessed by five-factor model traits partly shape the individual’s engagement in physical activity.     

小学生同伴接纳对其人格发展的影响：友谊质量的多层级中介效应

以班级为单位选取1-6年级23个班级的小学生,通过最好朋友提名法,得到有互选朋友有效被试700人,采用同伴提名法、小学生友谊质量问卷、小学生人格发展教师评定问卷,运用多层线性模型（HLM）考察个体和班级两个水平上的同伴接纳、友谊质量对人格的影响,并在两个水平上检验友谊质量在同伴接纳对人格的影响上的多层中介效应。结果表明：（1）班级水平：班级平均友谊质量对外倾性、亲社会性、认真自控、情绪稳定性有预测作用;班级平均同伴接纳对情绪稳定性有预测作用。（2）个体水平：同伴接纳对人格5个维度均有直接影响;除情绪稳定性,友谊质量分别在同伴接纳对智能特征、外倾性、亲社会性、认真自控影响上有部分中介效应。     

Five‐Factor Model Personality Traits and the Objective and Subjective Experience of Body Weight

Research on personality and adiposity has focused primarily on middle‐aged and older adults. The present research sought to (a) replicate these associations in a young adult sample, (b) examine whether sex, race, or ethnicity moderate these associations, and (c) test whether personality is associated with the subjective experience of body weight and discrepancies between perceived and actual weight. Participants (N = 15,669; M_age = 29; 53% female; ～40% ethnic/racial minority) from Wave 4 of the National Longitudinal Study of Adolescent Health completed a Five‐Factor Model personality measure and reported their weight, height, and perception of weight category (e.g., overweight); trained staff measured participants’ height, weight, and waist circumference. Conscientiousness was associated with healthier weight, with a nearly 5 kg difference between the top and bottom quartiles. Neuroticism among women and Extraversion among men were associated with higher adiposity. Neuroticism was also associated with misperceived heavier weight, whereas Extraversion was associated with misperceived taller and leaner. The associations were similar across race/ethnic groups. Personality is associated with objective and subjective adiposity in young adulthood. Although modest, the effects are consistent with life span theories of personality, and the misperceptions are consistent with the conceptual worldviews associated with the traits.     

Conceptualizations of Personality Disorders with the Five Factor Model-count and Empathy Traits

Previous research has long advocated that emotional and behavioral disorders are related to general personality traits, such as the Five Factor Model (FFM). The addition of section III in the latest Diagnostic and Statistical Manual of Mental Disorders (DSM) recommends that extremity in personality traits together with maladaptive interpersonal functioning, such as lack of empathy, are used for identifying psychopathology and particularly personality disorders (PD). The objective of the present study was to measure dispositions for DSM categories based on normal personality continuums, and to conceptualize these with empathy traits. We used a validated FFM-count method based on the five personality factors (neuroticism, extraversion, openness, agreeableness, and conscientiousness), and related these to 4 empathy traits (emphatic concern, perspective-taking, fantasy, and personal distress). The results showed that FFM-based PD scores overall could be conceptualized using only two of the empathy traits, low emphatic concern and high personal distress. Further, specific dispositions for personality disorders were characterized with distinct empathy traits (e.g., histrionic with high fantasy, and paranoid with low perspective-taking). These findings may have both theoretical and practical implications in capturing potential for personality disorders with ease and efficiency.     

Executive disorders and perceived socio‐emotional changes after traumatic brain injury

Although socio‐emotional changes are very frequently encountered after traumatic brain injury (TBI), the psychological mechanisms underlying these disorders are still poorly understood. This study aimed to explore the relationships between dysexecutive syndrome (assessed with the Behavioural Assessment of the Dysexecutive Syndrome [BADS]) and socio‐emotional changes assessed by the Iowa scales of personality change (ISPC) in patients with TBI. The BADS was thus administered to 25 patients with TBI and to 25 healthy controls. Simultaneously, a close relative of each patient was given the ISPC in order to assess socio‐emotional changes. Results indicated that patients displayed significantly lower executive performances than controls and experimented significant socio‐emotional changes. The Modified Six Elements Test was the only subtask of the BADS to be significantly related to behavioural changes, and more specifically to externalizing disorders. It is concluded that executive functions, and especially multitasking, encompass processes whereby one can consciously control one's emotional reactions and behaviours.     

