Showing papers in "Journal of Social and Clinical Psychology in 2018"

No More FOMO: Limiting Social Media Decreases Loneliness and Depression

Abstract: Introduction: Given the breadth of correlational research linking social media use to worse well-being, we undertook an experimental study to investigate the potential causal role that social media plays in this relationship. Method: After a week of baseline monitoring, 143 undergraduates at the University of Pennsylvania were randomly assigned to either limit Facebook, Instagram and Snapchat use to 10 minutes, per platform, per day, or to use social media as usual for three weeks. Results: The limited use group showed significant reductions in loneliness and depression over three weeks compared to the control group. Both groups showed significant decreases in anxiety and fear of missing out over baseline, suggesting a benefit of increased self-monitoring. Discussion: Our findings strongly suggest that limiting social media use to approximately 30 minutes per day may lead to significant improvement in well-being.

Flexible, yet firm: A model of healthy emotion regulation.

Abstract: We propose a model of healthy intentional emotion regulation that includes (1) a large repertoire of (2) adaptive strategies that (3) one persists with despite initial negative feedback. One hundred forty-four undergraduates (average age = 19.20 years; 68% female, 79% Caucasian) completed a novel performance task indicating what they would think or do to feel better in response to eleven stressful vignettes. After their initial response, participants indicated four more times how they would respond if their previous strategy was not working. Raters categorized each response as an emotion regulation strategy and coded the adaptiveness of each strategy. Participants self-reported Neuroticism, Extraversion, Conscientiousness, Borderline Personality Disorder (BPD) symptoms, and depressive symptoms. We regressed each personality dimension and psychopathology symptom on our model of healthy emotion regulation. Neuroticism was negatively associated with adaptiveness and persistence. Extraversion was positively associated with adaptiveness. Conscientiousness was positively associated with repertoire, adaptiveness, and persistence, while BPD symptoms were negatively associated with all three variables. Depressive symptoms were negatively associated with persistence. These preliminary findings suggest that people with larger repertoires of more adaptive emotion regulation strategies who persist with these strategies despite initial negative feedback report less personality pathology and psychological distress.

Home is where you hang your hat: Host town identity, but not hometown identity, protects against mental health symptoms associated with financial stress

Abstract: Debt and financial insecurity are associated with stress, low self-worth, and poor health. Joining and identifying with social groups (social identification) promotes better health and higher self-esteem. Here, we examined whether identifying with one's local neighborhood protected people from developing mental health symptoms associated with financial stress. We analyzed data from a general population survey (Study 1, N = 4319) and a student mental health survey (Study 2, N = 612) conducted in the North West of England. We administered measures of financial stress, self-esteem, neighborhood identity, and mental health, and conducted moderated mediation analyses to test our predictions. Study 1 (population survey) demonstrated that stronger identification with one's local neighborhood attenuated the adverse effects of financial stress on self-esteem and subsequent mental health. Study 2 (student survey) showed that strong host town identities buffered students from mental health symptoms related to financial stress. Strong hometown identities, however, showed no buffering effect. The findings suggest that one way financial stress impacts mental health is by eroding self-esteem. Identifying with one's current place of residence appears to disrupt this pathway, while identifying with one's previous place of residence does not provide the same psychological protection.

Comparative Social Media Use and the Mental Health of Mothers With High Levels of Perfectionism

Abstract: Social media is thought to communicate idealized images and discourses of motherhood. As such, it may present as a risk factor for poor mental health in mothers who strive for perfection and compare themselves to the ideals presented on social media. The present study examined the influence of Facebook and In-stagram on the relationship between perfectionism in mothers and their mental health. A sample of 201 mothers completed an online survey. Two dimensions of perfectionism were assessed: Self-Orientated Parenting Perfectionism (SOPP) and Societal-Prescribed Parenting Perfectionism (SPPP). Mediation models were conducted to examine social media frequency and social comparison respectively on the relationship between perfectionism and maternal mental health. Results revealed that for mothers with SOPP, the process of social comparison with other mothers on social media contributed to symptoms of anxiety and depression. The amount of time engaging in social media however, had no impact. In contrast, for mothers with SPPP, the amount of time spent on Facebook contributed to symptoms of depression and anxiety, while the process of social comparison led to anxiety symptoms alone. Social comparison appears to be important for perfectionistic mothers who use social media, as this may contribute to negative mental health outcomes.

