Amy J. P. Gregory, Melanie A. Dirks, Jonas P. Nitschke, Jessica M. Wong, Lauren J. Human, Jennifer A. Bartz
{"title":"Association Between Depression Symptoms and Emotional-Communication Dynamics","authors":"Amy J. P. Gregory, Melanie A. Dirks, Jonas P. Nitschke, Jessica M. Wong, Lauren J. Human, Jennifer A. Bartz","doi":"10.1177/21677026231194963","DOIUrl":"https://doi.org/10.1177/21677026231194963","url":null,"abstract":"Communicating emotional experiences effectively is critical for adaptive functioning and personal and interpersonal well-being. Here, we investigated whether variability in depression symptoms undermines people’s ability to express their emotions to others (“emotional expressive accuracy”) and how those communication dynamics influence other’s impressions. In Phase 1, 49 “targets” were videotaped describing significant autobiographical events; they then watched their videos and continuously rated how positive/negative they were feeling throughout the narrative. In Phase 2, 171 “perceivers” watched subsets of videos from targets and similarly rated each target’s affect. Results from 1,645 unique target–perceiver observations indicate a link between target’s depressive symptoms and impaired emotional expressive accuracy for positive events, B = −0.002, t(1,501) = −3.152, p = .002. Likewise, more depressive targets were rated less favorably by perceivers, again when sharing positive events, B = −0.012, t(1,511) = −10.145, p < .001. Given the beneficial effects of “capitalization”—sharing positive experiences with others—these findings may illustrate one link between depressive symptoms and impoverished relationships.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hadar Fisher, Philip T. Reiss, Dovrat Atias, Michal Malka, Ben Shahar, Simon Shamay-Tsoory, Sigal Zilcha Mano
{"title":"Facing Emotions: Between- and Within-Sessions Changes in Facial Expression During Psychological Treatment for Depression","authors":"Hadar Fisher, Philip T. Reiss, Dovrat Atias, Michal Malka, Ben Shahar, Simon Shamay-Tsoory, Sigal Zilcha Mano","doi":"10.1177/21677026231195793","DOIUrl":"https://doi.org/10.1177/21677026231195793","url":null,"abstract":"The main diagnostic criteria for major depressive disorder (MDD) are consistent experiences of high levels of negative emotions and low levels of positive emotions. Therefore, modification of these emotions is essential in the treatment of MDD. In the current study, we harnessed a computational approach to explore whether experiencing negative emotions during psychological treatment is related to subsequent changes in these emotions. Facial expressions were automatically extracted from 175 sessions of 58 patients with MDD. Within sessions, a U-shaped trajectory of change in valence was observed in which patients expressed an increase in negative emotions in the middle of the session. Between sessions, a consistent increase in valence was observed. A trajectory of within-sessions decrease followed by an increase in valence was positively associated with greater perceived positive emotions and subsequent decreases in depressive symptoms. These findings highlight the importance of targeting negative emotions during treatment to achieve more favorable outcomes.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135864976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colin E. Vize, Aleksandra Kaurin, Aidan G. C. Wright
{"title":"Personality Pathology and Momentary Stress Processes","authors":"Colin E. Vize, Aleksandra Kaurin, Aidan G. C. Wright","doi":"10.1177/21677026231192483","DOIUrl":"https://doi.org/10.1177/21677026231192483","url":null,"abstract":"The expression of personality pathology differs between people and within a person in day-to-day life. Personality pathology may reflect, in part, dysregulation in basic behavioral processes. Thus, a useful approach for studying maladaptive trait expression comes from literature on stress and daily hassles, which provides dynamic accounts for the relations between individual differences and maladaptive dysregulation. In this study, we sought to integrate maladaptive traits and dynamic stress processes to further dynamic models of personality pathology. In a combined clinical/community sample ( N = 297) oversampled for interpersonal problems, we used ecological momentary assessment (observation N = 19,968) to investigate how maladaptive traits moderated the processes of stress generation, stress reactivity, and affective spillover/inertia. Tests of our preregistered hypotheses provided a mix of supportive and null findings for stress processes identified in past research and mixed support for the moderating role of personality. The results provide insights into the relations between everyday stressors and personality pathology.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peter Haehner, Chelsea E. Sleep, Joshua D. Miller, Donald R. Lynam, Christopher J. Hopwood
