Patterns of psychological distress in mothers of preterm infants

Mothers of preterm infants experience significant psychological distress, with elevated levels of inter-correlated depressive, stress, anxiety and post-traumatic stress symptoms. In a sample of racially and ethnically diverse mothers of preterm infants, we identified differing patterns of psychological distress during infant hospitalization and examined the effect of these psychological distress patterns on longitudinal trajectories of each psychological distress measure and on maternal perceptions of the child over the first year of the infant's life. Mothers of preterm infants (N = 232) completed five questionnaires assessing depressive symptoms, anxiety, post-traumatic stress symptoms, stress due to infant appearance, and stress due to parental role alteration during enrollment during the neonatal hospitalization, discharge, and at 2, 6, and 12 months of age adjusted for prematurity. Latent class analysis on the enrollment psychological distress variables allowed us to identify five sub-groups of mothers exhibiting similar patterns of psychological distress, differing primarily in degree and type: low distress, moderate distress, high NICU-related distress, high depressive and anxiety symptoms, and extreme distress. These classes continued to show different longitudinal trajectories for the psychological distress measures through 12 months corrected age. Mothers in the extreme distress class and, to a lesser degree, mothers in the high depressive and anxiety symptom class remained at risk of significant psychological distress one year after discharge and had less positive perceptions of their child (greater worry and higher perceptions of child vulnerability). In conclusion, distinctive sub-groups of mothers during hospitalization had different patterns of psychological distress throughout the 12-month period and may require different interventions in the NICU.     

Resilience Mediates the Relations Between Perfectionism and College Student Distress

This study examined the relations among perfectionism dimensions, resilience, and distress. Participants were 413 undergraduate students. All 3 of Hewitt and Flett's (2004) dimensions of perfectionism were associated with greater reports of depression and anxiety; however, only socially prescribed perfectionism was significantly associated with resilience. Results indicated that resilience partially mediated the relations between socially prescribed perfectionism and distress. Implications for counselors in the prevention, assessment, and treatment of depression and anxiety are discussed.     

L’évolution des facteurs prédictifs de la détresse psychologique des étudiants en contexte de Covid-19 : un modèle d’équation structurelle exploratoire

IntroductionStudents are at risk for mental health issues due to the COVID-19 pandemic. The implementation of lockdowns as a means to curb the spread of the disease have had an impact on this population, as observed in many international studies. However, few studies have investigated the longitudinal impact of COVID-19 lockdowns on students’ mental health.ObjectiveWe explored the relation between individual characteristics of students, context of life, difficulties in emotion regulation and psychological distress over the first two lockdowns in France during the COVID-19 pandemic.Methodology160 university students (90% female, mean of 24 years old) responded to an online questionnaire at three times points: once during the first lockdown during the COVID-19 pandemic in march 2020, a second time after this lockdown and a third time during the second lockdown. Difficulties in emotion regulation, psychological distress, acute stress, academic concerns, financial resources, and exchanges with professors were measured.ResultsAn exploratory structural equations model was developed to investigate the factors related to psychological distress (χ² = 1459.18, df = 1064, CFI = 0.910, RMSEA = 0.049, SRMR = 0.068). During both lockdowns, psychological distress was explained by academic concerns and lack of emotional clarity and acceptance. An indirect and negative significant relation was identified between financial difficulties, lack of exchanges with professors during the first lockdown, emotion clarity and experienced psychological distress during the second lockdown. Repeated measures ANOVAs identified high levels of acute stress during both lockdowns and a diminution during the deconfinement indicating an impact of sanitary measures on student's mental health.ConclusionCoherently with the Bruchon-Sweiser translational model of stress, emotion regulation capacities seem to have a central and moderating role in the experience of the pandemic for students. They would benefit greatly from appropriate therapeutic interventions in this pandemic situation and in general.     

