The use of daily diaries to assess the relations among mood state,overt behavior,and reward value of activities

Recent data has sparked renewed interest in behavioral treatments for depression; however several fundamental questions remain regarding the mechanisms of such approaches. To this end, the current study directly tested the assumption that non-clinical mildly depressed individuals receive less response-contingent positive reinforcement than non-depressed individuals, indicated by less engagement in behaviors perceived as rewarding in terms of both immediate pleasure and potential for these behaviors to result in more distal rewards. The data presented support this assumption and provide support for the role of reinforcement-based strategies such as behavioral activation in the treatment of depression.     

Effects of cognitive therapy for depression on daily stress-related variables

This study used a daily diary design to evaluate depressed patients' changes on daily stress-related variables during cognitive therapy (CT). Patients completed daily diaries on two week-long occasions: after the intake interview and again after the sixth session of CT. Patients also completed a measure of depressive symptoms before every treatment session. After six sessions of CT, patients reported a significant reduction in: (a) depressive symptoms; (b) daily sad affect (SA); (c) daily negative thoughts associated with the day's most stressful event; and (d) SA reactivity to daily stressors. In addition, patients reported a significant increase in: (e) daily positive affect (PA); and (f) SA reactivity to daily negative thoughts. The results suggest that CT has its intended effects on the daily lives of depressed adults, and highlight the value of a daily diary methodology for research on CT.     

Exploring the relation between visual mental imagery and affect in the daily life of previously depressed and never depressed individuals

Previously depressed individuals experience disturbances in affect. Affective disturbances may be related to visual mental imagery, given that imagery-based processing of emotional stimuli causes stronger affective responses than verbal processing in experimental laboratory studies. However, the role of imagery-based processing in everyday life is unknown. This study assessed mental imagery in the daily life of previously and never depressed individuals. Higher levels of visual mental imagery was hypothesised to be associated with more affective reactivity to both negatively and positively valenced mental representations.

This study was the first to explore mental imagery in daily life using experience sampling methodology. Previously depressed (n?=?10) and matched never depressed (n?=?11) individuals participated in this study. Momentary affect and imagery-based processing were assessed using the “Imagine your mood” smartphone application. Participants recorded on average 136 momentary reports over a period of 8 weeks.

The expected association between visual mental imagery and affective reactivity was not found. Unexpectedly, in both previously and never depressed individuals, higher levels of imagery-based processing of mental representations in daily life were significantly associated with better momentary mood and more positive affect, regardless of valence.

The causality of effects remains to be examined in future studies.     

Influence of caregiver burden on the association between daily fluctuations in pleasant activities and mood: A daily diary analysis

Much research has focused on behavioral activation and its effect on depression, but less is known about the effects of leisure activities on the two distinct affective domains of depression: positive affect (PA) and negative affect (NA). Furthermore, individual factors (i.e., stress level) may moderate the impact of behavioral activation on affect. The present study utilized a daily diary approach to examine the moderating effect of stress on the relationship between leisure satisfaction and both PA and NA. Twenty-five dementia caregivers completed activity and affect measures four times daily for 14 days. Results were analyzed using multilevel modeling, an approach that considers intra-individual differences in activity and affect over time. Results supported the hypothesis that caregivers with higher burden display a stronger association between leisure satisfaction and affect than caregivers with lower burden. Specifically, caregivers with higher burden had a stronger positive relationship between leisure satisfaction and PA and a stronger negative relationship between leisure satisfaction and NA. These findings suggest that screening caregivers for level of burden may help identify those most likely to benefit from behavioral interventions.     

Understanding the socially prescribed perfectionist’s cycle of self-defeat: A 7-day, 14-occasion daily diary study

People high in socially prescribed perfectionism (SPP; i.e., those who perceive others demand perfection of them) behave in ways that are incongruent with their efforts to be perfect. The present research suggests SPP is associated with a cycle of perfectionistic discrepancies, perfectionistic self-presentation, depressive affect, and self-defeating behaviors (i.e., binge eating, procrastination, interpersonal conflict). When testing the model, 317 undergraduates completed structured daily diaries. Results of multilevel structural equation modeling largely supported hypotheses. People high in SPP experience patterns of self-evaluation, self-presentation, and affect that are associated with their self-defeating behaviors. These behaviors undermine their efforts to be or look perfect for others and set the stage for yet another go around in their cycle of self-defeat.     

Mind the gap: Misdirection, inattentional blindness and the relationship between overt and covert attention

The present commentary addresses two issues arising from Memmert’s (2010) paper. First, can the ‘misdirection’ and ‘inattentional blindness’ paradigms provide important insights into the relationship between ‘overt’ and ‘covert’ attentional processes? Second, what are the most fruitful directions for research that seeks to combine these attentional paradigms in ecologically valid settings? We argue that although Memmert’s (2010) paper postulates several important differences between the misdirection and inattentional blindness paradigms, it may not emphasise sufficiently strongly the significant insights into attention that have been yielded by the former approach. To illustrate, we discuss the utility of the misdirection paradigm in providing an ecologically valid method to investigate the relationship between overt and covert attentional processes. Such naturalistic methods are required to ensure optimal integration of the misdirection and inattentional blindness paradigms within a general theory of attention.     

