Perceptions of stressful life events as turning points are associated with self-rated health and psychological distress

Abstract

We test the hypothesis that changes in physical and psychological health are associated with construals of stressful life events. At two points in time, approximately 10 years apart, participants (n=1038) rated their physical health and psychological distress. At the second assessment, participants also reported their most stressful life event since the first assessment and indicated whether they considered the event a turning point and/or lesson learned. Lower self-ratings of health and higher ratings of psychological distress, controlling for baseline health and distress, and relevant demographic factors, were associated with perceiving the stressful life event as a turning point, particularly a negative turning point. The two health measures were primarily unrelated to lessons learned. How individuals construe the most stressful events in their lives are associated with changes in self-rated health and distress.     

Conscious knowledge influences decision‐making differently in substance abusers with and without co‐morbid antisocial personality disorder

Decision‐making impairment, as measured by the Iowa Gambling Task (IGT), is a consistent finding among individuals with substance use disorder (SUD). We studied how this impairment is influenced by co‐morbid antisocial personality disorder (ASPD) and conscious knowledge of the task. Three groups were investigated: SUD individuals without co‐morbid ASPD (n = 30), SUD individuals with co‐morbid ASPD (n = 16), and healthy controls (n = 17). Both SUD and SUD+ASPD participants had poor overall IGT performance. A block‐by‐block analysis revealed that SUD participants exhibited slow but steady improvement across the IGT, whereas SUD+ASPD participants exhibited initial normal improvement, but dropped off during the last 40 trials. Conscious knowledge of the task was significantly correlated to performance for controls and SUD participants, but not for SUD+ASPD participants. Our findings suggest that decision‐making proceeds differently in SUD and SUD+ASPD individuals due to differences in acquisition and application of conscious knowledge.     

Increasing CREB in the auditory thalamus enhances memory and generalization of auditory conditioned fear

Although the lateral nucleus of the amygdala (LA) is essential for conditioned auditory fear memory, an emerging theme is that plasticity in multiple brain regions contributes to fear memory formation. The LA receives direct projections from the auditory thalamus, specifically the medial division of the medial geniculate nucleus (MGm) and adjacent posterior intralaminar nucleus (PIN). While traditionally viewed as a simple relay structure, mounting evidence implicates the thalamus in diverse cognitive processes. We investigated the role of plasticity in the MGm/PIN in auditory fear memory. First we found that auditory fear conditioning (but not control manipulations) increased the levels of activated CREB in both the MGm and PIN. Next, using viral vectors, we showed that exogenously increasing CREB in this region specifically enhanced formation of an auditory conditioned fear memory without affecting expression of an auditory fear memory, formation of a contextual fear memory, or basic auditory processing. Interestingly, mice with increased CREB levels in the MGm/PIN also showed broad auditory fear generalization (in contrast to control mice, they exhibited fear responses to tones of other frequencies). Together, these results implicate CREB-mediated plasticity in the MGm/PIN in both the formation and generalization of conditioned auditory fear memory. Not only do these findings refine our knowledge of the circuitry underlying fear memory but they also provide novel insights into the neural substrates that govern the degree to which acquired fear of a tone generalizes to other tones.     

Standing between two worlds in Harlem: A developmental psychopathology perspective of perinatally acquired human immunodeficiency virus and adolescence

Perinatal HIV infection in the US continues to evolve from a fatal pediatric illness to a chronic medical condition of childhood and adolescence. Although navigating this period is influenced by multi-leveled deprivations commonly experienced by low-income minority families, HIV alters the timing and experience of developmental milestones for many adolescents with perinatal HIV. This selective review of the growing developmental psychopathology literature and the authors' clinical work at a pediatric HIV program in Harlem, NY provide an overview of how developmental psychopathology offers an integrative framework that elucidates how autonomy, peer relationships, and self-concept evolve among 13–21 year old adolescents. This paper highlights the importance of considering influences of both perinatal HIV and the culture of poverty on adolescent development, and of adopting multilevel interventions and research to address how interactions among biologic, environmental, and HIV-related stressors (serostatus disclosure, medical treatment adherence, illness stigma) influence the development of adolescents with perinatal HIV.     

Understanding Goal Motivations in Deprived Contexts: Perspectives of Adults in Two Rural South African Communities

The aim of the present study was to explore and describe the goals and motivations underlying them for adults living in rural African contexts using an inductive approach. Seventy participants (n = 25 males, n = 45 females) between 43 and 89 years (mean age 60.85 years) were selected from a total of N = 537 residing in the rural Ganyesa and Tlakgameng communities in South Africa. Participants were asked to indicate the three most important goals in their present lives and then provide reasons why each of these goals was important to them. Themes emerging from the data analysis referred to financial security, meeting social needs, environmental considerations, generative caring, and relational goals. Goal motivations were not mere intrinsic processes aimed at personal need satisfaction, but had a strong interdependent focus embedded in existing relational ties. Based on the findings we conceptualise an integration of key constructs found in diverse perspectives used in goal research and emphasise the unique role of contextual factors in the understanding of goals and motivations underlying them. These findings highlight important considerations in the enhancement of the quality of life of rural residents of Ganyesa and Tlakgameng.

