Writing content predicts benefit from written expressive disclosure: Evidence for repeated exposure and self-affirmation

Expressive disclosure regarding a stressful event improves psychological and physical health, yet predictors of these effects are not well established. The current study assessed exposure, narrative structure, affect word use, self-affirmation and discovery of meaning as predictors of anxiety, depressive and physical symptoms following expressive writing. Participants (N = 50) wrote on four occasions about a stressful event and completed self-report measures before writing and three months later. Essays were coded for stressor exposure (level of detail and whether participants remained on topic), narrative structure, self-affirmation and discovery of meaning. Linguistic Inquiry and Word Count software was used to quantify positive and negative affect word use. Controlling for baseline anxiety, more self-affirmation and detail about the event predicted lower anxiety symptoms, and more negative affect words (very high use) and more discovery of meaning predicted higher anxiety symptoms three months after writing. Findings highlight the importance of self-affirmation and exposure as predictors of benefit from expressive writing.     

Depression and stressful environments: identifying gaps in conceptualization and measurement

Background and Objectives: Stress is well known as a trigger of depressive reactions, fear, anxiety, and behavioral disorders. However, there are many gaps in the conceptualization and measurement of environmental stress. Results: Exciting developments in the neuroscience of stress have increasingly expanded our knowledge of mechanisms by which stress may affect emotional and behavioral adjustment. Ironically, environmental stress has often been a silent player in human studies of stress processes. There is a significant need for increased efforts to include environmental stress variables in models of internalizing and other disorders. Measurement and conceptualization issues are prominent, and this article makes the case for improved methods of measuring acute, chronic, and early life stress, and for additional conceptualization of the dynamically changing and bidirectional effects of stress on disorder over time. Conclusions: There is a critical need for greater focus on and better measurement of the environment and its impact on emotional and other disorders, with emphasis on developmentally informed hypotheses. Empirical findings and new perspectives may contribute enormously to our understanding of normal and abnormal outcomes, and also to the challenge of effective interventions to promote mental health and optimal functioning.     

Factorial structure of the perceived stress scale and implications for scoring

IntroductionThe 10-item Perceived Stress Scale (PSS-10) is a brief, widely-used measure of perceived stressful experiences that evaluates the degree to which people perceive their lives as unpredictable, uncontrollable or overloaded.ObjectiveThe present study examined the factor structure of the Greek version of the PSS-10.MethodUsing a representative sample of 320 adults from Cyprus, alternative confirmatory factor analytic models were compared to specifically assess bidimensional versus unidimensional specifications for the scale.ResultsA bifactor model with a general factor which loads on all items and a specific one which loads on positively-worded items that capture the notion of self-efficacy to deal with stressful situations, was found to fit well to the data, while providing evidence of a robust latent factor of general distress. Reliability and construct validity evidence with multiple criterion variables were also examined.ConclusionsAlthough a simple unidimensional specification has not been empirically supported in previous research, bifactor modeling exemplifies the extent of multidimensionality and implies that a single score may be reliably used for practical purposes.     

The discrepant effect of acute stress on cognitive inhibition and response inhibition

This study aimed to investigate how acute stress impinges on individual’s cognitive inhibition and response inhibition abilities. Electroencephalography was adopted when 35 healthy adult females performing the No Go Flanker task before and after the Trier Social Stress Test. Both inhibition processes evoked N2 and P3 components, but only the response inhibition evoked the late positive potential (LPP), indicating the response inhibition needed continuous cognitive effort to inhibit the prepotent response. The N2 and the P3 amplitudes were decreased, while the LPP amplitudes were increased under acute stress. These results suggested that acute stress caused the detrimental effect by occupying cognitive resources. Contrastingly, individuals actively regulated and made more efforts to counteract the detrimental effect of acute stress on response inhibition. Thus, acute stress impaired cognitive inhibition but did not affect response inhibition.     

Religion and Spirituality among American Indian,South Asian,Black, Hispanic/Latina,and White Women in the Study on Stress,Spirituality, and Health

Social scientists have increasingly recognized the lack of diversity in survey research on American religion, resulting in a dearth of data on religion and spirituality (R/S) in understudied racial and ethnic groups. At the same time, epidemiological studies have increasingly diversified their racial and ethnic representation, but have collected few R/S measures to date. With a particular focus on American Indian and South Asian women (in addition to Blacks, Hispanic/Latinas, and white women), this study introduces a new effort among religion and epidemiology researchers, the Study on Stress, Spirituality, and Health. This multicohort study provides some of the first estimates of R/S beliefs and practices among American Indians and U.S. South Asians, and offers new insight into salient beliefs and practices of diverse racial/ethnic and religious communities.     