Exploring the relationship between two forms of narcissism and competitiveness

This study investigated the theoretical and empirical links between narcissism and competitiveness by focusing on the multifaceted features of these individual difference variables. The present study compared measures of overt narcissism (Narcissistic Personality Inventory, NPI; Raskin & Terry, 1988) and covert narcissism (Hypersensitive Narcissism Scale, HSNS; Hendin & Cheek, 1997) with measures of competitiveness (Revised Competitiveness Index, CI-R; Houston, Harris, McIntire, & Francis, 2002) and hypercompetitiveness (Hypercompetitive Attitude Scale, HCS; Ryckman, Hammer, Kaczor, & Gold, 1990). Based on a sample of 324 undergraduates, positive relationships were found between overt narcissism and general competitiveness and hypercompetitiveness. However, covert narcissism was negatively related to general competitiveness but positively related to hypercompetitiveness. The findings highlight the similarities and distinctions between different forms of narcissism and competitiveness and provide a broader framework for understanding the relationship between narcissism and competitiveness. Implications for the interpersonal manifestation of these different forms are discussed.     

Regaining a sense of agency and shared self-reliance: the experience of advanced disease cancer patients participating in a multidimensional exercise intervention while undergoing chemotherapy--analysis of patient diaries

Evidence is emerging that exercise can reduce psychological distress in cancer patients undergoing treatment. The present study aimed to (qualitatively) explore the experiences of advanced disease cancer patients participating in a 6-week, 9-hours weekly, structured, group-based multidimensional exercise intervention while undergoing chemotherapy. Unstructured diaries from a purposive sample of three females and two males (28-52 years old) who participated in the program served as the database. Data were analyzed using a phenomenological, narrative method. The analysis yielded three themes: shifting position, self-surveillance, and negotiated strength. The intervention highlighted situations making it possible for the participants to negate psychological and physical constraints. The concept of structured exercise contains viable psychotherapeutic potentials by allowing the development of alternative bodily and mental realities complying with cancer patients' demands and abilities to regain autonomy and commitment to discover and adopt a sense of agency and shared self-reliance.     

The money attitude of covert and overt narcissists

The money attitude of covert and overt narcissists was studied. Both covert and overt narcissism predicted the power-prestige dimension of money attitude, which were both mediated by the need for social power. Interestingly, the relationship for covert narcissism was also mediated by the fear of negative social evaluation, confirming its socially vulnerable and hypersensitive features. In addition, the anxiety and distrust factors of money attitude were correlated with covert narcissism only. Anxiety was explained by the need for power and avoidance motivation, but no significant mediator was found for distrust. These findings provide evidence to the similarities and differences between the two types of narcissism. They also shed light on narcissists’ money-related behaviors, such as investment strategy and consumer behaviors.     

The relation of prosocial behavior to the development of aggression and psychopathology

The development of prosocial behavior is traced from middle childhood to adulthood in a 22-year longitudinal study of 800 children first seen at age 8 and is compared to the development of aggression over the same period. Prosocial behavior and aggression seem to represent opposite ends of a single dimension of behavior since they are consistently negatively related to each other and relate in opposite ways to correlated variables both synchronously and over time. Both are stable forms of behavior with good predictability over the time span studied and both are related to the quality of the parent-child relationship. The most important deterrent to the development of antisocial behavior and the encouragement of prosocial behavior is probably a close identification between the child and his/her parents.     

An investigation of extreme responding as a mediator of cognitive therapy for depression

Although the efficacy of Cognitive Therapy (CT) for depression is well documented, questions remain about the conditions under which CT is maximally effective, and the mechanisms by which CT is efficacious. This study examined the role of extreme responding (ER) as a mediator and predictor of relapse, as well as a predictor of acute treatment outcome. To test mediation, ER of participants in CT was compared to ER of participants receiving Behavioral Activation (BA). Results indicated that ER was not a mediator of relapse in either condition. Both CT and BA showed reductions in depression severity, however neither group showed significant changes in ER over the course of treatment. Finally, ER did not predict or moderate acute treatment outcome. The implications of these results, strengths and limitations of the current study, and future research directions are discussed.     

