Attachment Quality And Depression In Iranian Adolescents

This study investigated the relationship of quality of adolescent’s attachment to mother, father, and peers with depression. 785 high school students (49.7 % male and 50.3 % female) aged between 15 and 17 years completed the Inventory of Parent and Peer Attachment (IPPA) as well as the Beck Depression Inventory (BDI-II). In case of boys the results showed that their attachment to mother, father, and peers were meaningful predictors of depression during adolescence. Similar trend was noted for girls. Attachment to mother across both genders accounted for greater variance in depression in comparison to attachment to father and/or attachment to peers. Cultural implications are addressed.     

Internalizing Symptoms in Female Adolescents: Associations with Emotional Awareness and Emotion Regulation

The transition into adolescence involves a number of changes that for many adolescents result in increased negative affect and internalizing symptoms, especially for females. In the current study we examined the direct and indirect effects of emotional awareness on internalizing symptoms by exploring the extent to which certain emotion regulation strategies influence this relationship. Participants were 123 female adolescents aged 13–16 years (M = 14.51 years) who completed measures of emotional awareness, emotion regulation (emotional reappraisal and expressive suppression), and symptoms of depression and social anxiety. Two multiple indirect effect models were conducted including both reappraisal and suppression (one for each of the dependent variables, depression and social anxiety) via the bootstrapping method. Results found that reappraisal accounted for the effect of emotional awareness on depressive symptoms but suppression accounted for the effect of emotional awareness on social anxiety symptoms. Results suggest that emotion regulation strategies play an important role in determining depressive and social anxiety symptoms and are associated with an adolescent’s level of emotional awareness.     

Neuroticism and Depression in Children: The Role of Cognitive Emotion Regulation Strategies

This study's general objective was to analyze whether different types of cognitive emotion regulation strategies (CERS), namely adaptive strategies—specifically positive refocusing and positive reappraisal—and maladaptive strategies—self-blame, catastrophizing, and rumination—mediated the neuroticism-depression relationship in children 9–12 years old, and whether gender and school transition moderated the relationships proposed. A self-reporting measure was administered to 315 children to evaluate said variables. The resulting data were analyzed using structural equations. The study verified that maladaptive CERS partially mediated neuroticism's relationship with depression, while adaptive CERS, though negatively associated with depression, did not show a mediating effect on this relationship. The results provide evidence of the mediating function of maladaptive CERS on the neuroticism-depression relationship. Gender and school transition did not moderate the relationships proposed. Because, by their very nature, these strategies are modifiable, these results constitute an important finding that can be transferred to the design and content of child mental health prevention and promotion programs.     

Masculinity,femininity, life stress,and depression

This study explored the effects of masculinity, femininity, and life stress on depression. Four hundred and two subjects (266 females and 136 males) completed the Bem Sex Role Inventory, the Life Experiences Survey, and the Beck Depression Inventory. Results of a regression analysis indicated significant effects of life stress, masculinity, and femininity on depression. Although masculinity and, to a lesser extent, femininity, were significant predictors of depression, life stress accounted for a substantially greater proportion of the variance. The implications of the results are discussed with respect to the role of masculinity and femininity as susceptibility factors in depression associated with stressful life experiences.     

8~12岁儿童抑郁与认知重评的关系：悲伤面孔注意偏向的中介作用

探讨8~12岁学龄儿童抑郁与认知重评情绪调节策略的关系及其作用机制。研究1采用问卷法和行为实验法分别考察儿童抑郁对认知重评策略使用倾向和使用能力的作用; 研究2结合眼动技术考察对情绪信息注意偏向在儿童抑郁和认知重评关系间的中介作用。结果发现：(1) 抑郁与儿童认知重评使用倾向间存在显著负相关; (2) 抑郁对儿童负性情绪向下调节的重评效果有显著影响; (3) 悲伤面孔注意解除困难在抑郁与认知重评使用倾向之间起中介作用。     

