Emotional self-disclosure and emotional avoidance: Relations with symptoms of depression and anxiety.

Research suggests that individuals with heightened symptoms of mood and anxiety disorders engage in diminished emotional disclosure. On the basis of emotion regulation theories, the authors hypothesized that this symptom–disclosure relationship would be mediated by the avoidance of emotional experience and expression. In Study 1, college students (N = 831) completed measures of depression and anxiety symptoms, measures of tendencies to avoid emotional expression, and measures of tendencies to self-disclose distress. Structural equation modeling revealed that anhedonic depression and anxious arousal were associated with lessened emotional self-disclosure tendencies as mediated by avoidance of emotional expression. In Study 2, participants (N = 153) completed new measures of depression and anxiety symptoms, reflected on the most significant emotional event experienced during the past week, and rated their avoidance of emotion about the event and their self-disclosure of the event. Depression (but not anxiety) symptoms were negatively related to the disclosure of a specific event, but avoidance of emotional experience did not mediate this depression–disclosure relationship. These findings extend emotion dysregulation theory and suggest that depressive symptoms in particular are associated with reduced emotional disclosure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional Intensity of Idiographic Sad Memories in Depression Predicts Symptom Levels 1 Year Later.

When cued with generic happy and sad words, depressed individuals have been found to articulate contextually impoverished memories of autobiographical events. Although this pattern predicts a worse symptomatic course of disorder in some depressed samples, longitudinal findings with the cue-word paradigm are inconsistent. To address the etiological significance of autobiographical memories outside the cue-word paradigm, the authors used an idiographic interview in which depressed participants generated memories of their happiest and saddest lifetime events. Each memory was coded for detail and emotional intensity. At a 1-year follow-up, participants' levels of depressive symptoms were reassessed. Lower emotional intensity of saddest memories predicted higher levels of depressive symptoms at follow-up. Several implications for understanding sadness and emotional disclosure in depression are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional reactivity to daily events in major and minor depression.

Although emotional dysfunction is an important aspect of major depressive disorder (MDD), it has rarely been studied in daily life. Peeters, Nicolson, Berkhof, Delespaul, and deVries (2003) observed a surprising mood-brightening effect when individuals with MDD reported greater reactivity to positive events. To better understand this phenomenon, we conducted a multimethod assessment of emotional reactivity to daily life events, obtaining detailed reports of appraisals and event characteristics using the experience-sampling method and the Day Reconstruction Method (Kahneman, Krueger, Schkade, Schwarz, & Stone, 2004) in 35 individuals currently experiencing a major depressive episode, 26 in a minor depressive (mD) episode, and 38 never-depressed healthy controls. Relative to healthy controls, both mood-disordered groups reported greater daily negative affect and lower positive affect and reported events as less pleasant, more unpleasant, and more stressful. Importantly, MDD and mD individuals reported greater reductions in negative affect following positive events, an effect that converged across assessment methods and was not explained by differences in prevailing affect, event appraisals, or medications. Implications of this curious mood-brightening effect are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Daily Depression and Cognitions About Stress: Evidence for a Traitlike Depressogenic Cognitive Style and the Prediction of Depressive Symptoms in a Prospective Daily Diary Study.

The authors examined the stability and dynamic structure of negative cognitions made to naturalistic stressors and the prediction of depressive symptoms in a daily diary study. Young adults reported on dispositional depression vulnerabilities at baseline, including a depressogenic cognitive style, dysfunctional attitudes, rumination, neuroticism, and initial depression, and then completed short diaries recording the inferences they made to the most negative event of the day along with their experience of depressive symptoms every day for 35 consecutive days. Daily cognitions about stressors exhibited moderate stability across time. A traitlike model, rather than a contextual one, explained this pattern of stability best. Hierarchical linear modeling analyses showed that individuals' dispositional depressogenic cognitive style, neuroticism, and their daily negative cognitions about stressors predicted fluctuations in daily depressive symptoms. Dispositional neuroticism and negative cognitive style interacted with daily negative cognitions in different ways to predict daily depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral manifestations of social support: A microanalytic investigation.

