Childhood Trauma Predicts Positive Expressive Suppression During Social Affiliation in Adults With Anxiety and/or Depression: Implications for Social Functioning

Experiencing childhood trauma (CT) can create barriers for developing relationships and is a risk factor for anxiety and depression. Expressive suppression (ES; i.e., reducing expression associated with experiencing emotions) might explain the link between CT and relationship formation difficulties. We examined the association between (1) CT and ES during a dyadic paradigm intended to facilitate connectedness between unacquainted partners and (2) ES and desire for future interaction (DFI). Individuals with an anxiety or depressive disorder diagnosis (N = 77) interacted with a trained confederate; partners answered a series of increasingly intimate questions about themselves. Participant ES for positive and negative emotions, and participant and confederate DFI were collected during the task. Participants completed global anxiety, depression, and CT measures. CT correlated with positive (r = .35, p = .002), but not negative, ES (r = .13, p = .273). In a multiple linear regression model, CT predicted positive ES beyond symptom variables and gender, β = .318, t = 2.59, p = .012. Positive ES correlated with participant (r = ?.38, p = .001) and confederate DFI (r = ?.40, p<.01); and predicted participant DFI beyond symptom variables and ethnicity, β = ?.358, t = ?3.18, p = .002, and confederate DFI, β = ?.390, t = ?3.51, p = .001, beyond symptom variables. Mediation analyses suggested positive ES accounted for the relationship between greater CT severity and less desire for future interaction from participants, 95%CI [?0.26, ?0.02], and confederates, [?0.38, ?0.01]. Positive ES may be an important factor in the reduced capacity to form new social relationships for individuals with a history of CT, anxiety, and depression.     

Association of Burnout with Emotional Coping Strategies,Friendship, and Institutional Support Among Internal Medicine Physicians

Physician burnout influences physician mental health, staff stress, safety events, and patient outcomes. The association of burnout with compassion satisfaction, secondary stress, emotional coping strategies and many psychosocial variables, such as institutional support, friendship, and spirituality, have not been well studied. A convenience sample of internal medicine physicians was emailed a survey using validated instruments to explore these associations. The response rate was 337/1021 (33%), with a burnout prevalence of 175/337 (52%). Grit, acceptance, active coping, positive reframing, and strategy planning were associated with lower burnout domains and greater compassion satisfaction. Certain emotional coping strategies such as denial, disengagement, self-blame, substance abuse, and venting were associated with greater burnout and lower compassion satisfaction. Greater institutional support was associated with lower burnout (r?=????.35, p?<?.001), secondary stress (r?=????.14, p?<?.05), and compassion satisfaction (r?=?.28, p?<?.0001). Friendship was associated with lower burnout (r?=????.25, p?<?.0001) and greater compassion satisfaction (r?=?.28, p?<?.0001). This study suggests that amelioration of burnout requires both intrinsic strategies that emphasize physician coping skills as well as extrinsic strategies that address institutional support.

     

The Comorbidity of Post-traumatic Stress Disorder and Suicidality in Vietnam Veterans

Vietnam veterans (N = 232) recruited from three sources were assessed for suicidal thinking and behaviors, and symptoms of posttraumatic stress disorder (PTSD) and depression. Findings support the notion that suicidal thoughts are prevalent in this group, with veterans in psychotherapy reporting a greater likelihood of such symptoms (82.6%) than veterans in the community (35.7%) or those seeking assistance through a veteran's outreach center (66.7%). Thoughts of ending one's life and a previous suicide attempt were significantly correlated with a diagnosis of PTSD (r = .53, p < .001; and r = .33, p < .001, respectively). Veterans with a diagnosis of PTSD and depression or dysthymia were also more likely to report suicidal thinking and behaviors than veterans with only one of the diagnoses.     

