State gratitude for one’s life and health after an acute coronary syndrome: Prospective associations with physical activity,medical adherence and re-hospitalizations

Abstract

Gratitude may be associated with beneficial health outcomes, but studies of this association have been mixed, and in these studies gratitude has often been conceptualized as a stable, unidimensional trait. We used four specific items to examine the prospective association of state- and domain-specific gratitude with medical outcomes among 152 patients with a recent acute coronary syndrome. State gratitude for one’s health 2 weeks post-event was associated with increased physical activity (measured via accelerometer) 6 months later, controlling for relevant demographic, social, medical and psychological factors (β = 340.9; 95% confidence interval = 53.4–628.4; p = .020). Gratitude for one’s life was associated with increased self-reported medical adherence at 6 months on the maximally adjusted model (β = .60; 95% confidence interval = .16–1.04; p = .008); no gratitude items were associated with rehospitalizations. In contrast, dispositional gratitude, measured by the Gratitude Questionnaire-6, was less dynamic and responsive to change over the 6-month period and was not associated with physical activity.     

Discrepancies between implicit and explicit self-esteem: implications for narcissism and self-esteem instability

ABSTRACT There appear to be two forms of high self-esteem: secure high self-esteem (which is often linked with psychological health) and fragile high self-esteem (which is generally associated with poor psychological adjustment and impaired interpersonal relationships). Discrepant high self-esteem is a form of fragile self-esteem characterized by high explicit self-esteem and low implicit self-esteem. The present study examined whether discrepant high self-esteem was associated with narcissism and self-esteem instability in an undergraduate sample. Using multiple measures of implicit self-esteem, two basic findings emerged from the present study. First, participants with discrepant high self-esteem possessed the highest levels of narcissism. Second, participants with high explicit self-esteem and high implicit self-esteem displayed the most stable self-esteem. Findings are discussed in terms of secure and fragile high self-esteem.     

Development and initial validation of an implicit measure of humility relative to arrogance

Data from two studies describe the development of an implicit measure of humility and support the idea that dispositional humility is a positive quality with possible benefits. In Study 1, 135 college students completed Humility and Self-Esteem Implicit Association Tests (IATs) and several self-report measures of personality self-concept. Fifty-four participants also completed the Humility IAT again approximately 2 weeks later and their humility was rated by close acquaintances. The Humility IAT was found to be internally and temporally consistent. Implicit humility correlated with self-reported humility relative to arrogance, implicit self-esteem, and narcissism (inversely). Humility was not associated with self-reported low self-esteem, pessimism, or depression. In fact, self-reported humility relative to arrogance correlated positively with self-reported self-esteem, gratitude, forgiveness, spirituality, and general health. In addition, self-reported humility and acquaintance-rated humility correlated positively; however, implicit humility and acquaintance-rated humility were not strongly associated. In Study 2, to examine the idea that humility might be associated with increased academic performance, we examined actual course grades of 55 college students who completed Humility and Self-Esteem IATs. Implicit humility correlated positively with higher actual course grades when narcissism, conscientiousness, and implicit self-esteem were simultaneously controlled. Implications and future research directions are discussed.     

Discrepancies Between Explicit and Implicit Self-Esteem: Implications for Mate Retention Strategies and Perceived Infidelity

ABSTRACT

The purpose of the present study was to examine whether the association between explicit self-esteem and relationship outcomes was moderated by implicit self-esteem. This was accomplished by asking 210 undergraduates who were currently involved in romantic relationships to complete measures of their explicit self-esteem, implicit self-esteem, mate retention strategies, and likelihood of future infidelity. Implicit self-esteem was found to moderate the association between high explicit self-esteem and relationship outcomes for male participants such that men with discrepant high self-esteem (i.e., high explicit self-esteem but low implicit self-esteem) reported less use of mate retention strategies and perceived a greater likelihood of future infidelity in their relationships during the next year. These findings provide additional support for the idea that fragile self-esteem may have consequences for the manner in which individuals perceive their relationships.     

Gender Differences in Gratitude: Examining Appraisals, Narratives, the Willingness to Express Emotions, and Changes in Psychological Needs

ABSTRACT Previous work suggests women might possess an advantage over men in experiencing and benefiting from gratitude. We examined whether women perceive and react to gratitude differently than men. In Study 1 , women, compared with men, evaluated gratitude expression to be less complex, uncertain, conflicting, and more interesting and exciting. In Study 2 , college students and older adults described and evaluated a recent episode when they received a gift. Women, compared with men, reported less burden and obligation and greater gratitude. Upon gift receipt, older men reported the least positive affect when their benefactors were men. In Studies 2 and 3, women endorsed higher trait gratitude compared with men. In Study 3, over 3 months, women with greater gratitude were more likely to satisfy needs to belong and feel autonomous; gratitude had the opposite effect in men. The willingness to openly express emotions partially mediated gender differences, and effects could not be attributed to global trait affect. Results demonstrated that men were less likely to feel and express gratitude, made more critical evaluations of gratitude, and derived fewer benefits. Implications for the study and therapeutic enhancement of gratitude are discussed.     