The role of BIS/BAS in the vulnerability for depression in adolescent girls

Reinforcement Sensitivity Theory (RST), the original (i.e. Gray, 1982) or revised (Gray & McNaughton, 2000), has yet to be used as a framework for investigating vulnerability to Major Depressive Disorder (MDD) in adolescents. The present study employed a high-risk design to examine whether aberrant BIS-FFFS/BAS activity was similarly present in both depressed girls and girls at high risk for depression.MethodsN = 85 age-matched biological daughters of mothers with differential MDD status: (a) MDD (n = 17), (b) high-risk (n = 34), and (c) healthy controls (n = 34) completed measures of the BIS/BAS, depression, and anxiety.ResultsMDD girls scored significantly higher on BIS than healthy controls but not high-risk girls, and the high-risk and control groups did not differ. No group differences were found on BAS or FFFS-Fear.ConclusionsElevated BIS was not identified as a vulnerability factor for MDD; however, it does distinguish depressed adolescents from healthy controls.     

Hidden struggles of fieldwork: Exploring the role and use of field diaries

Many methodological and ethical accounts of fieldwork become sanitised and smoothed over particularly because they tend to be written several months after the fieldwork has taken place. They often lose the immediacy and emotional impact of the fieldwork, which is why a field diary can be essential. But why do we tend to keep our field diaries to ourselves? Why are we so apprehensive about being open and honest, revealing direct extracts from our field diaries? This paper explores the role and use of field diaries (as opposed to field notes based on observations) in relation to the often hidden struggles of fieldwork. It argues that guilt, apprehension, fears and worries are legitimate, common and even useful experiences of fieldwork. Key issues which emerge in the field diary extracts from my research in rural Bolivia include practical difficulties, emotional and intellectual concerns, and feelings of cultural and academic guilt. It is based on a follow-up study with participants from my PhD research ten years previously. This paper contributes to methodological debates by exploring how we might use field diaries more explicitly to examine the ways our personal challenges and emotions impact on the research process and outcome.     

Sensory processing sensitivity and its relation to parental bonding, anxiety, and depression

Sensory processing sensitivity is a recently proposed construct referring to a tendency to process a variety of information more strongly and deeply than others. Although some research has found links between sensory processing sensitivity and psychological difficulties, highly sensitive people may not necessarily be predisposed to negative affect, but may be more sensitive to poor parenting. Two hundred thirteen college students were given a measure of sensory processing sensitivity (the HSPS), the parental bonding scale (measuring parental care and over-protection), the trait anxiety scale, and the Beck depression inventory. Sensory processing sensitivity predicted both anxiety and depression above and beyond parental factors, indicating that it may be an independent risk factor. An interaction was found between sensory processing sensitivity and parental care when measuring depression. Highly sensitive people may be particularly sensitive to uncaring parents. Results indicate that sensory processing sensitivity may be a temperamental disposition that interacts meaningfully with environmental factors.     

Rumination and worrying as possible mediators in the relation between neuroticism and symptoms of depression and anxiety in clinically depressed individuals

Rumination and worrying are considered possible mediating variables that may explain the relation between neuroticism and symptoms of depression and anxiety. The current study sought to examine the mediational effects of rumination and worry in the relationships between neuroticism and symptoms of depression and anxiety in a sample of clinically depressed individuals (N = 198). All patients completed a battery of questionnaires including measures of neuroticism, rumination, worrying, depression, and anxiety. Results showed that in subsequent analyses, rumination and worrying both mediated the relation between neuroticism and depression and anxiety. When rumination and worrying were simultaneously entered in the mediation analysis, only rumination was found to mediate the relation between neuroticism and symptoms of anxiety and depression. Two components of rumination (i.e., brooding and reflection) were also analyzed in the mediational analysis. Both reflection and brooding were significant mediators with respect to depressive symptoms, whereas brooding was the only significant mediator in relation to anxiety symptoms. The results are discussed in the light of current theories, previous research, and recent treatment developments. Clinical implications and suggestions for future research are provided.     

Understanding AIDS preventive behavior with casual and primary partners in homosexual men: The theory of planned behavior and the information-motivation-behavioral-skills model

Abstract

This study examined whether components from the Information-Motivation-Behavioral-Skills Model, in particular information, added explanatory power to factors derived from the Theory of Planned Behavior with respect to predicting AIDS-preventive behaviors among gay men. Participants were recruited from a longstanding cohort study in Amsterdam. Multivariate regression analyses showed that concepts from the Theory of Planned Behavior could account adequately for intentions to use condoms with casual as well as with steady partners. Actual behavior was best predicted by past behavior. In addition, structural equation modeling demonstrated that the causal paths as posited by Theory of Planned Behavior had a good fit to the data. From the presented findings implications for preventive interventions can be drawn. Specifically, interventions to increase condom use with casual partners need to focus at improving perceived behavioral control regarding this behavior, for instance through skills training. Interventions aimed at safer sex within steady relationships should take into account that the HIV-status of the individual and his partner plays an important role in the occurrence of unprotected anal sex in a romantic dyad.     

