Storying endometriosis: Examining relationships between narrative identity,mental health,and pain

We examined whether narratives related to mental health and pain in 120 women with endometriosis. Participants wrote narratives about endometriosis, rated the narratives on centrality to identity and positive and negative self-change, and completed measures of depressive symptoms, life-satisfaction, pain intensity and pain symptoms. Narratives were content-coded for themes of agency and communion. Higher centrality to identity, more negative self-change, and lower agency and communion were related to poorer mental health. Higher centrality to identity was associated with more pain symptoms. Narrative measures predicted mental health beyond pain intensity, pain symptoms, and neuroticism. The results indicate that how women with endometriosis narrate their illness is connected to mental health.     

Emotional Reactions to Health Status Changes and Emotional Well-Being Among HIV-Positive Persons with Limited Reading Literacy

People living with HIV-AIDS experience emotional distress in response to negative changes in their health status. The current study hypothesized that individuals with poorer health literacy skills would evidence greater emotional distress in response to negative changes in health status compared to persons with higher health literacy skills. HIV positive persons (N = 294) completed anonymous surveys that included measures of depression and social support and a subset of 98 participants completed two experimental vignettes depicting a person receiving test results showing an increase in HIV viral load (negative health changes) followed by a vignette suggesting decreased viral load (improved health changes). Responses to affective reactions and coping strategies indicated that persons with lower health literacy skills more strongly endorsed negative affective states and maladaptive coping strategies compared to persons with higher health literacy skills. In addition, lower health literacy was associated with greater symptoms of affective depression and poorer social support, whereas higher literacy was associated with greater negativistic thinking. Findings suggest the need for patient education and counseling regarding changes in health status among people living with HIV-AIDS, particularly persons with limited health literacy skills.     

The Contribution of Hope and Affectivity to Diabetes-Related Disability: An Exploratory Study

This study examined the relationships of the dispositional variables of hope, positive affectivity (PA), and negative affectivity (NA) with disease status and illness-related psychosocial functioning in a sample of 45 young adults with insulin-dependent diabetes mellitus (IDDM). Canonical analyses revealed one significant canonical function between the dispositional and psychosocial outcome variables. Primary contributors to the relationship were higher NA and lower PA and maladaptive emotional behavior. A linear multiple regression analysis using hope and affectivity as predictors failed to account for a significant proportion of variance in objective disease status as measured by hemoglobin A _1C (HbA_1C). The results support previous findings that affectivity may relate to self-reported, disease-related outcome, but not necessarily to objective measures of health status. Future studies of adaptation to chronic illness should consider including measures of illness-related behaviors (e.g., adherence), as well as subjective and objective measures of health status.     

Neuroticism,Side Effects,and Health Perceptions Among HIV-Infected Individuals on Antiretroviral Medications

Side effects from antiretroviral therapy (ART) for HIV disease can deter treatment, impact quality of life, and impede medication adherence. Individual differences in neuroticism may account for variations in the experience of side effects and perceptions of health status. Cross-sectional assessments were conducted with 258 participant’s with confirmed HIV infection and current ART regimen. Structural equation modeling (SEM) was used to evaluate a model of self-reported ART side effect frequency and severity and perceived health status, as related to neuroticism. Symptoms of neuroticism were associated with greater reports of ART side effects and poorer perceived health but unrelated to reported CD4 count and viral load, thus supporting the structural model. Individual differences in symptoms of neuroticism can explain variations in side effect reporting and consequential impairments in perceived health in the context of HIV treatment. Identification and intervention with individuals high in symptoms of neuroticism may be warranted to alleviate side effect-related concerns and maximize treatment benefit.     

Variability in affective change among aging men: Longitudinal findings from the VA Normative Aging Study

We examined change in both positive and negative affect over ages 45 to 97 among 1534 men (mean age = 69 years). Positive affect demonstrated a linear decline with age, while negative affect declined until approximately 70 years, and thereafter showed a gradual increase. Results indicated significant individual differences in rates of change for both positive and negative affect. We then examined whether personality, health, and work status might account for individual differences in levels and rates of change in affect. Higher extraversion was associated with higher levels of positive affect, but not with rate of change. Higher neuroticism predicted higher levels of negative affect, as well as an attenuated decline in middle-adulthood, and a steeper increase in later adulthood. Better health was associated with higher levels of positive affect and lower levels of negative, but was also found to predict less decline in negative affect. Work predicted lower levels of positive affect and higher levels of negative affect, as well as greater declines in positive affect. These findings indicate that individuals differ in the manner in which they change in affect over time.     

