Hassles, coping, and depressive symptoms in an elderly community sample: The role of mood regulation expectancies.

To extend research on the role of expectancy in coping, 96 individuals aged 65 yrs or older (M?=?74.46, SD?=?6.28) from non-nursing-home residential communities and organizations completed measures of daily hassles, situational coping responses, depressive symptoms, and generalized expectancies for negative mood regulation, defined as beliefs about one's ability to alleviate a negative mood. Scores from the Negative Mood Regulation Scale (S. J. Catanzaro and J. Mearns, 1990) were negatively associated with avoidant coping and depressive symptoms, independent of hassles and coping responses. As in college student samples, active coping was positively related to depressive symptoms, but only when negative mood regulation expectancies were controlled. The relations of hassles and expectancies with coping responses were weaker than those found previously in younger samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectancies for negative mood regulation, coping, and dysphoria among college students.

Participants (N?=?222) completed measures of negative mood regulation (NMR) expectancies, negative life events, coping responses, dysphoria, and somatic symptoms. After 6 to 8 wks, they completed the same questionnaires except that daily hassles in the previous month were assessed instead of negative life events. In cross-sectional analyses and with stable variance in coping and symptoms controlled, NMR expectancies were positively related to active coping and negatively related to avoidant coping and symptoms. Changes in NMR expectancies and dysphoria were correlated. Time 1 dysphoria was positively related to daily hassles at Time 2, which in turn was associated with changes in coping and dysphoria from Time 1 to Time 2. Implications for counseling and stress-management interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping and physical health during caregiving: The roles of positive and negative affect.

The associations among coping, mood, and health variables were examined prospectively over 2 years in 86 HIV positive (HIV+) and 167 HIV negative (HIV-) gay men undergoing the stress of AIDS-related caregiving. Path models suggested that including both positive and negative mood and the men's associated coping strategies increases understanding of why some people suffer adverse health effects during times of stress. Among the HIV- caregivers, higher levels of social coping predicted increases in positive affect, which in turn resulted in lower levels of physical symptoms. In contrast, higher levels of cognitive avoidance predicted increases in negative affect, which in turn resulted in higher levels of physical symptoms. Self-injurious forms of avoidance coping predicted higher levels of physical symptoms independent of mood among the HIV+ caregivers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A replicated prospective investigation of life stress, coping, and depressive symptoms in multiple sclerosis

Life stress and coping responses jointly contribute to psychological adjustment in many chronic illness populations, but their significance in multiple sclerosis (MS) has not been extensively investigated. Physical disability, cognitive status, negative life stress, coping strategies, and depressive symptoms were prospectively assessed in 27 adults with definite or probable MS. Of the original subjects, 22 provided two additional assessments at 6-month intervals. After accounting for cognitive status and physical disability, life stress was positively correlated with current as well as future depressive symptoms; the prospective relationship was replicated within the second pair of prospective data waves. Escape avoidance was the only coping strategy that added to the prediction of future mood symptoms, but this was not replicated. Results suggest that MS-related depressive symptoms are a function of prior disease-related impairment, life stress, and possibly escape avoidance coping.     

Negative mood, depressive symptoms, and major depression after smoking cessation treatment in smokers with a history of major depressive disorder.

Negative mood, depressive symptoms, and major depressive episodes (MDEs) were examined in 179 smokers with a history of major depression in a trial comparing standard smoking cessation treatment to treatment incorporating cognitive-behavioral therapy for depression (CBT-D). Early lapses were associated with relatively large increases in negative mood on quit date. Mood improved in the 2 weeks after quit date among those returning to regular smoking but not among those smoking moderately. Continuous abstinence was associated with short- and long-term reductions in depressive symptoms. MDE incidence during follow-up was 15.3% and was not associated with abstinence. Unexpected was that CBT-D was associated with greater negative mood and depressive symptoms and increased MDE risk. Results suggest complex bidirectional associations between affect and smoking outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preventive resources and emotion regulation expectancies as mediators between attachment and college students' stress outcomes.

In this study the authors examined both preventive psychological coping resources and negative mood regulation expectancies as potential mediators between parental attachment and two types of stress outcomes: stress symptoms and stress-produced emotions. Data were collected from 390 college students and separate structural equation models were tested for the outcomes of stress symptoms and emotions. Results suggested that for both models, as hypothesized, preventive resources and negative mood regulation expectancies functioned as mediators. Further, there was evidence that these results were similar for the model in which stress symptoms were used as an outcome, as well as the model in which stress-produced emotions were used as the outcome. Implications for a more complete understanding of psychological resources promoted by secure attachment are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mood-regulation expectancies as determinants of dysphoria in college students.

