Effects of daily events on mood states in major depressive disorder

Major depressive disorder (MDD) is characterized by high negative affect (NA) and low positive affect (PA), but little is known about emotional reactivity in daily life. The authors used experience sampling methodology to investigate changes in NA and PA following minor daily events in MDD compared with healthy participants. Contrary to expectation, MDD participants did not report more frequent negative events, although they did report fewer positive events. Multilevel regression showed that both NA and PA responses to negative events were blunted in the MDD group, whereas responses to positive events were enhanced. NA responses to negative events persisted longer in MDD participants. Depressed participants with a positive family history or longer current episodes showed relatively greater NA responses to negative events.     

Affective reactions to real-life stressors and the role of physical activity in sports students – An Ambulatory Assessment study

Students are exposed to a variety of stressors that can negatively affect their health and performance. Using an Ambulatory Assessment approach, this study investigated whether and how positive affect (PA) and negative affect (NA) changed in response to real-life stressors in sports students. In addition, the study investigated how physical activity (PhyA) moderated affective reactions to stressors. 62 participants of a German university (m = 23, f = 38, d = 1; age: M = 21.55 years, SD = 2.47) reported their daily stressors, affective states and PhyA (context, intensity and duration) six times per day via smartphone over five days (30 prompts per participants). To test the hypotheses multilevel models were calculated. Stressor context predicted affective reactions. PA was lower and NA was higher when general (financial problems) or academic (exam periods) stressors were reported. General PhyA had a positive effect on sports students affect (higher PA, lower NA). However, when PhyA was performed in exercise classes within their study program and a stressor was reported, PA decreased. The results showed that certain stressors interact negatively with affective states. Furthermore, the results suggested that PhyA, depending on the context where it occurred, may also induce negative affective changes in this target group of sport students. More studies need to examine how PhyA moderates affective reactions to stressors and examine the influences of context specific PhyA (e.g., type of PhyA) in more detail.     

Physical activity,screen time and subjective well-being among children

Background/ObjectiveThe aim of the study was to explore the differences between physical activity and/or screen time levels on cognitive (Life satisfaction LS) and affective (Positive affect, PA and Negative affect NA) components of subjective well-being (SWB) in children.MethodThis cross-sectional study enrolled 1,540 children (1,040 boys, 8–12 years old). LS, PA, NA, physical activity and screen time were assessed with validated questionnaires.ResultsChildren who reported 3 days per week of physical activity or less had lower LS and PA than counterparts with ≥6 days of physical activity per week (p < .05). Participants who reported 2 hours per day or less of screen time had lower NA than counterparts with 4 hours per day or more of screen time (p < .05). Also, children who meet physical activity guidelines have higher LS and PA compared to inactive peers, even with high screen time. In contrast, excessive screen time was also related with NA independent of the level of physical activity.ConclusionsOur findings suggest that physical activity is related with positive feelings and LS, but does not eliminate the effect of screen time on negative feelings among Chilean children.     

Concurrent and prospective relations between attention to emotion and affect intensity: an experience sampling study

Theorists contend that emotional awareness is vital to being able to use emotional information adaptively. The extent to which individuals attend to and value their feelings, or attention to emotion, is a facet of emotional awareness. Little research, however, has examined whether attention to emotion affects the magnitude or intensity of emotional experiences. In the present study we examined the relations between attention to emotion and levels of affect in 53 healthy adults. Participants carried hand-held electronic devices for approximately 7 days and were randomly prompted eight times per day to answer a series of questions. At each prompt, participants reported attention to emotion, current negative affect (NA), and positive affect (PA). All findings presented were computed using multilevel modeling. Replicating findings obtained using trait-level measures, we found that attention to emotion was associated concurrently with higher levels of both NA and PA. We also found prospectively that attention to emotion at one prompt predicted a decrease in levels of NA, but no change in levels of PA, at the subsequent prompt. These findings suggest that emotional processes serve different functions over time and highlight the role of attention to emotion in affect regulation. (PsycINFO Database Record (c) 2011 APA, all rights reserved).     

