Unmitigated Communion and Adjustment to Breast Cancer: Associations and Explanations1

The goal of this study was to examine the implications of unmitigated communion (a focus on others to the exclusion of the self) for adjustment to breast cancer and to explain any observed relations. Cognitive adaptation theory was the primary explanatory framework adopted. Unmitigated communion was cross‐sectionally associated with poor mental and physical functioning among women newly diagnosed with breast cancer. Prospectively, unmitigated communion predicted a decline in a couple of indicators of mental and physical functioning over 3 months. Unmitigated communion was inversely associated with indicators of cognitive adaptation: low self‐esteem, poor body image, less optimism, and greater reliance on external control. Unmitigated communion also was associated with more negative interactions with network members and a decline in support over time. The decline in body image over time had the greatest potential to explain links of unmitigated communion to poor adjustment to disease.     

Agentic and communal traits and health: adolescents with and without diabetes

The authors examined whether agentic and communal traits are associated with relationship and health outcomes among adolescents with and without diabetes. They interviewed 263 teens (average age 12; 132 Type 1 diabetes; 131 healthy) on an annual basis for 5 years. The authors measured agency, communion, unmitigated agency, and unmitigated communion as well as parent and peer relationship quality, psychological distress, and diabetes health. In concurrent and lagged multilevel models, unmitigated communion and unmitigated agency were associated with poor relationship outcomes and greater psychological distress for those with and without diabetes. In lagged analyses, unmitigated communion predicted deterioration in diabetes health. Communion and agency were associated with positive relationship and health outcomes, with the former being stronger than the latter. These results underscore the need to focus on unmitigated agency and unmitigated communion when studying the implications of personality for health during adolescence.     

Links between unmitigated communion,interpersonal behaviors and well-being: A daily diary approach

We examined the links between unmitigated communion, interpersonal behavior, and well-being on a daily basis with 79 college students. After completing a baseline questionnaire, participants completed brief on-line questionnaires at the end of the day to assess support interactions, interpersonal behavior, and well-being for 10 consecutive days. We used multi-level modeling to examine whether unmitigated communion was connected to support and interpersonal behavior, whether support and interpersonal behavior were connected to well-being, and whether unmitigated communion moderated the latter relations. Unmitigated communion was related to increased support provision and a host of interpersonal difficulties. Daily support provision and being overly nurturant were positively related to well-being, but these relations were limited to individuals characterized by low unmitigated communion.     

The implications of unmitigated agency and unmitigated communion for domains of problem behavior

Agency and communion are broad dimensions of personality that reflect a focus on the self and a focus on others, respectively. In this article, we distinguish unmitigated agency, a focus on the self to the exclusion of others, flom agency, and we distinguish unmitigated communion, a focus on others to the exclusion of self, from communion. We argue that it is unmitigated agency and unmitigated communion that are linked to domains of problem behavior, in particular relationship difficulties and poor health behavior. Unmitigated agency and unmitigated communion are associated with a lack of support from others, a reluctance to ask others for help, and a range of poor health behaviors. The reasons for these links differ. The links to problem behavior for unmitigated communion individuals stem from their tendency to subjugate their own needs to the needs of others and their dependence on others for esteem. The links to problem behavior for unmitigated agency individuals stem from their unwillingness to attend to relationships and their negative view of others.     

Agency and Communion in People with Rheumatoid Arthritis

The purpose of this study was to determine whether the previously found relations among the gender-linked personality orientations of agency, communion, unmitigated agency, and unmitigated communion, and health outcomes existed within a sample of adults with rheumatoid arthritis, a chronic disease that is more prevalent among women than among men. We obtained self-report data from 158 participants on the gender-linked personality orientations, psychological distress, disability, pain, and life satisfaction. As hypothesized, regression analyses indicated that agency was significantly associated with better health outcomes, whereas unmitigated communion was associated with poorer health outcomes. Assessment of these personality variables in people with rheumatoid arthritis may help to identify those at high risk for adverse outcomes.     

Quality of Life Following Prostate Cancer: The Role of Agency and Unmitigated Agency1

The relations of agency (positive focus on self) and unmitigated agency (focus on self to the exclusion of others) to men's quality of life following prostate cancer was examined. Whereas agency was associated with indicators of a good quality of life, unmitigated agency was associated with indicators of a poor quality of life, particularly more intrusive thoughts about the illness, more depressive symptoms, and worse mental functioning over time. The primary psychological mechanism that explained these relations was reduced self‐efficacy. Unmitigated agency was associated with feeling less capable of controlling the demands the illness imposed. Unmitigated agency also was associated with adverse changes in bowel and urine function; and changes in bowel and urine function explained the relation of unmitigated agency to poor quality of life.     

Gender-linked personality traits predict mental health and functional status following a first coronary event.

