When context <Emphasis Type="Italic">matters</Emphasis>: Negative emotions predict psychological health and adjustment

Functional theories of emotion argue for the adaptive function of negative emotions in response to specific contextual or environmental demands. However, data supporting these theories in community samples is limited and much research has suggested the opposite: negative emotions predict poor adjustment. To begin to address this discrepancy, we tested the functional association between negative emotion and psychological health and adjustment across three diverse samples: adults in intimate-partnerships, patients with chronic illness, and first-year college students. In each study we employed lab-based methods to elicit and index emotion as a multi-dimensional response system and considered contextual factors and the theorized or demonstrated function of negative emotions in that context and in relation to specific outcomes. Data analysis revealed that contextually sensitive negative emotion was adaptive, and associated with better relationship adjustment and related behaviors (Study 1), higher treatment adherence (Study 2), and adaptive responses to peer rejection (Study 3). Across samples, circumstances, and outcomes, negative emotions were positively associated with psychological health and adjustment.     

„Bei der Vertretung bin ich viel tiefer an meine Probleme drangekommen …“

In inpatient group therapy it is necessary to substitute the group leader during times of vacation orillness. Problems for therapists, teams and patients, arising by the situation of substitution, arediscussed. The institutional framework of a hospital is characterized by different interests, thatsometimes lead to conflicts about the amount of substitution. It is helpful for therapists working assubstitute, to use group cohesion and not to bond the group too much to the leader. In this way the change of group leaders can be overcome better both by the group and the therapist.     

The effects of study order and backward associative strength on illusory recollection: A source-strength effect does not always occur

We investigated illusory recollection by dividing lists of associated words into three subsets (high, medium and low) based on their backward associative strength (BAS) to an unstudied theme. Participants studied these subsets at different visual locations on a computer screen and afterwards were given a source memory test. In Experiment 1, we varied the order in which high- and medium-BAS subsets were studied. In Experiment 2, we again manipulated study order as well as the associative strength of the medium-BAS subsets (strong or weak). Across both experiments, illusory recollection was constrained by both study order and BAS. Source attributions to the high-BAS location were more likely (a source-strength effect) when high-BAS items were studied first or studied following items of relatively low associative strength. However, attributions to the strong medium-BAS studied location were more likely when these items were studied before high-BAS items. These findings are interpreted as resulting from misbinding of source details at encoding which can be explained by the activation-monitoring theory of illusory recollection.     

Trait anxiety and attenuated negative affect differentiation: a vulnerability factor to consider?

Background and Objectives: Describing emotional experiences using distinct terms, or affect differentiation, has been associated with emotion regulation and adaptive behavior under stress. There is little data, however, examining the association between differentiation and dispositional factors underlying psychopathology. The current study examines the association between differentiation and trait anxiety (TA) given prior evidence of cognitive biases in TA relevant to higher order processing of emotional experiences.

Design: We examined cross-sectionally, via lab-based repeated assessment, the association between differentiation of negative and positive experiences and TA.

Methods: Two hundred twenty-two adults completed an emotion reactivity task including repeated assessments of affect. We hypothesized that individuals higher in trait anxiety (HTA) would have greater difficulty differentiating their experiences.

Results: HTA individuals exhibited lower levels of negative affect (NA) differentiation even when controlling for depression. Although negative emotion intensity was consistently associated with lower differentiation, this did not account for the influence of HTA on differentiation.

Conclusions: These data suggest that HTA individuals have greater difficulty differentiating negative emotions, regardless of negative emotion intensity and depression. As HTA is common to many emotional disorders; this evidence suggests that poor differentiation may also be an important transdiagnostic consideration in models of risk and of affective disease.     

The frequency of actions and thoughts scale: development and psychometric validation of a measure of adaptive behaviours and cognitions

This paper describes the development and preliminary psychometric evaluation of an instrument that measures the frequency of adaptive behaviours and cognitions related to therapeutic change during cognitive behavioural therapy (CBT), for symptoms of anxiety and depression. Two studies were conducted. In study one, 661 participants completed an online survey with 28 items targeting adaptive behaviours and cognitions. Exploratory factor analysis performed on part of the sample (n = 451) revealed that a four-factor solution ‘characterised’ the data. This led to the development of a 12-item instrument, the Frequency of Actions and Thoughts Scale (FATS). Confirmatory factor analysis was used to confirm the factor structure of the FATS using the remaining sample (n = 210), which revealed an acceptable model fit. In study two, 125 participants with clinically significant symptoms of anxiety, depression, or both were recruited to an Internet-delivered CBT (iCBT) treatment course. Participants completed the FATS and other measures throughout treatment, after treatment, and at three-month follow-up. Correlations and residual change scores of the FATS and its subscales with measures of anxiety, depression, behavioural activation, and CBT-related skills usage supported the construct validity of the FATS. A significant increase in FATS scores over treatment was also observed. The findings provide preliminary support for the psychometric properties of the FATS, which appears to have utility in research investigating mechanisms of change in CBT.     

Processes and outcomes in prevention-focused time-limited groups for girls

Processes and outcomes in 8-week prevention-focused, school-based groups for preadolescent girls were assessed in a naturalistic study. Specifically, whether such groups would facilitate their social-emotional development and whether affiliative processes in the groups were related to outcome were explored. In addition to expecting the groups to be effective, it was hypothesized that affiliative processes would be directly related to outcome and, more particularly, that increased positive affiliative feelings from the group toward the individual would be more predictive of positive treatment outcome than increased positive feelings from the individual toward the group. While findings did not support these hypotheses linking process to outcome, ancillary analyses revealed that different patterns of affiliation over time (i.e., U-shape pattern versus inverted U-shape pattern) distinguished the high- versus low-outcome participants, respectively.     

