Imagining the future in health anxiety: the impact of rumination on the specificity of illness-related memory and future thinking

Individuals with health anxiety experience catastrophic fears relating to future illness. However, little research has explored cognitive processes involved in how health anxious individuals picture the future. Ruminative thinking has been shown to impede the ability to recall specific autobiographical memories, which in turn is related to maladaptive, categoric future thinking processes. This study examined the impact of rumination on memory and future thinking among 60 undergraduate participants with varying health anxiety (35% clinical-level health anxiety). Participants were randomized to experiential/ruminative self-focus conditions, then completed an Autobiographical Memory Test and Future Imaginings Task. Responses were coded for specificity and the presence of illness concerns. Rumination led to more specific illness-concerned memories overall, yet at the same time led to more categoric illness-related future imaginings. Rumination and health anxiety together best predicted overgeneral illness-related future imaginings. Highly specific illness-related memories may be maintained due to their personal salience. However, more overgeneral illness-related future imaginings may reflect cognitive avoidance in response to the threat of future illness. This divergent pattern of results between memory and future imaginings may exacerbate health anxiety, and may also serve to maintain maladaptive responses among individuals with realistic medical concerns, such as individuals living with chronic illness.     

A stress and coping perspective on health behaviors: theoretical and methodological considerations

Health behaviors such as eating and exercising have been linked to stress in many studies, and researchers suggest that these links are in large part due to the use of health behaviors to cope with stress. However, health behaviors in the context of coping have received relatively little research attention. In this paper, we briefly survey the literature linking stress, coping, and health behaviors, noting that very little research has explicitly examined health behaviors as coping with stress. We address critical theoretical and methodological issues that arise in applying a stress and coping perspective to health behaviors. We conclude with potential directions for interventions, including the need for conceptually solid and methodologically rigorous research and the development of new measures, and with suggestions for future research. The concepts of self-regulation and stress management and their implications in health behavior research and interventions are also discussed.     

Influence of character strengths on mental health stigma

We examined traits of open-mindedness, kindness, hope, and social intelligence in the context of mental health stigma. Stigma – a process that objectifies and dehumanizes a person who has mental illness – diminishes people’s ability to control their behavior as coping with stigma requires self-regulation. Exploring mental health stigma through the lens of character strengths allows for understanding individual differences and kinds of characteristics that help decrease the ramifications associated with stigma of mental health. Several tasks explored the effects of character strengths on implicit and explicit mental health stigma: implicit association task, measures of willingness to interact with those with a mental health disorder, and a social distance task of self, friend, and person with a disorder. Character strengths of social intelligence and kindness were indicative of less stigma of mental health. More open-minded individuals tended to not hold individuals diagnosed with a mental health disorder personally responsible for acquiring that disorder.     

The power of regression to the mean: A social norm study revisited

This research follows up on a study by Schultz et al. ( 2007 ), in which the effect of a social norm intervention on energy consumption was examined. The present studies included control groups to examine whether social norm effects would persist beyond regression to the mean. Both studies had a 2 (baseline consumption: below mean versus above mean) × 2 (message condition: no‐message control versus norm message) design . Based on baseline fruit ( Study 1 ) or unhealthy snack ( Study 2 ) consumption, students were classified as above mean or below mean for consumption. One week later, half of the students in the above‐mean and below‐mean groups received normative feedback; control groups did not. Neither study showed an effect of norm messages on behavior relative to control, providing evidence for regression to the mean as an alternative explanation. Findings highlight the importance of control groups to distinguish social norm intervention effects from mere regression to the mean.     

How Neighborhood Poverty Structures Types and Levels of Social Integration

Social integration is fundamental to health and well‐being. However, few studies have explored how neighborhood contexts pattern types and levels of social integration that individuals experience. We examined how neighborhood poverty structures two dimensions of social integration: integration with neighbors and social integration more generally. Using data from the United States Third National Health and Nutrition Examination Survey, we linked study participants to percent poverty in their neighborhood of residence (N = 16,040). Social integration was assessed using a modified Social Network Index and neighborhood integration based on yearly visits with neighbors. We fit multivariate logistic regression models that accounted for the complex survey design. Living in high poverty neighborhoods was associated with lower social integration but higher visits with neighbors. Neighborhood poverty distinctly patterns social integration, demonstrating that contexts shape the extent and quality of social relationships.     

Structural validity of the Mental Health Continuum-Short Form: The bifactor model of emotional,social and psychological well-being

The Mental Health Continuum-Short Form (MHC-SF) is a growingly popular questionnaire designed to assess three components of well-being: emotional, social, and psychological. The main goal of the present study was to evaluate the structural validity of the MHC-SF and test the bifactor model of the MHC-SF, which includes one general factor and three specific factors of well-being. Sample 1 consisted of 1095 Serbian students (aged 18–26 years), while Sample 2 included 325 Serbian adults (aged 27–63 years). The bifactor model of the MHC-SF yielded the best fit to the data across the two samples. The results showed that the general factor of well-being accounted for substantially greater amount of variance of the MHC-SF than three specific factors of well-being. After controlling for the general factor, three specific factors explained a small portion of variance in well-being. In addition, the three subscales of the MHC-SF showed low reliability as estimated by omega-subscale coefficients, indicating that these subscales comprise too small amount of reliable variance to interpret. The present findings suggest that researchers should not calculate separate scores for three types of well-being when using the MHC-SF and that alternative measures of specific components of well-being should be considered.     

Integrating flow theory and the serious leisure perspective into mental health counseling

This article explores how flow theory and the serious leisure perspective (SLP) can be integrated into mental health counseling. Although different counseling models have acknowledged the role of leisure in the counseling process, leisure is largely an unknown and superficial concept in the mental health counseling literature. Four broad-based pragmatic ideas regarding how flow theory and the SLP can be integrated into the counseling process include mental health counselors (1) understanding the concepts of serious leisure, casual leisure, project-based leisure, flow (enjoyment), and hedonistic pleasure; (2) becoming aware of various assessment instruments that measure flow and serious leisure; (3) using the provision characteristics of entering flow into the counseling process; and (4) empowering clients to becoming community change agents through serious leisure pursuit, resulting in flow experiences.     

Disclosure of HIV Status Among Female Youth With HIV

Minority female youth are significantly affected by the HIV epidemic. The purpose of this pilot study was to explore sexual behavior practices, disclosure of HIV status, attitudes about disclosure, and knowledge of HIV disclosure laws among female youth with HIV (YWH). Findings suggest that the majority of YWH studied have been sexually active since their HIV diagnosis, although the nature and extent of sexual activity varied. Rates of nondisclosure to sexual partners varied based on the type of question asked, but at least some of the YWH in this sample reported sexual activity with a partner who was unaware of the participant’s HIV status. YWH appear to be more likely to disclose before, as opposed to after, sexual activity. Although most YWH believe disclosure to sexual partners is important for a variety of reasons, many reasons exist for nondisclosure, including fear of rejection and limited communication skills. The majority of YWH in this sample were aware of the potential legal ramifications of nondisclosure although fear of legal repercussions was not the most important factor related to disclosure. These findings favor the implementation of HIV disclosure interventions over the enactment of HIV criminalization laws as a strategy for reducing HIV transmission.