Three gender-linked traits were examined with respect to adjustment to a coronary event: agency, a focus on the self; communion, a focus on others; and unmitigated communion, an extreme focus on others to the exclusion of the self. Participants (n = 65) were interviewed 1 week and 4 months after a 1st coronary event. Hypotheses were that agency should predict improved health, communion should be unrelated to health, and unmitigated communion should predict worse health over time. Outcomes included depression, anxiety, and well-being (as measured by the Profile of Mood States; D. McNair, M. Lorr, & L. Droppleman, 1971); mental and physical functioning (SF-36; J. E. Ware, K. K. Snow, M. Kosinski, & B. Gandek, 1993); and cardiac symptoms. Results confirmed hypotheses. In addition, unmitigated communion was linked with poor health behavior and negative social interactions, which partly explained the link of unmitigated communion with depression and cardiac symptoms.     

Men's Adjustment to Prostate Cancer: The Role of Agency and Unmitigated Agency

We examined how two male gender-related traits, agency (focus on self) and unmitigated agency (focus on self to the exclusion of others), were related to physical and emotional functioning in 162 men (92% Caucasian) treated for prostate cancer. As predicted, unmitigated agency was associated with worse functioning and more cancer-related difficulties. By contrast, agency was associated with better functioning and fewer cancer-related difficulties. We tested whether difficulties expressing emotions explained these relations. Unmitigated agency was associated with difficulty expressing emotions, and agency was associated with the ability to express emotions. Structural equation modeling was used to show that emotional expressiveness mediated the relations of unmitigated agency and agency to adjustment to prostate cancer. The implications of these results for interventions to enhance men's adjustment to prostate cancer are discussed.     

Agentic and Communal Personality Traits: Relations to Attitudes Toward Sex and Sexual Experiences

This study was designed to examine relations among agentic and communal personality traits, attitudes toward sex, and sexual experiences in a sample of 202 undergraduates. As predicted, acceptance of interpersonal violence, with particular reference to intimate and sexual relationships, was positively associated with unmitigated agency. Among male participants, willingness to engage in uncommitted sexual relations was positively associated with unmitigated agency and negatively associated with communion and unmitigated communion. Among female participants, agency was positively related to satisfaction with current sexual and romantic relationships. These results partially support Helgesons (1994) theoretical model that links unmitigated agency to relational conflict and instability and links communion to emotional bonding and commitment.     

Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis

The personality trait of unmitigated communion, an extreme focus on relationships that has been associated with self-neglect, has been linked to poorer outcomes for both men and women, but is more common among women. This longitudinal study is the first to examine the influence of unmitigated communion on adaptation to a chronic illness that affects a much greater proportion of women to men. Women with rheumatoid arthritis completed measures of unmitigated communion, social constraints, and psychological distress at study entry and repeated the distress measure one year later. As expected, unmitigated communion was associated with psychological distress. Cross-sectional moderation analyses indicated that low social constraints buffered the negative effects of unmitigated communion.     

Unmitigated Agency and Unmitigated Communion: Distinctions from Agency and Communion

The purpose of this paper is to establish the importance of distinguishing unmitigated agency and unmitigated communion from agency and communion. First, we examine the empirical overlap and distinctions among the four constructs. Then, we demonstrate the differential association of unmitigated agency, unmitigated communion, agency, and communion to relationship and health outcomes. We conclude that only unmitigated agency and unmitigated communion are associated with relationship difficulties and poor health. Finally, we distinguish between the difficulties of the unmitigated agency and the unmitigated communion individual by focusing on interpersonal problems.     

Agency and Communion Related to Mental Health in Japanese Young Adults

Based on Bakan’s (1966) theory, Helgeson (1994) presented a conceptual model of the relationships of biological sex, agency, and communion with psychological and physical well-being. This study was designed to examine the relationships of mitigated and unmitigated agency (M, M-) /communion (F, F-) with mental health in Japanese young adults. Participants were 602 (247 men, 355 women) undergraduate students and vocational school students in Japan. The average age of the participants was 20.0 years (SD=4.1). The results showed that communion (F) was positively associated with social support, unmitigated communion (F-) was strongly and positively associated with dysphoria for both men and women, unmitigated agency (M-) was also positively associated with dysphoria for women, and agency (M) was negatively associated with dysphoria for women. Both M and F were positively associated and F- was negatively associated with self-esteem for both men and women. M may moderate F-, and social support may moderate M-, for women. Thus our findings partially supported Helgeson’s model.     

Balancing concern for other with concern for self: links between unmitigated communion, communion, and psychological well-being

Previous research has demonstrated the importance of distinguishing between positive (communion) and negative (unmitigated communion) characteristics when investigating the relation between traditional feminine gender roles and psychological adjustment. However, previous work has relied on cross-sectional analysis of self-reported unmitigated communion and self-reported emotional distress. The present series of studies was designed to address this limitation by using multiple methodologies to examine the relation between unmitigated communion (UC) and psychological adjustment. Study 1 examined the relation between self- and peer reports in a sample of 102 college students. Study 2 examined the relation between communion, UC, and adjustment in a community sample of 94 adults using a 10-year longitudinal design. Study 3 used a daily diary methodology to examine the relation between these constructs, social functioning, and depressed mood in a sample of 78 college women. Results from the three studies converged to demonstrate that unmitigated communion is an important factor that impacts negatively on the psychological adjustment of men and women.     