Ready, Willing, and Able: Developing a Support System to Promote Implementation of School-Based Prevention Programs

While the number and scope of evidence‐based health, education, and mental health services continues to grow, the movement of these practices into schools and other practice settings remains a complex and haphazard process. The purpose of this paper is to describe and present initial support for a prevention support system designed to promote high‐quality implementation of whole school prevention initiatives in elementary and middle schools. The function and strategies of a school‐based prevention support system are discussed, including key structures and activities undertaken to identify, select, and provide technical assistance to school personnel. Data collected over a 5 year period are presented, including evidence of successful implementation support for 5 different evidence‐based programs implemented with fidelity at 12 schools and preliminary evidence of goal attainment. Findings suggest the ongoing collection of information related to organizational readiness assists in the adoption and implementation of effective practices and initiatives and provide valuable insight into the development of results‐oriented approaches to prevention service delivery. Problems, progress, and lessons learned through this process are discussed to frame future research and action steps for this school‐based prevention support system. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Habitual self-regulatory orientation and ease-of-retrieval: Regulatory focus qualifies the impact of subjective experiences in judgment

Eager strategies of self-regulation, known as promotion orientation, and cautious or vigilant strategies of self-regulation, known as prevention orientation, have been found to be associated with distinct patterns of goal attainment and information exploration. Building on these findings, we hypothesize that self-regulation in a promotion versus prevention focus triggers specific patterns of information use in judgment. Specifically, we predict that reliance on ease-of-retrieval??the feeling of ease or difficulty associated with accessing information??is particularly pronounced with a predominant promotion- compared to prevention-orientation. Two experiments that manipulate ease-of-retrieval and assess habitual differences in regulatory focus orientation support this prediction. The current contribution thus extends previous research by documenting that habitual tendencies of promotion-oriented as compared to prevention-oriented self-regulation are associated with reliance on distinct information sources in judgment.     

Smoking is ok as long as I eat healthily: Compensatory Health Beliefs and their role for intentions and smoking within the Health Action Process Approach

Compensatory Health Beliefs (CHBs) are defined as beliefs that the negative consequences of unhealthy behaviours can be compensated for by engaging in healthy behaviours. CHBs have not yet been investigated within a framework of a behaviour change model, nor have they been investigated in detail regarding smoking. Thus, the aim of this study was to investigate on a theoretical basis whether smoking-specific CHBs, as a cognitive construct, add especially to the prediction of intention formation but also to changes in smoking behaviour over and above predictors specified by the Health Action Process Approach (HAPA). The sample comprised 385 adolescent smokers (mean age: 17.80). All HAPA-specific variables and a smoking-specific CHB scale were assessed twice, 4 months apart. Data were analysed using structural equation modelling. Smoking-specific CHBs were significantly negatively related to the intention to stop smoking over and above HAPA-specific predictors. Overall, 39% of variance in the intention to quit smoking was explained. For the prediction of smoking, CHBs were not able to explain variance over and above planning and self-efficacy. Thus, smoking-specific CHBs seem mainly important in predicting intentions but not behaviour. Overall, the findings contribute to the understanding of the role of smoking-specific CHBs within a health-behaviour change model.     

Partizipationsverhalten schizophren erkrankter Patienten in Psychoedukationsgruppen

Background

The effectiveness of psychoeducation groups for people with schizophrenia is well documented; however, there are no studies which examined patient participation behavior although this behavior might be critical for accomplishment of the therapeutic goals. This article presents newly developed 4-point Likert scale, the participation quality rating scale (PQRS), together with initial results on practicability, validity, change sensitivity, sociodemographic and clinical correlates and on the question whether participation quality might be a significant predictor of the short and long-term outcome of psychoeducation.

Patient and methods

Within the framework of the Munich Study “Cognitive Determinants of Psychoeducation and Information in Schizophrenic Psychoses” (COGPIP) the individual participation behavior of 97 patients with schizophrenia was examined after each psychoeducational group session (4 weeks). Individual mean PQRS scores were correlated with sociodemographic, anamnestic and clinical variables. In addition to change sensitivity the ability of the scale to predict the acquisition of illness knowledge during psychoeducation was examined as well as readmission during a 9-month follow-up period and the psychopathological endpoint (positive and negative syndrome scale, PANSS).

Results

Practicability and change sensitivity of the PQRS were found to be sufficient. Significant correlations with independently rated illness insight and medication compliance indicated a construct validity of the scale. Higher age, female sex and less pronounced psychopathological symptoms (PANSS) were associated with better participation behavior. Even patients with clearly impaired participation behavior profited from psychoeducation in that they were able to catch up with the delay with regard to illness knowledge. However, the PQRS was not a predictor of readmission during the 9-month follow-up period or of psychopathological endpoints.

Conclusions

The PQRS is qualified as a new tool for the standardized assessment of participation behavior in people with schizophrenia attending psychoeducation groups. The scale can be applied in research as well as clinical contexts in order to further improve understanding of how psychoeducation works and how this kind of supplementary therapy could become even more effective.