Predictors of coping styles, depression, and somatic symptoms in college students were examined. In previous research, the use of active and avoidant coping strategies was predicted by stress, family support, self-confidence, and easygoing disposition. This study found that the expectancy to be able to alter one's mood state added significantly to the prediction of coping. Mood-regulation expectancies also predicted dysphoria and somatic symptoms, even with the effects of coping behavior and other variables partialed out. Consistent with response expectancy theory of I. Kirsch (see PA, Vol 73:13702; see also 1990), these data indicate that besides affecting mood indirectly through their impact on coping behavior, expectancies can directly alter dysphoric moods. However, when the effects of expectancy were statistically controlled, active coping was positively associated with dysphoria, which suggests that coping strategies may not be effective unless they are believed in. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An affective-motivational model of marijuana and alcohol problems among college students.

The study examined models of marijuana (n = 309) and alcohol (n = 731) problems. Impulsivity was directly associated with both marijuana- and alcohol-related problems. Negative mood regulation expectancies were indirectly associated with marijuana problems through coping motives. Sensation seeking was indirectly associated with alcohol problems through enhancement motives. Affect lability and negative affect were indirectly associated with alcohol problems though coping motives. In both models, coping motives were directly associated with use-related problems. A multigroup analysis indicated that the association between negative affect and coping motives as well as use and problems was stronger among participants using both alcohol and marijuana relative to alcohol only. Enhancement motives were a stronger predictor of alcohol use among participants using alcohol only. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Benefit finding, affective reactions to diabetes stress, and diabetes management among early adolescents.

Objective: To examine whether benefit finding was associated with better adjustment among adolescents with diabetes by buffering negative affective reactions to diabetes stress and by promoting positive affective reactions. Design: Early adolescents aged 10–14 with Type 1 diabetes (n = 252) described recent diabetes stressors, affective reactions, and perceived coping effectiveness. They also completed measures of benefit finding, depressive symptoms, and adherence. Metabolic control (i.e., HbA1c) was obtained from medical records. Main Outcome Measures: The main outcome measures were perceived coping effectiveness, depressive symptoms, adherence, and HbA1c. Results: Benefit finding was associated with lower depressive symptoms, higher perceived coping effectiveness and better adherence, and with higher positive as well as negative affective reactions to diabetes stress. Benefit finding interacted with negative affective reactions to predict depressive symptoms and HbA1c. Negative affective reactions to stress were associated with poorer adjustment among those with low benefit finding, but were unrelated or more weakly related to poor adjustment among those with high benefit finding. Positive affective reactions did not mediate associations between benefit finding and any outcome. Conclusions: Consistent with a stress-buffering process, benefit finding may be a resource that buffers the disruptive aspects of negative affective reactions to stress for adolescents' diabetes management. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Daily stress, coping, and well-being in parents of children with autism: A multilevel modeling approach.

This study used a repeated daily measurement design to examine the direct and moderating effects of coping on daily psychological distress and well-being in parents of children with Autism Spectrum Disorders (ASD). Twice weekly over a 12-week period, 93 parents provided reports of their daily stress, coping responses, and end-of-day mood. Multilevel modeling analyses identified 5 coping responses (e.g., seeking support, positive reframing) that predicted increased daily positive mood and 4 (e.g., escape, withdrawal) that were associated with decreased positive mood. Similarly, 2 coping responses were associated with decreased daily negative mood and 5 predicted increased negative mood. The moderating effects of gender and the 11 coping responses were also examined. Gender did not moderate the daily coping?mood relationship, however 3 coping responses (emotional regulation, social support, and worrying) were found to moderate the daily stress?mood relationship. Additionally, ASD symptomatology, and time since an ASD diagnosis were not found to predict daily parental mood. This study is perhaps the first to identify coping responses that enhance daily well-being and mitigate daily distress in parents of children with ASD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Goal adjustment capacities, coping, and subjective well-being: The sample case of caregiving for a family member with mental illness.