Retrospective recall of affect in clinically depressed individuals and controls

The current study examined the nature of retrospective recall of affect in depressed participants and nonclinical controls. Utilising the Experience Sampling Method, we compared average momentary affect reports to retrospective summaries of the same period of time. Both groups exhibited exaggerated retrospective summaries of positive affect (PA) and negative affect (NA). Greater bias for PA than NA was found in the controls but not the depressed. Across groups, depressed individuals exhibited more absolute inaccuracy in their recall of NA but not PA. For depressed and nonclinical individuals, retrospective summaries of PA were better predicted by an average of all weekly momentary PA than a combination of the most intense (“peak”) PA and most recent (“end”) PA experiences. For nonclinical participants, retrospective NA was better predicted by an average of all weekly momentary NA. For depressed individuals, however, no clear advantage to predicting retrospective NA by average weekly NA relative to a combination of peak NA and end NA was found. Based on our findings, clinicians should realise that depressive cognition may not lie in recall that is less positive and more negative than “reality” but in retrospective intensifications of all affect that are, compared to normal, relatively greater for negative than for positive affect.     

Within-person association of volitional factors and physical activity: Insights from an ecological momentary assessment study

ObjectiveCurrent health behavior models of physical activity (PA) suggest that not all PA intentions are translated into actual PA behavior, resulting in a significant intention-behavior gap (IBG) of almost 50%. These models further suggest that higher self-efficacy and specific planning can aid in decreasing this gap. However, as most evidence stems from between-person (trait level), questionnaire-based research, it is unclear how large short-term IBGs are, how self-efficacy and planning covary within-persons across time and whether they similarly predict smaller IBGs. It is likely that day-to-day changes in circumstances and barriers affect these variables thus the applicability of theoretical models is uncertain. Here, within-person prospective analyses of ecological momentary assessment (EMA) data can provide insights.Methods35 healthy participants (aged 23–67) completed four EMA-based questionnaires every day for three weeks. Each prompt assessed PA (retrospectively, “since the last EMA prompt”); PA intentions, planning specificity, self-efficacy, and intrinsic motivation (prospectively, “until the next EMA prompt”) and momentary affect. Generalized logistic mixed-effect modeling was used to test predictors of PA.ResultsAcross the 2341 answered EMA prompts, PA intentions were not enacted in 25% of the episodes (IBG). In episodes with given intentions, PA likelihood increased with higher levels of self-efficacy, planning specificity, and intrinsic motivation. The latter two also positively predicted PA duration and intensity.ConclusionsShort-term intention behavior gaps seem to be smaller than what is known from more long-term studies, most likely as individuals can anticipate the actual circumstances of PA. Further, current health behavior models show validity in explaining within-person dynamics in IBGs across time. Knowing the relevance of planning specificity, self-efficacy and intrinsic motivation for day-to-day variations in PA enactment can inform respective real-time mHealth interventions for facilitating PA.     

When Good Feelings Turn Mixed: Affective Dynamics and Big Five Trait Predictors of Mixed Emotions in Daily Life

In this study, we examine how daily life fluctuations in positive affect (PA) and negative afect (NA) relate to mixed emotions—that is, simultaneous positive and negative feelings. We utilised three experience sampling studies (total N = 275), in which participants reported their affect 10 times each day for up to 14 days. Because people generally experience fairly stable moderate levels of PA in daily life, we proposed that mixed emotions would typically occur when NA increases and overlaps with, but does not entirely eliminate, PA. Accordingly, within individuals, we found that mixed emotions in daily life were more strongly predicted by changes in NA and the occurrence of negative events than by changes in PA and positive events. At the between-person level, individuals with more variable NA, more stable PA, and higher trait Neuroticism scores experienced higher average levels of mixed emotions. Further, we found evidence that the average magnitude of NA increases may partially mediate the association between Neuroticism and mixed emotions. We also found that positive predictors of mixed emotions are negative predictors of individuals' within-person PA/NA correlations—that is, affective synchrony. Our findings elucidate trait predictors and affective dynamics of daily life mixed emotions, which appear closely intertwined with NA variability. © 2020 European Association of Personality Psychology     

