Resilience is a good predictor of hopelessness even after accounting for stressful life events, mood and personality (NEO-PI-R)

A better understanding of the relation between protection and vulnerability may advance our understanding of mental health. Therefore the purpose of this study was to examine the incremental validity of the Resilience Scale for Adults (RSA) as a predictor for level of hopelessness. A healthy sample (N = 532) completed the Beck Hopelessness Scale, a list of Stressful Life Events (SLE), the Hopkins Symptom Checklist-25 (HSCL-25), NEO-PI-R (NEO Personality Inventory Revised) and the RSA. The relations between the variables were explored with correlations and multiple hierarchical regression analyses. The results indicated that the RSA measures important protective factors that significantly predict lower levels of hopelessness even when accounting for age, gender, SLE, HSCL-25 and NEO-PI-R. This study supports the notion that the protective resilience factors in the RSA have unique contributions over and above established constructs of stressful life events, depressive and anxiety symptoms and personality in predicting hopelessness, supporting the incremental validity of the RSA.     

Spouses' Perceptions of Each Other's Coping Ability with Possible Stressful Life Events and Marital Quality

This study examines the effect ob marital quality of spouses' appreciation of partner's coping ability with possible stressful life events. Results show that while higher appreciation of partner's coping ability contributes to marital quality in wives, only the extent of being threatened by stressful life events and sense of being needed by partner for support when confronting with stressful life events contribute to marital quality in husbands.     

Negative affect and 24-hour ambulatory physiological recordings as predictors of spontaneous improvement of medically unexplained symptoms

The predictive value for spontaneous improvement in individuals suffering from medically unexplained symptoms (MUS) was explored of (1) anxiety and depression obtained from questionnaires, (2) negative affective states obtained from experience-sampling, and (3) ambulatory-assessed real-life physiological recordings. Sixty-seven individuals with MUS and 61 healthy controls were included. Twenty-four hour ambulatory recordings of cardiac autonomic activity, respiration, end-tidal CO(2) and saliva cortisol were combined with experience-sampling of somatic complaints and mood. Complaints were assessed again after one year. Although a reduction in symptoms (25%) was found, this could not be predicted from initial anxiety and depression. Improvement was somewhat related to relatively low diary reports of fatigue, especially in the late-afternoon and evening (3% variance explained). From the physiological measures only relatively high PetCO(2) values in the morning predicted improvement (5% explained). It was concluded that spontaneous recovery from MUS is hard to predict from self-reported distress and ambulatory physiological recordings.     

Optimising daily diary questionnaires about fatigue,psychological flexibility and well-being: perspectives of people with rheumatic disease

Objectives: The aim of this study was to understand the perspectives of people with rheumatic disease have about completing a pilot daily diary questionnaire on fatigue and well-being, with the objective of incorporating these perspectives into future daily studies.

Methods: Twenty-two participants with experience of rheumatic disease-related fatigue attended a focus group and/or an individual interview. Before the focus group or interview, participants completed a one-off quantitative diary about their fatigue and well-being that day. In the focus groups and interviews, participants were asked about their experience completing the questionnaire. Data were analysed using inductive thematic analysis.

Results: Three themes were identified. ‘Concerns about Misinterpretation and Ambiguity’ addressed the elements of the diary questionnaire that were confusing or unclear to participants. ‘Desire to Provide Useful and Accurate Information’ outlined participants’ uncertainty about how to report complex daily experiences. ‘Gaining Personal Insight through Diaries’ revealed the personal benefits participants gained, particularly the development of insight into their fatigue.

Conclusions: People with rheumatic disease are willing to complete a daily diary questionnaire, but emphasise it is important for diary questionnaires to have clear instructions, questionnaire items and response scales. Addressing these concerns will ensure the reliability and validity of quantitative diary data.     