{"title":"The Longitudinal (Co)Development of Personality Traits and the Level of Personality Functioning After Negative Life Events","authors":"Peter Haehner, Chelsea E. Sleep, Joshua D. Miller, Donald R. Lynam, Christopher J. Hopwood","doi":"10.1177/21677026231197607","DOIUrl":"https://doi.org/10.1177/21677026231197607","url":null,"abstract":"Based on the evidence from cross-sectional studies, there is an ongoing debate whether personality traits and personality functioning are redundant (e.g., because these constructs are strongly correlated). However, some questions regarding their overlap can only be addressed using longitudinal data. In this Registered Report, we examined the (co)development of the Big Five personality traits and personality functioning using longitudinal data from individuals who had recently experienced a negative life event ( N = 1,151). Personality functioning was less rank-order stable than conscientiousness and less mean-level stable than all Big Five traits except neuroticism. Furthermore, the developmental trajectory of the level of personality functioning was particularly similar to the developmental trajectory of neuroticism. Our results show that personality functioning and most Big Five personality traits differ in their longitudinal development in the context of negative life events and suggest the need for a clearer distinction between personality functioning and neuroticism.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriella T. Ponzini, Miranda Signorelli, Elizabeth A. Claydon, Christa Lilly, Shari A. Steinman
{"title":"Stereotypes and OCD-Symptom Presentations: A Mixed-Methods Evaluation Using Male-Character Vignettes","authors":"Gabriella T. Ponzini, Miranda Signorelli, Elizabeth A. Claydon, Christa Lilly, Shari A. Steinman","doi":"10.1177/21677026231192893","DOIUrl":"https://doi.org/10.1177/21677026231192893","url":null,"abstract":"Stereotypes toward symptom presentations of obsessive compulsive disorder (OCD) are poorly understood. A mixed-methods, multistudy analysis of OCD stigma was conducted. In Study 1 ( N = 60), participants read one of five vignettes (symmetry/just right, contamination, sexual, harm/aggression, scrupulous OCD) before responding to open-ended questions. Inductive content analyses revealed anxiety-relevant stereotypes (e.g., trivialization) for symmetry/just right and contamination and serious mental-illness stereotypes (e.g., dangerous) for harm/aggression and sexual vignettes. In Study 2 ( N = 698), participants read one of seven vignettes (OCD-symptom presentations, generalized anxiety disorder, schizophrenia) before responding to stigma measures. The sexual, harm/aggression, and schizophrenia vignettes were strongly associated with serious mental-illness stigma. The scrupulous vignette was associated with the most anxiety-relevant stigma. Together, these studies detail stereotype endorsement across OCD-symptom presentations. Stigma-reduction interventions should include psychoeducation and address macro-level stereotypes (i.e., stereotypes that exist across symptom presentations) while enhancing opportunities for contact to mitigate stigma.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madelyn R. Frumkin, Ryan W. Carpenter, Thomas L. Rodebaugh
{"title":"Heterogeneity in Temporal Dynamics of Pain and Affect Among Individuals With Chronic Back Pain and Associations With Risk for Future Opioid-Related Problems","authors":"Madelyn R. Frumkin, Ryan W. Carpenter, Thomas L. Rodebaugh","doi":"10.1177/21677026231196121","DOIUrl":"https://doi.org/10.1177/21677026231196121","url":null,"abstract":"Chronic low back pain (CLBP) is a biopsychosocial phenomenon involving complex relationships between pain and psychosocial factors. In preregistered analyses, we examined dynamic relationships between pain and negative affect among individuals with CLBP ( N = 87). We found that increased negative affect was concurrently and prospectively associated with increased pain for individuals on average. However, there was significant and meaningful between-persons variability in these effects such that risk for future opioid-related problems was positively associated with the within-persons correlation between pain and negative affect (β = 0.290, 95% credible interval [CI] = [0.071, 0.485]), the degree to which pain predicted increased negative affect (β = 0.439, 95% CI = [0.044, 0.717]), and the autoregressive effect of negative affect over 4-hr lags (β = 0.255, 95% CI = [0.007, 0.478]). These results suggest that variability in within-persons symptom dynamics may help identify chronic pain patients who are at greater risk of opioid-related problems.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel A. Bernstein, Ashley R. Smith, Elizabeth R. Kitt, Elise M. Cardinale, Anita Harrewijn, Rany Abend, Kalina J. Michalska, Daniel S. Pine, Katharina Kircanski
{"title":"Threat Appraisal and Pediatric Anxiety: Proof of Concept of a Latent Variable Approach","authors":"Rachel A. Bernstein, Ashley R. Smith, Elizabeth R. Kitt, Elise M. Cardinale, Anita Harrewijn, Rany Abend, Kalina J. Michalska, Daniel S. Pine, Katharina Kircanski","doi":"10.1177/21677026231190349","DOIUrl":"https://doi.org/10.1177/21677026231190349","url":null,"abstract":"Elevated threat appraisal is a postulated neurodevelopmental mechanism of anxiety disorders. However, laboratory-assessed threat appraisals are task-specific and subject to measurement error. We used latent-variable analysis to integrate youths’ self-reported threat appraisals across different experimental tasks; we next examined associations with pediatric anxiety and behavioral- and psychophysiological-task indices. Ninety-two youths ages 8 to 17 ( M = 13.07 years, 65% female), including 51 with a primary anxiety disorder and 41 with no Axis I diagnosis, completed up to eight threat-exposure tasks. Anxiety symptoms were assessed using questionnaires and ecological momentary assessment. Appraisals both before and following threat exposures evidenced shared variance across tasks. Derived factor scores for threat appraisal were associated significantly with anxiety symptoms and variably with task indices; findings were comparable with task-specific measures and had several advantages. Results support an overarching construct of threat appraisal linked with pediatric anxiety, providing groundwork for more robust laboratory-based measurement.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136062286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emilie Lacroix, Sylia Wilson, Matt McGue, William G. Iacono, Kristin M. von Ranson