Proactive Coping as a Mediator Between Resources and Outcomes: A Structural Equations Modeling Analysis

Proactive coping is a recent construct in the field of positive psychology. It refers to the efforts aimed at building general forces to facilitate the path toward challenging goals and personal growth. The current study adopted a theoretical model of proactive coping as a mediator of resources with positive and negative outcomes. Our aim was to examine two separate models with satisfaction with life and depression as the proposed outcomes of proactive coping. The proposed models presumed direct relationships between self-efficacy, optimism and social support with life satisfaction or depression, as well as indirect paths through proactive coping. We administered a set of questionnaires that consisted of demographic data, the Proactive Coping Scale, the General Self-efficacy Scale, the Life Orientation Test-Revised, the Perceived Social Support Scale, the Beck Depression Inventory, and the Satisfaction with Life Scale. Data were obtained from a sample of high school graduates (N?=?485, age 17 to 19, 174 males and 311 females). Our analyses confirmed presumed direct and indirect relationships between resources and outcomes. The results showed that the data fit well in the model with life satisfaction as an outcome, while the data did not fit well in the model with depression as an outcome. A subsequent model was formed in which satisfaction with life was used as a full mediator between proactive coping and depression; this model provided a good fit to the data. Theoretical implications, as well as suggestions for future research, are discussed.     

Cognitive reappraisal attenuates the association between depressive symptoms and emotional response to stress during adolescence

Depression is associated with increased emotional response to stress. This is especially the case during the developmental period of adolescence. Cognitive reappraisal is an effective emotion regulation strategy that has been shown to reduce the impact of emotional response on psychopathology. However, less is known about whether cognitive reappraisal impacts the relationship between depressive symptoms and emotional responses, and whether its effects are specific to emotional reactivity or emotional recovery. The current study examined whether cognitive reappraisal moderated the relationship between depressive symptoms and trait or state measures of emotional reactivity and recovery. A community sample of 127 adolescents (M-age?=?15.28; 49% female, 47% Caucasian), at an age of risk for depression, completed self-report measures of trait emotional responding and depressive symptoms. In addition, they completed an in vivo social stress task and were assessed on state emotional reactivity and recovery from the stressor. Findings suggested that cognitive reappraisal was associated with an attenuated impact of depressive symptoms on trait and state emotional recovery. These results provide evidence that cognitive reappraisal may be an effective strategy for improving some aspects of emotional responding in relation to depressive symptoms among adolescents.     

Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

The purpose of this study was to determine the extent to which maternal relationship insecurity and severe depressive symptoms moderate home visiting impacts on developmental and behavioral outcomes in 2-year old children. In an experimental trial of the Healthy Families Alaska home visiting program, families (N = 249) were randomly assigned to home visiting (n = 126) or community services as usual (n = 123). Maternal severe depressive symptoms (CES-D ≥ 24) and relationship insecurity were measured using the Center for Epidemiologic Studies Depression Scale and the Attachment Style Questionnaire at baseline. Child cognitive and psychomotor development and behavior problems were measured with the Bayley Scales of Infant Development and the Child Behavior Checklist at follow-up. The results revealed that home visiting significantly impacted three outcomes—child cognitive development, internalizing behavior, and externalizing behavior. Home visiting impacts were limited to subgroups defined by maternal depressive symptoms and relationship insecurity. Home visiting improved cognitive development (B = 6.02, p < .03), and decreased internalizing behavior (B = ?3.83, p = .02) and externalizing behavior problems (B = ?3.74, p = .03) in children of mothers with either severe depressive symptoms or high levels of discomfort with trust at baseline, but not both. Family engagement in home visiting seems to play a role in mediating these moderating effects. These findings reflect the importance of screening for maternal relationship insecurity and depressive symptoms to distinguish family subgroups likely to benefit from home visiting from those for whom an enhanced service model might be needed.     