Relationships Between Social Support, Social Coping and Life Events in the Relapse of Schizophrenic Patients

The vulnerability-stress model for schizophrenia posits that relapses are at least partly determined by interacting triggering and protecting psychosocial factors. This study examined social support and general coping style in 42 consecutively admitted DSM:III schizophrenic patients, who were followed prospectively for up to four years. In a second part of the study, a subgroup of the patients were interviewed using the Life Event and Difficulty Schedule 9 months after discharge or at relapse. Patients contented with low social integration had a higher relapse rate over four years than patients lacking of social provisions, but wanting more. We found an excess of life events three weeks before relapse compared to events reported in the non-relapsing group. Suggesting a buffering effect of social factors, time between life event and relapse was significantly extended among patients with a high availability of attachment and a coping strategy characterised of active support seeking.     

The use of a real-time computer diary for data acquisition and processing

Behavioural researchers have long relied on the use of diaries for the collection of self-report data. We discuss the characteristics of a programmable hand-held computer used to collect hourly and event generated data for 7 days on 20 subjects with panic disorder. In the application described, subjects answered a series of 19 or more questions on the hour from 0700 to 2300 or when they were having a panic attack. Subjects completed 88% of all the hourly ratings (range 64-98%). The system was well accepted by the subjects and provided relatively inexpensive data collection and management.     

Influence of caregiver burden on the association between daily fluctuations in pleasant activities and mood: A daily diary analysis

Much research has focused on behavioral activation and its effect on depression, but less is known about the effects of leisure activities on the two distinct affective domains of depression: positive affect (PA) and negative affect (NA). Furthermore, individual factors (i.e., stress level) may moderate the impact of behavioral activation on affect. The present study utilized a daily diary approach to examine the moderating effect of stress on the relationship between leisure satisfaction and both PA and NA. Twenty-five dementia caregivers completed activity and affect measures four times daily for 14 days. Results were analyzed using multilevel modeling, an approach that considers intra-individual differences in activity and affect over time. Results supported the hypothesis that caregivers with higher burden display a stronger association between leisure satisfaction and affect than caregivers with lower burden. Specifically, caregivers with higher burden had a stronger positive relationship between leisure satisfaction and PA and a stronger negative relationship between leisure satisfaction and NA. These findings suggest that screening caregivers for level of burden may help identify those most likely to benefit from behavioral interventions.     

Co-occurrence of personality disorders with mood, anxiety, and substance use disorders in a young adult population

The purpose of this study was to determine the co-occurrence of DSM- III-R personality disorders (PDs) with mood, anxiety, and substance use disorders in a young adult population. The members of the Northern Finland 1966 Birth Cohort Project, living in the city of Oulu with an age of 31 years (N = 1,609) were invited to participate in a two-phase field study. The SCID I and II were used as diagnostic instruments. One hundred and seventy-seven out of 321 interviewed subjects met the criteria for mood, anxiety, or substance use disorders. Altogether 72 (41%) of the subjects with an Axis I disorder met the criteria for at least one PD. The weighted co-occurrence rate of any PD varied from 28% for mood disorders to 47% for anxiety disorders. PDs, especially those in Cluster C, are highly associated with Axis I psychiatric disorders in population.     

The use of daily diaries to assess the relations among mood state,overt behavior,and reward value of activities

Recent data has sparked renewed interest in behavioral treatments for depression; however several fundamental questions remain regarding the mechanisms of such approaches. To this end, the current study directly tested the assumption that non-clinical mildly depressed individuals receive less response-contingent positive reinforcement than non-depressed individuals, indicated by less engagement in behaviors perceived as rewarding in terms of both immediate pleasure and potential for these behaviors to result in more distal rewards. The data presented support this assumption and provide support for the role of reinforcement-based strategies such as behavioral activation in the treatment of depression.     

A comparison of two report formats for alcohol and caffeine use

Abstract

The present study compared two different methods of assessing alcohol and caffeine use in a community sample of adults over a one-year period. Daily reporting of beer/wine intake was more stable over time and showed higher correspondence with Quantity-frequency measures than daily reporting of hard liquor use. Coffee and tea use showed high temporal stability and good alternate form reliability, though a tendency to underreport typical use of coffee use was observed. The psychometric properties of substance use measures appear to vary with type of beverage consumed and report format.     