The everyday dynamics of rumination and worry: precipitant events and affective consequences

ABSTRACT

Rumination and worry are two perseverative, negatively valenced thought processes that characterise depressive and anxiety disorders. Despite significant research interest, little is known about the everyday precipitants and consequences of rumination and worry. Using an experience sampling methodology, we examined and compared rumination and worry with respect to their relations to daily events and affective experience. Participants diagnosed with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), co-occurring MDD–GAD, or no diagnosis carried an electronic device for one week and reported on rumination, worry, significant events, positive affect (PA), and negative affect (NA). Across the clinical groups, occurrences of everyday events predicted subsequent increases in rumination, but not worry. Further, higher momentary levels of rumination, but not worry, predicted subsequent decreases in PA and increases in NA. Thus, in these clinical groups, rumination was more susceptible to daily events and produced stronger affective changes over time. We discuss implications for theory and clinical intervention.     

Emotional reactivity to daily events in major and minor depression

Although emotional dysfunction is an important aspect of major depressive disorder (MDD), it has rarely been studied in daily life. Peeters, Nicolson, Berkhof, Delespaul, and deVries (2003) observed a surprising mood-brightening effect when individuals with MDD reported greater reactivity to positive events. To better understand this phenomenon, we conducted a multimethod assessment of emotional reactivity to daily life events, obtaining detailed reports of appraisals and event characteristics using the experience-sampling method and the Day Reconstruction Method (Kahneman, Krueger, Schkade, Schwarz, & Stone, 2004) in 35 individuals currently experiencing a major depressive episode, 26 in a minor depressive (mD) episode, and 38 never-depressed healthy controls. Relative to healthy controls, both mood-disordered groups reported greater daily negative affect and lower positive affect and reported events as less pleasant, more unpleasant, and more stressful. Importantly, MDD and mD individuals reported greater reductions in negative affect following positive events, an effect that converged across assessment methods and was not explained by differences in prevailing affect, event appraisals, or medications. Implications of this curious mood-brightening effect are discussed.     

PREFRONTAL BRAIN ASYMMETRY:

Abstract— Resting anterior brain electrical activity, self-report measures of Behavioral Approach and Inhibition System (BAS and BIS) strength, and general levels of positive and negative affect (PA and NA) were collected from 46 unselected undergraduates on two separate occasions. Electroencephalogram (EEG) measures of prefrontal asymmetry and the self-report measures showed excellent internal consistency reliability and adequate test-retest stability. Aggregate measures across the two assessments were computed for all indices. Subjects with greater relative left prefrontal activation reported higher levels of BAS strength, whereas those with greater relative right prefrontal activation reported higher levels of BIS strength. Prefrontal EEC asymmetry accounted for more than 25% of the variance in the self-report measure of relative BAS-BIS strength. Prefrontal EEG, however, was not significantly correlated with PA or NA, or the relative strength of PA versus NA Posterior asymmetry was unrelated to the self-report measures.     

Examination of the Relationship Between Self-Efficacy and Affect at Varying Levels of Aerobic Exercise Intensity

Although proposed as an explanation for increases in positive and decreases in negative affect, little evidence supports the notion of a stronger efficacy-affect relationship as acute aerobic exercise intensity increases. Relationships between self-efficacy (SE), positive affect (PA), and negative affect (NA) were examined with respect to 3 randomly assigned conditions: (a) no exercise (control), (b) cycling at 55% VO_2max, and (c) cycling at 70% VO_2max. Twenty subjects (age = 22.6 years; M VO_2max= 47.8 ml · kg⁻¹· min⁻¹) participated in each. Preexercise SE predicted in-task NA and postexercise PA in the 55% condition and postexercise PA in the 70% condition ( ps < .05). Although SE significantly increased from pre- to postexercise, in-task affect failed to predict these increases in SE. These data suggest that in a fit college-aged population, a stronger reciprocal relationship between preexercise SE, in-task affect, and postexercise SE does not exist with increasing levels of exercise intensity. Contrary to self-efficacy theory, no evidence was found for a reciprocal relationship. However, the relationship between efficacy and affect was such that when collapsed across conditions and time, subjects with higher SE scores reported lower NA ( p < .05).     