The influence of gender role typing on the expression of depressive symptoms

This study investigated the influence of gender role typing on the expression of depressive symptoms. Previous research (Padesky & Hammen, 1981) has found that men and women differ in their expression of depressive symptoms and has proposed gender role expectations as a possible explanation. This study considered gender role typing as a possible moderating factor of depressive symptoms. Undergraduates (99 men, 360 women) were divided into masculine and feminine groups according to the Bem Sex Role Inventory. Depressive symptoms were measured by the Beck Depression Inventory (BDI). Gender role typing differences emerged on the BDI with feminine subjects reporting more emotional symptoms than masculine subjects (p<.05) and masculine subjects reporting more withdrawal and somatic symptoms than feminine subjects (p<.05). The results are consistent with the hypothesis that depressive symptoms are influenced by societal expectations. Future research should consider the influence of gender role typing on the expression of depressive symptoms.     

Effects of distraction and guided threat reappraisal on fear reduction during exposure-based treatments for specific fears

To test predictions derived from the emotional processing theory of fear reduction, claustrophobics (N=58) were randomized to one of four exposure conditions: (a) exposure with guided threat reappraisal, (b) exposure with a cognitive load distracter task, (c) exposure with both guided threat reappraisal and cognitive load distracter task and (d) exposure without guided threat reappraisal or cognitive load distracter task. We hypothesized that self-guided in vivo exposure would lead to less fear reduction if performed simultaneously with a cognitive load distracter task that severely taxes information processing resources. In contrast, we hypothesized that focusing on core threats during exposure would enhance fear reduction. The main findings were largely consistent with predictions. The cognitive load task (regardless of focus of available attention) had a detrimental effect on fear reduction, while guided threat reappraisal (regardless of cognitive load) had a facilitative effect. The greatest level of fear reduction and the lowest level of return of fear were observed in the exposure condition involving guided threat reappraisal without cognitive load. Clinical implications and directions for future research are discussed.     

Congestive Heart Failure and Quality of Life

Our study aimed to assess the quality of life (QoL) of patients with congestive heart failure (CHF) and to correlate the different aspects of QoL with relevant socio-demographic variables, CHF severity, somatic comorbidities, other clinical variables and depressive symptomatology. In a cross-sectional study design, a community sample of 103 adult patients with CHF (mean age 68 years, 73 % male) was recruited from an outpatient cardiology practice. CHF severity was assessed with physician ratings of the New York Heart Association (NYHA) functional class and measurement of brain natriuretic peptide (BNP) levels. The psychometric evaluation of quality of life was made using the Medical Outcomes Study Short Form-36 (SF-36) and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The Beck Depression Inventory Second Edition (BDI-II) assessed depressive symptoms. Using multiple linear regression, predictors of poorer QoL included being a female, being older, living alone, NYHA functional class ≥ II, higher levels of BNP comorbidity (such as renal insufficiency and cerebrovascular disease), fluid retention, depressive symptomatology (assessed by BDI-II) and treatment with anti-dyslipidemics, diuretics and β-blockers. Among these correlates, psychological distress was the most strongly related to QoL. Also, functional status measured by NYHA demonstrated a high impact on QoL. Our findings suggest the need to address such factors in developing effective care to improve psychological and functional status in order to enhance QoL in these patients.     

Well-Being and Generalized Anxiety in Japanese Undergraduates: A Prospective Cohort Study