Sometimes You Need More than a Wingman: Masculinity, Femininity, and the Role of Humor in Men's Mental Health Help-Seeking Campaigns

Abstract: © 2018 Guilford Publications, Inc. The authors would like to express our sincere thanks to the research assistants and volunteers who assisted with conducting the in-lab component of this research, including Krithika Sukumar, Riana Fisher, Lilach Dahoah, Simran Purewal, Amin Khajehnassiri, and Joseph Hoyda. Special thanks are extended to Jennifer Ip, Michelle Vinitsky, and Elina Fila who assisted with both running participants and coding openended content. Address correspondence to Caroline Erentzen, Behavioural Sciences Building, York University, 4700 Keele Street, Toronto, ON, M3J 1P3; E-mail: erentzen@yorku.ca ERENTZEN ET AL. HUMOR IN MENTAL HEALTH CAMPAIGNS

Independent and Interactive Effects of Neighborhood Disadvantage and Social Network Characteristics on Problem Drinking after Treatment.

Abstract: Socioecological approaches to public health problems like addiction emphasize the importance of person-environment interactions. Neighborhood and social network characteristics may influence the likelihood of relapse among individuals in recovery, but these factors have been understudied, particularly with respect to conceptualizing social network characteristics as moderators of neighborhood disadvantage. Drawing from a larger prospective study of individuals recruited from outpatient treatment (N=451) and interviewed 1, 3, 5, and 7 years later, the aim of this study was to examine the independent and interactive effects of neighborhood and social network characteristics on continued problem drinking after treatment. Models using generalized estimating equations controlling for demographic and other risk factors found the number of heavy drinkers in one's network increases risk of relapse, with the effects being significantly stronger among those living in disadvantaged neighborhoods than among those in non-disadvantaged neighborhoods. No independent effects were found for neighborhood disadvantage or for the number of network members supporting reduced drinking. Future research is needed to examine potential protective factors in neighborhoods which may offset socioeconomic disadvantage as well as to investigate the functions that network members serve in helping to improve long-term treatment outcomes.

With or without you? Loss of self following marital separation

Abstract: EDUCATION 2015-2021 Ph.D. Candidate, University of Arizona (APAand PCSAS-accredited), Tucson, AZ Major: Clinical Psychology Minors: Health Psychology, Quantitative Methods Dissertation Thesis: “Creating a Safe Haven and Secure Base for AtRisk Students, A Pilot Study Using Emotionally Focused Mentors to Enhance Attachment Security” (defended August 2020) Committee: Dr. David Sbarra (Doctoral advisor), Dr. Emily Butler, Dr. Mary-Frances O’Connor, Dr. Heidi Hamann

Psychopathic Traits' Differential Relations With Aggression Forms: Considering the Roles of Gender and Gender Role Adherence

Abstract: Research has yielded inconsistent findings between psychopathy and aggression, with findings varying as a function of type of psychopathic trait (i.e., affective, behavioral) and aggression form (i.e., physical, relational). Although some research has explored the role of gender in these relations, gender role adherence has received scant attention. Using an undergraduate sample (N = 320), we aimed to clarify mixed findings on how psychopathic traits relate to aggression forms across males and females; examine how psychopathic traits relate to gender role adherence; and ascertain the roles of gender and gender role adherence in the relations between psychopathic traits and aggression. Psychopathic traits manifested differential relations with gender role adherence such that Psychopathic Personality Inventory-Revised (PPI-R) Fearless Dominance was most strongly and positively associated with Bem Sex-Role Inventory (BSRI) Masculinity, whereas PPI-R Self-Centered Impulsivity and Coldheartedness were negatively associated with BSRI Femininity. BSRI Masculinity and Femininity were uniquely and differentially associated with aggression forms, and remained associated with aggression forms above and beyond both psychopathy and gender. In addition, BSRI Masculinity moderated the relations between PPI-R Self-Centered Impusivity and physical aggression such that those high in both Masculinity and Self-Centered Impulsivity were most prone to physical aggression. In contrast, although BSRI Femininity was negatively associated with aggression, it did not buffer against aggression in the presence of psychopathic traits. Overall, our results underscore the importance of considering gender role adherence in understanding differences in psychopathy and aggression.

