Development of a Behavioral Activation–Based Intervention for Cigarette-Smoking Young Adults

Quitting smoking during young adulthood can substantially reduce tobacco-related morbidity and mortality later in life. Depressive symptomatology is prevalent among smokers and increases risk for poor smoking cessation outcomes. However, few integrated behavioral interventions simultaneously target smoking and depressive symptoms and rarely have young smokers been included in the development of these interventions. In this paper we describe an 8-session behavioral activation–based treatment for smoking (BATS; MacPherson et al., 2010) adapted for youth. We conducted a series of focus groups with young adult smokers with depressive symptoms in order to modify treatment manuals to be developmentally appropriate. Subsequently, we completed a small pilot group (n = 5) of the intervention to provide preliminary data on feasibility, acceptability, and outcomes. We provide a case series of the participants in order to provide clinical illustrations of how the modified BATS treatment was implemented among young adults. Most pilot study participants exhibited smoking abstinence and smoking reductions at the end of treatment, as well as improvement in depressive symptoms and maintenance of levels of activation and environmental reward. Participants provided positive qualitative constructive feedback regarding the intervention.     

Depression and Approach Motivation: Differential Relations to Monetary,Social, and Food Reward

Depression is associated with blunted reward functioning. It remains unknown, however, whether depression is linked to diminished motivation to approach reward across categories of reward stimuli, or if depression is differentially related to approach motivation. The current study tested associations between depression and behavioral approach motivation to specific reward stimuli (i.e., money, social, food reward). In a two-visit study, university females (N = 122, M _age = 18.67) completed measures of depression and three behavioral approach motivation tasks (completed across visits). Differential findings emerged across behavioral reward tasks. Specifically, depressive symptoms were associated with decreased motivation to approach monetary and social reward but increased motivation to approach food reward. Results suggest a category-specific conceptualization of depressive symptomatology in relation to behavioral approach motivation, whereby women with elevated symptoms may be less likely to approach certain rewards, but more likely to approach others.     

Longitudinal evaluation of anhedonia as a mediator of fear of positive evaluation and other depressive symptoms

ABSTRACT

Fear of positive evaluation (FPE) is experiencing dread during real or potential praise. FPE is associated with social anxiety, but its relation to depressive symptoms is unclear. Anhedonia is a core symptom of depression related to symptoms of anxiety in cross-sectional research. The current study investigated the indirect effect of FPE on depressive symptoms via anhedonia over time. One-hundred ninety-six participants completed three waves of questionnaires over a total timespan of approximately four months via Amazon’s Mechanical Turk, including measures of FPE, depressive symptoms, and anticipatory and consummatory anhedonia. Findings indicated that anticipatory anhedonia at Time 2 mediated the relationship between FPE at Time 1 and depressive symptoms at Time 3. Consummatory anhedonia, however, did not. Each model was contextualised by accounting for prospective covarying relationships, such as depressive symptoms predicting the same symptoms at later waves. The constellation of findings is considered within a reward devaluation framework.     

The reward probability index: design and validation of a scale measuring access to environmental reward

Behavioral models of depression implicate decreased response-contingent positive reinforcement (RCPR) as critical toward the development and maintenance of depression (Lewinsohn, 1974). Given the absence of a psychometrically sound self-report measure of RCPR, the Reward Probability Index (RPI) was developed to measure access to environmental reward and to approximate actual RCPR. In Study 1 (n = 269), exploratory factor analysis supported a 20-item two-factor model (Reward Probability, Environmental Suppressors) with strong internal consistency (α = .90). In Study 2 (n = 281), confirmatory factor analysis supported this two-factor structure and convergent validity was established through strong correlations between the RPI and measures of activity, avoidance, reinforcement, and depression (r = .65 to .81). Discriminant validity was supported via smaller correlations between the RPI and measures of social support and somatic anxiety (r = – .29 to – .40). Two-week test–retest reliability was strong (r = .69). In Study 3 (n = 33), controlling for depression symptoms, hierarchical regression supported the incremental validity of the RPI in predicting daily diary reports of environmental reward. The RPI represents a parsimonious, reliable, and valid measure that may facilitate understanding of the etiology of depression and its relationship to overt behaviors.     