Time use of Hellene 3rd and 4th graders during a school day

Using data from the time diaries of 164 Hellene 3rd and 4th graders interviewed in their homes in March 2007, individual differences in time-use patterns were investigated. The participants rested for 9 hours 10 minutes, and spent 57.0%, 21.7%, and 5.0% of their waking time on school-related activities (attending school, learning languages, doing homework), leisure activities (such as playing and watching TV), and other activities, respectively. Pupils from rural areas rested longer; more boys engaged in play and sports; more girls and more pupils from higher SES families engaged in dance. Overall, the time spent on school-related activities is higher than the times spent on other activities. Regarding leisure, girls spent the most time watching TV, while boys spent the most time watching TV and playing. In line with previous literature, the time schedule of Hellene pupils is directed towards knowledge acquisition, rather than cognitive or socio-emotional development.     

Autobiographical memory specificity, psychopathology, depressed mood and the use of the Autobiographical Memory Test: a meta-analysis

Reviewing the literature on autobiographical memory overgenerality, as measured by a cueing task like the Autobiographical Memory Test (AMT), gives a diffuse view of the moderating role of depression. This meta-analysis is an attempt to investigate the role of depression in the specificity of autobiographical memory, while accounting for the role of patient and task variables as possible moderators. Meta-analytic techniques are used to synthesize data from 14 studies on the recall of specific autobiographical memories in psychiatric and non-psychiatric samples. The results confirm the relationship between overgenerality and depression. The psychiatric patients are less specific than their non-clinical controls. It is not possible to establish that this result is solely due to a (co-morbid) diagnosis of depression. Self-reported depressed mood is also related to an impairment of autobiographical memory specificity. The way of presenting cues, audio taping responses and the maximum available amount of time to respond, are moderators of AMT performance.     

The consistency of false suggestions moderates children's reports of a single instance of a repeated event: predicting increases and decreases in suggestibility

Participants (6- and 7-year-olds, N=130) participated in classroom activities four times. Children were interviewed about the final occurrence (target event) either 1 week or 4 weeks later, during which half of the event items were described inaccurately. Half of these suggestions were consistent with the theme of the detail across the occurrences (e.g., always sat on a kind of floor mat) or were inconsistent (e.g., sat on a chair). When memory for the target event was tested 1 day later, children falsely recognized fewer inconsistent suggestions than consistent suggestions, especially compared with a control group of children who experienced the event just one time. Furthermore, the longer delay reduced accuracy only for consistent suggestions. Source-monitoring ability was strongly and positively related to resistance to suggestions, and encouraging children to identify the source of false suggestions allowed them to retract a significant proportion of their reports of inconsistent suggestions but not of consistent suggestions. The results suggest that the gist consistency of suggestions determines whether event repetition increases or decreases suggestibility.     

Averaging and summation: Positivity and choice as a function of the number and affective intensity of life events

Six experiments were reported that investigated individuals’ perceptions of positive life events and their preferences for options presenting different combinations of positive event frequency and magnitude. Results revealed that individuals often responded to the average level of positivity and preferred less (versus more) positive events and supported the averaging/summation model of life event integration. Results revealed, for example, that participants felt more positive affect when they were exposed to a highly positive event than a highly positive plus mildly positive one. When the events had similar affective intensities, however, summation effects were obtained—more was better. In demonstrating averaging and summation effects, we delineated situations in which more positive life events can be better (summation effects) and situations in which more can be worse (averaging effects). Results also ruled out several alternative accounts, including the peak-end rule, economic, affective forecasting, and an assimilation/contrast interpretation.     