Does cognitive bias modification prior to standard brief cognitive behavior therapy reduce relapse rates in hair pulling disorder? A double-blind randomized controlled trial

Abstract: Background: In line with previous research in alcohol addiction, we tested whether an Approach-Avoidance Training (AAT) prior to standard six-session Cognitive Behavior Therapy (CBT) for Hair Pulling Disorder (HPD) reduced problematic relapse, commonly found in this population. Method: Prior to CBT, 54 outpatients with a primary diagnosis of HPD were randomly assigned (double-blind) to either a training condition (n = 27), learning to avoid hair-pulling-related stimuli, or to a control condition (n = 27). Symptom severity was assessed with the Massachussetts General Hospital Hairpulling Scale, Severity Urge Resistance Frequency Scale, Self-Control Cognition Questionnaire, and Alopecia Scale. Results: In line with existing research, CBT showed to be an effective treatment for HPD in the short-term. There was no significant symptom increase after one and three months, but effect sizes were reduced approximately by half at the twelve-month measurement. The AAT training prior to CBT did not result in enhanced symptom reduction or reduced relapse after CBT. Conclusions: AAT training could not resolve the substantial relapse after successful CBT. Future research should take into account the complexity of stimuli that elicit hair pulling (e.g., tactile stimuli) and consider investigating other types of biases.

Theory of Mind, Excessive Reassurance-Seeking, and Stress Generation in Depression: A Social-Cognitive-Interpersonal Integration

Abstract: Introduction: According to the interpersonal model of depression, individuals with depression engage in excessive reassurance-seeking (ERS) about others’ beliefs regarding their self-worth, which can ultimately result in interpersonal rejection. We present the novel hypothesis that maladaptive ERS behaviors in depression may be driven by difficulties with “theory of mind”—the foundational ability to decode and reason about others’ mental states. Method: Participants included 31 young adults in a current episode of a unipolar depressive disorder, and 91 never-depressed adults. Theory of mind was assessed with standard, objective laboratory tasks. Stressful life events were assessed with a gold-standard contextual interview and independent rating system. Results: Consistent with hypotheses, in the depressed group only, lower accuracy of theory of mind decoding was associated with greater ERS, which was significantly associated with exposure to greater interpersonal, but not non-interpersonal, stress. Surprisingly, higher accuracy of theory of mind reasoning was associated with greater ERS. Discussion: The intriguing dissociation is discussed in terms of expanding the interpersonal model of depression to include the foundational social cognitive processes that underlie effective social communication.

Changes in psychological need fulfillment over the course of treatment for major depressive disorder

Abstract: Self-determination theory (Ryan & Deci, 2017) maintains that the psychological needs for autonomy, competence, and relatedness are essential qualities of experience that individuals require to thrive. The present research examined the role of psychological need fulfillment in a clinical sample undergoing treatment for major depressive disorder. Fifty-one patients with a SCID-IV diagnosis for major depressive disorder were randomly assigned to 16 weeks of cognitive behavioral therapy or antidepressant medication. Depressive symptoms, cognitive errors, dysfunctional attitudes, and psychological need fulfillment were assessed at four time points (pre-treatment, week 4, week 8, and week 16). Psychological need fulfillment increased over the course of treatment and did not differ significantly between treatment conditions. Furthermore, increases in psychological need fulfillment were associated with decreases in depression severity over and above the effects of time, cognitive errors, and dysfunctional attitudes. Given the incremental predictive validity of need fulfillment, a better understanding of its role in the treatment for depression may prove beneficial to mental health researchers and practitioners.