This study examined the associations between goal adjustment capacities, coping, and indicators of subjective well-being in 2 waves of data from individuals who provide care for a family member with mental illness. We hypothesized that goal adjustment capacities would predict higher levels of subjective well-being by facilitating coping with caregiving stress. Results showed that goal disengagement was associated with effective care-specific coping (e.g., less self-blame and substance use). Goal reengagement was also associated with effective care-specific coping (e.g., positive reframing), but at the same time it predicted the use of less effective strategies (e.g., venting and self-distraction). Moreover, goal disengagement predicted lower levels of caregiver burden and depressive symptoms and buffered the longitudinal effect of caregiver burden on increases in depressive symptoms. Goal reengagement, by contrast, predicted higher levels of caregiver burden and purpose in life and buffered the cross-sectional association between caregiver burden and depressive symptoms. Finally, effective (and less useful) care-specific coping statistically explained the adaptive (and maladaptive) effects of goal adjustment capacities on participants' well-being. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A randomized clinical trial of a brief, mailed intervention for symptoms of depression.

This research evaluated the efficacy of a brief, mailed personalized feedback intervention designed to alleviate depressed mood and antecedents (ineffective coping and hopelessness). College students (N = 177) were randomly assigned to intervention or control group following a baseline assessment. A week after completing the baseline assessment, participants in the intervention condition were mailed feedback and information detailing their mood, coping strategies, as well as suggestions for enhancing mood. Results indicated that feedback was effective in reducing depressive symptoms, hopelessness, and among men, increasing willingness to use coping strategies at the 1-month follow-up. Hopelessness mediated reductions in depressive symptoms. Results support the use of personalized feedback as a low-cost, initial intervention for college students suffering from symptoms of depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rumination and cigarette smoking: A bad combination for depressive outcomes?

Ruminative coping has been shown to heighten the risk and severity of depression. The authors hypothesized that ruminators who smoke would experience greater depressive symptoms than ruminators who do not. The rationale is that, by heightening attentional focus, nicotine may increase ruminators' ability to focus on negative thoughts, augmenting depressed mood. Participants (N = 145) self-reported smoking status, rumination, and current and lifetime depressive symptoms, including depressed mood. Results showed that rumination accounted for a larger amount of variance in current and past depressed mood and severity of lifetime depressive symptoms among smokers than nonsmokers. Noncorrelational, experimental research should directly test whether nicotine worsens depressed mood among ruminative smokers. Such evidence would be surprising because it would contradict the assumption that nicotine dispels negative moods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rumination and psychological distress among bereaved partners.

Recently bereaved men who evidenced more negative ruminative thoughts in free-response interviews showed greater psychological distress on several outcome measures both 1 month and 12 months after their loss and less increase in positive morale over this 12-month period. Men who engaged in more analysis of themselves and the meaning of their loss reported greater positive morale 1 month after their loss but showed more persistent depression and absence of positive states of mind over the 12 months following their loss. Finally, men who reported more social friction also evidenced more enduring depressive symptoms over the year than did men who reported less social friction. These results are generally consistent with other studies that have shown that self-reflective, ruminative coping with negative emotions and social friction are associated with longer and more severe periods of depressed mood following stressful events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mood-Induced Increases in Alcohol Expectancy Strength in Internally Motivated Drinkers.

This study investigated whether exposure to musical mood induction procedures (MMIP) differentially increases the strength of specific alcohol expectancies for coping motivated (CM) versus enhancement motivated (EM) drinkers. Participants were 86 undergraduates who had elevated scores on either the CM or EM subscale of the Drinking Motives Questionnaire (M. L. Cooper, 1994). Participants were randomly assigned to either a positive or negative mood condition. The Alcohol Craving Questionnaire (E. G. Singleton, S. T. Tiffany, & J. E. Henningfield, 1994) was administered at baseline and after MMIP to assess phasic changes in alcohol expectancy strength. Consistent with hypotheses, only CM drinkers in the negative mood condition reported increased relief expectancies, and only EM drinkers in the positive mood condition reported increased reward expectancies. Theoretical and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Taxonomy, assessment, and diagnosis of depression during adolescence.

Research on depressive phenomena during adolescence has focused on 3 separate constructs: depressed mood, depressive syndromes, and depressive disorders. Approaches to the assessment, taxonomy, and diagnosis of these 3 conceptualizations are reviewed. Each of the approaches is represented by different assessment tools measuring related but distinct aspects of depressive phenomena. The constructs share a common set of symptoms reflecting negative affectivity but differ in their inclusion of symptoms of anxiety, somatic problems, and disrupted concentration and in the duration and severity of the symptoms they include. Depressed mood, syndromes, and disorders are integrated as 3 levels of depressive phenomena in a hierarchical and sequential model, and moderating factors are hypothesized to account for the relationships among the 3 levels. The need for a stronger developmental focus to understand depressive phenomena during adolescence is emphasized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is expectancy reality? Associations between tension reduction beliefs and mood following alcohol consumption.

