Momentary affective response to bouts of moderate-to-vigorous physical activity predicts changes in physical activity and sedentary behavior during behavioral weight loss

BackgroundAffective responses are posited to be key predictors of the uptake and maintenance of health behaviors. However, few studies have examined how individuals’ affective response to physical activity, as well as the degree to which their affect response changes, may predict changes in physical activity and sedentary time during behavioral weight loss treatment.PurposeThe current study examined how baseline momentary affective response (i.e., stress and anxiety) to moderate-to-vigorous physical activity (MVPA) and the degree of pre--post intervention change in this response predicted change in daily sedentary, light, and MVPA time during a three-month internet-based weight loss program.MethodsWomen with overweight/obesity (final N = 37) completed 14-day ecological momentary assessment (EMA) protocols with objective measurement of physical activity (i.e., bout-related MVPA time) before and after the intervention.ResultsWomen who had more reinforcing responses to MVPA (i.e., greater reductions in anxiety and stress response following MVPA bouts) at baseline had greater increases in overall MVPA at the end of the intervention. Those who had greater anxiety reductions after MVPA bouts at baseline also evidenced less sedentary time at the end of the intervention. Changes in affective responses across the intervention were not related to changes in physical activity levels.ConclusionsFindings suggest initial levels of affective reinforcement from MVPA bouts predict future change in MVPA and sedentary time during behavioral weight loss. Future work is needed to examine the utility of more precisely targeting affective responses to physical activity to optimize intervention approaches.     

A comparison of retrospective self-report versus ecological momentary assessment measures of affective lability in the examination of its relationship with bulimic symptomatology

Affective lability has been linked to several maladaptive behaviors ( [Anestis et?al., 2009] and [Coccaro, 1991]). Methodology for measuring affective lability varies and includes retrospective self-report and ecological momentary assessment (EMA). In this study, we sought to test these methodologies by examining which better predicted binge eating episodes and general eating disorder symptoms in a sample (n = 131) of women diagnosed with bulimia nervosa (BN). We hypothesized that, while the two forms of measurement would be correlated with one another and predict binge eating episodes, EMA affective lability would be the stronger predictor. Results supported several hypotheses. Specifically, both EMA affective lability and retrospective self-report affective lability significantly predicted global eating disorder symptoms, even when controlling for depression, age, body mass index, and level of education, EMA affective lability exhibited a significantly stronger correlation with binge eating episodes than did retrospective self-report affective lability, and EMA affective lability predicted number of binge eating episodes on any given day controlling for the same list of covariates. Limitations include the use of a clinical sample that may limit the generalizability of our findings. Findings highlight the importance of affect in such behavior.     

Do sedentary motives adversely affect physical activity? Adding cross-behavioural cognitions to the theory of planned behaviour

The purpose of this study was to explore whether sedentary behavior cognitions explain physical activity (PA) intention and behavior when integrated within the theory of planned behavior framework (TPB). A random community sample of 206 adults and a sample of 174 undergraduate students completed measures of the TPB pertaining to PA and four popular leisure-time behaviors (TV viewing, computer use, sedentary hobbies, and sedentary socializing) and an adapted Godin Leisure-Time Exercize Questionnaire (community sample = cross-sectional, undergraduate sample = 2-week prospective). Results using ordinary least squares regression provided evidence that TV viewing intention explains additional variance in PA behavior, and affective attitude (community sample) and perceived behavioral control (undergraduate sample) towards TV viewing explains additional variance in PA intention even after controlling for PA-related TPB constructs. These results underscore the potential value of adding sedentary control interventions in concert with PA promotion.     

Age similarities in matching pro- and contra-hedonic emotional strategies to everyday scenarios

ABSTRACT

Older adults are motivated to maximize positive affect in the present. Young adults will purposely feel negative and high arousal emotions in order to achieve a goal. However, this type of contra-hedonic emotional alignment has not been extensively studied with older adults. We expected older adults are less likely than young adults to select high arousal and negative emotions within specific scenarios where those states could be useful. In two studies, participants selected the emotion they preferred in hypothetical problems that varied on the arousal and valence best suited for goal achievement. Young and older adults were equally likely to endorse affective strategies that matched both pro and contra-hedonic scenarios. While older adults may be generally motivated to avoid negative and high-arousing emotions, they are just as likely as young adults to indicate that these states could be helpful in certain situations.     