Personality traits and health‐risk behaviours in university students

Relations between personality and health‐risk behaviours in university undergraduates were examined using multiple measures of personality across multiple samples (N = 1151). Big Five personality variables, at both factor and facet levels, were used to predict three specific health‐risk behaviours: (a) tobacco consumption, (b) alcohol consumption and (c) speeding in an automobile. Our findings showed that low Conscientiousness and low Agreeableness were uniformly associated with this cluster of potentially health damaging behaviours. Extraversion was additionally associated with alcohol use. Interaction effects were found between Conscientiousness and Agreeableness on smoking and (for men only) on drinking. Other personality variables not centrally related to the Big Five, such as Risk‐Taking (high) and Integrity (low), were also implicated in the present health‐risk behaviours. Copyright © 2009 John Wiley & Sons, Ltd.     

Personality and Family-Environment Predictors of Self-Reported Eating Attitudes and Behaviors

We assessed the contributions of personality and family environment to variations in self-reported eating attitudes and behaviors. Female college undergraduates (N = 137) completed the NEO Personality Inventory (NEO-PI; Costa & McCrae, 1985). Family Environment Scale (Moos & Moos, 1986), Eating Disorder Inventory (EDI; Garner & Olmsted, 1984), and revised Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982). Correlation and multiple regression analyses showed that among the personality variables, NEO-PI Neuroticism and Extraversion made the largest unique contributions to the EDI subscales and EAT-26. The family-environment measures made significant contributions to those EDI subscales that are reflective of broader emotional and interpersonal problems, rather than eating disorders per se. Suppression effects were found for NEO-PI Extraversion and Neuroticism, underscoring the need for researchers to assess comprehensive sets of etiologic factors—and associations among them—to properly interpret complex predictor/criterion relationships.     

Social skills and sex‐role functioning in borderline personality disorder: relationship to self‐mutilating behavior

This study compared the social skills functioning and sex role affiliation of female inpatients diagnosed with borderline personality disorder who engaged in self‐mutilating behavior (n?=?30) with female patients with borderline personality disorder who did not engage in such behavior (n?=?18). Patients with borderline personality disorder who engaged in self‐mutilating behavior were found to have relatively poorer skills in communicating non‐verbal emotional information to others and in receiving and interpreting such information from others. In terms of sex role orientation, patients who engaged in self‐mutilating behavior were significantly more likely than non‐mutilators to be typed as undifferentiated using the Bem Sex Role Inventory. These participants were less likely to identify with either masculine or feminine sex roles. Patients who did not self‐mutilate were found to be significantly more likely than those who did self‐mutilate to identify with the masculine sex role.     

Speech and Language Difficulties Along with Other Child and Family Factors Associated with Health Related Quality of Life of Australian Children

Speech and/or language difficulties (SaLD) can potentially compromise a child’s health-related quality-of-life (HRQoL). Very few studies have examined associations between SaLD, other child and family factors and HRQoL and none have been undertaken in Australia. We explore these associations using data from a nationally representative Australian sample of 4–5 year old children, extracted from the Longitudinal Study of Australian Children (LSAC) (n?=?4386). The Disability-Stress-Coping Model informed variable selection. Three domains of HRQoL were examined, and assessed on physical, emotional and social functioning subscales of the Pediatric Quality of Life Inventory (PedsQL). SaLD measures included parent concern about speech/language (Parents’ Evaluation of Developmental Status) and receptive vocabulary ability (adapted Peabody Picture Vocabulary Test-III). Multiple regression analyses revealed that various child and family factors representing all constructs from the Disability-Stress-Coping Model were significantly associated with HRQoL. Specifically, HRQoL was positively associated with parental warmth and child’s general health and negatively associated with parent speech/language concerns and maternal depression across all domains. Parents with concerns about their pre-school child’s speech and language rate the quality of their child’s health more poorly across physical, emotional and social domains. Associations between parent speech/language concerns and HRQoL were notable for being apparent in a (non-clinical) population sample and for persisting independent of factors such as maternal depression, parenting style and the child’s general health.