Relation between cardiovascular and metabolic disease and cognition in very old age: cross-sectional and longitudinal findings from the berlin aging study.

This study documented findings on the relation between cognitive functioning (perceptual speed, memory, fluency, and knowledge) and cardiovascular and metabolic disease in a sample of very old adults (ages 70 and older), both cross-sectionally (n=516) and longitudinally (n=206) in a 4-year follow-up. After age, SES, sex, and dementia status were controlled for, 4 diagnoses were negatively associated with cognition: congestive heart failure, stroke, coronary heart disease, and diabetes mellitus, with a joint effect of 0.47 standard deviations. The impact of disease status was largest on perceptual speed and fluency, memory was impacted only by diabetes, and knowledge was not related to any somatic diagnosis. There was no differential decline in participants diagnosed with 1 of these 4 diseases and those who were not. The only cardiovascular risk factor associated with cognitive performance was alcohol consumption.     

Social interactions and cardiovascular reactivity during problem disclosure among friends

The authors examined the relations of social interactions with cardiovascular response in the context of two friends disclosing a problem. They also examined the relations of the sex composition of the dyad and partner gender-related traits (communion/agency) with social interactions. Same-sex and opposite-sex dyads (N = 79) came to the lab. One friend disclosed a real-life problem while the partner provided support; cardiovascular response was monitored. Women provided more emotional support than men, and this sex difference was due to women's higher levels of communion. Agency was linked with greater advice, whereas unmitigated communion was linked with greater negative interactions. Negative interactions predicted slower diastolic blood pressure (DBP) recovery, whereas advice predicted slower heart rate (HR) recovery. Sex composition of dyad moderated some of these effects.     

Religious coping,stigma, and psychological functioning among HIV-positive African American women

The present study examined the role of religious coping in psychological distress and adjustment both cross-sectionally and longitudinally among 141 HIV-positive African American women. Cross-sectional analyses showed that negative religious coping was associated with poorer mental health and functioning, and greater perceptions of stigma and discrimination. Longitudinal analyses revealed that greater negative religious coping at baseline significantly predicted greater changes in mental health in a negative direction 12 months later. Positive religious coping was not associated with any measures of psychological well-being, nor did it predict any mental health outcomes at 12 months. However, participants who experienced high levels of HIV-related stigma and reported high levels of positive religious coping were less depressed than those who reported lower levels of positive religious coping. These results suggest that for this population, negative religious coping was a more salient determinant of psychological distress than positive religious coping was of psychological health.     

The theory of planned behavior and healthy eating.

Application of the theory of planned behavior (TPB) to healthy eating in 144 health promotion clinic attendees is reported. Respondents completed self-report TPB measures after the clinic (Time 1) and 6 months later (Time 2) with a measure of perceived past behavior. Intention stability was assessed on Time 1-2 differences. Six years later (Time 3), respondents completed measures of healthy eating intentions and behavior. Intentions were predicted by attitudes, perceived behavioral control, and perceived past behavior (cross-sectionally). Healthy eating behavior (Time 3) was predicted from intentions (Time 2). As intention stability increased, intentions and perceived past behavior became stronger and weaker predictors of behavior, respectively. Implications for understanding health cognitions in long-term performance of health behavior are discussed.     

The Relationship Between Agentic and Communal Personality Traits and Psychosocial Adjustment to Breast Cancer

Agency, communion, unmitigated agency (UA), and unmitigated communion (UC) are related to psychosocial health outcomes in nonclinical and medical populations. This study examined the relationship between these personality traits and emotional and interpersonal well-being, as up to 50% of women experience difficulties in psychosocial adjustment after being diagnosed with breast cancer. Seventy-four women newly diagnosed with breast cancer completed baseline assessment measures within 2 weeks prior to their first chemotherapy treatment or at the beginning of their hormonal therapy. Findings indicate that (1) agency and UA are important correlates of emotional and interpersonal adjustment and should be considered when attempting to identify women at high risk for psychosocial distress, and (2) UC deserves increased attention in behavioral medicine research, given its strong relationship with emotional distress in a breast cancer population. Thus, evidence continues to accumulate regarding the important relationship of these personality traits to psychosocial outcomes in medical populations.     

Emotional, external, restrained eating and overweight in Dutch adolescents

The purpose of this study was to determine how emotional, external and restrained eating behavior and other health-related lifestyle factors were associated with being overweight in adolescents. Moreover, demographic and ethnic differences in eating behavior have been examined. The respondents were 10,087 Dutch adolescents aged 11-16 years (M= 13.0, SD= 0.8). Self-reported eating behavior was measured with the DEBQ. Health-related lifestyle was determined by physical activity, breakfasting, fruit consumption and snacking. High restrained, and low external eating were positively associated with being overweight, whereas no significant association between emotional eating and being overweight was found for girls, and a negative association for boys. Adolescents who ate breakfast on a daily basis were less likely to be overweight than those who ate breakfast irregularly or never. Being overweight was positively associated with fruit consumption for girls and negatively with physical activity for boys.