The role of illness perceptions in the attachment-related process of affect regulation

Abstract

Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.     

Normal face-based judgements of social characteristics despite severely impaired holistic face processing

Initial evidence indicates that face-based judgements of socially relevant characteristics such as people's trustworthiness or attractiveness are linked to the configural/holistic processing of facial cues. What remains a matter of debate, however, is whether such processing is actually necessary for normal social judgements to occur and whether it resembles the type of integrative processing as required for facial identification. To address these issues, we asked a well-characterized case of acquired prosopagnosia (PS) with a marked deficit in holistic processing for face identity to rate a series of faces on several dimensions of social relevance. PS provided ratings within the normal range for most of the social characteristics probed (i.e., aggression, attractiveness, confidence, intelligence, sociability, trustworthiness). Her evaluations deviated from those of healthy controls only when facial dominance was concerned. Taken together, these data demonstrate that the inability to integrate facial information during face individuation does not necessarily translate into a generalized deficit to evaluate faces on social dimensions.     

Dynamic models of well-being: implications of affective events theory for expanding current views on personality and climate

Research investigations into employee well-being (EWB) have tended to take a between-individual approach, which highlights differences among people. This traditional paradigm has been complemented by examinations of intraindividual EWB, which explores within-person variation over periods of time. Drawing on affective events theory (AET), we further elaborate the implications of intraindividual EWB for two reasonably stable sets of constructs—personality traits and affective climates. We argue that the intraindividual paradigm challenges scholars to rethink what they mean by stability, concluding that stability can be conceptualized in two ways—as reasonably consistent levels of affect and predictable patterns of affective change.     

Positive and negative affect,depression, and cognitive processes in the Cognition in the Study of Tamoxifen and Raloxifene (Co-STAR) Trial

ABSTRACT

Objectives: This study examined the relationship between positive and negative affect, depressive symptoms, and cognitive performance. Methods: The sample consisted of 1479 non-demented, postmenopausal women (mean age = 67 years) at increased risk of breast cancer enrolled in the National Surgical Adjuvant Breast and Bowel Project’s Study of Tamoxifen and Raloxifene. At each annual visit, women completed a standardized neuropsychological battery and self-report measures of affect and depression. Data from three visits were used in linear mixed models for repeated measures using likelihood ratio tests. Separate analyses were performed to relate positive/negative affect and depression to each cognitive measure. Results: Higher positive affect was associated with better letter fluency (p = .006) and category fluency (p < .0001). Higher negative affect was associated with worse global cognitive function (p < .0001), verbal memory (CVLT List B; p = .002), and spatial ability (p < .0001). Depressive symptoms were negatively associated with verbal knowledge (p = .004), figural memory (p < .0001), and verbal memory (p’s ≤ .0001). Discussion: Findings are consistent with some prior research demonstrating a link between positive affect and increased verbal fluency and between depressive symptoms and decreased memory. The most novel finding shows that negative affect is related to decreased global cognition and visuospatial ability. Overall, this research in a large, longitudinal sample supports the notion that positive affect is related to increases and negative affect to decreases in performance on distinct cognitive measures.     

Promoting emotional well-being through the use of humour

Humour skills programmes are believed to assist in improving emotional well-being by increasing self-efficacy, positive thinking, optimism and perceptions of control, while decreasing negative thinking, perceptions of stress, depression, anxiety and stress. The study aims to evaluate a programme investigating this possibility. Volunteers from the community (37 females and 18 males, aged M?=?38 years) were randomly assigned to a humour group, a social group or a non-intervention control group. The programme, consisting of a manual and a booklet of measures assessing indices of well-being, was administered over an 8-week period. Data were collected at baseline, post programme and at 3-month follow-up. Results revealed that unlike the control and social groups, the humour group demonstrated a significant increase in several indices of emotional well-being. Specifically, increases occurred with self-efficacy, positive affect, optimism and perceptions of control, while decreases were found in perceived stress, depression, anxiety and stress levels.     

Happiness: unlocking the mysteries of psychological wealth,by Ed Diener and Robert Biswas-Diener

No research to date has supported the ‘social contagion’ effect of laughter and smiles in a non-Western context, nor among children. Expressions of positive affect were here compared according to social and non-social conditions among 163 children between the ages of 5–12 while playing in a park in Afghanistan. Independent observers coded laugh and smile responses using published criteria and identified 147 laugh responses and 697 smile responses. Children in the social play condition demonstrated significantly more laughs than children in the non-social play condition, and the number of peer observers present in the social play condition significantly increased the number of participant smile responses, but not laugh responses. Findings supported the idea in Western research that laughter and smiles may function in moderating social relationships and communicating affect. The authors recommend future research to investigate the relationship between positive affect and well-being across cultures, with consideration for practical interventions.     

Subjective temporal trajectories for subjective well-being

Based on Diener's (Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.) tripartite model of subjective well-being (SWB), subjective evaluations of past, present, and anticipated future life satisfaction (LS), positive affect (PA), and negative affect (NA) were evaluated in a cross-sectional undergraduate sample. Upward mean trends in subjective trajectories (past?<?present?<?future) were typical, on average, for each SWB component. As predicted, higher levels of present SWB were aligned with greater positive psychological, physical, and interpersonal functioning. In contrast, steeper upward subjective SWB trajectories were associated with greater distress and dysfunction. Of the three SWB components, unique links with indicators of functioning were most consistent for LS trajectories. We conclude that a temporally expanded conceptualization of SWB spanning subjective assessments of past, present, and anticipated future LS, PA, and NA provides a rich framework for studying the structure of SWB and the significance of how people perceive their well-being to be unfolding over time.