Gratitude across the life span: Age differences and links to subjective well-being

Abstract

Gratitude has been described as an adaptive evolutionary mechanism that is relevant to healthy psychological and interpersonal outcomes. Questions remain as to whether the presence and benefits of gratitude are consistent from young adulthood to old age; prior research has yielded mixed evidence. We examined the magnitude and direction of age differences in gratitude in three samples (combined N = 31,206). We also examined whether gratitude was associated with greater/lesser well-being at different periods in the life course. We found that the experience of gratitude was greatest in older adults and least in middle aged and younger adults. Further, we found that the associations between gratitude and subjective well-being remained relatively constant across the lifespan. Findings are discussed from a developmental perspective.     

Pulling yourself together: Meditation promotes congruence between implicit and explicit self-esteem

Self-reported or explicit self-esteem frequently conflicts with indirectly assessed, implicit self-esteem. The present research investigated whether meditation may reduce such inner conflicts by promoting congruence between implicit and explicit self-esteem. Relative to control conditions, meditation led to greater congruence between explicit self-esteem, assessed via self-report, and implicit self-esteem, indicated by name-letter preference (Studies 1 and 2). Low implicit self-esteem was further associated with a slow-down of explicit self-evaluation (Study 2), an effect that mediated the greater congruence between implicit and explicit self-esteem in the meditation condition. These results suggest that meditation encourages people to rely more on intuitive feelings of self-worth.     

Quality of Family and Work Roles and Its Relationship with Health Indicators in Men and Women

The purpose of the present study was to evaluate whether the perceived qualities of work-related, marital, and parenting roles differentially predict distress symptoms, cardiovascular risk, anxiety, depression, and self-esteem. Also, I sought to evaluate whether there are interactions among the quality of different roles (work, marital, and parenting) and whether there are differences between men and women. Participants were 340 women (ages 30–55 years) and 279 men (ages 21–66 years) who lived and worked in Bogotá, Colombia. The questionnaire included valid self-report scales, and questions of specific interest for this study. Results indicate that the perceived quality of the roles differentially predicts the health indicators studied. Psychological health indicators are more strongly predicted than the cardiovascular health indicators by role quality. Self-esteem and anxiety in men and depression in women are more strongly predicted by the perceived quality of the roles. There were differences as well as similarities between genders.     

Using the implicit association test to measure self-esteem and self-concept

Experiment 1 used the Implicit Association Test (IAT; A. G. Greenwald, D. E. McGhee, & J. L. K. Schwartz, 1998) to measure self-esteem by assessing automatic associations of self with positive or negative valence. Confirmatory factor analysis (CFA) showed that two IAT measures defined a factor that was distinct from, but weakly correlated with, a factor defined by standard explicit (self-report) measures of self-esteem. Experiment 2 tested known-groups validity of two IAT gender self-concept measures. Compared with well-established explicit measures, the IAT measures revealed triple the difference in measured masculinity-femininity between men and women. Again, CFA revealed construct divergence between implicit and explicit measures. Experiment 3 assessed the self-esteem IAT's validity in predicting cognitive reactions to success and failure. High implicit self-esteem was associated in the predicted fashion with buffering against adverse effects of failure on two of four measures.     

Gratitude,Psychopathology and Subjective Well-Being: Results from a 7.5-Month Prospective General Population Study

Gratitude is considered an important source of human strength in achieving and maintaining good mental health. Although complete mental health encompasses the absence of psychopathology and the presence of subjective well-being, no studies to date have examined relations between gratitude and both mental health dimensions together. Moreover, most studies focused on specific samples with a restricted demographic range. Our study, therefore, examined (a) demographic variability in the grateful trait, and (b) prospective associations between gratitude and both dimensions of mental health: psychopathology and subjective well-being. Using a four wave prospective survey design in a large (N = 706) sample of Dutch adults (M age = 44, SD age = 14, Range = 18–80), we measured gratitude with the SGRAT, symptoms of psychopathology with the SCL-90, and subjective well-being with the PANAS and SWLS. Gratitude was significantly associated with age, gender, education level, and employment status. Multilevel time-lagged regression analyses showed that the grateful trait did not predict symptoms of psychopathology, but was a significant albeit weak predictor of subjective well-being, when adjusting for the effects of demographic factors, and prior levels of subjective well-being and psychopathology. Our findings indicate that the grateful trait is associated with demographic factors, and shows complex connections with the presence of well-being and absence of psychopathology. These dynamics should be taken into consideration when studying the role of gratitude in mental health, and developing, applying, and evaluating gratitude interventions with the aim of enhancing subjective well-being and/or reducing psychopathology.     

