Dimensions of temperament and depressive symptoms: Replicating a three-way interaction

High negative emotionality (NE), low positive emotionality (PE), and low self-regulatory capacity (i.e., effortful control or EC) are related to depressive symptoms and furthermore, may moderate one another’s relations to such symptoms. Indeed, preliminary evidence suggests they may operate in a three-way interaction (Dinovo & Vasey, 2011), but the replicability of that finding remains unknown. Therefore, we tested this NE × PE × EC interaction in association with depressive symptoms in 5 independent samples. This interaction was significant in 4 of the 5 samples and a combined sample and approached significance in the fifth sample. In contrast, the NE × PE × EC interaction was unrelated to general anxious symptoms and thus may be specific to symptoms of depression. Implications, directions for future research, and limitations are discussed.     

Let it be: Accepting negative emotional experiences predicts decreased negative affect and depressive symptoms

The present studies examined whether a tendency to accept negative emotional experiences buffers individuals from experiencing elevated negative affect during negative emotional situations (Study 1) and from developing depressive symptoms in the face of life stress (Study 2). Both studies examined female samples. This research expands on existing acceptance research in four ways. First, it examined whether acceptance has beneficial correlates when it matters most: in emotionally taxing (versus more neutral) contexts. Second, in Study 2 a prospective design was used in which acceptance was measured before stress was encountered and before outcomes were measured. Third, depressive symptoms (rather than general functioning or trauma symptoms) were examined as a particularly relevant outcome in the context of stress. Fourth, to enhance generalizability, a community sample (versus undergraduates or a purely clinical sample) was recruited. Results indicated that acceptance was correlated with decreased negative affect during a negative emotion induction but not an affectively neutral condition (Study 1). In Study 2, acceptance interacted with life stress such that acceptance predicted lower levels of depressive symptoms after higher, but not lower, life stress. These results suggest that accepting negative experiences may protect individuals from experiencing negative affect and from developing depressive symptoms.     

Intensity of positive and negative emotions: Explaining the association between personality and depressive symptoms

The aim was to examine to what extent emotional intensity accounted for associations between the Big Five personality dimensions and depressive symptoms. Study 1 tested the model cross-sectionally, using survey data of 266 Dutch social science students. Study 2 experimentally examined how personality dimensions were related to emotional reactivity after exposure to various emotional stimuli. Dutch psychology students (N = 130) reported on their personality and viewed an amusing or sad film clip, after which the change in intensity of experienced positive and negative emotions was assessed. Individuals scoring higher on neuroticism generally experienced more intense negative emotions, through which they experienced a higher level of depressive symptoms. Individuals who were more agreeable experienced a lower level of depressive symptoms indirectly through higher general intensity of positive emotions. More agreeable individuals showed stronger increase in negative emotions and stronger decrease in positive emotions, though after exposure to the sad stimulus only. Although replication is needed, our results offer empirical support for a more taylor-made approach in decreasing nonclinical depressive symptoms taking into account both personality characteristics and emotion regulation.     

Negative Affectivity, Effortful Control, and Attention to Threat-Relevant Stimuli

There is increasing recognition of temperamental influences on risk for psychopathology. Whereas the link between the broad temperament construct of negative affectivity (NA) and problems associated with anxiety and depression is now well-established, the mechanisms through which this link operate are not well understood. One possibility involves interactions between reactive and effortful components of temperament, as well as cognitive factors, like attentional biases to threat stimuli. This study tested a predicted relation between high levels of NA, low levels of effortful control (EC), and an attentional bias toward threat in children. A sample of 104 4th through 12th graders, selected from a larger screening sample because they reported high or low levels of trait NA and EC, completed a dot probe detection task. Results indicated that EC moderated the relation between NA and attentional bias; only children with low levels of EC and high levels of NA showed an attentional bias to threat stimuli. This pattern was not moderated by grade level or age.

Authenticity in relationships and depressive symptoms: A gender analysis

The current study examined authenticity in relationships, defined as the ability to be open and honest in meaningful relationships, in multiple contexts (i.e., with parents, peers). The goal of the study was to examine and compare the relation between authenticity in relationships and depressive symptoms in a sample of 435 14-year-old adolescent girls and boys. Structural equation modeling results indicated that the model predicted approximately one-third of the variance in depressive symptoms for girls, and almost half of the variance in depressive symptoms for boys. In addition, the strength of the relation between authenticity with parents and depressive symptoms was statistically equivalent for boys and girls. These results indicate the importance of authenticity with parents in predicting depressive symptoms, for both boys and girls.     