Examined the specific interpersonal behaviors that convey support from one person to another, the types of interpersonal experiences that characterize individuals who report high vs low levels of social support, and the effectiveness of a range of helping behaviors in preventing depressive reactions to stressful events. 41 undergraduates completed a general measure of perceived social support and kept daily records of their social interactions and stressful experiences for 14 days. They also completed the Depression Adjective Check Lists each day. Results show that behaviors reflecting emotional support and informational support occurred as a specific response to stressful life events. Although esteem support was expressed with equal frequency in the presence and absence of stress, it was especially effective in preventing depressive reactions to stressful events. Ss who perceived themselves as having high levels of social support were more frequently the recipients of helping behaviors following stressful events than those low in perceived support. Perceived social support was only predictive of helping behaviors on days on which at least 1 stressful event occurred. The total number of helping behaviors received following stressful events was a significant negative predictor of level of depressive mood, although 1 helping behavior (frequency of confiding) was associated with higher levels of depression. Results are interpreted in terms of the buffering model of social support. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Characteristics associated with real and made-up events: The effects of event valence, event elaboration, and individual differences.

In three studies, participants rated both real and made-up personal events on several different characteristics. These included meta-cognitive beliefs about the perceived realness and typicality of these events, imagery ratings of visual detail, and emotional ratings of intensity and feelings. Studies 1 and 2 explored the impact of event valence (pleasant versus unpleasant) on these characteristics, whereas Study 3 focused on the effects of event elaboration involving guided imagery and journaling techniques. All three studies also included consideration of individual difference factors that might either enhance or attenuate the ratings that were obtained. Both Studies 1 and 2 found that pleasant events (be they real or made-up), were viewed as more typical, and more likely to have happened and be true, than unpleasant events. This pattern of meta-cognitive judgments provided support for a general positivity hypothesis, which proposes that most individuals orient towards and emphasize pleasant rather than unpleasant life experience and events. In contrast, the imagery-related components of these events, such as visual details, location, and time, were much less sensitive to the manipulation of event valence. Strong imagery-related effects, however, were noted when events were elaborated in the final study. Furthermore, this event elaboration manipulation also resulted in heightened meta-cognitive judgments of typicality, likelihood of the event having happened, and of being true. Finally, across all three studies, a series of correlational analyses indicated that the individual difference factors did not have any systematic effect on any of the event characteristic ratings. However, when event valence was not specifically manipulated (in Study 3), depressed individuals spontaneously provided twice as many unpleasant personal events as nondepressed individuals. These findings were then discussed in terms of source-confusion issues regarding personal memory accuracy, as well as the further extension of a recent model of autobiographical memory to incorporate event properties such as valence and elaboration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Time course of processing emotional stimuli as a function of perceived emotional intelligence, anxiety, and depression.

An individual's self-reported abilities to attend to, understand, and reinterpret emotional situations or events have been associated with anxiety and depression, but it is unclear how these abilities affect the processing of emotional stimuli, especially in individuals with these symptoms. The present study recorded event-related brain potentials while individuals reporting features of anxiety and depression completed an emotion-word Stroop task. Results indicated that anxious apprehension, anxious arousal, and depression were associated with self-reported emotion abilities, consistent with prior literature. In addition, lower anxious apprehension and greater reported emotional clarity were related to slower processing of negative stimuli indexed by event-related potentials (ERPs). Higher anxious arousal and reported attention to emotion were associated with ERP evidence of early attention to all stimuli regardless of emotional content. Reduced later engagement with stimuli was also associated with anxious arousal and with clarity of emotions. Depression was not differentially associated with any emotion processing stage indexed by ERPs. Research in this area may lead to the development of therapies that focus on minimization of anxiety to foster successful emotion regulation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of personal goals on self-regulation processes elicited by daily negative events.