A Systematic Review of the Posttraumatic Stress Disorder Checklist (PCL)

In this systematic review, the authors analyzed 336 published articles and dissertations that used the Posttraumatic Stress Disorder Checklist (PCL) to determine the reliability and validity of scores on 3 different versions: PCL–Specific, PCL–Military, and PCL–Civilian. Results confirmed Weathers, Litz, Herman, Huska, and Keane's ( 1993 ) claim that the PCL has adequate psychometric properties and appears to support the construction of a new version, the PCL‐5, as a population‐nonspecific instrument.     

Trauma Symptoms,Communication, and Relationship Satisfaction in Military Couples

Trauma symptoms are negatively correlated with couple relationship satisfaction, which is of particular importance in the relationships of military personnel who are often exposed to trauma whilst on overseas deployment. This study tested a model in which communication mediated an association between trauma symptoms and low relationship satisfaction. Thirty‐one Australian military couples were observationally assessed during a communication task, and assessed on their relationship satisfaction and individual functioning. As expected, trauma symptoms in the male military spouse were associated with low satisfaction in both spouses. Females’ low positive communication fully mediated the relationship between males’ trauma symptoms and low female satisfaction, but not male relationship satisfaction. Unexpectedly, males’ negative communication behaviors were associated with high male relationship satisfaction, and partially mediated the association between trauma symptoms and male satisfaction. Discussion focused on how some communication usually thought of as negative might be associated with relationship satisfaction in military couples.     

Evaluation of two short-term stress interventions in the context of mobility

ObjectivesIn our lives we experience different types of stress that emanate from a variety of situations. This stress can potentially spill over into unrelated situations, including the operation of a vehicle in a safe manner. It is not well known which types of countermeasures can actually mitigate such stress during driving. For this purpose, one needs valid stress intervention methods for the different types of stress that commonly occur during driving. In this study, it was therefore evaluated whether or not two stress interventions were effective in reducing stress. These two stress interventions were Positive Psychology–i.e., being an activity to reflect about thankful moments–and Biofeedback–i.e., being an activity aimed at continued relaxation based on the display of the participants own stress level.MethodsA study with 41 (n = 21 male) participants was conducted in a stationary vehicle to evaluate the effectiveness of Positive Psychology and Biofeedback on stress reduction. Stress was induced using the Stroop Task. During a Stroop Task high stress is caused by naming color words displayed in another, incongruent color. In the Baseline Condition, participants looked at neutral images, which were expected to have no effect on stress levels. These conditions were then compared.FindingsThe results revealed that participant stress levels were significantly higher during each stress induction period in comparison to each stress intervention period. This indicated that a reduction of stress is possible by administering stress interventions in a stationary setting. Yet, there was no difference between Positive Psychology, Biofeedback, and the Baseline Condition, supposedly due to the short administration, stress-reducing attributes of the Baseline Condition itself, or regression to the mean effects.NoveltyThe overall goal of this research is the development of stress interventions to target different types of stress that can occur in the context of mobility, an application context not yet investigated. These interventions are expected to improve well-being and safety inside the vehicle by improving concentration, attention, and psychomotor control, which can be reduced by high stress. The study took a first step to achieve this goal by developing and evaluating Positive Psychology and Biofeedback as stress intervention activities to mitigate stress in a stationary vehicle–a situation comparable to automated driving. The developed interventions showed stress-reducing effects in the stationary setting whereas looking at neutral pictures–although serving as the baseline–was similarly stress-reducing. This enables the next step–adding the task of manual driving to the interventions to look into both the effectiveness of the interventions during manual driving and driving safety at the same time.     

The Effects of Parental Education and Family Income on Mother–Child Relationships,Father–Child Relationships,and Family Environments in the People's Republic of China

Using a cross‐sectional design with 407 Chinese children aged 3–5 years and their parents, this study examined the effects of socioeconomic status, specifically parents' education and family income, on the children's mother–child relationships, father–child relationships, and the social environment in their families. The results indicated that income negatively predicted conflict in father–child relationships and positively predicted family active‐recreational environments. Income also positively predicted family cohesion among girls but not boys. Maternal education negatively predicted conflict in mother–child relationships and positively predicted closeness in mother–child and father–child relationships, family cohesion, and the intellectual‐cultural and active‐recreational environments in the family. Paternal education positively predicted family cohesion and intellectual‐cultural and active‐recreational environments. Income was found to partially mediate the effects of both maternal and paternal education on family active‐recreational environments. Findings are discussed in the frameworks of the family stress model and the family investment model.