Neuroticism,BIS, and reactivity to discrete negative mood inductions

Research has established relationships between the personality dimensions of neuroticism and BIS and broad negative emotional reactivity. However, few researchers have examined the relationships among neuroticism, BIS, and discrete negative emotional reactivities. The present study examined whether individuals scoring high on neuroticism and BIS were more reactive across four discrete negative mood inductions, relative to those scoring low on these traits. Participants (n = 166) completed personality questionnaires, measures of current mood, viewed a specific mood-inducing film clip (sadness, anger, fear or disgust) and then reported their moods a second time. Results revealed that neuroticism/BIS was associated with high reactivity to the fear and sadness inductions. Neuroticism/BIS did not predict anger or disgust reactivity, but neuroticism/BIS and extraversion/BAS interacted in predicting anger. Although further research is needed to extend generalizability, it appears that neuroticism and BIS predict negative emotional reactivity broadly, but not ubiquitously.     

The relationship of sex-role orientation to self-perceived health status in middle-aged males

The purpose of this study was to determine how sex-role orientation was related to self-perceived health status among a group of middle-aged males. A nonprobability sample of 237 male volunteers between the ages of 40 and 59, of whom 88.7% were engaged in professional occupations, completed the Bem Sex Role Inventory (BSRI) and two separate measures employed to assess self-perceived health status. As predicted, the results indicated that on both measures of self-perceived health status, the middle-aged men with a traditional male sex-role orientation or those in the masculine classification reported lower self-perceived levels of health than did males considered to be androgynous. In this sample of professional middle-aged males, an androgynous sex-role orientation was, therefore, associated with higher levels of self-perceived health than was a traditional male sex-role orientation. Finally, an unhypothesized finding was that the men in the undifferentiated category also evidenced lower levels of self-perceived health than males who were androgynous.This research was part of a doctoral dissertation submitted to the University of Maryland, College Park.     

The Contribution of Attributional Style to Perceived Disability in Rheumatoid Arthritis: A Longitudinal Study

The current study investigated the influence of general causal attributions on self-reported physical disability over the course of 1 year in a sample of 42 patients with rheumatoid arthritis (RA). Participants completed measures of attributional style, pain, and disability; physician assistants completed objective measures of disability on two occasions, approximately 1 year apart. Results indicated that internal attributions for disease-unrelated negative events assessed at Time 1 were associated with lower perceived physical disability, whereas stable attributions for negative events were associated with greater perceived physical disability 1 year later. These findings are discussed in terms of behavioral and characterological self-blame models, respectively. Implications of our findings for clinical management of RA are also discussed.     

Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women.

A new measure of subjective socioeconomic status (SES) was examined in relation to self-rated physical health in pregnant women. Except among African Americans, subjective SES was significantly related to education, household income, and occupation. Subjective SES was significantly related to self-rated health among all groups. In multiple regression analyses, subjective SES was a significant predictor of self-rated health after the effects of objective indicators were accounted for among White and Chinese American women; among African American women and Latinas, household income was the only significant predictor of self-rated health. After accounting for the effects of subjective SES on health, objective indicators made no additional contribution to explaining health among White and Chinese American women; household income continued to predict health after accounting for subjective SES among Latinas and African American women.     

Objective and subjective socioeconomic status and susceptibility to the common cold.

OBJECTIVE: We ask whether subjective socioeconomic status (SES) predicts who develops a common cold when exposed to a cold virus. DESIGN: 193 healthy men and women ages 21-55 years were assessed for subjective (perceived rank) and objective SES, cognitive, affective and social dispositions, and health practices. Subsequently, they were exposed by nasal drops to a rhinovirus or influenza virus and monitored in quarantine for objective signs of illness and self-reported symptoms. MAIN OUTCOME MEASURES: Infection, signs and symptoms of the common cold, and clinical illness (infection and significant objective signs of illness). RESULTS: Increased subjective SES was associated with decreased risk for developing a cold for both viruses. This association was independent of objective SES and of cognitive, affective and social disposition that might provide alternative spurious (third factor) explanations for the association. Poorer sleep among those with lesser subjective SES may partly mediate the association between subjective SES and colds. CONCLUSIONS: Increased Subjective SES is associated with less susceptibility to upper respiratory infection, and this association is independent of objective SES, suggesting the importance of perceived relative rank to health.     

Assessment of irrational health beliefs: relation to health practices and medical regimen adherence.