The present study investigated whether tension reduction expectancies were uniquely associated with self-reported mood following in-lab alcohol administration, given that little research has addressed this association. We also tested whether level of experience with alcohol, which may influence the learning of expectancies, moderated expectancy-mood associations. Regularly drinking college students (N = 145) recruited through advertisements completed self-report measures of positive alcohol expectancies, alcohol involvement, demographics, and pre- and post-drinking mood, and then consumed alcohol ad libitum up to four drinks in the laboratory. Regression analyses controlling for pre-consumption mood, blood alcohol concentration, and all other positive expectancies showed tension reduction expectancies to be a marginally significant positive predictor of negative mood post-drinking. This association was significant only for those who achieved lower blood alcohol concentrations in lab and those who reported less involvement with alcohol (i.e., lower typical quantity, heavy episodic drinking frequency, and years of regular drinking). Findings suggest that associations between expectations for mood and actual post-drinking mood outcomes may operate differently for less versus more involved drinkers. Clinical implications pertain to early intervention, when expectancies may be less ingrained and perhaps more readily modified. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The association between adolescents’ depressive symptoms, maternal negative affect, and family relationships in Hong Kong: Cross-sectional and longitudinal findings.

This study investigated the bidirectional relationships of adolescents’ and maternal mood, and the moderating effect by gender and perceived family relationships on these relationships. Data were obtained from 626 adolescent-mother dyads and follow-up data were collected one year later from a subset. Adolescents reported their depressive symptoms, and their mothers reported their negative affect. Adolescents described their perception of family relationships. Maternal negative affect and adolescents’ depressive symptoms were significantly correlated at baseline. This association was moderated by gender and family relationships. The association was stronger in mother-daughter compared to mother-son dyads. In families where relationships were reported to be poor, adolescent depressive symptoms were uniformly high, regardless of maternal negative affect. However, in families where relationships were good, maternal negative affect was associated with higher adolescents’ depressive symptoms. In longitudinal analyses, adolescents’ mood at baseline was found to relate to maternal negative affect at follow-up. Family relationships at baseline were also associated with adolescents’ depressive symptoms at follow-up. However, there was no prediction from maternal negative affect at baseline to adolescents’ depressive symptoms at follow-up. Gender and quality of family relationships did not moderate the longitudinal relationships between adolescents’ depressive symptoms and maternal negative affect in either direction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Peer relationships and diabetes: Retrospective and ecological momentary assessment approaches.

Objective: To examine the association of positive and negative aspects of friendship to psychological well-being, self-care behavior, and blood glucose control and to determine whether these relations were moderated by gender. Design: Adolescents with Type 1 diabetes (n = 76) completed baseline measures of friendship quality, depressive symptoms, and self-care. A measure of metabolic control was obtained from medical records. Adolescents also tested blood glucose periodically over the course of 4 days and completed ecological momentary assessments of interpersonal interactions and mood using PDAs. Main Outcome Measures: For between-groups analyses, primary outcomes were depressive symptoms, self-care behavior, and metabolic control. For within-groups analyses, primary outcomes were mood and blood glucose. Results: Results showed baseline reports of peer conflict but not support were associated with outcomes, particularly among girls. Conflict was more strongly related to poor metabolic control for girls than boys. Momentary interaction enjoyment and interaction upset were associated with mood, but were unrelated to blood glucose. Aggregate indices of enjoyable interactions were associated with fewer depressive symptoms and better self-care—especially among girls. Conclusions: These results suggest that the positive and negative aspects of peer relationships are related to the psychological well-being and physical health of adolescents with diabetes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Appraisal and goal processes as predictors of psychological well-being in bereaved caregivers.

Narratives of 30 caregivers were scored for appraisals and coping responses following the death of their partners from AIDS. Appraisals were identified as valenced beliefs, emotions, and goal outcomes, whereas coping responses included goals and plans of action. The proportion of positive appraisals predicted long-term goals and plans and psychological well-being at both bereavement and 12 months later. Positive appraisals were correlated with positive morale and positive states of mind. The latter were negatively correlated with partner-centered, short-term plans. Positive appraisals were negatively correlated with depressive mood. Caregivers, who reported proportionately more positive appraisals during caregiving and after the loss of their partner, were more likely to have future- and self-oriented goals and plans and to demonstrate positive well-being at bereavement and better recovery 12 months later than were those who reported more negative appraisals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)