Posttraumatic Stress Symptoms in Victims of the Tokyo Subway Sarin Attack: Twenty Years Later

Abstract: Introduction: Previous studies found that about 10–30% of terrorist attack survivors suffer mental disorders such as posttraumatic stress disorder (PTSD) which persist up to 10 years. However, little is known about whether the effects of terrorism on mental health could last for a longer period or whether physical symptoms and secondary victimization are associated with the persistence of mental disorders. Method: A questionnaire survey was conducted with the victims of the Tokyo subway sarin attack in March 1995 (N = 299). Victims’ physical and ophthalmic symptoms, secondary victimization, and posttraumatic stress symptoms were surveyed. For comparison, those who have experienced a stressful event were surveyed with the same instruments as of victims’ survey except secondary victimization. Results: Results indicated that 21.3% of the male and 36.1% of the female victims were in the high-risk group for posttraumatic stress symptoms (PTSS), which did not differ from those of the comparison group. However, victims had physical and ophthalmic symptoms of greater severity than the comparison group. Moreover, we found that PTSS was strongly associated with physical symptoms and secondary victimization. Discussion: There is a need to develop a support system that would be helpful in reducing mental health suffering of terrorist victims. Providing regular physical checkups and building support for those who experience life changes caused by victimization are suggested.

Examining the role of expressed emotion in the intergenerational transmission of mental health problems

Abstract: Introduction: The aim of this study was to test a model of the intergenerational transmission of mental health problems (indicated by depression, anxiety, and loneliness) in which expressed emotion (indicated by criticism and emotional involvement) was specified as a mediator of mental health problems over multiple family generations. Method: The sample consisted of three generations of grandmothers, mothers, and daughters (N = 242 family triads), wherein participants completed online surveys in which they self-reported on their own mental health problems and perceptions of their mothers’ expressed emotion. Results: Results revealed only modest evidence of direct effects for the intergenerational transmission of mental health problems. However, there were a number of significant indirect effects, with all of these effects occurring through the criticism component of expressed emotion. Discussion: This research identified expressed emotion as both a risk factor for offspring's mental health problems as well as a behavior typical of parents with mental health problems. Specifically, the results revealed that mental health problems are intergenerationally transmitted via critical parent-child interactions.

Comparison of Team and Participant Ratings of Event Dependence: Inferential Style, Cognitive Style, and Stress Generation

Abstract: Introduction: Previous research has linked negative cognitive styles with stress generation. However, measures of cognitive styles have replied on ratings for hypothetical events, not experienced events. We examined the relationship between stress generation and attributional style for experienced events (i.e., inferential style) at both macro and daily levels. Methods: We measured stress generation in college students using the traditional objective team ratings (i.e., observer) as well as via participants’ own ratings (i.e., actor), which we argue captures more information and is consistent with calls for participant-centered research. Results: Cognitive style and inferential style positively correlated, indicating consistency between these two forms of assessment. Actor and observer identified events were significantly correlated for both dependent and independent events, suggesting that participants and teams are consistent in these categorizations. Results from both studies showed that inferential style was associated with actor but not observer identified dependent events. Discussion: Our findings provide some of the first evidence for the role of inferential style in actor identified stress generation and indicate that it is useful to examine both participant and observer ratings of stressful life events.

Attributions for Rejection and Acceptance in Young Adults With Borderline and Avoidant Personality Features

Abstract: Individuals with borderline and avoidant personality disorders show interpersonal dysfunction that includes maladaptive responses to rejection and reduced emotional benefits from acceptance. To identify the attributional styles that may underlie these difficulties, we examined causal attributions for rejection and acceptance among undergraduates high in features of each disorder and a healthy comparison group. In Study 1, participants rated how likely they were to attribute hypothetical rejection and acceptance experiences to positive and negative qualities of the self and others, as well as external circumstances. In Study 2, we examined these same attributions in daily diary assessments of real rejection and acceptance experiences. Although the two studies showed some differences in results, they both linked borderline personality features with suspicious, selfbolstering responses and avoidant personality features with perceived inferiority. Distinct attributional styles may contribute to the distinct interpersonal problems characteristic of these conditions.