The purpose of the present research was to provide initial validation of the 20-item Irrational Health Belief Scale (IHBS). Study 1 included 392 undergraduate psychology students. Results from Study 1 suggested that the IHBS total score is internally consistent and stable over an 18-month time period. Greater health-related cognitive distortion (higher IHBS scores) was associated with weaker internal health locus of control beliefs, lower positive affectivity, stronger chance health locus of control beliefs, and greater negative affectivity. Most important, greater cognitive distortion was uniquely and significantly associated with a less positive pattern of health practices. Study 2 involved 107 individuals with Type I diabetes mellitus. Results indicated that higher IHBS scores were significantly associated with both objective (hemoglobin HbA1) and self-reported diabetic regimen adherence independent of trait neuroticism and conscientiousness.     

Life events, fitness, hardiness, and health: a simultaneous analysis of proposed stress-resistance effects

The effects of exercise participation, self-perceived fitness level, and dispositional hardiness for promoting stress resistance were examined in a sample of 373 college students. Self-report measures of stressful life experience and recent physical illness were positively correlated, and fitness and hardiness were negatively correlated with illness as expected. Multiple regression analyses indicated that neither fitness nor hardiness provided a stress-moderator effect because neither was found to significantly interact with stress in the prediction of illness scores. Structural equation analyses suggested that hardiness may affect health indirectly by first influencing either the occurrence or subjective interpretation of stressful life events. No direct effect on health was found for exercise participation, although exercise may reduce illness indirectly by improving fitness. Implications for the multivariate modeling of proposed stress-resistance-enhancing effects are discussed.     

Personality change influences mortality in older men

Previous studies have indicated that high neuroticism is associated with early mortality. However, recent work suggests that people's level of neuroticism changes over long periods of time. We hypothesized that such changes in trait neuroticism affect mortality risk. Growth-curve parameters (levels and slopes) that quantified the trajectories of neuroticism change over 12 years were used to predict 18-year risk of mortality among 1,663 aging men. Proportional hazards models were used to estimate mortality risk from level and slope parameters, controlling for objective and subjective health, depression, and age. Although a parallel analysis of extraversion showed no significant effects, level and slope of neuroticism interacted in their effect on mortality. Men who had both a high average level of neuroticism and an increasing level of neuroticism over time had much lower survival than men without that combination. These findings suggest that it is not just the level of personality traits, but their direction of change, that is related to mortality.     

The Thrill of Creative Effort at Work: An Empirical Study on Work,Creative Effort and Well-Being

The connections between creative effort at work and four measures of subjective well-being are studied using data on a sample of 922 Jewish Israeli adults who are salaried employees. The paper finds that self-reported creative effort aimed at making work more enjoyable is positively associated with global evaluation of life; with purpose and meaning in life, and with positive emotions. No significant link with negative emotions was found. This study also finds significant associations with three additional intrinsic features of work-creative tasks; independence at work and intellectual work-and various measures of subjective well-being, even when controlling for age, gender, marital status, having children, education, time worked, financial satisfaction, subjective health and religiosity. The robustness of the links between intrinsic features of work and subjective well-being demonstrate that work serves not only as a means to material ends, but also as a direct source of personal happiness, meaning and satisfaction.     

Direct,mediated and moderated impacts of personality variables on smoking initiation in adolescents

Role of ‘Big Five’ personality traits as predictors of smoking and moderators of the intention-smoking relationship was tested. Five hundred and fifty-three adolescents (aged 11–12) completed measures of self-reported past smoking, gender, intentions to smoke, perceived behavioural control, family smoking, friends smoking at times 1 and 2 (6 months apart). At time 3, 2 years later, the same adolescents completed measures of the Big Five and self-reported smoking (a subset of 300 also provided an objective smoking measure). At time 4, two years after time 3, a sub-sample of 122 adolescents provided a self-report measure of recent smoking. Simple correlations indicated significant direct effects of conscientiousness (self-reported smoking, times 3 and 4), extraversion (time 4 smoking) and neuroticism (all smoking measures) on smoking. Logistic regression showed intention, and the interaction between conscientiousness and intention to significantly predict both self-reported and objectively assessed smoking (both at time 3) after controlling for other variables. Multiple regression showed intentions, family smoking and the interaction between conscientiousness and intention to significantly predict self-reported smoking at time 4 after controlling for other variables. The findings indicate that the impact of personality variables on smoking is through mediated (through cognitions) and moderated (conscientiousness by intention interaction) pathways.     