Psychological well-being is thought to protect against common mental health problems. This study investigated the buffering effects of psychological well-being on the relationships between cognitive vulnerabilities (fear of anxiety and negative beliefs about worry) and GAD symptoms among 297 Japanese undergraduates (female = 62%, age = 18.91 ± 1.61) in a two-wave prospective cohort study. Participants completed the Generalized Anxiety Disorder Questionnaire for DSM-IV, Center for Epidemiologic Studies Depression Scale, anxiety control subscale of Affective Control Scale, negative belief about worry subscale of Meta-Cognitions Questionnaire, and Nishida’s psychological well-being scale. A moderated regression analysis tested the buffering effect of psychological well-being sub-dimensions on the relationship between cognitive vulnerabilities and generalized anxiety symptoms. Fear of anxiety (β = 0.16, p < 0.01) and negative beliefs about worry (β = 0.16, p < 0.01) at baseline predicted generalized anxiety at follow-up, after controlling for baseline symptoms, and three interaction terms significantly predicted generalized anxiety symptoms. Purpose in life and autonomy buffered the negative relationship between cognitive vulnerabilities and generalized anxiety symptoms. Contrary to the hypothesized relationship, positive relationships with others at baseline facilitated a positive relationship between fear of anxiety and generalized anxiety symptoms. Those results suggested that enhanced Purpose in life and Autonomy dimension of Psychological well-being may be useful in preventing GAD, while the enhanced positive relationship with others dimension of Psychological well-being may facilitate generalized anxiety, as a function of fear of anxiety. In a primary prevention setting, it may be useful to consider the dimensions of Psychological well-being.     

The Effect of Religious Belief and Forgiveness on Coping with Diabetes

We aimed to investigate the relationship of religious beliefs and forgiveness in diabetic patients with various sociodemographic characteristics, emotional problems and glycaemic control. The study comprises 100 patients diagnosed with type 2 DM. We used a data collection form, the Scale of Forgiveness and Religiosity (SFR), Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). We also recorded blood glucose and HbA1c test results. A statistically significant relationship was determined only between the scores of the STAI-I and the religious belief scales (r = 0.198, p = 0.049). A statistically significant negative relationship was determined between the forgiveness scale points and the BDI (r = 0.326, p = 0.001), the STAI-II (r = 0.308, p = 0.002) and PAID (r = 0.313, p = 0.001) and a positive correlation with ADDQoL (r = 0.284, p = 0.004). To conclude, forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase quality of life.     

Depressive symptoms in Friedreich ataxiaSíntomas depresivos en la ataxia de Friedreich

Background/Objective: Almost no attention has been paid to depression in Friedreich ataxia (FRDA), a highly disabling cerebellar degenerative disease. Our aim was to study the presence and the profile of depressive symptoms in FRDA and their relationship with demographic-disease variables and cognitive processing speed. Method: The study groups consisted of 57 patients with a diagnosis of FRDA. The Beck Depression Inventory-II was used to assess symptoms of depression. Speed of information processing was measured with a Choice Reaction time task. Results: The mean BDI score for patients was significantly higher than the mean score in the general population. Twenty one percent of participants scored in the moderate/severe range. A Cognitive-Affective score and a Somatic-Motivational score was calculated for each patient. Patients’ scores in both dimensions were significantly higher than the scores in the general population. Demographic and disease variables were not related with symptoms of depression, except for severity of ataxia. Depressive symptoms predict cognitive reaction times. The greater proportion of variance was explained by the Cognitive-Affective dimension. Conclusions: Our data show that both somatic-motivational and cognitive affective symptoms of depression are frequent in individuals with FRDA. In addition, depressive symptoms may influence cognition, especially, the cognitive and affective symptoms.     

The Relationship Between Frustration Intolerance,Unhealthy Emotions,and Assertive Behaviour in Italian Students

The aim of the present research was to investigate the relationship between frustration intolerance and emotional-behavioural problems. Specifically, the study explored whether frustration intolerance beliefs were associated with difficulties in assertive behaviour, anxiety, depression, and anger in a non-clinical student sample (N = 250). For this purpose an Italian version of the Frustration Discomfort Scale (FDS) was developed. The findings supported a multidimensional model of frustration intolerance and the relationship between specific frustration intolerance beliefs and emotional-behavioural problems. Regarding unhealthy emotions, structural equation modeling (SEM) analyses (model A) indicated that discomfort intolerance and emotional intolerance had a significant relationship with state anxiety, trait anxiety, and depression. The discomfort intolerance and entitlement sub-scales had a significant relationship with state anger and trait anger, while entitlement directly predicted trait anger. Regarding assertiveness, SEM analyses (model B) indicated that emotional intolerance had a significant relationship with distress when being assertive. More generally, the FDS full scale score (model C) was significantly related to unhealthy emotions and (model D) unassertive behaviour (distress). The present study provided evidence of the cross-cultural applicability of the FDS.     

