Perseverative thoughts and subjective health complaints in adolescence: Mediating effects of perceived stress and negative affects

Stable tendency to perseverative thoughts such as trait rumination and worry can influence somatic health. The purpose of the study was to investigate the relationship between perseverative thoughts and somatic complaints, and the possible mediating effects of perceived stress, negative and positive affectivity in adolescence. Having an acute or a chronic condition was also assessed to be controlled for and to reveal their effects on symptom reporting. Three hundred and six adolescents from 7th to 12th grade with mean age of 16.33 (SD = 1.29) participated in the study. Mediation analysis suggested that impact of trait-like perseverative thoughts on complaints were mediated by perceived stress and negative affectivity. Having an acute condition had also an effect on symptom reporting through increased negative affectivity. Our results highlight that ruminations or worry as stable intrapersonal characteristics are relevant processes in health and can be potential targets in prevention programmes in adolescence.     

Cognitive-emotional sensitization and somatic health complaints

Sensitization is conceptually related to cognitive bias in experimental psychopathology, and they share the basic mechanism of neuronal sensitization. Every strongly relevant individual concern, like fears, can yield cognitive bias or "cognitive-emotional sensitization". It might also be present for bodily and environmental information related to illness, and could be an etiological factor in medically unexplained complaints. Physiological and cognitive sensitization are theoretically compared. There is evidence for cognitive-emotional sensitization in some medically unexplained somatic complaints, and negative affect is suggested as a catalyst. Prolonged cognitive-emotional sensitization ("perseverative negative cognition" or worry, rumination) might even have demonstrable somatic pathological effects. It is concluded that sensitization may be organized at different levels, both in the organism and in the larger living system within which the organism is subsumed. This view might not only help to clarify medically unexplained pain syndromes, but virtually every subjective complaint, both with and without recognized physiopathology.     

The buffering role of sportsmanship on the effects of daily negative events

Affective events theory (AET) argues that everyday negative events are likely to lower both daily work engagement and momentary positive affect. These problems can then persist on subsequent days. However, AET also argues that individual strategies can diminish the ill effects of negative events. We explicitly focused on good sportsmanship or abstaining from unnecessary complaints and criticism as a possible moderator of the effects of daily negative work events on daily work engagement and positive affect. We tested this possibility with a 3-day diary study among 112 employees. As expected, we found that daily negative events lowered daily engagement and momentary positive affect for two consecutive days. However, this effect only held on days that people exhibited low sportsmanship. For days that people exhibited high sportsmanship, there were no significant effects. Creating a resource rich work environment that enhances individuals’ sportsmanship behaviour can help to minimize the unfavourable impact of daily negative events.     

The effects of a positive health priming intervention on somatic complaints

Somatic complaints are common and form a major burden. Previous studies suggested that such complaints might be increased by ‘illness-related memory’, for example due to worries about health. In this ambulatory study we tested whether we could decrease somatic complaints through enhancing the activation of health-related memory by a ‘positive health’-priming intervention. Forty-three students were randomly assigned to the ‘positive health’-group or a control group. Using online measures, participants reported negative affect (NA) and somatic complaints for a period of six days, while each morning performing the priming task. The intervention caused a decrease in somatic complaints but only for participants with low trait NA or low somatosensory amplification. These findings seem to suggest that priming or other interventions directed at activating positive health memory might reduce health complaints, but only in certain subgroups.     

Effects of Rumination and Worry on Sleep

Recent research suggests that the stress-sleep relationship is mediated by pre-sleep arousal (PSA) and that cognitive arousal has a stronger mediating effect than somatic arousal; however, this has not been directly tested. Using multilevel moderated mediation, we compared the effects of cognitive arousal and somatic arousal within the stress-sleep relationship. We also assessed whether two forms of repetitive negative thought—rumination and worry—are similarly involved in the stress-sleep relationship. Data was collected from 178 participants across the United States via an online platform. Participants completed baseline self-report surveys examining rumination tendencies and worry tendencies. Over the course of 2 weeks, participants completed daily questionnaires assessing daily stress, PSA, and sleep quality. Results indicated that indirect effects from stress to sleep quality via PSA were statistically significant at low and high levels of rumination and worry, and people at high levels of rumination and worry had stronger relationships between stress and PSA. Across all models, cognitive arousal consistently accounted for more of the variance in the stress-sleep relationship as compared to somatic arousal. Implications for the cognitive behavioral treatment of insomnia are discussed.     