Receipt of negative feedback is related to increased negative feedback seeking among individuals with depressive symptoms

In recent years, numerous studies have demonstrated a link between positive and negative feedback seeking by depressed individuals, interpersonal rejection, and depression chronicity. Nonetheless, many of the specific interpersonal patterns underlying these links have yet to be clearly specified. One important lingering question concerns how depressed individuals respond to negative evaluation or feedback from others, because continued negative feedback seeking could place depressed people at risk for further rejection and continuation/exacerbation of depressive symptoms. Two studies were conducted to investigate the influence of negative feedback provisions from others on the feedback seeking behaviors of individuals with depressive symptoms. The results from Study 1 indicated an increased tendency to seek negative feedback among depressive individuals in association with an independent negative evaluation by their college roommates. Using a sample of newlywed couples, Study 2 extended this finding by demonstrating that, when directly provided with negative feedback from their spouses, individuals with depressive symptomatology actively sought further negative feedback, while those without such symptoms did not. Together, the results from these studies suggest that depressed individuals are likely to respond to negative evaluation and feedback from others with behaviors that could place them at risk for further rejection and continuing, if not worsening problems with depression.     

Maternal depressive symptoms and child temperament: Longitudinal associations with executive functioning

The present study investigated the contributions of maternal depressive symptoms and child temperament to youths' executive functioning (EF) across an 18-year longitudinal study. The primary hypothesis proposed that the association between youths' exposure to early maternal depressive symptoms (ages 3 & 5) and their EF (age 18) would be moderated by temperament in middle childhood (ages 8 & 10). Temperament was a significant moderator of the association between early maternal depressive symptoms and youth EF. Positive child temperament (high effortful control, EC, and low negative affectivity, NA) was associated with higher EF when maternal depressive symptoms during early childhood were low. In contrast, elevated maternal depressive symptoms overrode any associations between child temperament and later EF. Parallel analyses examining the interaction between child temperament and maternal depressive symptoms during middle childhood (controlling for earlier maternal depressive symptoms) revealed a different pattern of results. Clinical implications for prevention/intervention work on EF are discussed.     

Temperament and Risk for Depressive Symptoms in Adolescence: Mediation by Rumination and Moderation by Effortful Control

The present study examined the relations between temperament, ruminative response style and depressive symptoms both cross-sectionally and prospectively (1 year follow-up) in a community sample of 304 seventh- through tenth-graders. First, higher levels of negative affectivity (NA), lower levels of positive affectivity (PA) and lower levels of effortful control (EC) were found to be associated with higher levels of depressive symptoms. Second, the association between NA and PA on the one hand and depressive symptoms on the other was significantly moderated by level of EC (low PA and high NA are associated with depressive symptoms only if EC is low) and these relations were moderated by sex in the cross-sectional data. In the prospective data, T1 depressive symptoms and PA predicted T2 depressive symptoms; with EC approaching significance. Third, rumination also predicted T1 as well as T2 depressive symptoms. Finally, support was found for a model of moderated mediation: higher levels of NA were associated with higher levels of ruminative response style, which was in turn related to more depressive symptoms but only in individuals with low EC and this was true for the cross-sectional as well as the prospective data albeit with noteworthy differences in pattern. These findings confirm and extend previous findings on the associations between temperament, response styles and depression in adolescence and, as such, add to the growing body of research providing support for the applicability of cognitive vulnerability theories to depression in younger populations.

Night waking in 6-month-old infants and maternal depressive symptoms

Relations between night waking in infants and depressive symptoms in their mothers at 6 months postpartum were examined using the data from the National Institute for Child Health and Human Development Study of Early Child Care. Although more depressive symptoms were only weakly correlated with a higher frequency of infant waking, longer wake times, and more total time awake, the rate of clinically significant depression scores was about double in mothers of chronically waking infants in comparison with mothers whose infants did not awaken during the night. The value of comparing subgroups to elucidate relations identified through correlations is discussed.     

Forecasting life and career satisfaction in midlife from young adult depressive symptoms

This 14-year, six-wave longitudinal study of 583 university graduates examined whether trajectories of depressive symptoms from age 23 to 30 predicted life and career satisfaction outcomes at age 37, after controlling for (a) time-varying associations of marriage and unemployment with depressive symptoms, (b) sociodemographic characteristics (age, sex, parents' education), and (c) family and labor market experiences assessed at age 37 (marriage and divorce, raising children, income, spells of unemployment, occupational status). Net of the effects of all covariates, lower depressive symptoms at age 23 predicted higher life and career satisfaction at age 37, and steeper declines in depressive symptoms predicted higher life satisfaction. From age 23 to 30, being married was associated with fewer depressive symptoms, and more unemployment (in months) was associated with more depressive symptoms. The course of depressive symptoms through young adulthood carries over into midlife, showing continuity even after accounting for family and labor market experiences.     