Temperamental Vulnerability and Suicide Risk After Attempted Suicide

The aim was to extend recent findings of suggested temperamental features in attempted suicide and to explore possible domains of vulnerability to suicide risk after attempted suicide. Fifty-four psychiatric inpatients hospitalized after a suicide attempt underwent lumbar puncture for analysis of CSF 5-HIAA concentration and also completed the Karolinska Scales of Personality (KSP) before discharge from the hospital. Suicide attempters scored high on Somatic Anxiety, Psychic Anxiety, and Muscular Tension, and low on Socialization, findings that support recent findings in suicide attempters followed up after an emergency room visit. Five patients committed early suicide, i.e., within 3 years, and the overall long-term suicide mortality after attempted suicide was 13%. There were significant correlations between survival time among early suicides and CSF 5-HIAA (r = .87;p = .054), and the following KSP scale t scores: Somatic Anxiety (r = ?.96;p < .05), Impulsivity (r = ?.88; p < .05), and Socialization (r = .90; p < .05). KSP Socialization showed correlations with CSF 5-HIAA (r = .89; p = .046) among the early suicides. Features of temperamental vulnerability to suicide risk after attempted suicide might involve anxiety proneness, impulsivity, low socialization, and low CSF 5-HIAA.     

The relationship among resilience,rumination and posttraumatic growth in hemodialysis patients in North China

Research has indicated that clinical serious disease may lead to posttraumatic growth (PTG). However, little is known about PTG among hemodialysis (HD) patients. The study examined the relationship among resilience, rumination and PTG among Chinese HD patients. 196 HD patients were recruited from a tertiary hospital in a Northern city of China between 1 June 2015 and 30 May 2016. Patients were surveyed using the Posttraumatic Growth Inventory-Chinese version, Connor-Davidson Resilience Scale, and Chinese Event Related Rumination Inventory. Correlation analyses showed that resilience was most highly positively correlated with PTG (r = .70, p < .001), deliberate rumination moderately correlated to PTG (r = .50, p < .001), and intrusive rumination was lower negatively related to PTG (r = –.26, p < .001). Regression analyses showed that age, gender, duration of dialysis, resilience and deliberate rumination had significant associations with PTG (β = ?.31, p ＜ .0001; β = –.14, p = .002; β = .10, p = .032; β = .44, p < .001; β = .20, p < .001). They together explained 65% of the total variance in PTG (F [8,195] = 46.74, p < .001). However, intrusive rumination was not associated with PTG (p > .05). The results suggested that resilience and deliberate rumination may be instrumental for PTG improvement.     

Resisting Everything Except Temptation: Evidence and an Explanation for Domain‐specific Impulsivity

We propose a model of impulsivity that predicts both domain‐general and domain‐specific variance in behaviours that produce short‐term gratification at the expense of long‐term goals and standards. Specifically, we posit that domain‐general impulsivity is explained by domain‐general self‐control strategies and resources, whereas domain‐specific impulsivity is explained by how tempting individuals find various impulsive behaviours, and to a lesser extent, in perceptions of their long‐term harm. Using a novel self‐report measure, factor analyses produced six (non‐exhaustive) domains of impulsive behaviour (Studies 1–2): work, interpersonal relationships, drugs, food, exercise and finances. Domain‐general self‐control explained 40% of the variance in domain‐general impulsive behaviour between individuals, r_effect = .71. Domain‐specific temptation (r_effect = .83) and perceived harm (r_effect = ?.26) explained 40% and 2% of the unique within‐individual variance in impulsive behaviour, respectively (59% together). In Study 3, we recruited individuals in special interest groups (e.g. procrastinators) to confirm that individuals who are especially tempted by behaviours in their target domain are not likely to be more tempted in non‐target domains. Copyright © 2011 John Wiley & Sons, Ltd.     