Neural and behavioral measures of error-related cognitive control predict daily coping with stress

This study tested the hypothesis that individual differences in cognitive control can predict individual differences in emotion regulation. Participants completed color-word and emotional Stroop tasks while an electroencephalogram was recorded, and then they reported daily stressful events, affect, and coping for 14 days. Greater posterror slowing in the emotional Stroop task predicted greater negative affect in response to stressors and less use of task-focused coping as daily stressors increased. Participants whose neural activity best distinguished errors from correct responses tended to show less stress reactivity in daily self-reports. Finally, depression levels predicted daily affect and coping independent of cognitive control variables. The results offer qualified support for an integrated conception of cognitive and emotional self-regulation.     

Laughter and Stress in Daily Life: Relation to Positive and Negative Affect

The present study investigated the proposal that increased laughter can serve to moderate the affective impact of negative life events. Community participants kept a record of their actual frequency of laughter for a 3-day period, and completed a measure of stressful life events each evening. Current levels of positive and negative affect were also obtained in the morning and evening of each day. A series of simple correlations, computed on a daily basis, provided little evidence for any direct relationships between amount of daily laughter and either positive or negative affect. Instead, more complex moderator analyses revealed that greater negative affect was clearly associated with a higher number of stressful life events, but only for those individuals with a lower frequency of actual laughter. In contrast, and in support of a stress buffering hypothesis, it was found that individuals with a higher frequency of laughter did not show greater levels of negative affect as stressful life events increased. When considering positive affect, it was found that only males showed a significant moderating effect of laughter. For males who laughed more frequently, a greater number of stressful life events was associated with higher levels of positive affect. These findings are discussed in terms of several possible mechanisms which may account for the moderating effects of laughter on affect, including the use of cognitive appraisals and emotion-focused coping strategies.     

Humility,stressful life events,and psychological well-being: Findings from the landmark spirituality and health survey

A growing body of research suggests that people who are more humble tend to enjoy better physical and mental health than individuals who are less humble. The next step in moving this literature forward involves explaining and empirically demonstrating how the potentially beneficial effects of humility arise. The purpose of this study is to address this issue by seeing whether humility buffers the effects of stressful life events on four measures of well-being: happiness, life satisfaction, depressed affect, and generalized anxiety disorder. Data from a new nationwide survey (N = 3010) suggest that the magnitude of the negative relationship between stressful life events and all four measures of well-being is reduced among people who are more humble. The theoretical implications of these findings are discussed.     

A daily investigation of the role of manager empathy on employee well-being

In a daily diary study, the authors investigated the top-down influence of manager empathy on a process model of employee well-being. Sixty employees supervised by one of 13 managers completed a daily survey for 2 weeks, producing a total of 436 observations. Hierarchical linear modeling results revealed that, at the daily level, employees who reported somatic complaints made less progress on their goals and felt lower levels of positive affect and higher levels of negative affect. At the group level, cross-level main and interactive effects of manager empathy were observed, such that groups of employees with empathic managers experienced lower average levels of somatic complaints, and daily goal progress was more strongly related to positive affect for groups of employees with empathic managers. We discuss the implications of these results for the emerging literature on leaders as managers of group emotion.     

Interaction between emotions and somatic complaints in children who did or did not seek medical care

This study aimed to investigate how emotional functioning can be linked to health problems in children. Three groups were compared: (1) a clinical group, consisting of children with abdominal pain, attending an out-patient clinic; (2) a group from the general population who had high scores on a self-report somatic complaint list; and (3) a group from the general population who reported no or few somatic complaints. It was shown that groups 1 and 2 experienced negative moods and negative emotions with a higher frequency and/or intensity, and had a lower feeling of competence than group 3. They were also more likely to act upon physical complaints in emotionally stressful situations than group 3, although all groups made use of emotion-focused strategies. It is suggested that it is not an impaired capacity to identify emotions (an important feature of alexithymia), but an inability to differentiate between, and cope with, negative emotions that might be an important factor in children's health problems. Suggestions for future research are made.     

