Meaning in life accounts for the association between long-term ostracism and depressive symptoms: The moderating role of self-compassion

ABSTRACT

According to the temporal need–threat model, ostracism results in three stages of responses. Research on the responses to ostracism has predominantly focused on the first two stages, and the literature needs further empirical evidence on responses to long-term ostracism. We conducted two studies to better understand the association between long-term ostracism and depressive symptoms. Study 1 found a positive association between long-term ostracism and depressive symptoms. More importantly, Study 1 found the threatened sense of meaning in life partially mediates the relationship. Study 2 further found that self-compassion, a positive and healthy trait, weakens the relationship between long-term ostracism and depressive symptoms. More specifically, self-compassion moderates the relationship between the threatened sense of meaning in life and depressive symptoms. Our findings not only further our understanding about the negative consequences of long-term ostracism but also suggest a possible way to mitigate depressive symptoms associated with long-term ostracism.     

Symptom overreporting and dissociative experiences: A qualitative review

We discuss a phenomenon that has received little attention to date in research on dissociative phenomena, namely that self-reports of these phenomena overlap with the tendency to overendorse eccentric items. We review the literature documenting the dissociation-overreporting link and then briefly discuss various interpretations of this link: (1) overreporting is an artifact of measuring dissociative symptoms; (2) dissociative psychopathology engenders overreporting of eccentric symptoms through fantasy proneness or impairments in internal monitoring; (3) an overreporting response style as is evident in malingerers, for example, promotes reports of dissociative symptoms. These three interpretations are not mutually exclusive. Also, the dissociation-overreporting link may have different origins among different samples. Because overreporting may introduce noise in datasets, we need more research specifically aimed at disentangling the dissociation-overreporting link. We suggest various avenues to accomplish this goal.     

Traumatic stress symptoms following a lower limb amputation in diabetic patients: a longitudinal study

Objective: Limited research has focussed on the development of traumatic stress symptoms following an amputation due to a chronic disease such as Diabetes. This study analysed whether coping strategies, anxiety and depression symptoms, sociodemographic and clinical variables were related to traumatic stress symptoms in a sample of patients who had undergone a lower limb amputation.

Design: A longitudinal design with three assessments, one month (T1), six (T2) and ten months after an amputation surgery (T3), included 144 patients.

Main outcome measures: IES-R, WOC and HADS.

Results: Traumatic stress symptoms were prevalent at T1 (M?=?15.65, SD?=?15.40) and probable PTSD was observed in 13.9% patients. Presence of pain, high level of anxiety symptoms and emotion-focused strategies contributed to traumatic stress symptoms, and the period between T1 and T2, was critical. Six to ten months (Λ?=?0.871, F (2,84) =6.245, p=. 003), after surgery, symptoms tended to decrease 0.122 units (SE?=?0.032, p?=?0.002) per assessment.

Conclusions: Findings raise awareness to the need of urgent identification of traumatic stress symptoms in medically ill patients who underwent a lower limb amputation, given the prevalence of traumatic stress symptoms right after surgery and in the following six months.     

Trauma symptoms,temperament traits,social support and the intensity of pain in a Polish sample of patients suffering from chronic pain

The aim of the current study was to investigate the relationship between the intensity of pain, treated as the explained variable, and the level of trauma symptoms, as appear in posttraumatic stress disorder (PTSD), temperament traits postulated by the Regulative Theory of Temperament and aspects of social support among patients suffering from chronic pain (arthritis and low-back pain). To assess the intensity of pain among participants we used the Numerical Rating Scale (NRS-11). The level of trauma symptoms was assessed with the PTSD Factorial Version inventory (PTSD-F). Temperament was measured with the Formal Characteristics of Behaviour – Temperament Inventory (FCB-TI). Social support was tested with the Berlin Social Support Scales (BSSS). The results of our study suggest that significant predictors of pain intensity among chronic pain sufferers were trauma symptoms. We also noticed that some temperament traits (i.e., emotional reactivity) increased the level of global trauma symptoms, which, in turn, intensified the level of pain. In addition, we showed that global trauma symptoms decreased the support participants actually received.     

The underlying dimensions of DSM-5 posttraumatic stress disorder (PTSD) and their relationships with mental and somatoform dissociation,depression and anxiety among jail inmates

ABSTRACT

In this study we examined the DSM-5 factor structure of scores on the Turkish version of the posttraumatic stress disorder (PTSD) Checklist for DSM–5 (PCL-5) and predictors of PTSD caseness in a sample of male prisoners. The 7-factor hybrid model was the optimal model relative to the alternatives. Consistent with the PTSD literature in prisoners, the majority of respondents had past traumatic experiences (96.7%), a probable PTSD diagnosis (68.4%), pathological dissociation (46.8%) and somatoform dissociation (52.3%). Probable PTSD caseness was significantly associated with dissociation and depression, as well as higher levels of education and being married. Re-experiencing was strongly associated with mental and somatic dissociation; whereas dysphoric arousal was related to depression and anxiety.     

Effects of maternal depressive symptoms on sensitivity to infant distress and non-distress: Role of SES and race

The goals of the present study were to examine the extent to which (a) maternal depressive symptoms (prenatal vs. postnatal depressive symptoms) undermine maternal sensitivity toward both infant distress and non-distress; (b) such effects are stronger in the context of socioeconomic risk. SES risk and depressive symptoms interacted such that depressive symptoms, both pre and postnatal, only predicted lower sensitivity among mothers at heightened SES risk. The effects were comparable for sensitivity to distress and non-distress and did not vary by maternal race.     