Behavioral activation and inhibition in everyday life

Joint effects of daily events and dispositional sensitivities to cues of reward and punishment on daily positive affect (PA) and negative affect (NA) were examined in 3 diary studies. Study 1 showed that positive events were strongly related to PA but not NA, whereas negative events were strongly related to NA but not PA. Studies 2 and 3 examined how the dispositional sensitivities of independent appetitive and aversive motivational systems, the Behavioral Activation System (BAS) and the Behavioral Inhibition System (BIS), moderated these relationships. Participants in Study 2 with higher BAS sensitivity reported more PA on average; those with more sensitive BIS reported more NA. Also, BIS moderated reactions to negative events, such that higher BIS sensitivity magnified reactions to negative events. Study 3 replicated these findings and showed that BAS predisposed people to experience more positive events. Results demonstrate the value of distinguishing within-person and between-person effects to clarify the functionally independent processes by which dispositional sensitivities influence affect.     

Reciprocal Prospective Effects of Momentary Cognitions and Affect in Daily Life and Mood Reactivity Toward Daily Events in Remitted Recurrent Depression

Major depressive disorder is a recurrent condition. Potential risk factors for future episodes are maladaptive cognitions, such as rumination and unfavorable reactivity toward negative daily events. Positive thoughts and positive daily events, in contrast, could act as a buffer against mood deterioration. The aim of the present study is to (a) examine differences in daily affect and cognitions in remitted depressed patients with a history of recurrent episodes (rMDD) and healthy controls, (b) analyze reciprocal prospective effects of momentary cognitions and affect, and (c) investigate effects of daily events on affect and cognitions in both groups. A sample of N = 102 participants underwent an ecological momentary assessment (EMA) phase of 5 consecutive days, where rMDD patients (n = 51) and healthy controls (n = 51) indicated their momentary rumination, positive thoughts, affect, and the occurrence of daily events 10 times per day. Via multilevel lag models, we found higher rumination to predict a decrease of positive affect (PA) in the rMDD group, but no effect of rumination on subsequent negative affect (NA) in either group. Higher positive thoughts predicted an increase in PA and a decrease in NA, similarly strong in both groups. Regarding daily events, rMDD patients reported a stronger increase in NA and rumination following negative daily events compared to controls, whereas an observed subsequent decrease of PA and positive thoughts was not moderated by group. Following positive daily events, rMDD patients showed a stronger increase in PA and positive thoughts and a stronger decrease in NA and rumination than controls. For interventions targeting relapse prevention, our results indicate the implementation of strategies fostering the responsiveness to positive events and the up-regulation of positive affect.     

The Affective Temperaments and Well-Being: Swedish and Iranian Adolescents’ Life Satisfaction and Psychological Well-Being

The aim was to investigate the role of the affective temperament model (AFTs) in distinguishing variations in well-being among adolescents from Sweden (n = 222) and Iran (n = 120). Participants self-reported positive (PA) and negative affect (NA), life satisfaction (LS) and psychological well-being (PWB). The model categorizes participants in four different temperaments using the Positive Affect and Negative Affect Schedule (PANAS): self-actualizing (high PA and low NA), high affective (high PA and high NA), low affective (low PA and low NA), and self-destructive (low PA and high NA). Across cultures, self-actualizing adolescents reported higher LS and PWB. The PWB sub-scale of self-acceptance was positively related to LS regardless of temperament profile or cultural background. Nevertheless, Iranian adolescents with self-destructive profiles reported higher LS than high affective Iranians. The AFTs model is suggested to offer something unique by taking into account the interaction of PA and NA.     