Coping and negative appraisal as mediators between control beliefs and psychological symptoms in children of divorce

Examined control beliefs of children of divorce as predictors of their coping, negative appraisals for stressful events, and mental health problems. We tested whether coping and negative appraisal for stressful events mediated the relations between multiple dimensions of control beliefs and mental health problems. Different dimensions of control beliefs were related to different aspects of coping and negative stress appraisal. Internal control beliefs for positive events were related to both active and avoidant coping. Unknown control beliefs for positive events were related to higher active coping and higher negative appraisal. Unknown control beliefs for negative events were related to higher avoidant coping. In addition, evidence for mediation was found such that the effect of unknown control beliefs for positive events on mental health problems was mediated by negative appraisal. Implications and directions for further research are discussed.     

The Roles of Social Support and Self-Efficacy in Physical Health’s Impact on Depressive and Anxiety Symptoms in Older Adults

Physical illness may precipitate psychological distress among older adults. This study examines whether social support and self-efficacy moderate the associations between physical health and depression and anxiety. Predictions were tested in 222 individuals age 60 or older presenting for help with worry. Physical health was assessed through self-report (subjective) and physical diagnoses (objective). Objective physical health did not have a significant association with depression or anxiety. Worse subjective physical health was associated with increased somatic anxiety, but not with depression or worry. The relationship between subjective physical health and depressive symptoms was moderated by self-efficacy and social support. As predicted, when self-efficacy was low, physical health had its strongest negative association with depressive symptoms such that as physical health improved, depressive symptoms also improved. However, the moderation effect was not as expected for social support; at high levels of social support, worse physical health was associated with increased depressive affect.     

The everyday dynamics of rumination and worry: precipitant events and affective consequences

ABSTRACT

Rumination and worry are two perseverative, negatively valenced thought processes that characterise depressive and anxiety disorders. Despite significant research interest, little is known about the everyday precipitants and consequences of rumination and worry. Using an experience sampling methodology, we examined and compared rumination and worry with respect to their relations to daily events and affective experience. Participants diagnosed with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), co-occurring MDD–GAD, or no diagnosis carried an electronic device for one week and reported on rumination, worry, significant events, positive affect (PA), and negative affect (NA). Across the clinical groups, occurrences of everyday events predicted subsequent increases in rumination, but not worry. Further, higher momentary levels of rumination, but not worry, predicted subsequent decreases in PA and increases in NA. Thus, in these clinical groups, rumination was more susceptible to daily events and produced stronger affective changes over time. We discuss implications for theory and clinical intervention.     

混合情绪能促进心理健康吗？

摘 要 积极和消极情绪的同时体验,即混合情绪,是生活中常见的情绪状态。健康应对的共激活模型、情绪动态模型和积极比模型一致认为混合情绪与心理健康之间呈现非线性的关系,适当的混合情绪有利于个体在困境中全面加工和整合信息,寻求意义,获得控制感,进而实现健康应对和心理症状改善,获得幸福感。未来研究应关注对非线性关系的精确描述;低压力或非压力情境下混合情绪的意义;进一步研究混合情绪促进心理健康的内部机制和影响因素。     

Behavioral activation and inhibition in everyday life

Joint effects of daily events and dispositional sensitivities to cues of reward and punishment on daily positive affect (PA) and negative affect (NA) were examined in 3 diary studies. Study 1 showed that positive events were strongly related to PA but not NA, whereas negative events were strongly related to NA but not PA. Studies 2 and 3 examined how the dispositional sensitivities of independent appetitive and aversive motivational systems, the Behavioral Activation System (BAS) and the Behavioral Inhibition System (BIS), moderated these relationships. Participants in Study 2 with higher BAS sensitivity reported more PA on average; those with more sensitive BIS reported more NA. Also, BIS moderated reactions to negative events, such that higher BIS sensitivity magnified reactions to negative events. Study 3 replicated these findings and showed that BAS predisposed people to experience more positive events. Results demonstrate the value of distinguishing within-person and between-person effects to clarify the functionally independent processes by which dispositional sensitivities influence affect.     

How was your day? Couples’ affect when telling and hearing daily events

This study examined day‐to‐day mood changes associated with disclosure of positive and stressful events as affect regulation within couples. In daily diaries, 48 couples cohabiting in the United States reported whether they told their partner about the most positive and stressful event of their day. Participants reported greater positive affect on days when they told their partner about the most positive event of their day. This effect was less pronounced among avoidant women. Participants also reported greater positive affect on days when their partner shared their most positive event. Sharing about stressors was not associated with greater negative affect. These findings underscore the importance of investigating affect regulation processes such as daily event disclosures from a dyadic perspective.     