Body Image and Self-Esteem Across Age and Gender: A Short-Term Longitudinal Study

This study examined the relationship between body image and self-esteem across time and age for men and women. Participants were 150 men and 239 women aged between 20 and 86 years (M?=?59.73), recruited from the general population in Australia. They completed a questionnaire assessing self-esteem, body dissatisfaction, body importance, and a range of other domains of life satisfaction at baseline and 2 years later. Cross-sectionally, we found that higher self-esteem was associated with lower body dissatisfaction, but there was no consistent relationship between these variables across time for age and gender. Women were more dissatisfied with their bodies than men; yet, men placed greater importance on their appearance than women, and also reported high levels of body dissatisfaction.     

Implicit self-esteem and social anxiety: differential self-favouring effects in high and low anxious individuals

This study was designed to investigate the role of negative self-image in social phobia. Participants were 19 high and 19 low socially anxious women. Because self-report measures of self-esteem are sensitive to self-presentation and impression management strategies, an implicit association test (IAT) was used to assess participants' self-esteem as well as their general evaluation of others ('other-esteem'). Socially anxious women displayed relatively low levels of self-esteem on self-report measures. However, at the implicit level, low and high anxious women were characterised by a similar, highly positive self-image. Both groups displayed a relatively low 'other-esteem'. Yet, this self-favouring effect was considerably weaker in high than in low anxious participants. The results provide no unequivocal support for the idea that low self-esteem plays an important role in social anxiety. Yet, rather than by low self-esteem per se, socially anxious people are characterised by a small discrepancy between esteem of self and others, and it may be this reduced tendency to self-favouring that is pivotal to social anxiety.     

Why are materialists less happy? The role of gratitude and need satisfaction in the relationship between materialism and life satisfaction

Materialism has been consistently related to lower levels of life satisfaction. We suggest that one reason for this negative relationship may be that high materialists find it harder to be grateful, and lower levels of trait gratitude may be related to unmet psychological needs. 246 undergraduate marketing students (129 female) completed self-report dispositional measures of materialism, gratitude, need satisfaction, and life satisfaction via online questionnaire. Statistical mediation analyses were performed using conditional process modeling. Consistent with predictions, gratitude and need satisfaction mediated the relationship between materialism and decreased life satisfaction in-sequence. Gratitude was also a direct mediator, whereas need satisfaction played an indirect role through its relationship with gratitude. Results may shed light on why those high in materialism are less happy than those low in materialism, and suggest possibilities for interventions to increase life satisfaction.     

Masculinity,femininity, and self-esteem: A multitrait-multimethod analysis

A multitrait-multimethod matrix analysis was conducted to determine (1) the degree to which self-report trait and behavior measures of sex role orientation converge, (2) the degree to which measures of masculinity and self-esteem can be discriminated, and (3) the relative degree of relationship of trait and behavior measures of sex role orientation to self-esteem. The results indicated that trait and behavior measures of masculinity and femininity showed little convergence, that trait masculinity did not meet the criteria for discrimination from self-esteem, and that trait masculinity was more strongly correlated with self-esteem than was behavior masculinity. These results were stronger for women than for men.I would like to express my appreciation to John Millar and Shauna Gatten for their assistance in data collection and coding, and to Paul Biner and an anonymous reviewer for their comments on earlier drafts of this article.     

The influences of cultural values, ethnic identity, and language use on the mental health of Korean American college students

Little research has examined ethnic identity, cultural values, and native language maintenance as predictors of mental health in Korean Americans. The authors explored the influences of ethnic identity, maintenance of Asian cultural values, and maintenance of Korean language usage on self-esteem, anxiety, and depression in Korean American college students (N = 133). Findings indicated that Korean American men reported relatively high levels of state and trait anxiety and that the overall sample reported a relatively high level of depression. Whereas language and ethnic identity had a minimal influence on the mental health of students, greater cultural value maintenance was associated with decreased self-esteem and increases in state anxiety, trait anxiety, and depression. The positive relationship between cultural values and mental health problems may be indicative of being caught in an ethnic bind, in which the clash of traditional and modern values contributes to psychological distress. The authors discuss clinical implications of the findings.     