{"title":"Trajectories and Personality Predictors of Eating-Pathology Development in Girls From Preadolescence to Adulthood","authors":"Emilie Lacroix, Sylia Wilson, Matt McGue, William G. Iacono, Kristin M. von Ranson","doi":"10.1177/21677026231192271","DOIUrl":"https://doi.org/10.1177/21677026231192271","url":null,"abstract":"Understanding eating-pathology development may enable meaningful prescriptions for its prevention. Here, we identified common trajectories of eating-pathology development and the personality factors associated with these trajectories. Participants were 760 female twins from the Minnesota Twin Family Study who reported on eating pathology at approximate ages 11, 14, 18, 20, 24, and 29. Parents reported on twins’ personality characteristics at age 11, and twins completed self-report personality questionnaires at ages 14 and 18. Latent class growth analysis identified two distinct trajectories for total eating pathology, binge eating, and weight preoccupation and three distinct trajectories for body dissatisfaction. Girls with more pathological trajectories already showed elevated eating pathology at age 11. These subgroups of high-risk girls self-reported greater proneness to anxiety, stress, and alienation, and less sociable personality styles. Prevention efforts may be enhanced by using self-reported personality traits to identify girls at high risk for eating pathology.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"365 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136023951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-Referential Processing and Depression: A Systematic Review and Meta-Analysis","authors":"Amanda C. Collins, E. Samuel Winer","doi":"10.1177/21677026231190390","DOIUrl":"https://doi.org/10.1177/21677026231190390","url":null,"abstract":"Reward devaluation theory posits that depressed individuals avoid and devalue positivity, suggesting that they may hold fewer positive self-schemas. Previous meta-analytic reviews have supported this theoretical framework regarding positivity but have not assessed for self-referential stimuli. Self-referential encoding and recall tasks assess for self-schemas and thus provide further insight into how depressed individuals process self-referential positivity. The aim of this systematic review and meta-analysis was to examine the extent to which depressed individuals differ in processing self-referential positivity and negativity and whether this processing differs when depressed individuals think of others (i.e., other-referential). Results indicate that depressed individuals recall and endorse fewer self-referential positive words than negative words and fewer self-referential positive words than other-referential positive words than nondepressed individuals. These findings support reward devaluation theory and suggest that conceptualizing self-referential processing in depression as merely based on negativity biases can overlook crucial information about how depressed individuals devalue self-referential positive information.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsie T. Forbush, Yiyang Chen, Po-Yi Chen, Brittany K. Bohrer, Kelsey E. Hagan, Danielle A. N. Chapa, Kara A. Christensen Pacella, Victoria Perko, Brianne N. Richson, Sarah N. Johnson Munguia, Marianna L. Thomeczek, Sarah V. Nelson, Kylie Christian, Trevor J. Swanson, Jennifer E. Wildes
{"title":"Integrating “Lumpers” Versus “Splitters” Perspectives: Toward a Hierarchical Dimensional Taxonomy of Eating Disorders From Clinician Ratings","authors":"Kelsie T. Forbush, Yiyang Chen, Po-Yi Chen, Brittany K. Bohrer, Kelsey E. Hagan, Danielle A. N. Chapa, Kara A. Christensen Pacella, Victoria Perko, Brianne N. Richson, Sarah N. Johnson Munguia, Marianna L. Thomeczek, Sarah V. Nelson, Kylie Christian, Trevor J. Swanson, Jennifer E. Wildes","doi":"10.1177/21677026231186803","DOIUrl":"https://doi.org/10.1177/21677026231186803","url":null,"abstract":"In this study, we describe a hierarchical dimensional model of eating-disorder (ED) classification based on the Hierarchical Taxonomy of Psychopathology. Participants were community-recruited adults with an ED ( N = 252; 81.9% female). We used a modified version of Goldberg’s method, which involved sequentially extracting latent factors using exploratory structural equation modeling, resulting in a 10-factor hierarchical-dimensional model. Dimensions predicted 92.4% and 58.7% of the variance in recovery outcomes at 6 months and 1 year, respectively. Compared with other illness indicators (e.g., Diagnostic and Statistical Manual of Mental Disorders [ DSM] diagnoses, dimensional ED impairment scores, weight/shape overvaluation, and DSM ED-severity specifiers), hierarchical dimensions predicted 0.88 to 334 times more variance in ED behaviors at baseline and 1.95 to 80.8 times more variance in psychiatric impairment at 1-year follow-up. Results suggest that reducing within-disorder heterogeneity for EDs within the broader context of internalizing symptoms provides a powerful framework from which to predict outcomes and understand symptoms experienced by people with EDs.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}