Emotion Regulation as a Moderator of Outcomes of Transdiagnostic Group Cognitive-Behavioral Therapy for Emotional Disorders

The aim of this study was to examine the potential moderating effect of baseline emotion regulation skills—cognitive reappraisal and expressive suppression—on the relationship between treatment allocation and treatment outcomes in primary care patients with emotional symptoms. A total of 631 participants completed scales to evaluate emotion regulation, anxiety, depression, functioning, and quality of life (QOL). The moderation analysis was carried out using the SPSS PROCESS macro, version 3.5. Expressive suppression was a significant moderator in the relationship between treatment allocation and treatment outcomes in terms of symptoms of anxiety (b = −0.530, p = .026), depression (b = −0.812, p = .004), and QOL (b = 0.156, p = .048). Cognitive reappraisal acted as a moderator only in terms of QOL (b = 0.217, p = .028). The findings of this study show that participants with higher scores of expressive suppression benefited more from the addition of transdiagnostic cognitive-behavioral therapy to treatment as usual (TAU) in terms of anxiety and depressive symptoms, and QOL. Individuals with higher levels of cognitive reappraisal obtained a greater benefit in terms of QOL from the addition of psychological treatment to TAU. These results underscore the relevant role that emotion regulation skills play in the outcomes of psychological therapy for emotional symptoms.     

The Trauma Related Shame Inventory: Measuring Trauma-Related Shame Among Patients with PTSD

This article proposes a new measurement instrument of trauma-related shame. The purpose of this study is to investigate the psychometric properties of the scores derived from the Trauma Related Shame Inventory (TRSI) by means of generalizability theory (G-theory). The psychometric analyses are based on a sample of 50 patients in treatment for Post-traumatic Stress Disorder (PTSD). The results provided supporting construct validity evidence for the interpretation of TRSI as a homogeneous construct. The 24-item version of internal and external referenced shame yielded generalizability and dependability coefficients of .874 and .868, respectively. The distinction between shame and guilt was supported by a high generalizability coefficient of .812 for the difference scores between TRSI and guilt cognition scale. Further validity evidence was provided by a positive relationship between TRSI and a) self-judgment subscale in Self-Compassion Scale (SCS; Neff Self and Identity 2:(3), 223–250, 2003) and b) Beck Depression Inventory (Beck Steer and Brown 1996a) when controlled for guilt. The results of the present study provided promising support for using the 24-item version of TRSI in both clinical research and practice.     

Adolescent triangulation into interparental conflict: Role of cognitive appraisals and birth-order

ABSTRACT

Triangulation of adolescents into interparental conflict has since long been recognized as a risk factor for adolescents’ psychological adjustment. However, there is a scarcity in research focusing on exploring the variables that make adolescents more vulnerable to get triangulated. This study used a cross-section research design to examine the relationship between interparental conflict and adolescent triangulation into that conflict in an under-researched population of Pakistani school going adolescents (N = 521), with an age range of 13-19 years (M = 15.25; SD = 1.46); while exploring the role of adolescent’s cognitive appraisals (threat and self-blame) and birth-order. The results indicated that interparental conflict, appraisal of threat and appraisal of self-blame are significant predictors of adolescent triangulation. Moreover, this study also revealed the moderating role of adolescent birth order in the relationship between interparental conflict and triangulation, as well as between appraisal of self-blame and triangulation; indicating that the ‘only’ child in the family was at the highest risk of being triangulated into their parents’ arguments, while the youngest child was least likely to get involved.