Personality and the Social Environment: Contributions to Psychological Adjustment Among Asian and Euro American Students

Abstract: Introduction: Although personality and sociocultural experiences shape how people adapt to changing life circumstances, these factors’ contributions to psychological adjustment outcomes may differ across ethnic groups. Previous research has shown that personality traits predict psychological distress and wellbeing, and people's comfort with their social environments and interpersonal relationships also can be instrumental in understanding their psychological adjustment. Research on personality and on environmental characteristics have tended to focus on Euro Americans and on people of color, respectively; the extent to which campus climate and ethnic group contact predict psychological adjustment above and beyond personality remains understudied and unclear. Method: Relative influences of Big 5 personality and environmental characteristics at a predominantly White college were tested as predictors of psychological adjustment among Asian (N = 412; 48.5% women, Mage = 19.60) and Euro American (N = 277; 47.7% women, Mage = 19.46) students. Results: Measurement invariance tests showed that only a subset of the NEO Five Factor Inventory was equivalent across groups. Hierarchical multiple regressions showed that personality contributed to depression and anxiety symptoms for both groups, but comfort with campus environment and ethnic social comfort were distinctively important predictors of Asians’ psychological adjustment. Discussion: Implications for research, professional services, and university practices are discussed.

In the Mindset for Change: Self-Reported Quit Attempts are a Product of Discontinuity-Induced Nostalgia and Incremental Beliefs

Abstract: Despite the low rate of behavior change among those engaged in addictive behaviors, some people can and do initiate change. We propose that attempting to self-regulate addictive behavior is a function of motivation and the belief that behavior is malleable. Specifically, feeling self-discontinuous (i.e., feeling that addiction has fundamentally changed the self) should motivate change by inducing nostalgia for the pre-addicted self. Importantly, we expected that discontinuity- induced nostalgia would only be associated with an attempted change among those who believe that behavior is malleable (i.e., incremental theorists). To test this moderated-mediation model, we recruited a community sample of disordered gamblers (N = 243) to assess self-reported change attempts over time. During the initial session, participants completed measures of self-discontinuity, nostalgia, and implicit theories of behavior. Three months later, participants (N = 120) reported whether they attempted to change their gambling behavior, as well as the method and extent to which they sustained this change. As expected, discontinuity-induced nostalgia was positively associated with an increased likelihood of self-reporting a change attempt, but only when behavior was believed to be malleable, rather than fixed. As very few disordered gamblers take action, these findings suggest novel psychological processes to promote positive behavior change.

Social Anxiety, Depression and Close Relationship: Intra and Inter-Personal Perceptions of Social-Rank and Affiliation

Abstract: The present study investigated the associations between social anxiety (SA) and depression on the one hand, and intra- and interpersonal perceptions within a friendship relationship on the other. Evolutionary theories suggest that SA is associated with impairment in the social-rank system. Recent studies suggest that depression is associated with impairment in the affiliation system. We examined whether these impairments are manifested in the positivity and accuracy of (a) self-perception; (b) meta-perception (beliefs about how the other perceives the self); and (c) other-perception (evaluations of the friend). Pairs of same-sex friends (n = 50) completed rankings pertaining to these perceptions on general, social-rank, and affiliation traits. Higher levels of SA were associated with lower self-perception positivity, lower meta-perception positivity, and lower accuracy in the social-rank domain. Moreover, higher levels of SA were associated with perceiving the friend as higher on social-rank, regardless of the friend's self-rated traits. Higher levels of depression were associated with lower affiliation and social-rank self-perception positivity, and with lower accuracy in the domain of affiliation. Our findings broaden current conceptualizations of SA and depression and highlight the importance of understanding these disorders through the lens of interpersonal relationships.