Trait emotional intelligence and mental distress: The mediating role of positive and negative affect

Over the past decade, emotional intelligence (EI) has received much attention in the literature. Previous studies indicated that higher trait or ability EI was associated with greater mental distress. The present study focused on mediating effects of positive and negative affect on the association between trait EI and mental distress in a sample of Chinese adults. The participants were 726 Chinese adults (384 females) with an age range of 18–60 years. Data were collected by using the Wong Law Emotional Intelligence Scale, the Positive Affect and Negative Affect Scale, and the General Health Questionnaire. Hierarchical regression analysis showed that EI was a significant predictor of positive affect, negative affect and mental distress. Further mediation analysis showed that positive and negative affect acted as partial mediators of the relationship between EI and mental distress. Furthermore, effect contrasts showed that there was no significant difference between the specific indirect effects through positive affect and through negative affect. This result indicated that positive affect and negative affect played an equally important function in the association between EI and distress. The significance and limitations of the results are discussed.     

Is Viewing Ostracism on Television Distressing?

ABSTRACT

Being ostracized can be a painful and distressing experience and can lead to subsequent aggression by the victim. However, it is unknown whether watching someone else be ostracized either in real life or on television is similarly distressing. The purpose of the current study was to examine what type of distress (if any) is induced after viewing ostracism on television. The study consisted of 50 participants, half who viewed a movie clip containing ostracism and half who viewed a control clip. Physiological and self-report data revealed that viewing ostracism was distressing to participants. In particular, participants who viewed the ostracism clip reported a lower sense of belonging, self esteem, and mood, and a greater increase in heart rate and skin conductivity than those who viewed the control clip.     

Mediators of the shame-guilt-psychological adjustment relationship

Lynch, J. S., Hill, E. D., Nagoshi, J. L. & Nagoshi, C. T. Mediators of the shame-guilt-psychological adjustment relationship. Scandinavian Journal of Psychology 53, 437-443. A college student sample (109 women, 90 men) was administered measures of psychological adjustment, shame, guilt, personal fear of invalidity, and aspects of empathy, including personal distress in emergencies and fantasy involvement. Consistent with previous studies, shame but not guilt was significantly positively correlated with poor psychological adjustment. Path analyses with bootstrapped mediation tests indicated that the shame-adjustment relationship was significantly mediated by fear of invalidity, personal distress, and fantasy involvement. A novel finding was that the relationship between guilt and maladjustment was significantly mediated by proneness to fantasy. The findings are discussed in terms of an integrated theory of the shame-fear/distress-maladjustment relationship as a framework for understanding the maladaptive, individualistic shame experience.     

The Role of Attachment in Immigrant Sociocultural Adaptation and Psychological Distress

The study extends recent research on the link between attachment security and the sociocultural and psychological adaptation of immigrants. It was hypothesised that attachment style would moderate the effects of sociocultural adaptation difficulties on psychological distress and the relationship between attachment style and immigrant background variables was explored. The study was correlational and questionnaire‐based, including a sample of 172 Brazilian immigrants living in the UK. According to the findings, secure and dismissing attachment styles moderated the effects of sociocultural adaptation difficulties on psychological distress. Preoccupied attachment style moderated the effects of previous immigration experience on psychological distress and the effects of duration of stay in the UK on concerns over terrorism. Future studies should employ longitudinal designs and include a variety of immigrant groups. Copyright © 2011 John Wiley & Sons, Ltd.     

Repetitive negative thinking mediates the association between perfectionism and psychological distress

Our objective was to analyze the relationships between Repetitive negative thinking (RNT), perfectionism and psychological distress. Specifically we wanted to test if RNT mediates the relationship between perfectionism and psychological distress. 788 college students completed self-report questionnaires to evaluate perfectionism trait dimensions [Evaluative concerns (EC) and Positive strivings (PS)], RNT dimensions [Repetitive thinking (RT) and Cognitive interference and unproductivity (CIU)], perceived stress, and perceived support. Psychological distress was measured with the Profile of Mood States subscales: Depression (D), Tension–anxiety (TA), Anger–hostility (AH), Fatigue–inertia (FI) and Vigor–anxiety (VA). After controlling for perceived stress and support, perfectionism dimensions and RNT (particularly CIU) remained a significant predictors of psychological distress. CIU was a partial mediator of the relationship between EC and D, TA, AH, FI and VA and a full mediator of the relationship of PS with D and FI. Whereas the effect of negative perfectionism on emotional disturbances was potentiated by RNT, PS was only associated to it when high levels of RNT were also present. Showing that Positive striving effects on psychological distress may be a function of specific mediators, these results contribute to a better understanding of the nature of positive perfectionism.