Evaluating depression severity and remission with a modified Beck Depression Inventory

In an attempt to improve assessment of recovery from depression, a modified Beck Depression Inventory (mBDI) was created that permits endorsement of positive feelings in addition to depressive symptoms. In both normal and clinical samples, the mBDI showed evidence of reliability for measuring varying degrees of depression. In comparison to the original BDI, the mBDI did not significantly improve differentiation in depression severity among depressed individuals and assessment of remission of depressive symptoms. However, the mBDI was significantly better than the original BDI in detecting differences in depression level when overall depression severity was low. Clinical implications for evaluating remission of depression are discussed.     

Effects of question format and collection mode on the accuracy of retrospective surveys of health risk behavior: a comparison with daily sexual activity diaries.

OBJECTIVE: To use prospective diaries to assess the effects of alternative survey question formats and data collection modes on the accuracy of retrospective self-reports of sexual behavior for the same time period. DESIGN: Over a 3-month period, 493 adults completed and returned by mail daily diaries of their sexual activities. Participants then returned to complete a retrospective survey of their sexual activities during the same 3-month time period. Participants were randomized to 1 of 6 retrospective experimental survey conditions that represented the combinations of 2 question formats (in aggregate and by partner) and 3 collection modes (paper questionnaire, computer-assisted self-interview [CASI], and audio-enhanced CASI). MAIN OUTCOME MEASURES: Frequencies of sexual activities and condom use reported in surveys were compared with what participants had recorded in their prospective daily diaries. RESULTS: Relative to activity recorded in daily diaries, participants more often underreported than overreported (61% vs. 28%, p < .05) sexual behavior in retrospective surveys. Greater survey-to-diary consistency in reported behavior was achieved with by-partner question format (p < .032) and CASI collection modes (p < .05) used in surveys. However, median rates of error in survey-to-diary comparisons of reported behavior were as high as 40%. CONCLUSION: Even after refinements in survey question format and use of CASI techniques, there remained substantial error in participants' retrospective reports of sexual practices. These error rates may be comparable to, or even larger than, the expected effect size of some intervention studies. Further research is needed to improve the accuracy of sexual behavior reports.     

Changes in physical activity and sedentary behavior associated with an exercise intervention in depressed adults

BackgroundExercise is beneficial for depression, but less is known about its impact on post-intervention physical activity and sedentary behavior. The aim of this paper was to determine the extent to which participation in light-, moderate- and vigorous-intensity exercise intervention influenced habitual physical activity and sedentary behavior patterns in depressed adults.MethodsAccelerometer data was collected pre- and post-intervention from depressed participants randomized to one of three 12-week intervention groups: light (n = 21), moderate (n = 25) and vigorous (n = 22) exercise. Mixed models examined changes in time spent sedentary and in light and moderate-to-vigorous physical activity (MVPA); time accumulated in sedentary and MVPA bouts; and, number of MVPA bouts and interruptions in sedentary time.ResultsOverall sedentary time decreased while light activity time increased across all intervention groups but not significantly so. The light exercise intervention group reduced MVPA minutes (−8.22, 95% CI: −16.44, −0.01), time in MVPA bouts (−8.44, 95% CI: −14.27, −2.62), and number of activity bouts (−0.43, 95% CI: −0.77, −0.09). The moderate exercise intervention group reduced time in MVPA bouts (−6.27, 95% CI: −11.71, −0.82) and number of sedentary interruptions (−6.07, 95% CI: −9.30, −2.84). No changes were observed for the vigorous exercise intervention group.ConclusionsThe exercise intervention led to an increase in overall light physical activity and decrease in sedentary time, though neither change was statistically significant. Participation in the light and moderate exercise intervention groups was associated with reductions of time in MVPA bouts, but this was not evident for the vigorous exercise intervention group.     

Operationalizing the "vulnerability" and "stress" components of the hopelessness theory of depression: a multi-wave longitudinal study

The current study tested of the diathesis-stress component of the hopelessness theory (HT) using (1) a "weakest link" approach towards operationalizing vulnerability (e.g., an individual is as vulnerable to depression as his/her most depressogenic inferential style-DIS) and (2) an idiographic approach towards operationalizing high levels of stress. The procedure involved an initial assessment during which participants completed measures assessing DISs and depressive symptoms. The procedure also involved a series of eight follow-up assessments, occurring every 6 weeks, during which depressive symptoms and hassles were assessed. Hypotheses were tested in two samples of adults (i.e., adults diagnosed with a current MDE and adults diagnosed with a past MDE at Time 1). In line with hypotheses, in both samples, depressogenic weakest links were associated with greater elevations in depressive symptoms following elevations in hassles. At the same time, equally strong support was obtained for the HT when stress was operationalized from a nomothetic perspective and when vulnerability was operationalized as a DIS about causes (but not consequences or self).