     

The Age and Gender Effect on Four Forms of Peer Victimization among Chinese Children and Adolescents

Applied Research in Quality of Life - This study is the first to examine the effects of age and gender on different forms of peer victimization among local Chinese schoolchildren in Hong Kong. The...     

Facets of conscientiousness and objective markers of health status

Objective: To examine the association between six facets of conscientiousness (self-control, order, industriousness, traditionalism, virtue, responsibility) and objective markers of health status, including adiposity, blood markers and physical performance.

Design: Cross-sectional analysis of participants from the health and retirement study (N = 12,188).

Main Outcome Measures: Adiposity (body mass index, waist circumference), blood markers (A1c, HDL cholesterol, total cholesterol, cystatin c, c-reactive protein) and physical performance (lung function, grip strength, walking speed).

Results: Four of the six facets of conscientiousness were associated with nearly all of the health markers: Self-control, organisation, industriousness and responsibility were related to lower adiposity, healthier metabolic, cardiovascular and inflammatory markers, and better performance on physical assessments. Traditionalism and virtue had fewer associations with these objective markers.

Conclusion: This research took a facet-level approach to the association between conscientiousness and objective markers of health status. This research builds on models of conscientiousness and health to suggest that, in addition to health-risk behaviours, facets of conscientiousness are associated with more favourable biomedical markers of health status.     

Age differences in autobiographical memory across the adult lifespan: older adults report stronger phenomenology

As an individual’s life story evolves across adulthood, the subjective experience (phenomenology) of autobiographical memory likely changes. In addition to age at retrieval, both the recency of the memory and the age when a memory is formed may be particularly important to its phenomenology. The present work examines the effect of three temporal factors on phenomenology ratings: (a) age of the participant, (b) age at the event reported in the memory, and (c) memory age (recency). A large sample of Americans (N?=?1120), stratified by chronological age, recalled and rated two meaningful memories, a Turning Point and an Early Childhood Memory. Ratings of phenomenology (e.g., vividness of turning points) were higher among older adults compared to younger adults. Memories of events from the reminiscence bump were more positive in valence than events from other time periods but did not differ on other phenomenological dimensions; recent memories had stronger phenomenology than remote memories. In contrast to phenomenology, narrative content was generally unrelated to participant age, age at the event, or memory age. Overall, the findings indicate age-related differences in how meaningful memories are re-experienced.     

A Comparison of Error-Correction Procedures Within Audio–Visual Conditional Discrimination Training

Children with autism spectrum disorders (ASD) often emit errors during the establishment of conditional discriminations. These children may not respond to more traditional error-correction procedures, such as least-to-most prompting. In this study, we compared two other types of error-correction procedures, namely embedding an identity-matching task as a differential observing response (DOR; Fisher et al. in J Appl Behav Anal 40:489–499, 2007) compared with a second-order fixed ratio 3/fixed ratio 1 (FR3 FR1) schedule with response cost procedure (Fisher et al. in J Appl Behav Anal 47:738–748, 2014). Results garnered from a multiple baseline design with embedded adapted alternating treatment design components demonstrated that the identity-matching/DOR procedure lead to superior acquisition of conditional discriminations for two boys with ASD. These findings suggest that for audio-conditional discrimination training, the identity-matching/DOR method may be more effective over the second-order FR3 FR1 with response cost approach.     

Five‐Factor Model Personality Traits and the Objective and Subjective Experience of Body Weight

Research on personality and adiposity has focused primarily on middle‐aged and older adults. The present research sought to (a) replicate these associations in a young adult sample, (b) examine whether sex, race, or ethnicity moderate these associations, and (c) test whether personality is associated with the subjective experience of body weight and discrepancies between perceived and actual weight. Participants (N = 15,669; M_age = 29; 53% female; ～40% ethnic/racial minority) from Wave 4 of the National Longitudinal Study of Adolescent Health completed a Five‐Factor Model personality measure and reported their weight, height, and perception of weight category (e.g., overweight); trained staff measured participants’ height, weight, and waist circumference. Conscientiousness was associated with healthier weight, with a nearly 5 kg difference between the top and bottom quartiles. Neuroticism among women and Extraversion among men were associated with higher adiposity. Neuroticism was also associated with misperceived heavier weight, whereas Extraversion was associated with misperceived taller and leaner. The associations were similar across race/ethnic groups. Personality is associated with objective and subjective adiposity in young adulthood. Although modest, the effects are consistent with life span theories of personality, and the misperceptions are consistent with the conceptual worldviews associated with the traits.