Partners' Support During Good Times: Associations With Fears of Positive and Negative Evaluation

Abstract: Capitalization interactions within romantic couples, in which they share positive events with each other, are significantly tied to their satisfaction and overall wellbeing. Recent work suggests that social anxiety is negatively associated with beneficial capitalization interactions (i.e., making capitalization bids and responding with active and constructive responses). To further investigate this understanding, we offer a deeper and differentiating look at two core components of social anxiety: fears of positive and negative evaluation. In addition, we offer an innovative look at the varying self-disclosures of capitalization recipients, by using a novel index—Relevant Talking Time (RTT) which examines the duration of relevantly disclosing and discussing one's own good event. We reasoned that the two types of evaluative fears might have different connections to capitalization processes, considering provision, receipt, and self-disclosure. Our findings (N = 74; 37 community couples in a lab-videotaped‘ interaction) suggest that high fear of positive evaluation is associated with poorer provision of active-constructive capitalization, whereas high fear of negative evaluation is associated with a reduced disclosers' RTT. In addition, our results interestingly demonstrate that disclosers' RTT is tied to their partners' anxiety characteristics as well. We discuss the possible implications and explanations of our findings.

Birds of a Feather Want to Talk Together: The Impact of Depressive Symptoms on Initial Stages of Friendship Formation in Older Adolescence

Abstract: Introduction: Peer relationships play a vital role in adolescents’ lives and are considered to be especially critical for youth who experience elevated depressive symptoms. Unfortunately, depressed youth tend to have difficulties with existing friendships (e.g., fewer and lower quality friendships), which may exacerbate their symptoms. Little is known, however, about how depressed youth approach the initial stages of friendship formation, which may have implications for the types of social support they can access. Method: Using a conversation task designed to build intimacy, older adolescents (N = 228, M age = 19.54 years) with and without elevated depressive symptoms interacted with a previously unknown, same-gender partner. Results: Results suggested that adolescents with elevated symptoms experienced interactions differently (e.g., speculated more about their conversation partner and thought their partner was speculating more about them, experienced more negative affect) than nondepressed peers. The depression status of the potential friend also mattered, as participants paired with partners of similar emotional adjustment status wanted to talk more and felt closer to one another than did mismatched partners. Discussion: Findings underscore that depressive symptoms impact even the earliest stages of friendship formation. From the perspective of interpersonal theories of depression, implications for bolstering depressed adolescents’ relationships are discussed.

Mitigating Risk? Set-Shifting Ability in High Threat Sensitive Individuals Predicts Approach Behavior During Simulated Peer-Rejection

Abstract: In this investigation we explored how two dimensions underlying current models of psychopathology, threat sensitivity and executive cognitive processing, may come together to influence downstream responses to social threat. Specifically, we investigated how set-shifting ability influences responses to simulated peer-rejection in high threat sensitive individuals (n = 66) selected from a larger sample. Our findings suggest the possibility of risk-reducing benefits imparted from higher set-shifting and executive resources. In particular, we saw evidence of greater approach-related behavior, including higher intensity positive emotional expressions and a relative increase in the proportion of parasympathetic activity, with higher set-shifting. Our findings join a small but growing body of research examining how risks elevated by threat sensitivity may be mitigated by executive cognitive processing.

Self-Stigma and Etiological Attributions About Symptoms Among Individuals Diagnosed With an Anxiety Disorder: Relations With Symptom Severity and Symptom Improvement Following CBT

Abstract: Nearly one-third of individuals in the U.S. will be diagnosed with an anxiety disorder during their lifetime. Receiving that label can evoke self-stigma, with self-stigma relating to greater symptom severity and negatively impacting treatment outcomes. A lesser-studied variable related to self-stigma is etiological attributions about symptoms, including biological and psychological attributions. The current study examined interrelations among self-stigma, etiological attributions, and symptom severity among 213 individuals diagnosed with an anxiety disorder who completed a cognitive-behavioral treatment (CBT) program. How self-stigma and etiological attributions related to symptom improvement following the program was examined in a subset of participants. Etiological attributions and self-stigma shared positive associations with symptom severity. Regression analyses indicated that, when controlling for overlap among self-stigma and etiological attributions, psychological attributions emerged as particularly relevant for understanding symptom severity. Changes in self-stigma and attributions were positively associated with changes in symptom severity following the CBT program. Study implications are discussed.