The relationship between DRM and misinformation false memories

This research investigated the relationship between false memories induced by two different paradigms (misinformation and Deese–Roediger–McDermott [DRM]). The misinformation effect refers to the phenomenon that a person’s recollection of a witnessed event can be altered after exposure to misleading information about the event. DRM false memory represents the intrusion of words that are semantically related but not actually presented in the study session. Subjects (N = 432) completed both misinformation and DRM false memory tests. Results showed a small but significant correlation (r = .12, p = .02) between the misinformation and DRM false memories. Furthermore, using signal detection theory, we found that the discrimination ability index (d′) was related to both the misinformation and DRM false memories (r = ?.12 and ?.13, p = .01), while the response bias was related only to DRM false memory (r = ?.46, p < .001). These results suggest that misinformation and DRM false memories generally involve different mechanisms and that their shared mechanism may involve the global discrimination ability.     

Reliability and validity of the self‐perception profile for adolescents: An Australian sample

In this study, we explored the psychometric properties and factorial validity of Harter's Self‐Perception Profile for Adolescents (SPPA) with an Australian sample drawn from the Raine study 14‐year follow‐up. Participants, boys (n = 795) and girls (n = 758) from Grades 8, 9, and 10, completed the SPPA. Cronbach's alpha showed good internal reliabilities for seven of the eight subscales and global self‐worth. Boys had significantly higher athletic (p < .001), physical appearance (p < .001), and romantic (p < .05) self‐perceptions, while the girls perceived significantly higher behavioural conduct (p < .001) and close friendships (p < .001). Exploratory factor analysis yielded similar factors to those reported by Harter with North American adolescents, although cross loadings resulted in one additional factor. Our findings generally supported Harter's conceptualisation of the self as a multidimensional construct, and with minor modifications, the use of the SPPA with Australian adolescents.     

General Attitudes Towards Marriage Scale: Psychometric Properties in Malaysian Adolescents of Divorced Families

Attitudes towards marriage in adolescence may influence the relationship quality in later years. There exist many measures of attitudes towards marriage which were validated among adolescents from two-parent family in the Western context. There is a need to validate measure of attitudes towards marriage in different countries. This study examined the psychometric properties of the Malay version of general attitudes towards marriage scale in a sample of 480 adolescents from divorced families in Malaysia. Exploratory factor analysis yielded a two-factor structure of general attitudes towards marriage scale, which explained for 60% of the variance. Additionally, the two-factor structure of general attitudes towards marriage scale demonstrated good fit to data in the confirmatory factor analysis (non-normed fit index?=?.941, comparative fit index?=?.958, root mean square error of estimation?=?.087, and χ ²/df?=?4.615). Overall, the general attitudes towards marriage scale exhibited good internal consistency (α?=?.901), which supports the reliability of the instrument. The significant relationships between general attitudes towards marriage scale and other constructs also provided evidences to the convergent validity (r?=?.761, p?<?.001 with intent to marry, r?=??.170, p?<?.001 with overt inter-parental conflict, and r?=?.523, p?<?.001 with mother–adolescent relationship). Significant gender difference was found in the report of general attitudes towards marriage scale (t?=??2.265, p?<?.05). Thus, the translated general attitudes towards marriage scale is a reliable, valid, and practical instrument to measure attitudes towards marriage among Malaysian adolescents in divorced family setting.     

Distress Tolerance and Social Support in Adolescence: Predicting Risk for Internalizing and Externalizing Symptoms Following a Natural Disaster

The purpose of the multi-measure, multi-wave, longitudinal study was to examine the interactive relation between behavioral distress tolerance (DT) and perceived social support (PSS) in 352 tornado-exposed adolescents aged 12–17 years (M = 14.44; SD = 1.74). At baseline, adolescents completed a computer-based task for DT, and self-report measures of PSS, depressed mood, posttraumatic stress disorder (PTSD), substance use, and interpersonal conflict. Symptoms also were assessed 4 and 12 months after baseline. Findings showed that lower levels of DT together with lower levels of PSS conferred risk for elevated symptoms of prospective depression (t(262) = ?2.04, p = .04; r_{effect size} = 0.13) and PTSD (t(195) = ?2.08, p = .04; r_{effect size} = 0.15) following a tornado. However, only PSS was significant in substance use t(139) = 2.20, p = .03; r_{effect size=}0.18) and conflict (t(138) = ?4.05, p < .0001; r_{effect size=}0.33) in our sample. Implications regarding adolescent DT, the transdiagnostic nature of PSS, and the clinical applications of our findings in the aftermath of a natural disaster are discussed.     