Longitudinal Study of Life Events,Well-Being,Emotional Regulation and Depressive Symptomatology

Etiological research regarding adolescent depression is relatively recent and longitudinal studies are needed to explicate the mechanisms by which risk and protective factors impact the development of depression. This investigation evaluated the effects of time 1 predictors (e.g., depressive symptoms, life events, subjective well-being, and emotion regulation strategies) on depressive symptoms assessed at time 2 (1 year later). The sample comprised 182 Portuguese adolescents, aged 12–16. Time 1 depressive symptoms and psychological well-being were significant predictors of time 2 depressive symptoms. Time 1 rumination predicted time 2 depressive symptoms, but time 2 brooding mediated this effect. Time 1 life events did not predict time 2 depressive symptomatology. This study identified several factors that seem to play an important role in the development of depressive symptomatology. Previous depressive symptomatology and well-being had a significant effect in this process and the relationship between rumination in time 1 and depressive symptoms at time 2 (1 year later) was fully mediated by brooding at time 2. Given these results, implications for prevention and treatment of depression include addressing risk factors like early depressive symptoms, rumination and brooding, and increasing the protective effect of psychological well-being.     

Affective,Biological, and Cognitive Predictors of Depressive Symptom Trajectories in Adolescence

Heterogeneity in the longitudinal course of depressive symptoms was examined using latent growth mixture modeling among a community sample of 382 U.S. youth from ages 11 to 18 (52.1 % female). Three latent trajectory classes were identified: Stable Low (51 %; displayed low depressive symptoms at all assessments), Increasing (37 %; reported low depressive symptoms at age 11, but then significantly higher depressive symptoms than the Stable Low class at ages 13, 15, and 18), and Early High (12 %; reported high early depressive symptoms at age 11, followed by symptoms that declined over time yet remained significantly higher than those of the Stable Low class at ages 13, 15, and 18). By age 15, rates of Major Depressive Disorder diagnoses among the Early High (25.0 %) and Increasing (20.4 %) classes were more than twice that observed among the Stable Low class (8.8 %). Affective (negative affectivity), biological (pubertal timing, sex) and cognitive (cognitive style, rumination) factors were examined as predictors of class membership. Results indicated general risk factors for both high-risk trajectories as well as specific risk factors unique to each trajectory. Being female and high infant negative affectivity predicted membership in the Increasing class. Early puberty, high infant negative affectivity for boys, and high rumination for girls predicted membership in the Early High class. Results highlight the importance of examining heterogeneity in depression trajectories in adolescence as well as simultaneously considering risk factors across multiple domains.     

Transactional Relationships among Cognitive Vulnerabilities, Stressors, and Depressive Symptoms in Adolescence

The transactional cognitive vulnerability to stress model Hankin & Abramson (Psychological Bulletin, 127:773–796, 2001) extends the traditional diathesis-stress model by proposing that the relationships among cognitions, depressive symptoms, and stressors are dynamic and bidirectional. In this study three different pathways among these variables were assessed simultaneously: (1) cognitive vulnerabilities and stressors as predictors of depressive symptoms (vulnerability model), (2) depressive symptoms and cognitive vulnerabilities as predictors of stressors (stress generation model), and (3) depressive symptoms and stressors as predictors of cognitive vulnerabilities (consequence model). A fully cross-lagged design panel was employed with 1,187 adolescents (545 girls and 642 boys, Mean Age?=?13.42 years) who were assessed at two time points separated by 6 months. They completed measures of cognitive vulnerabilities (maladaptive schema domains and negative inferential style), stressors, and depressive symptoms. Inferential style and schemas of the disconnection and rejection domain predicted prospective increases in depressive symptoms. Initial levels of depressive symptoms and most cognitive vulnerabilities predicted greater stress generation. Initial levels of stressors and depressive symptoms predicted an increase in negative inferential style and maladaptive schema domains over time. These bidirectional relationships were mostly similar for boys and girls, although there were a few gender differences. The findings support a transactional model with reciprocal relationships among stress, depressive symptoms, and cognitive vulnerabilities. Transactional implications for depression interventions among adolescents are discussed.     

Attachment Anxiety and Depressive Symptoms in Middle Childhood: the Role of Repetitive Thinking about Negative Affect and about Mother

Two studies with two independent samples aimed to investigate whether repetitive thinking about negative affect (RTna) and repetitive thinking about mother (RTm) can be mechanisms in the association between attachment anxiety and depressive symptoms in middle childhood. In Study 1 (N = 381) and Study 2 (N = 157) 9- to 12-year-olds completed self-report questionnaires measuring attachment, RTna and depressive symptoms. In Study 2, additionally, a questionnaire was developed to measure RTm, and a compound score for self- and mother-reported depressive symptoms was calculated. Results showed positive associations between attachment anxiety, RTna and RTm, and self-reported depressive symptoms and depressive symptoms agreed upon by mother and child. RTna and RTm mediated the relationship between attachment anxiety and these depressive symptoms. RTm mediated this relationship even beyond RTna for the multi-informant compound score. Thus, RTna and RTm seem to be independent mechanisms explaining the association between attachment anxiety and depressive symptoms in middle childhood.     