家人情感卷入对老年自我刻板印象的影响：基于潜变量增长模型的分析

本研究使用问卷法对257名老年人进行了历时1年的3次追踪测试, 采用潜变量增长模型与交叉滞后回归分析考察了家人情感卷入与老年自我刻板印象的变化趋势, 家人情感卷入发展与老年自我刻板印象发展的关系, 以及家人情感卷入对老年自我刻板印象的时序效应。结果发现：(1)老年人感知到的家人情感卷入在1年内呈线性递减, 而老年自我刻板印象呈线性增长; (2)家人情感卷入的初始水平负向预测老年自我刻板印象的初始水平与增长速率; (3)家人情感卷入的下降速率也显著预测了老年自我刻板印象的增长速率; (4)交叉滞后回归分析进一步支持了老年人家人情感卷入对老年自我刻板印象的总体负向预测作用。本研究为老年刻板印象内化的家庭过程提供了理论支持, 并对减少老年刻板印象内化、改善消极老年自我刻板印象的干预具有一定的实践价值。     

Regulation of Negative Affect During Mother–Child Problem-Solving Interactions: Adolescent Depressive Status and Family Processes

Despite recent suggestions that depression can be conceptualized as a disorder of affect regulation, relatively little research has focused on affect regulation skills in depressed individuals. This paper investigated whether depressed adolescents (N = 25) differ from nondepressed adolescents (N 25) on two indices of affect regulation (i.e., duration of negative affective states and reciprocity of maternal negative affect) as well as whether these indices are related to microsocial family interactional processes. Analyses revealed that depressed teens differed from their nondepressed peers with regard to duration of negative affective states but not in their likelihood of reciprocating negative affect. Additionally, indices of adolescent affect regulation were related to family interactional processes. Duration of depressive affect was positively associated with maternal display of facilitative behavior contingent on adolescent depressive behavior. Duration of aggressive behavior was inversely related to maternal problem-solving responses to aggressive behavior. Finally, adolescent reciprocity of maternal depressive and aggressive behaviors was strongly associated with mothers' reciprocity of adolescents' negative affective behavior.     

Within-day time-varying associations between motivation and movement-related behaviors in older adults

ObjectivesEmerging evidence suggests both motivation and movement-related behaviors vary within and across days. Yet common data analytic approaches assume static or consistent relationships between motivation and behavior across time. Just as motivation and behavior change across time, so too might associations between motivation and behavior. This study will apply time-varying effect modeling to Ecological Momentary Assessment (EMA) data to examine time of day differences in how motivational constructs predict older adults’ subsequent movement-related behavior over the next 2 h.DesignOlder adults (n = 104) completed a 10-day EMA protocol.MethodParticipants answered up to 6 EMA prompts/day to assess momentary intentions and self-efficacy to stand or move as well as intentions and self-efficacy to limit sedentary time over the next 2 h. Participants wore an activPAL accelerometer continuously to measure time spent being upright (i.e., standing or moving) and time spent sitting.ResultsOn weekdays, intentions and self-efficacy were generally predictive of subsequent behavior in the expected direction over the majority of the day whereas these constructs predicted subsequent behavior in the expected directions over a smaller range of times on weekend days.ConclusionsThis study adds to emerging evidence that associations between motivational constructs and subsequent behavior change over the course of the day, but these time-varying associations may be different depending on the day of week. This work has implications for intervention design and the timing of intervention content delivery in approaches like just-in-time adaptive interventions.     

An Ecological Momentary Intervention Study of Emotional Responses to Smartphone-Prompted CBT Skills Practice and the Relationship to Clinical Outcomes

The practice of therapeutic skills outside of sessions in which they are learned is one presumed key component of cognitive behavioral therapy (CBT). Yet, our understanding of how skills practice relates to clinical outcomes remains limited. Here, we explored patients’ emotional responses to CBT skills practice in a pilot study pairing smartphone-app-delivered skills reminders and guided practice (ecological momentary intervention [EMI]) using ecological momentary assessment (EMA). Participants (n = 25) were adults recently hospitalized for a suicide attempt or severe suicidal thinking. They received brief inpatient CBT (1 to 3 sessions covering core CBT skills from the Unified Protocol), followed by 1 month of EMI and EMA after discharge. On average, participants reported modest reductions in negative affect after skills use (i.e., immediate responses; median time elapsed = 4.30 minutes). Additionally, participants tended to report less negative affect when the timepoint preceding the current assessment included EMI skills practice, rather than EMA alone (i.e., delayed responses; median time elapsed between prompts = 2.17 hours). Immediate effects were unrelated to longer-term clinical outcomes, whereas greater delayed effects were associated with lower symptom severity at follow-up. Future studies should further examine how CBT skills use in daily life may alleviate symptoms.     