Organ donation intentions and behaviors: application and extension of the theory of planned behavior

Organ donation intentions and behaviors were investigated using a traditional and extended theory of planned behavior (TPB). In study 1, attitudes, subjective norms, and perceived behavioral control were associated with intentions to engage in donation behaviors in a student sample (all p ≤ .02), and intentions significantly predicted behavior 2 months later (p < .001). Study 2 utilized a community sample of Catholic, Jewish, and Muslim individuals. Measures of affect and religious attitudes were added to the traditional TPB, increasing the variance in intentions accounted for by the model, F(7, 181) = 6.94, p < .001. The studies support the use of an extended TPB in predicting donation‐related intentions and behaviors and suggest potential targets of interventions to promote donation.     

The dermatology life quality index (DLQI) and the hospital anxiety and depression (HADS) in Chinese rosacea patients

The study aims to investigate the quality of life (QOL) and the psychological situation in Chinese patients with rosacea. A total of 196 healthy controls and 201 rosacea patients were involved in the final analysis. The general information, the Dermatology Life Quality Index (DLQI) and the Hospital Anxiety and Depression Scale (HADS) were collected. Significantly higher DLQI, anxiety and depression score were observed in the rosacea group compared to the control group (p < .01). Total DLQI score of patients was positively related with anxiety (r = .526, p < .001) and depression scores (r = .399, p < .001) in HADS. Rosacea had significant psychological impact on Chinese patients and had substantial influence on their QOL. Physicians should address the psychosocial needs of rosacea patients as much as its physical symptoms.     

How Do Mothers Help Their Children Sleep at Night? Night‐waking Strategy Use Among Mothers of Preschool‐aged Children

Night‐waking is common among preschool‐aged children. Little is known about night‐time parenting among parents of preschool‐aged children. To explore night‐waking strategy use in a community sample, 203 mothers (M age = 32 years, SD = 5.1; children's M age = 3.4 years, SD = 1.0) completed the Night‐waking Strategy Scale (NSS) and measures of general parenting, agreement with night‐waking strategies, and children's sleep. Children were grouped by age (2‐, 3‐, and 4‐to‐5‐year‐olds). Mothers endorsed using routines most frequently, followed by active comforting and rewards; limit‐setting and punishment were used less often. NSS punishment and routines were significantly associated with parenting (e.g. laxness was correlated with NSS routines, rs = ?.35 to .47, p < .001). Night‐waking strategy use was correlated with agreement with those strategies (e.g. active comforting was correlated with agreement with active comforting rs = .35 to .52, p < .001). Active comforting was correlated with the frequency of children's night‐waking for 2‐ and 3‐year‐olds (rs = .35 and .38, respectively, p < .01). Mothers of preschool‐aged children in the community engage in a range of parenting strategies to manage children's night‐waking. These strategies are largely consistent with general parenting and agreement with night‐waking strategy use. Copyright © 2014 John Wiley & Sons, Ltd.     