Individual and dyadic associations among relational self‐expansion potential,affect, and perceived health

A growing body of literature suggests that specific markers of relationship quality are meaningfully linked to health outcomes. We tested whether relational self‐expansion potential might be one of these markers in cross‐sectional samples of individuals and romantic couples. Study 1 found that greater self‐expansion potential was linked to better perceived physical health via both higher positive affect (PA) and lower negative affect (NA). Study 2 replicated these findings for PA (but not NA) and revealed both actor and partner effects of self‐expansion potential. Results remained robust when statistically accounting for gender, age, body mass index, agreeableness, neuroticism, and perceived partner responsiveness. These findings identify a new relationship‐level “active ingredient” associated with health and have implications for future physical health studies.     

The role of objective health indicators and neuroticism in perceived health and psychological well-being among patients with chronic heart failure

A total of 119 clinically stable patients with symptomatic congestive heart failure (34 females, 85 males) were recruited from an outpatient hospital practice to explore the role of objective health indicators and neuroticism in subjective health (physical limitations) and psychological well-being. Patients were grouped according to the New York Heart Association functional class criteria (NYHA: indicator of functional status) and proatrial natriuretic factor (proANF), a cardiac hormone that maintains normal fluid balance and vascular resistance. Scores on these two objective indicators of disease severity were generally unrelated to psychological measures, whereas neuroticism scores (EPQ-N) were significantly correlated with indicators of subjective health (perceived disease-related physical limitations) and psychological well-being (depression, general life-satisfaction). Significant interactions between proANF and neuroticism appear due to low physical limitation score among subjects with elevated level of proANF and low scores on neuroticism. High physical limitation was reported by subjects with high level of proANF as well as high scores on neuroticism. Moreover, a marginal significant interaction between NYHA and EPQ-N scores in relation to severity of depression was detected by analyses from two-way ANOVA. Gender differences were due to higher proANF scores in males than females, whereas females scored higher than males on EPQ-N, perceived physical limitation and depression. Results from path analyses supported an indirect effect of neuroticism via perceived physical limitation for males. Possible mechanisms involved in these relations are discussed.     

Resilience predicts well-being in teachers, but not in non-teaching employees

The resilience concept has often been criticized as simply reflecting the absence of neuroticism (i.e. vulnerability to stress and negative affectivity). Challenging this point of view, the aim of this study was to show that resilience could predict well-being in teachers above and beyond neuroticism. By contrast, we expected that resilience would not play the same role for non-teaching employees. Here, neuroticism should outperform resilience in predicting well-being, as resilience is supposed to be a special prerequisite for teachers, but not for non-teaching employees. One hundred seventy teachers and 183 non-teaching employees provided measures of resilience, neuroticism, and well-being. The aspects of well-being studied were general health perception, job satisfaction, exhaustion, and physical illness. Results revealed that among teachers, resilience contributed more to the prediction of general health perception than did neuroticism. Variance in job satisfaction was explained equally well by resilience and neuroticism. Physical illness and exhaustion were better predicted by neuroticism. In non-teachers, neuroticism predicted all outcomes better than did resilience. The results emphasize that resilience might be particularly important for the well-being of teachers, whereas for non-teachers, low neuroticism can be enough to maintain well-being. Specific occupational stress patterns experienced by teachers may explain these findings.     

Appraisals of Childbirth Experience and Newborn Characteristics: The Role of Hardiness and Affect

ABSTRACT Prior research has suggested an overlap between hardiness and negative affect in the prediction of self-reported health outcomes. A prospective study, investigating the relationships between hardiness and negative and positive affectivity in the prediction of postdelivery outcomes was conducted. Maternal appraisals of childbirth difficulty and success in coping with labor, maternal perceptions of the infant, and the amount of analgesic intake, as well as the objectively assessed difficulty of labor, were the outcome variables. Subjects were 73 pregnant women expecting their first baby. Hardiness and negative and positive trait affect were evaluated during the second trimester of pregnancy, while the dependent measures were assessed during labor and 48 hours after. Hardiness measured as an additive construct did not predict appraisals of the observed health event independent of negative affect. However, two hardiness subscales—commitment and challenge—and the interaction between challenge and control were found to predict outcomes independent of negative affectivity. The pattern of relationships between negative affect with both subjective and objective assessments of childbirth difficulty confirms previous research findings on symptom perception. Findings suggest an anxious cognitive style among nonhardy subjects and underscore the importance of the study of hardiness as an interactive construct.