Effect of Daily Life Reward Loop Functioning on the Course of Depression

Engagement in activities increases positive affect (Reward Path 1), which subsequently reinforces motivation (Reward Path 2), and hence future engagement in activities (Reward Path 3). Strong connections between these three reward loop components are considered adaptive, and might be disturbed in depression. Although some ecological nomentary assessment (EMA) studies have investigated the cross-sectional association between separate reward paths and individuals’ level of depression, no EMA study has looked into the association between individuals’ reward loop strength and depressive symptom course. The present EMA study assessed reward loop functioning (5x/day, 28 days) of 46 outpatients starting depression treatment at secondary mental health services and monitored with the Inventory of Depressive Symptomatology—Self-Report (IDS-SR) during a 7-month period. Results of multilevel regression analyses showed significant within-person associations for Reward Path 1 (b = 0.21, p < .001), Reward Path 2 (b = 0.43, p < .001), and Reward Path 3 (b = 0.20, p < .001). Stronger average reward loops (i.e., within-person mean of all reward paths) did not relate to participants’ improvement in depressive symptoms over time. Path-specific results revealed that Reward Paths 1 and 2 may have partly opposite effects on depressive symptom course. Together, our findings suggest that reward processes in daily life might be best studied separately and that further investigation is warranted to explore under what circumstances strong paths are adaptive or not.     

Decreasing complexity of affective space in older adults lower on cognitive control: affective effects in a nonaffective task and with nonaffective stimuli

Many theoretical accounts predict that as people age, they rely increasingly on affect. At least one account (Dynamic Integration Theory) makes the additional prediction that an accompanying effect of aging is a narrowing of affective space. These predictions were tested in the context of the relatively automatic low-level cognitive process of lexical access (auditory word recognition). Experiment 1 used emotion words and Experiment 2 used nonemotion words. Both experiments provided support for both predictions. Compared to younger adults (ns = 36 and 56), older adults (ns = 36 and 54) showed larger but less complex effects of dimensions of affective connotation. In addition, older adults with more cognitive resources showed a data pattern like that of younger adults, while those with fewer resources did not. Affective effects emerge even in nonaffective contexts. The tight link between affect and cognition is discussed.     

Prospective and Concurrent Affective Dynamics in Self-Injurious Thoughts and Behaviors: An Examination in Young Adult Women

Affective dynamics, assessed using ecological momentary assessment (EMA), provide a nuanced understanding of within-person fluctuations of negative affect (NA) and positive affect (PA) in daily life. NA and PA dynamics have been associated with psychopathology and response to psychological treatments. NA and PA dynamics have been rarely studied concurrently in association with self-injurious thoughts and behaviors (SITB), transdiagnostic difficulties encountered regularly in clinical and community settings. Here we present EMA data from a large, diverse sample of young adult women with high rates of SITB to examine NA and PA dynamics (mean intensity, variability, and inertia). Specifically, we considered the prospective associations between past-year suicidal thoughts and past-year nonsuicidal self-injury and affective dynamics, as well as the concurrent associations between affective dynamics, EMA-reported suicidal thoughts, and EMA-reported urges for nonsuicidal self-injury. Results demonstrate that elevated mean NA and NA variability are robustly associated with all types of SITB assessed prospectively or concurrently. Interestingly, these associations were weakest for past-year nonsuicidal self-injurious behaviors, relative to past-year and concurrent suicidal or nonsuicidal self-injurious thoughts. Past-year suicidal thoughts further predicted increased NA inertia. Decreased PA inertia was associated with past-year nonsuicidal self-injury behavior, as well as concurrent EMA suicidal thoughts. We found no associations (prospective or concurrent) between SITB and mean PA intensity or PA variability. These results highlight the importance of understanding affective processes to develop real-world interventions to prevent nonsuicidal self-injury and suicidal behavior in daily life.     