Development and use of a computerized test, MATH-CPT, to assess attention

The present research describes the development of a new measure of attention, the Mathematics Continuous Performance Test (MATH-CPT), which uses a sequence of simple mathematical questions projected onto a computer screen as visual stimuli. A new approach to testing was developed: it has more complicated stimuli and has an open reaction time allowing participants to react according to individual pace. The development of reliability and validity of the MATH-CPT is described. Discriminant function analysis of 240 normal control participants compared with 63 individuals with ADHD showed correct classification of 91.6% of participants in both groups. The MATH-CPT diagnosed a sample of participants with ADHD better than another CPT-type test, the Test of Variables of Attention. This is an initial step in developing a new measure of attention and to assist with the diagnosis of adolescents and young adults with ADHD.     

Validation of the German version of Cloninger's TPQ: Replication and correlations with stress coping, mood measures and drug use

The tridimensional personality questionnaire (TPQ) was developed by Cloninger (1986, 1987a) to measure the independent personality dimensions Novelty Seeking (NS), Harm Avoidance (HA) and Reward Dependence (RD). After having investigated the basic psychometric properties of a German version of the TPQ in a first study (Weyers et al., 1995), a new sample of 200 subjects was collected to investigate the reliability of the results of this first study and to add further validity data by including measures of stress coping, mood and drug use. In general, the results of the first study were replicated. The internal consistencies of the superscales NS, HA and RD were high, and a factor analysis of the TPQ subscales yielded some support for Cloninger's personality theory. Because of its strong correlations with Psychoticism, Extraversion, Impulsiveness and Sensation Seeking NS seems to tap an impulsivity factor while HA correlates with Neuroticism and Introversion and appears to measure a behavioral inhibition factor, the latter interpretation being supported by correlations between HA and some mood measures like anxiety and self-confidence. In addition, HA showed substantial positive correlations with coping strategies like Rumination, Resignation and Self-pity and substantial negative correlations with strategies like Self-aggrandizement by Comparison with Others and Positive Self-instructions, while the other two TPQ superscales hardly correlate with any of the coping strategies measured. With respect to drug use, only NS showed small but substantial bivariate correlations with the use of nicotine and psychodysleptics for the last 12 weeks and last 2 years. However, a configurational analysis of the TPQ superscales demonstrated that the type II alcoholism pattern proposed by Cloninger (high NS, low HA and low RD) was associated with a strong alcohol consumption.     

Source monitoring and multivariate signal detection theory, with a model for selection

Participants in source monitoring studies, in addition to determining whether an item is old or new, also discriminate the source of the item, such as whether the item was presented in a male or female voice. This article shows how to apply multivariate signal detection theory (SDT) to source monitoring. An interesting aspect of one version of the source monitoring procedure, from the perspective of multivariate SDT, is that it involves a type of selection, in that a discrimination response is observed only if the detection decision is that an item is old. If the selection is ignored, then the estimate of the discrimination parameter can be biased; the nature and magnitude of the bias are illustrated. A bivariate signal detection model that recognizes selection is presented and its application is illustrated. The approach to source monitoring via multivariate SDT provides new results that are informative about underlying psychological processes.     

Cognitive Social Maturity, Life Change Events, and Health Risk Behaviors among Adolescents: Development of a Structural Equation Model

Purpose: To examine the roles of cognitive social maturity and life change events in a structural equation model (SEM) to explain adolescents' use of marijuana, tobacco, and alcohol. Methods: Data were derived from 1322 9th and 10th graders in a HIV prevention study. Students completed a survey of their cognitive social maturity, recent life events and substance use habits. A model from a study on the metabolic control of adolescents with diabetes was modified to apply to health risk behaviors. Results: A SEM was tested and fit the data well. Lower cognitive social maturity and greater life change events significantly predicted health risk behaviors. Life events partially mediated the relationship between cognitive social maturity and health risk behaviors. Conclusions: Adolescents' social thought processes are related to their recent life events, which in turn are related to their substance use behaviors. Suggestions are made for interventions to improve adolescents' cognitive social maturity.