A Four-Factor Model of Perceived Control: Avoiding, Coping, Obtaining, and Savoring

ABSTRACT This study provides evidence that people evaluate their control over events and over feelings separately with respect to both positive and negative experiences Confirmatory factor analyses revealed that subjects made separate self-evaluations of control regarding their ability to (a) avoid negative outcomes, (b) cope with negative outcomes, (c) obtain positive outcomes, and (d) savor positive outcomes In addition, beliefs about avoiding and obtaining were more highly correlated (r = 50) than were beliefs about coping and savoring (r= 27) It is argued that coping and savoring involve different sets of cognitive and behavioral skills Multiple regression analyses generally indicated that beliefs about avoiding and coping related more strongly to measures of subjective distress, whereas beliefs about obtaining and strongly related more strongly to measures of subjective well-being These four control beliefs are discussed in relation to other conceptual models of control, and ways in which savoring may promote perceived control are described     

Institutional care and iron deficiency increase ADHD symptomology and lower IQ 2.5–5 years post‐adoption

Increased ADHD symptomology and lower IQ have been reported in internationally adopted (IA) children compared to non‐adopted peers (Hostinar, Stellern, Schaefer, Carlson & Gunnar, 2012; Kreppner, O'Connor & Rutter, 2001). However, it is unclear whether these outcomes are due to institutional deprivation specifically or to co‐occurring micronutrient deficiencies that disrupt brain development (Fuglestad, Rao & Georgieff, 2008b). In this study, IA children were compared to children raised in their biological families to examine differences in ADHD symptomology and IQ 2.5–5 years post‐adoption and to assess the contributions of iron deficiency (ID) and duration of deprivation to these cognitive outcomes. ADHD symptoms (parent‐ and experimenter‐reported) and IQ were evaluated in 88 IA (M = 62.1 months, SD = 2.4) and 35 non‐adopted children (M = 61.4 months, SD = 1.6). IA children were assessed 29–64 months post‐adoption (M = 41.9 months, SD = 10.2). ID was assessed during the initial post‐adoption medical visit in 69 children, and children were classified into four groups by iron status, ranging from normal to ID anemia (most severe). IA children had greater ADHD symptomology, p < .01, and lower IQ, p = .001, than non‐adopted children. Within the IA group, children with more severe ID at adoption had greater ADHD symptomology, r(69) = 0.40, p = .001, and lower IQ, r(68) = −0.28, p < .05. Duration of institutional care was positively correlated with ADHD symptoms, r(86) = .28, p < .01, but not IQ, r(85) = −.08, p = .52. Longitudinal results indicate improvement in IQ from 12 months post‐adoption to age 5 for children with greater ID severity at adoption and longer duration of institutional care but no improvement in ADHD symptoms. These results signify continuing effects of early deprivation and ID on ADHD symptoms and IQ years after adoption. A video abstract of this article can be viewed at http://www.youtube.com/watch?v=vUFDAS3DD1c     

Coping mediates between social support,neuroticism, and depression after earthquake and examination stress among adolescents

Abstract

The objective of this study was to investigate the mediating role of coping strategies in the relationships between neuroticism, social support, and depression in two groups of adolescents: earthquake group and examination group. Adolescents facing earthquake stress (earthquake group, N=219) completed measures of neuroticism, perceived social support, coping strategies, and self-rating depression. Similarly, adolescents facing examination stress (examination group, N=241) completed the same measures. Results indicated that the earthquake group reported more use of secondary control engagement coping, whereas the examination group reported more use of primary control engagement coping. In addition, neuroticism was more strongly associated with coping in earthquake group and coping strategies explained significantly larger part of the relationship between neuroticism and depression. In contrary, perceived social support was more strongly associated with coping in examination group, and coping strategies explained significantly larger part of the relationship between perceived social support and depression.     

The relationships of change in work climate with changes in burnout and depression: a 2-year longitudinal study of Chinese mental health care workers