Are Parental Rules regarding Screen Behaviors Associated with Youth’ Sedentary Behavior? The UP&DOWN Study

Abstract

This study aims to examine the associations of parental rules with sedentary behavior (SB) in youth. Leisure-time SB was assessed by accelerometry and questionnaire. In boys, parental rules regarding TV were negatively associated with objectively-measured leisure-time SB and time spent in all screen behaviors, but positively associated with educational SB. Among girls, the total number of parental rules was negatively associated with the time spent surfing the Internet, but positively related with educational SB, on weekends. The imposition of rules by parents may be a simple and effective strategy to improve sedentary patterns in youth, especially among boys.     

The effects of room management and small-group procedures on the behavior of older adults who have Alzheimer's disease

The effects of room management and small groups procedures on the behavior of five older adults with Alzheimer's Disease was experimentally evaluated by a multielement design with replications across five subjects. Engagement during both room management and small groups was higher than during no treatment baselines. The effects on affective and maladaptive behaviors were of small magnitude. Evidence of individual differences was found both with respect to absolute proportions of time spent in various behaviors and with respect to interactions between individual differences and experimental conditions.     

Affective responses to 10-minute and 30-minute walks in sedentary,overweight women: Relationships with theory-based correlates of walking for exercise

ObjectivesThe purpose of this study was to examine affective responses to 10-min and 30-min walks among sedentary, overweight women. Secondary purposes were to: a) examine differences in theory-based correlates of future participation in walking for exercise; and b) determine if the affective responses were related to these correlates.Design/MethodsTwenty-three sedentary, overweight women (M age = 26.62 years; BMI = 33.53 kg/m²) completed 10-min walk, 30-min walk, and quiet rest (QR) control conditions. Affective responses were assessed prior to, during, and following each condition. Self-efficacy and intention for regular participation in multiple 10-min walks or single 30-min walks for exercise during the next month were also assessed post-exercise.Results/ConclusionsAnalyses revealed that improvements in affective responses (p < 0.05) emerged during and following both walking sessions while no benefits were observed with QR. Self-efficacy (p < 0.01) and intention (p < 0.01) to walk for exercise in the future were significantly higher for multiple 10-min walks. Correlation analyses demonstrated that affective responses were most strongly and consistently correlated with intention and self-efficacy for future participation following the 10-min walk. These findings demonstrate that, while both walks resulted in similar affective benefits, sedentary, overweight women reported greater intention and self-efficacy to participate in multiple brief walks for exercise in the future.     

Everyday tasks impair spatiotemporal variables of gait in older adults with Parkinson's disease

IntroductionAlthough it is known that individuals with Parkinson's disease (PD) have difficulties performing dual-task activities, most of the studies have verified the effect of dual tasks on gait using tasks that are uncommon to perform while walking. However, the realization of tasks involving gait that really represents the daily activities carried out by the participants, allow us to detect real fall risk situations of individuals with PD during their gait.ObjectiveOur aim was to verify the influence of daily-life dual-tasks on gait spatiotemporal variables of the older adults with PD.Methods20 older adults without PD and 20 older adults with PD participated in the study. Gait kinematic was analyzed under three different conditions: walking without dual task, walking carrying bags with weight, and walking talking on the cell phone.ResultsOlder adults with PD presented lower speed (p = .001), cadence (p = .039), and shorter step length (p = .028) than older adults without PD during walking without dual tasks. When walking while carrying bags with weight, older adults with PD had a lower speed (p < .001), cadence (p = .015), shorter step length (p = .008), and greater double support time (p = .021) compared with older adults without PD. During walking while talking on the cell phone, older adults with PD walked with lower speed (p < .001), cadence (p = .013), shorter step length (p = .001) and swing time (p = .013), and increased double support time (p = .008) and support time (p = .014) in relation to older adults without PD.ConclusionDaily-life dual tasks impair the spatiotemporal variables of gait in the older adults with PD, which was most evident during walking talking on the cell phone.     