Self-esteem mediates the relationship between dispositional gratitude and well-being

Gratitude is a positive disposition that is connected to well-being. The aim of this study is to examine the effect of self-esteem in the association between gratitude and well-being among undergraduate students. Two hundred and thirty-five participants completed measures of dispositional gratitude, self-esteem, and several indices of well-being. The results indicated that higher levels of dispositional gratitude were associated with greater self-esteem and indices of well-being. Moreover, higher levels of self-esteem were also associated with indices of well-being. Path analyses showed that self-esteem acted as a partial mediator of the association between gratitude and well-being. These results provide information regarding a possible process through which dispositional gratitude has beneficial effects.     

Rumination is independently associated with poor psychological health: Comparing emotion regulation strategies

Objective: Emotion regulation (ER) strategies are related to psychological health, with most work examining reappraisal and suppression. Yet, emerging findings suggest that rumination may have stronger relationships with psychological health, namely depression, than other ER strategies. This paper replicated and extended this work by testing whether rumination was independently associated with a range of poor psychological health risk indicators and outcomes. In addition, it explored whether the reason why rumination is so deleterious to health is because it underlies the stress–health relationship.

Design: Participants (n = 218) completed measures online.

Main outcome measures: Surveys assessed ER strategies (reappraisal, suppression, proactive coping, emotion support seeking, and rumination), health risk indicators (hostility, optimism, self-esteem), health outcomes (depression, poor sleep quality, anxiety) and perceived chronic stress.

Results: Multivariate regression analyses revealed rumination as the only ER strategy with a consistent independent effect on all the health risk indicators and outcomes. Bootstrapping analyses revealed indirect effects of perceived chronic stress on all the health variables via rumination.

Conclusion: Rumination had a deleterious relationship with psychological health, perhaps because rumination underlies the relationship between stress and psychological health. Results have implications for interventions, particularly emphasizing the need to target ruminative thinking after stressful experiences.     

Examining Self-Concealment within the Framework of Psychological Inflexibility and Mindfulness: A Preliminary Cross-Sectional Investigation

Although self-concealment has been a central topic in the field of personality and applied psychologies, it remains somewhat unclear how it should be conceptualized. The present study investigated self-concealment within the framework of psychological inflexibility and mindfulness, two major emotion/behavior regulation processes integrated into contemporary cognitive behavioral models of behavioral health. One-thousand sixty college undergraduates (77 % female; n = 816) completed a web-based survey that included the measures of interest. Results revealed that psychological inflexibility was positively and uniquely associated with self-concealment. The association between mindfulness and self-concealment was moderated by gender; higher levels of self-concealment predicted lower levels of mindfulness for women only and were associated with sexual-minority men, but self-concealment did not vary for women as a function of sexual orientation status. Additional results and future directions are also discussed.     

Gender moderates the relation between implicit and explicit self-esteem

Relative to men, women are more strongly socialized to trust their feelings and intuitions. We thus expected that the association between implicit and explicit self-esteem would be stronger for women than for men. That is, if implicit self-esteem contains a large intuitive, experiential or affective component, then people who are in touch with their feelings and intuitions should be more likely to report explicit self-esteem scores that are congruent with their implicit self-esteem scores. Six studies supported this idea by showing that the association between implicit and explicit self-esteem is indeed stronger for women than for men. This finding held in three different cultures and for two different measures of implicit self-esteem. We discuss the implications of this finding for debates regarding the nature and validity of implicit self-esteem.     

The Effect of Higher-Order Gratitude on Mental Well-Being: Beyond Personality and Unifactoral Gratitude

The purpose of this study was to examine whether higher-order gratitude consisting of multiple components (i.e., thanking others, thanking God, cherishing blessings, appreciating hardship, and cherishing the moment) explains variances in integrated mental well-being, including depression, self-esteem, and psychological well-being after controlling for gender, age, religion, the Big Five personality traits (i.e., openness, conscientiousness, extraversion, agreeableness, and neuroticism), and unifactorial gratitude (GQ). A total of 231 participants were recruited to complete questionnaires measuring the variables of interest. The results indicated that higher-order gratitude made a significant unique contribution to psychological well-being, self-esteem, and depression (3 % to 5 % of the variance, p?<?.05) above the effects of demographic variables, personality traits, and unifactorial gratitude. These findings suggested that higher-order gratitude is more than just personality traits or unifactorial gratitude, and it is important in its own right for integrated mental well-being.