A Placebo-Controlled Online Study on Potential Mediators of a Pleasure-Based Positive Psychology Intervention: The Role of Emotional and Cognitive Components

While broad evidence exists that positive psychology interventions are effective in increasing well-being, less is known about the working mechanisms behind this process. We examine the impact of subjective changes in affectivity (i.e., elicitation of positive emotions) and cognitive processes (i.e., the gaining of insights) in three variants of a pleasure-based placebo-controlled online intervention (N = 509 adults). The variants were designed that they have (1) a cognitive focus, (2) an emotional focus, or (3) both cognitive and emotional foci. We assessed happiness and depressive symptoms before the intervention, immediately after the intervention, and at follow-ups after two weeks, one month, and three months, and collected subjective ratings on potential working mechanisms. Findings indicated that both variants with a cognitive focus increased happiness in comparison to the control condition, whereas only those interventions that fostered the experience of positive emotions reduced depressive symptoms. Positive emotions mediated the effects of the intervention on happiness and depressive symptoms, whereas insights only mediated the effects on happiness. The findings support the important role of positive emotions in positive interventions and provide new evidence for the relevance of cognitive changes in such interventions.     

Children's Sensitivity to Cost and Reward in Decision Making across Distinct Domains of Probability,Effort, and Delay

Many behavioral paradigms used to study individuals' decision‐making tendencies do not capture the decision components that contribute to behavioral outcomes, such as differentiating decisions driven toward a reward from decisions driven away from a cost. This study tested a novel decision‐making task in a sample of 403 children (age 9 years) enrolled in an ongoing longitudinal study. The task consisted of three blocks representing distinct cost domains (delay, probability, and effort), wherein children were presented with a deck of cards, each of which consisted of a reward and a cost. Children elected whether to accept or skip the card at each trial. Reward–cost pairs were selected by using an adaptive algorithm to strategically sample the decision space in the fewest number of trials. Using person‐specific regression models, decision preferences were quantified for each cost domain with respect to general tolerance (intercept), as well as parameters estimating the effect of incremental increases in reward or cost on the probability of accepting a card. Results support the relative independence of decision‐making tendencies across cost domains, with moderate correlations observed between tolerance for delay and effort. Specific decision parameters showed unique associations with cognitive and behavioral measures including executive function, academic motivation, anxiety, and hyperactivity. Evidence indicates that sensitivity to reward is an important factor in incentivizing decisions to work harder or wait longer. Dissociating the relative contributions of reward and cost sensitivity in multiple domains may facilitate the identification of heterogeneity in suboptimal decision making. Copyright © 2017 John Wiley & Sons, Ltd.     

Changes in self-perceptions in children with ADHD: a longitudinal study of depressive symptoms and attributional style

This study examined positive self-perceptions in relation to depressive symptoms and attributional style in a sample of 88 boys with attention-deficit/hyperactivity disorder (ADHD) assessed at baseline and at a 2- to 3-year follow-up. Change in boys' self-perceptions of competency in the scholastic, social, and behavioral domains was examined as a predictor of changes in depressive symptoms and depressive attributional style. Additionally, teacher-rated perceptions of competency at baseline and follow-up were considered as unique predictors. Results indicated that across all three domains, a reduction in children's self-perceptions of competency over time predicted greater depressive symptoms at follow-up, even when controlling for teacher-rated competency. Analyses also suggested that a reduction in self-perceptions in the social domain was the strongest relative predictor of later depressive symptoms and also predicted greater depressive attributional style at follow-up. In contrast, teacher-rated competency was not a significant predictor of depressive symptoms or attributional style at follow-up. Results support a protective function of positive self-perceptions in regards to depressive cognitions over a 2- to 3-year period for children with ADHD. However, literature suggesting risks for other negative outcomes also is discussed.     