Maternal posttraumatic stress symptoms and infant emotional reactivity and emotion regulation

The current study examined associations between maternal posttraumatic stress disorder (PTSD) symptoms and infant emotional reactivity and emotion regulation during the first year of life in a primarily low-income, urban, ethnic/racial minority sample of 52 mother–infant dyads. Mothers completed questionnaires assessing their own trauma exposure history and current PTSD and depressive symptoms and their infants’ temperament when the infants were 6 months old. Dyads participated in the repeated Still-Face Paradigm (SFP-R) when the infants were 6 months old, and infant affective states were coded for each SFP-R episode. Mothers completed questionnaires assessing infant trauma exposure history and infant current emotional and behavioral symptoms when the infants were 13 months old. Maternal PTSD symptoms predicted infants’ emotion regulation at 6 months as assessed by (a) infant ability to recover from distress during the SFP-R and (b) maternal report of infant rate of recovery from distress/arousal in daily life. Maternal PTSD symptoms also predicted maternal report of infant externalizing, internalizing, and dysregulation symptoms at 13 months. Maternal PTSD was not associated with measures of infant emotional reactivity. Neither maternal depressive symptoms nor infant direct exposure to trauma accounted for the associations between maternal PTSD symptoms and infant outcomes. These findings suggest that maternal PTSD is associated with offspring emotion regulation difficulties as early as infancy. Such difficulties may contribute to increased risk of mental health problems among children of mothers with PTSD.     

Mother and father adjustment during early parenthood: the roles of infant temperament and coparenting relationship quality

We explored how parent gender, infant temperament, and coparenting dynamics worked together to shape mothers’ and fathers’ depressive symptoms, stress, and parental efficacy during early parenthood. We were interested in the coparenting relationship as a context that shapes how parents respond to their infant's temperamental qualities. Participants were 139 couples who had recently given birth to their first child. Parent reports of temperament were collected when the infant was 4–8 months old and reports of coparenting and parent adjustment were collected at 13 months. Two-level random intercept models revealed interactions between temperament and coparenting, highlighting the family system as a context for how men and women adapt to their parenting role. There was little evidence for mother–father differences in these associations.     

Chronicity and severity of maternal postpartum depression and infant sleep disorders: a population-based cohort study in southern Brazil

A cohort study was conducted with 397 women randomly selected from the Brazilian National System of Public Health, to describe the prevalence rates of infant sleep problems at 12-month of life, and its association with chronicity and severity of maternal depressive symptoms. Mothers were assessed, first, from the 9th to the 12th week postpartum and then at 12 months after delivery, with EPDS and a self-rating questionnaire regarding babies’ sleep behavior. After controlling for possible confounders, babies whose mothers had severe chronic depressive symptoms were at higher risk for sleep disorder at 12 months of birth.     

Prevalence of depressive symptoms and its correlates among medical students in China: a national survey in 33 universities

We conducted a national survey among medical students in China to estimate the prevalence of depressive symptoms and explore associated risk factors based on an established questionnaire composed of demographic information, life events in the past four weeks before survey, and the validated Chinese version of the 21-item Beck’s Depression Inventory (BDI). The mean age of enrolled 9010 students was 20.7 (standard deviation: 1.6) years. BDI scores indicated that 19.9% had depressive symptoms based on the cut-off score of 14. Socioeconomic factors and student characteristics such as male sex, low monthly income per capita, father’s poor education background, and higher year of study were associated with higher prevalence of depressive symptoms among medical students. Students who studied in comprehensive universities were more likely to have depressive symptoms compared with those from medical universities. Habitual smoking and alcohol drinking, sleep deprivation, and hospitalization or medication for one week or more in the last four weeks also predisposed students to higher risk of depressive symptoms. Our results indicate that depressive symptoms are becoming a highly prevalent health problem among Chinese medical students. Primary and secondary prevention should be prioritized to tackle this issue based on potential risk factors.     