The Affective Temperaments: Differences between Adolescents in the Big Five Model and Cloninger’s Psychobiological Model of Personality

Positive (PA) and negative affect (NA) are indicators or markers of well-being that also reflect stable emotional- temperamental dispositions. In three different studies, self-reported affect was measured by the Positive Affect and Negative Affect Schedule (PANAS). The PANAS measures affect as two separate dimensions and was therefore used to generate four affective temperaments (AFTs): self-actualizing (high PA and Low NA), high affective (high PA and high NA), low affective (low PA and low NA), and self-destructive (low PA and high NA). The present set of studies investigated differences in personality between AFTs in an adolescent sample (N?=?398). Personality was measured by two different models: The Big Five and Cloninger’s psychobiological model. The interaction of PA and NA was expected to reveal differences and similarities in intrapersonal behavior measured by both models of personality. The results show that low NA adolescents reported lower levels of neurotic behavior than high NA adolescents. Nevertheless, despite the experience of high NA respectively, low PA, high and low affective reported higher Self-Directedness than self-destructive adolescents. Implications of the AFTs framework are discussed.     

Vulnerability to depression is associated with a failure to acquire implicit social appraisals

Major depressive disorder (MDD) is associated with disrupted relationships with partners, family, and peers. These problems can precipitate the onset of clinical illness, influence severity and the prospects for recovery. Here, we investigated whether individuals who have recovered from depression use interpersonal signals to form favourable appraisals of others as social partners. Twenty recovered-depressed adults (with >1 adult episode of MDD but euthymic and medication-free for six months) and 23 healthy, never-depressed adults completed a task in which the gaze direction of some faces reliably cued the location a target (valid faces), whereas other faces cued the opposite location (invalid faces). No participants reported awareness of this contingency, and both groups were significantly faster to categorise targets following valid compared with invalid gaze cueing faces. Following this task, participants judged the trustworthiness of the faces. Whereas the healthy never-depressed participants judged the valid faces to be significantly more trustworthy than the invalid faces; this implicit social appraisal was absent in the recovered-depressed participants. Individuals who have recovered from MDD are able to respond appropriately to joint attention with other people but appear to not use joint attention to form implicit trust appraisals of others as potential social partners.     

Integrating meaning in life and self-determination theory to predict physical activity adoption in previously inactive exercise initiates enrolled in a randomized trial

Self-Determination Theory (SDT) suggests that individuals with greater basic psychological needs satisfaction and autonomous motivation are more likely to adopt physical activity (PA). However, few longitudinal studies have examined these processes in exercise initiates outside the context of a formalized intervention. Further, an implicit yet relatively unexplored tenet of SDT is that when behaviors are closely connected to what is meaningful to individuals, those behaviors are more likely to be maintained. This study had two aims: (a) to examine SDT and a sense of meaning in life (MIL) in relation to PA in previously inactive exercise initiates, and (b) to determine whether daily measurement of MIL, mood, and PA impacts PA engagement. Upon joining a fitness center, participants (N = 160; M age = 43.3 years; 77% female) were recruited for a longitudinal study of PA adoption. Participants were randomized to a daily measurement condition (self-monitoring) where they reported daily MIL, mood, and PA or to an attention control condition. All participants self-reported their PA, basic psychological needs satisfaction, behavioral exercise regulation, and MIL at baseline, 4-weeks, and 12-weeks after starting an exercise program. Longitudinal path models were used to examine the relationships among study variables. Cross-sectionally, SDT constructs were largely related to PA in the expected directions. After accounting for SDT processes, baseline MIL was associated with greater PA at 4-weeks (p = .028). There were no differences in PA, SDT constructs, or MIL between the measurement self-monitoring and control groups. MIL predicted PA adoption above and beyond SDT predictors in previously inactive adults. Combined SDT and MIL intervention approaches may enhance PA adoption, and further research should explore their roles in PA adoption and maintenance.     