Gratitude and depressive symptoms: The role of positive reframing and positive emotion

Eight studies (N=2,973) tested the theory that gratitude is related to fewer depressive symptoms through positive reframing and positive emotion. Study 1 found a direct path between gratitude and depressive symptoms. Studies 2–5 demonstrated that positive reframing mediated the relationship between gratitude and depressive symptoms. Studies 6–7 showed that positive emotion mediated the relationship between gratitude and depressive symptoms. Study 8 found that positive reframing and positive emotion simultaneously mediated the relationship between gratitude and depressive symptoms. In sum, these eight studies demonstrate that gratitude is related to fewer depressive symptoms, with positive reframing and positive emotion serving as mechanisms that account for this relationship.     

Maternal Mind-Mindedness and Children’s Behavioral Difficulties: Mitigating the Impact of Low Socioeconomic Status

Relations between mothers’ tendency to comment appropriately on their 8-month-olds’ internal states (mind-mindedness) and children’s behavioral difficulties (Strengths and Difficulties Questionnaire) at ages 44 and 61 months were investigated in a socially diverse sample (N?=?171, 88 boys). Controlling for maternal depressive symptoms, perceived social support, sensitivity, child language ability, and child gender, maternal mind-mindedness was negatively related to children’s externalizing and internalizing behaviors specifically in low socioeconomic status (SES) families. Furthermore, behavioral difficulties at age 44 months mediated the relation between maternal mind-mindedness and behavioral difficulties at age 61 months, but only for low SES families. These findings are discussed with reference to possible ways in which mind-mindedness could inform interventions targeted at at-risk groups.     

Gratitude and depressive symptoms: the role of positive reframing and positive emotion

Eight studies (N=2,973) tested the theory that gratitude is related to fewer depressive symptoms through positive reframing and positive emotion. Study 1 found a direct path between gratitude and depressive symptoms. Studies 2-5 demonstrated that positive reframing mediated the relationship between gratitude and depressive symptoms. Studies 6-7 showed that positive emotion mediated the relationship between gratitude and depressive symptoms. Study 8 found that positive reframing and positive emotion simultaneously mediated the relationship between gratitude and depressive symptoms. In sum, these eight studies demonstrate that gratitude is related to fewer depressive symptoms, with positive reframing and positive emotion serving as mechanisms that account for this relationship.     

The Effects of Parental Depressive Symptoms,Appraisals, and Physical Punishment on Later Child Externalizing Behavior

Examined a cognitive-behavioral pathway by which depressive symptoms in mothers and fathers increase risk for later child externalizing problem behavior via parents’ appraisals of child behavior and physical discipline. Participants were 245 children (118 girls) at risk for school-age conduct problems, and their parents and teachers. Children were approximately 3 years old at Time 1 (T1) and 5 ½ years old at Time 2 (T2). At T1, mothers and fathers reported their depressive symptoms, perceptions of their child’s reciprocal affection and responsiveness, frequency of physical punishment, and child externalizing problems. Mothers, fathers, and teachers provided ratings of externalizing behavior at T2. Structural equation modeling revealed that parents’ negative attributions mediated positive relations between their depressive symptoms and frequency of physical punishment for both fathers and mothers. More frequent physical punishment, in turn, predicted increased child externalizing behavior at T2. In future research, transactional mechanisms underlying effects of clinical depression on child conduct problems should be explored at multiple stages of development. For parents showing depressive symptoms, restructuring distorted perceptions about their children’s behavior may be an important component of intervention programs.     

Parenting Behaviors of Mothers and Fathers of Preschool Age Children with Internalizing Disorders

This study investigated parenting behaviors of mothers and fathers of clinically anxious preschool children (with or without depressive comorbidity) and healthy comparison children. Studies assessing children from early school age onwards have found that parental control, rejection, and inconsistent discipline are associated with the presence of children’s internalizing symptoms/disorders. Despite the scarcity of studies investigating these associations at preschool age, we assumed that findings with older children would also apply to children in this age group. In a cross-sectional study we assessed N = 176 children of preschool age (M = 5; 2 years) and both of their parents. A diagnostic interview (Preschool Age Psychiatric Assessment) was conducted to determine children’s psychiatric diagnoses, yielding the following results: a group of n = 67 children with pure anxiety disorders (AD group), a group of n = 38 children with anxiety disorders with depressive comorbidity (AD/DC group), and a comparison group of n = 71 children without psychiatric disorders. Both parents completed the German extended version of the Alabama Parenting Questionnaire. We evaluated maternal depressive symptoms and children’s temperament as further correlates. All variables that differed significantly between groups were entered into multinomial logistic regression analyses to test which variables predict group membership. When comparing each of the two anxiety groups with the comparison group we obtained the following results: (1) Inconsistent paternal discipline and maternal depressive symptoms increased and children’s positive affectivity decreased the probability of children of being in the AD group rather than in the comparison group. (2) Maternal overinvolvement, maternal depressive symptoms and children’s negative affectivity increased and children’s positive affectivity decreased the probability of children of belonging to the AD/DC group rather than to the comparison group. When comparing the two anxiety groups with each other, we found that inconsistent paternal discipline increased and children’s negative affectivity decreased the probability of children of being in the AD group rather than in the AD/DC group. The results suggest that paternal parenting behaviors show different associations with internalizing disorders at preschool age than maternal parenting behaviors. This underlines the importance of including fathers in the prevention and treatment of internalizing disorders at preschool age.     