Fundamental motor skill,physical activity,and sedentary behavior in socioeconomically disadvantaged kindergarteners

Guided by Stodden et al’s conceptual model, the main purpose of the study was to examine the relation between fundamental motor skills (FMS; locomotor and objective control skills), different intensity levels of physical activity (light PA [LPA], moderate-to-vigorous PA [MVPA], and vigorous PA[VPA]), and sedentary behavior (SB) in socioeconomically disadvantaged kindergarteners. A prospective design was used in this study and the data were collected across the 2013–2014 academic school year. Participants were 256 (129 boys; 127 girls; M_age = 5.37, SD = 0.48) kindergarteners recruited from three public schools in the southern United States. Results found that FMS were significantly related to LPA, MVPA, VPA, and SB. Regression analyses indicate that locomotor skills explained significant variance for LPA (6.4%; p < .01), MVPA (7.9%; p < .001), and VPA (5.3%; p < .01) after controlling for weight status. Mediational analysis supports the significant indirect effect of MVPA on the relation between FMS and SB (95% CI: [?0.019, ?0.006]). Adequate FMS development during early childhood may result in participating in more varied physical activities, thus leading to lower risk of obesity-related behaviors.     

Variability in the Functions of Nonsuicidal Self-Injury: Evidence From Three Real-Time Monitoring Studies

Despite functional models of nonsuicidal self-injury (NSSI) helping to explain why people engage in this perplexing behavior, we still lack an understanding of some of the key properties of NSSI functions. Here, we address three unanswered questions about NSSI functions: how much do distinct NSSI functions (1) vary between people over time, (2) vary within people over time, and (3) simultaneously co-occur over time? Data were drawn from three ecological momentary assessment (EMA) studies of self-injurious adult psychiatric outpatients (n = 7), community-based adolescents (n = 15), and community-based adults (n = 9). Across the three studies, there was a total of 271 NSSI episodes (all with corresponding functions captured by EMA). The vast majority (27 of 31; 87%) of participants exhibited unique patterns of NSSI functions during the monitoring periods, indicating high variability between people. The vast majority (26 of 31; 84%) of participants also showed changes in NSSI functions over time, indicating high variability within people. Although it was most common for only one function to be reported for a given NSSI episode, participants endorsed more than one function for 22% to 43% of NSSI episodes, indicating that different functions did simultaneously co-occur. These results underscore that reinforcement processes for NSSI differ from person-to-person, and are both time-varying and multifaceted, which has implications for personalized assessment and treatment of this clinical phenomenon.     

Affective instability: measuring a core feature of borderline personality disorder with ecological momentary assessment

Ecological momentary assessment (EMA; Stone & Shiffman, 1994) was used to characterize and quantify a dynamic process--affective instability in borderline personality disorder (BPD). Sixty outpatients (34 with BPD and affective instability; 26 with current depressive disorder but not with BPD or affective instability) carried electronic diaries for approximately 1 month and were randomly prompted to rate their mood state up to 6 times a day. Results indicated that BPD patients (a) did not report significantly different mean levels of positive or negative affect; (b) displayed significantly more variability over time in their positive and negative affect scores; (c) demonstrated significantly more instability on successive scores (i.e., large changes) for hostility, fear, and sadness than did patients with depressive disorders; and (d) were more likely to report extreme changes across successive occasions (>or=90th percentile of change scores across participants) for hostility scores. Results illustrate different analytic approaches to quantifying variability and instability of affect based on intensive longitudinal data. Further, results suggest the promise of electronic diaries for collecting data from individuals in their natural environment for purposes of clinical research and assessment.     

Effects of age,speed, and step length on lower extremity net joint moments and powers during walking

During walking older adults' gait is slower, they take shorter steps, and rely less on ankle and more on knee and hip joint moments and powers compared to young adults. Previous studies have suggested that walking speed and step length are confounds that affect joint moments and powers. Our purpose was to examine the effects of walking speed and step length manipulation on net joint moments and powers in young and older adults. Sixteen young and 18 older adults completed walking trials at three speeds under three step length conditions as marker position and force platform data were captured synchronously. Net joint moments were quantified using inverse dynamics and were subsequently used to compute net joint powers. Average extensor moments at each joint during the stance phase were then computed. Older adults displayed greater knee extensor moment compared to young adults. Older adults showed trends (p < .10) of having lower ankle and higher hip moments, but these differences were not statistically significant. Average ankle, knee, and hip extensor moments increased with speed and step length. At the fast speed, older compared to young adults generated lower average ankle power (p = .003) and showed a trend (p = .056) of exerting less average moment at the ankle joint. Age-associated distal-to-proximal redistribution of net joint moments was diminished and not statistically significant when the confounding effects of walking speed and relative step length were controlled. These findings imply that age-related distal-to-proximal redistribution of joint moments may influence the different speeds and step lengths chosen by young and older adults.