Negative Affectivity and Drinking in Adolescents: An Examination of Moderators Predicted by Affect Regulation Theory

This investigation examined potential moderators of the longitudinal relation between negative affectivity and drinking. Specifically tested was the degree to which alcohol expectancies and coping styles moderate the relation between negative affectivity in early adolescence and drinking in middle and late adolescence. Four hundred ninety nine early adolescents completed inventories of negative affectivity, coping style, and tension reduction expectancies, and were followed up with inventories of drinking in middle and late adolescence. Constructive coping moderated the relation between negative affectivity and drinking in middle adolescence, such that only those with poor coping skills exhibited this positive relation. Although early negative affectivity was directly related to drinking in late adolescence, no interactions between negative affectivity and expectancies or coping were detected for drinking at that age. This absence of consistent moderating effects indicates significant limitations in the ability of the traditionally-conceived affect regulation model to reliably predict adolescent drinking. This research was conducted at the Center for Education and Drug Abuse Research (CEDAR) which is located in the School of Pharmaceutical Sciences at the University of Pittsburgh and is supported by grant P50-DA-05605 from the National Institute on Drug Abuse.     

The mediating role of self-esteem in the relationship between big five personality traits and depressive symptoms among Chinese undergraduate medical students

The objectives of this study were to examine the correlations between big five personality traits and depressive symptoms among Chinese undergraduate medical students, and to explore the mediating role of self-esteem on the correlations. Self-reported questionnaires, including Big Five Inventory, the Center for Epidemiologic Studies Depression Scale, Rosenberg’s Self-Esteem scale, and socio-demographic section were distributed to 2000 undergraduate medical students at four medical colleges and universities in Liaoning province, China, in June 2014. 1738 students became the final subjects. After adjustment for age and gender, agreeableness (β = −0.329) and openness (β = −0.096) were negatively related to depressive symptoms, while neuroticism (β = 0.245) was positively related to the symptoms. Self-esteem functioned as a mediator in the relationship between agreeableness (a * b = −0.154, 95% CI: −0.182, −0.127)/openness (a * b = −0.097, 95% CI: −0.124, −0.069)/neuroticism (a * b = 0.031, 95% CI: 0.007, 0.058) and depressive symptoms. Therefore, identifying at-risk students and undertaking appropriate intervention strategies that focus on both personality traits and self-esteem may be effective in preventing and reducing depressive symptoms among Chinese medical students.     

Robust patterns and individual variations: Stability and predictors of infant behavior in the still-face paradigm

In the present study we examined key issues regarding infant behavior in the still-face paradigm (SFP) in terms of individual variations, stability, and predictors. The sample consisted of 115 mothers and infants, with assessments at ages 3 and 6 months, including observations of maternal and infant behavior in the SFP, and parent reports of infant temperament. Both robust patterns and individual variations in infant SFP behaviors were found, with only a minority of infants showing the expected patterns for negative affect and gaze. Infant behavior patterns showed no stability from age 3 to 6 months, and infant gaze was related to more pronounced behavior changes across the SFP. Maternal sensitivity in the SFP baseline was related to some aspects of infant SFP behavior. Consistent with the differential susceptibility hypothesis, in infants with a more difficult temperament maternal sensitivity predicted a more pronounced expected pattern of changes in infant positive affect across the SFP, whereas this was not the case for infants with a more easy temperament.     

Responding to symptoms of depression and anxiety: emotion regulation, neuroticism, and engagement in risky behaviors

The current study examined whether neuroticism, emotional regulation deficits, and/or their interaction predict increased engagement in risky behaviors following increases in symptoms of depression or anxiety over the course of 6 weeks. Results of hierarchical linear modeling analyses indicated that individuals who exhibited high levels of both neuroticism and emotional regulation deficits were more likely than other individuals to report increased engagement in risky behaviors following increases in symptoms of either depression or anxiety. Unexpectedly, individuals who exhibited high levels of neuroticism and adaptive emotion regulation strategies exhibited decreased engagement in risky behaviors following increases in depressive or anxious symptoms.     

Depressive symptoms and parenting competence: An analysis of 13 regulatory processes

Mechanisms that lead depressive symptoms to undermine parenting are poorly understood. This review examines cognitive, affective, and motivational processes thought to be responsible for the impact of depressive symptoms on parenting. We present a five-step, action-control model and review 152 studies relevant to 13 regulatory processes. Evidence suggests that depressive symptoms undermine parenting because they reduce child-oriented goals, undermine attention to child input, increase negative appraisals of children and parenting competence, activate low-positive and high-negative emotion, and increase positive evaluations of coercive parenting. Yet, this review reveals significant limitations in knowledge of these processes. Evidence that they mediate depression-parenting relations is scare; important processes remain unstudied; conceptions of regulation are undifferentiated; children’s contributions are largely unexamined; moderating variables are largely unexplored; and methods fail to capture the dynamics of processing input from children. Rigorous testing of such process models holds promise for clarifying the basis of depression-related parenting problems.