正强化和负强化:概念、争议与神经机制

1975年,Michael首次正式提出应放弃"正强化"和"负强化"术语的使用,引起对"正强化和负强化是否本质上具有区别"这一问题的关注和争议。正负强化究竟本质上是否有区分、如何区分、以及区分它们的意义等问题,得到了众多行为心理学家的深入探讨。多数学者再度阐明正强化和负强化具有不同的心理机制,加以区分具有重要应用意义,主张沿用对它们的区分。最近,对正负强化神经机制的研究取得突破性进展,进一步揭示它们具有截然不同的神经相关过程。我们建议,分析强化作用进行时,机体是否在环境条件作用下已经偏离了基础、正常的心理稳态,有助于规范理解强化物启动的是正还是负强化的神经过程。     

Maternal Avoidant Coping Mediates the Effect of Parenting Stress on Depressive Symptoms during Early Adolescence

We examined maternal avoidant coping as a mediator between maternal parenting stress and maternal depressive symptoms during early adolescence. Three years of self-report data were collected from 173 mothers, beginning when mothers’ adolescents were in 6th grade and aged 11–13 years. Utilizing longitudinal path analysis, results indicated that avoidant coping at time two mediated the association between parenting stress at time one and depressive symptoms at time three. Additionally, the reverse direction of effects was examined, revealing that the relation between parenting stress and avoidant coping was unidirectional, while the relation between avoidant coping and depressive symptoms was bidirectional. Our results suggest that during early adolescence, mothers who experience more stress in the parenting role are more likely to engage in higher levels of avoidant coping when faced with parenting problems. In turn, a mother’s long-term avoidant reactions to parenting problems may predict increases in depressive symptoms. Moreover, our findings of a bidirectional relation between avoidant coping and depressive symptoms suggest that prior levels of depression might serve as a barrier to efficient and effective coping. The present study may inform preventive intervention efforts aimed at decreasing the use of avoidance in response to parenting stressors by increasing adaptive parental coping with stressors, and providing appropriate support and resources for parents.     

Path Models of the Relationships of Instrumentality and Expressiveness to Social Self-Efficacy, Shyness, and Depressive Symptoms

This study was designed to examine path models of the relationships of instrumentality, expressiveness, and social self-efficacy to shyness and depressive symptoms in college students. Models indicated strong relationships between social self-efficacy and instrumentality; the relationship of instrumentality to depressive symptoms was mediated by its relationship to social self-efficacy. The relationship of social self-efficacy to depressive symptoms was direct and was also mediated by its relationship to expressiveness. These findings provide new information on how gender role-related personality traits may be protective against depression.     

Reward Responsiveness and Ruminative Styles Interact to Predict Inflammation and Mood Symptomatology

Abnormal reward responsiveness and rumination each are associated with elevated inflammation and mood symptoms. Ruminating on positive and negative affect, or dampening positive affect, may amplify, or buffer, the associations of reward hyper/hyposensitivity with inflammation and mood symptoms. Young adults (N = 109) with high or moderate reward sensitivity completed reward responsiveness and ruminative style measures at the initial visit of a longitudinal study of mood symptoms, a blood draw to assess inflammatory biomarkers, and mood symptom measures at the study visits before and after the day of the blood draw. The interaction between high reward responsiveness and rumination on positive affect was associated with higher levels of an inflammatory composite measure and hypomanic symptoms. The interaction between lower reward responsiveness and high dampening of positive affect was associated with higher levels of the inflammatory composite measure and depressive symptoms. Lower reward responsiveness also interacted with low rumination on positive affect to predict increases in depressive symptoms and higher levels of the inflammatory composite. Thus, levels of reward responsiveness and ruminative response styles may synergistically influence the development of inflammatory phenotypes and both hypomanic and depressive mood symptoms.