Subjective Well-Being and Self-Reported Health in Osteoarthritis Patients Before and After Arthroplasty

The main aim of the current study is to examine the changes in the components of subjective well-being (SWB) over time in patients with osteoarthritis who have undergone total hip or knee replacement surgery (arthroplasty). We are also interested in determining whether pre-operative ratings of self-reported health (SRH) status, as well as change in health status, can serve as predictors for postoperative levels of SWB. To this end, 50 participants who had been admitted to a hospital for arthroplasty completed the measures twice—first at the clinic one day before the surgery, and then at home approximately 4.5 months after the surgery. Despite the fact that there were substantial improvements in participants’ health and physical functioning after the arthroplasty, there were no changes in their ratings of general SRH, life satisfaction (LS), or negative affect (NA). The only change in SWB scores was in the level of positive affect (PA), which was significantly higher after surgery compared with the pre-operative measurement. LS, NA, and PA scores after arthroplasty were differentially predicted by health ratings, showing that, it is the cognitive-evaluative component of SWB (i.e., LS) that is mostly responsible for the association between general SRH and SWB while affective components (i.e., NA and PA) are primarily related to more specific health indicators. Our findings can assist physicians in their efforts to provide more realistic expectations for their patients undergoing surgery in terms of the physical and psychological outcome.     

Intraindividual and interindividual analyses of positive and negative affect: their relation to health complaints, perceived stress, and daily activities

I examined correlates of Negative Affect (NA) and Positive Affect (PA) through both within- and between-subjects analyses. Eighty subjects completed a daily questionnaire for 6-8 weeks. Each day they rated (a) their mood, (b) the extent to which they suffered from various minor physical problems, (c) their level of stress, (d) the time they spent socializing, and (e) whether or not they had exercised. Subjects also completed several trait tests measuring their general affective level, frequency of health problems, and social tendencies. A between-subjects analysis showed the expected pattern: Level of physical complaints and perceived stress were correlated with individual differences in NA but not in PA, whereas social indicators and frequency of exercise were related only to PA. The within-subjects results generally exhibited a similar pattern: Social activity and exercise were more strongly related to PA, whereas perceived stress was highly related to NA. However, the most significant finding was that, contrary to prediction, health complaints were as strongly related to intraindividual fluctuations in PA as in NA. Possible interpretations of the observed correlates of NA and PA are discussed.     

The Transtheoretical model’s processes of change in the heart of a physical activity intervention: A series of n-of-1

The objectives were a) to test whether a Processes of Change (POC)-personalized Transtheoretical model (TTM)-based intervention could increase physical activity (PA) among inactive adults, and b) to examine whether the intervention increased the level of TTM theoretical constructs. The following hypotheses were formulated: 1) PA levels will be significantly higher during and after the intervention in comparison to baseline measures; 2) the level of targeted POCs will increase during the intervention; 3) non targeted POCs will stay stable, and 4) self-efficacy and decisional balance levels will increase during the intervention. A series of N-of-1 with A (1 to 2-week)-B(10-week)-A'(2-week) design were conducted with 12 inactive adults. Behavioral counselors used behavior change techniques to target TTM constructs and supervise PA. Interventions were individualized based on the 5 POCs with the lowest pre-intervention level. Device-based and subjective PA along with TTM measures were collected weekly online. PA data were analyzed with piecewise linear models. A visual analysis was run to examine the TTM constructs. Device, self-reported and TTM data were available for five, seven and five participants, respectively. A significant self-reported PA increase for six participants was found during the phase B and A2. A significant device-measured PA increase was observed in two participants during the study. A substantial increase of targeted POC from baseline for all participants with available data was observed. This study provides the first evidence of behavioral and psychological effects of a POC-personalized TTM-based intervention in inactive adults.