Mental health care workers face heavy emotional demand and are prone to work burnout. Work burnout has been associated with poor mental health and work climate, which refers to individual perceptions about work setting. The purpose of this study was to examine whether intra-individual changes in work climate were associated with intra-individual changes in burnout and depression over two years. The present sample included Chinese mental health care workers (N = 312; mean age = 38.6, SD = 9.9) working in a psychosocial rehabilitation institution. The participants completed questionnaires on work climate, work burnout and depression at seven time points across two years. Parallel process latent growth modeling was used to analyze the associations of change between work climate and burnout and depression. Work climate displayed a logarithmic decreasing trend while burnout and depression displayed logarithmic increasing trends over two years. Baseline levels of work climate were negatively and moderately associated with baseline levels of burnout and depression (r = ?.44 to ?.60, p < .01). Changes in work climate were negatively and moderately associated with change in burnout (r = ?.43, p < .01) and change in depression (r = ?.31, p < .05). Change in burnout was positively and strongly associated (r = .58, p < .01) with change in depression. The current results support temporal relationships among changes in work climate, burnout and depression across time. Practical implications for future preventive work in burnout interventions were discussed within this population.     

Death anxiety among New Zealanders: the predictive role of gender and marital status

The aim of this cross-sectional study was to investigate attitudes of New Zealanders towards death and dying. We administered an online version of Collett–Lester Fear of Death Scale and Concerns About Dying Instrument subscales to a representative sample of the New Zealand population. In total, 1001 people responded to the survey. Women reported more anxiousness concerning their own death (p?=?.001) and dying at a young age (p?>?.001). Women also showed more agreement towards spiritual aspects of dying (p?>?.001). Single female respondents worry more about dying (p =?.02) especially when young (p?=?.003). Single participants (p >?.001) aged 18 and 29 (p?>?.001) reported higher anxiety for Items relating to the death of others especially concerning never being able to communicate with the person again. Our findings show that marital status and gender strongly predict higher levels of death anxiety among New Zealanders. This is probably due to the cultural identity of those sampled.     

Health-related Internet habits and health anxiety in university students

Health-related Internet use has grown rapidly, yet little research has considered how health anxious individuals use the Internet for this purpose. Our aim was to examine the relationships between health anxiety and the extent of, reasons for, and consequences of health-related Internet usage in university students (n = 255). Responses on a purpose-made Internet use questionnaire were correlated with health anxiety scores; multiple regression analyses controlling for depression and anxiety were also conducted. Health anxiety positively correlated with (all ps < .01): frequency of health-related searching (r_s = .163), proportion of health-related information sought (r_s = .200), time spent online for health purposes (r_s = .166), and number of searches for both illness (r_s = .453) and wellness (r_s = .208) information. Health anxiety further positively correlated with advantages perceived in health-related Internet use (r_s = .183), heightened tension (r_s = .364) and relief (r_s = .174) post-search, and perceived doctor disadvantages (r_s = .306), yet a greater likelihood to visit a doctor post-search (r_s = .217). Health anxiety also correlated with six measures of possible addiction to using the Internet for health purposes (r_s range = .171 to .366, all ps < .01). Some (including several potentially dysfunctional) aspects of health-related Internet use correlate with health anxiety. Research evaluating the possible role of Internet use in the development and maintenance of health anxiety is warranted.     

Perceptions of inferred parental ability through sexually dimorphic facial features

In addition to providing robust cues diagnostic of prospective mates' heritable fitness, various physical features could be similarly utilized in inferring individuals' parental abilities. This study sought to explore how variations in sexually dimorphic facial features inform perceptions of social targets as motivated to provide parental care. American undergraduates (N = 244) viewed a series of 12 total male and female faces manipulated at varying degrees of sex-typicality (i.e., masculinized versus feminized versus unaltered controls) on a within-subjects basis, and rated the perceived motivation of each target to nurture and protect a child using items derived from the Parental Care and Tenderness Scale. Female targets were perceived as more motivated by parental care than male targets, F(1, 240) = 14.86, p < .001, η_p² = 0.058, whereas male targets were perceived as specifically motivated to protect offspring, F(1, 240) = 177.32, p < .001, η_p² = 0.425. Feminized targets were additionally perceived as more motivated by nurturance, though such inferences were apparent for both male and female targets, F(1, 240) = 7.36, p < .001, η_p² = 0.058. Findings represent an understanding of perceivers use of functional heuristics of sexual dimorphism in identifying optimal parents.