The effects of patient's frequency of attendance and etiology of symptoms,on the General Practitioners wellbeing

IntroductionThe presence of Medically Unexplained Symptoms and a high Frequency of Attendance negatively affects the General Practitioners’ (GP) wellbeing. Although, overlapping between both phenomena is partial, with a number of frequent attenders reporting medically unexplained symptoms during consultation, there is no evidence on how GP's well-being it is affected by the specific main effects of these factors and their interaction. Evidence is also scant on the psychological processes explaining the negative impact of attendance and the etiology of symptoms on GP's wellbeing.ObjectiveDrawing on the Job Demand-Control and the Conservation of Resource stress models, this paper tests the moderating effects of the GP’ perception of patient's attendance and etiology of symptoms on the relationship between patient's demands and feedback on the GP's wellbeing.MethodA total of 105 volunteer GPs self-reported on the study variables through an experience sampling methodology after 898 patients’ consultation. Patients attendance and etiology of symptoms were categorized according to the physician self-perception and an external criterion (organizational records).ResultsPerception of Patients Frequent Attendance and Medically Unexplained Symptoms were positively related to physician's Emotional Exhaustion. Contrary to expected the test of the moderation effects of patients characteristics on the relation between patient's demands and feedback and the GP's emotional exhaustion were stronger for normal attenders compared with frequent attenders. An ad hoc study shows this unexplained result is related to the GP's expectations on Frequent vs. normal attenders’ behaviors. No significant results were found when the external criterion of classification was used.ConclusionCombined analysis of Frequency of Attendance and Etiology of Symptoms lead to a better understanding of the GP's decreased wellbeing. Also, the perception of the strain level (demands/positive feedback levels) associated to the consultation with different types of patients contribute to explain the consequences for the GP's wellbeing, especially when GP's expectations on patient's behaviors are violated.     

Psychometric Evaluation of the Parentification Inventory–Swahili Version With Kenyan Adults: Factor Structure,Reliability, and Validity

The immediate concerns and aftereffects of parentification in the United States are well documented. However, the correlates of parentification in international communities are less known. This psychometric study explored the validity of a Swahili version of the Parentification Inventory (PI; Hooper, 2009) with a sample of 279 Kenyan adults. Factor analysis produced a 3-factor structure, but with fewer items (N = 17) than in the original PI (N = 22). Recommendations for using the PI–Swahili Version are discussed. Las preocupaciones inmediatas y las secuelas de la parentificación en los Estados Unidos están bien documentadas. Sin embargo, las correlaciones de la parentificación en comunidades internacionales son menos conocidas. Este estudio psicométrico exploró la validez de una versión en suajili del Inventario de Parentificación (PI, por sus siglas en inglés; Hooper, 2009) en una muestra de 279 kenianos adultos. El análisis factorial produjo una estructura de 3 factores, pero con menos elementos (N = 17) que en el PI original (N = 22). Se discuten recomendaciones para el uso de la versión en suajili del PI.     

Parentification and mental health symptoms: mediator effects of perceived unfairness and differentiation of self

Existing research indicates that parentification can result in positive and negative outcomes for individuals; however, little is known about the mechanisms that account for the variability. This study tested a theoretical model of the relation between parentification tasks and mental health symptoms, with perceived unfairness and differentiation of self (DoS) as mediators. The results supported the proposed model in a sample of 783 college students. A significant total indirect effect existed between the latent construct of parentification and that of mental health symptoms. Significant specific indirect effects were observed between parentification and mental health symptoms with perceived unfairness as a mediator; between parentification and DoS with perceived unfairness as a mediator and between perceived unfairness and mental health symptoms mediated by DoS. Implications for clinical work with adult clients who have experienced parentification in their family of origin are addressed.     

A one-year prospective investigation of Type D personality and self-reported physical health

Objective: Type D personality is characterised by negative affectivity (NA) and social inhibition (SI), and is often associated with poorer physical and psychological health. However, the underlying mechanisms are unclear and the literature lacks longitudinal assessment. Therefore, the aim was to prospectively examine the relationships between Type D and physical symptoms, in addition to aspects of retrospective health.

Design: An online questionnaire-based study (N?=?535) with a one-year follow-up (N?=?160) was conducted with healthy individuals (18–65 years). Type D was assessed as both a categorical and dimensional construct.

Main outcome measures: Participants completed the Type D scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Cohen–Hoberman Inventory of Physical Symptoms (CHIPS) and Perceived Stress Scale (PSS) at both phases. Retrospective health questions and the Social Readjustment Rating Scale (SRRS) were also completed at follow-up.

Results: Type D was independently related to cardiac/sympathetic, metabolic, vasovagal, muscular and headache symptoms at baseline. At follow-up stressful events and anxiety mediated the relationships between Type D and particular symptoms. Type Ds were more likely to report poorer health, increased minor illnesses, work absences, and medical information seeking.

Conclusions: Type D is associated with symptoms often linked to stress. Although the relationships appear to be primarily driven by NA, these findings support the theory of a stress-related mechanism potentially underpinning the Type D-health relationship. These findings contribute to the literature continuing to highlight Type D personality as a risk factor for negative health outcomes.