Psychological wellbeing and the diathesis-stress hypothesis model: The role of psychological functioning and quality of relations in promoting subjective well-being in a life events study

Negative life events are associated with poor wellbeing and mental health outcomes. Following a diathesis-stress model, we tested whether psychological functioning and quality of interpersonal relationships moderated the effect of life events on subjective wellbeing. This study comprised data from a young and middle-aged adult sample (n = 364) drawn from an Australian university-student population. Results indicated that life events were associated with negative but not positive wellbeing outcomes. Perceived impact of life events was a stronger predictor of wellbeing than was the number of life events. Psychological functioning and quality of interpersonal relationships were associated with both wellbeing dimensions but only quality of interpersonal relationships moderated the effect of life events on wellbeing. In conclusion, perceived impact of life events was more strongly related to wellbeing than number of life events. Interpersonal relationships moderate the effect of life events with those reporting higher levels of quality of interpersonal relationships reporting less decrement in negative affect following stressful life events.     

亲子关系和朋友支持对流动儿童情绪和行为适应的保护作用

以1008名初中流动儿童为研究对象,在压力背景下探讨亲子关系和朋友支持对流动儿童不同情绪适应（孤独感、社交焦虑）和行为适应结果（问题行为、亲社会行为）的保护作用,并揭示二者保护作用的适用领域及其差异。结果表明：（1）亲子关系显著预测行为适应,朋友支持显著预测情绪适应和亲社会行为。（2）亲子关系能够缓解压力事件对流动儿童问题行为的消极作用。（3）朋友支持能够缓解压力事件对流动儿童孤独感和社交焦虑的消极作用。（4）尽管亲子关系和朋友支持都能够缓解压力事件对流动儿童亲社会行为的消极作用,但压力事件较少时二者的保护效应更强。这提示流动儿童与父母和朋友的紧密情感联结能够缓解压力事件对其情绪和行为适应的消极作用：父母是缓解行为适应问题的保护因素,朋友是缓解情绪适应问题的保护因素;积极行为适应能够同时获益于父母和朋友支持。     

Stress and worry: examining intolerance of uncertainty's moderating effect

Intolerance of uncertainty (IU), or the way an individual perceives, interprets, and reacts to uncertainty in life, has been frequently investigated in relation to anxiety and worry. While a substantial body of research suggests that individual differences in IU foster stress and anxiety, IU's involvement as a potential moderator in the relation between stressful events and worry has only recently been investigated. Therefore, the present study examined the moderating effect of IU on the relation between daily hassles and worry as well as major life events and worry in a sample of 1092 young adults. Results revealed that IU showed a significant moderation effect in the relation between daily stress and worry. More specifically, when the two factors were examined individually only inhibitory IU served as a moderator between daily stress and worry. While major life events significantly predicted worry, no moderation effect was found for this relation. These findings highlight the need to better understand the mechanisms through which IU impacts worry and contributes to anxiety.     

Measuring Momentary Stress,Affect, and Cognition: Relationships with the Internalizing and Externalizing Spectra

The Internalizing (INT) and Externalizing (EXT) spectra are an emerging way to conceptualize the structure of psychopathology. Demonstrating relationships with emotional reactions to, and cognitive appraisals of, daily stressful events would be strong evidence of ecological validity. In the current study (N?=?78), the experience sampling method (ESM, a structured diary technique with Palm Pilots) was used to capture affect and cognition related to current stressor, five times per day, for 1 week. Multilevel random coefficient modeling was used to examine affective and cognitive reactivity to daily stressors as a function of baseline levels of INT and EXT. INT scores were related to higher levels of negative affect (NA), lower levels of positive affect (PA) and more negative cognitive appraisals of the stressful situation. Several cross-level interactions were found between psychopathology scores, cognitive appraisals, and affect. Participants higher in INT psychopathology showed less decrease in NA as level of control increased, compared to participants low in INT. EXT moderated the association between NA and distress, with higher levels of EXT resulting in a stronger association between distress and NA. INT and EXT also moderated the relationships between the cognitive variables (distress and control, coping and control). Findings support both the utility and validity of the INT and EXT dimensions in understanding different forms of stress-related impairment in emotion and cognition.