A diary study examined the impact of personal goals on appraisals, self-regulatory processes, and affect in response to daily negative events. Participants, who were pretested on a goal inventory, completed a diary in which they described and rated the most bothersome event twice each day for 2 weeks. Events were later coded for goal relevance and self-focused attention. Goal-related events were appraised as more serious and personally important, were associated with more negative moods during the rating period, and elicited stronger self-regulatory responses (higher levels of self-focused attention, self-concept confusion, and rumination). The relation between goal relevance and mood was mediated by the self-regulatory variables. Nomothetic and idiographic relations among the diary variables (ignoring goal relevance) also implicated self-regulatory processes in responding to negative events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disclosure of emotional events in groups at risk for posttraumatic stress disorder.

The disclosure of emotional events to various social intimates (disclosure targets) was measured in 2 samples (soldiers and first responders) at risk for posttraumatic stress disorder (PTSD), as well as a comparison sample of college students. These 3 groups completed survey measures of disclosure, and at risk groups also completed measures of PTSD symptoms and social support. Groups at risk for PTSD were less likely to disclose emotions related to potentially traumatic events than were college students reporting general emotional disclosure. Overall, disclosure of positive emotions was more likely than disclosure of negative emotions. Furthermore, amount of disclosure depended on the person to whom the individual disclosed. Within groups at risk for PTSD, social support was associated with lower levels of PTSD. However, this relationship was mediated by emotional disclosure to each target. Disclosure of positive emotions generally was associated with lower levels of PTSD, and disclosure of negative emotions to those with similar at-risk status was associated with greater levels of PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial antecedents of depressive symptoms: An evaluation using daily experiences methodology.

College students provided ratings regarding the intensity of depressive symptoms every day for 45 consecutive days. Participants also made daily ratings of the degree to which they experienced 3 psychosocial processes that have been theoretically linked to depression: dependency, negative cognitions, and interpersonal stress. Concomitant time-series analyses revealed significant temporal covariation of each psychosocial variable, with depressive symptoms for virtually all participants. Across-time analyses also revealed that elevations in interpersonal stress and feelings of dependency preceded, by 1 day, the onset of periods of intense depression, and that elevations in all 3 psychosocial variables were apparent 1 to 2 days after such episodes had ended. The findings suggest that a "daily experiences methodology" may be useful in identifying short-term antecedents and residuals of symptomatic states. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Caretaking behaviors by adolescent children of mothers with and without a history of depression.

In a sample of 72 mothers with and without a history of depression and their adolescent children, maternal depression history, current maternal depressive symptoms, intrusive and withdrawn parental behavior, and adolescent caretaking behaviors were examined as predictors of adjustment in these youth. Two types of caretaking behaviors were examined: emotional (e.g., caring for a parent's emotional distress) and instrumental (e.g., looking after younger siblings). Although adolescents of mothers with and without a history of depression were comparable on levels of both types of caretaking, caretaking was associated with adolescents' reports of anxiety–depression and mothers' reports of social competence only for adolescents of mothers with a history of depression. Moreover, regression models showed that among children of mothers with a history of depression, emotional, but not instrumental, caretaking was related to adolescents' anxiety–depression symptoms and social competence after controlling for current parental depressive symptoms and stressful parenting behaviors. Theoretical and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Valence focus and self-esteem lability: Reacting to hedonic cues in the social environment.

Individuals differ in the extent to which they emphasize feelings of pleasure or displeasure in their verbal reports of emotional experience, termed valence focus (VF). Two event-contingent, experience-sampling studies examined the relationship between VF and sensitivity to pleasant and unpleasant social cues. It was predicted, and found, that individuals with greater VF (i.e., who emphasized feelings of pleasure/displeasure in reports of emotional experience) demonstrated greater self-esteem lability (i.e., larger changes in self-esteem) to pleasant and unpleasant information contained in social interactions than did those lower in VF. These effects held even after statistically controlling for possible confounding variables (neuroticism, affect intensity). Implications for understanding the psychological impact of valenced interpersonal events are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dysregulation of the behavioral activation system in remitted bipolar I disorder.

The current study tests a prediction of the behavioral activation system (BAS) dysregulation theory of bipolar disorder, namely that following high levels of reward or frustration, individuals with bipolar disorder will take longer than will healthy controls to recover to baseline levels of BAS activity. Eighty individuals (40 with bipolar I disorder, currently euthymic; 40 with no history of affective disorder) completed a daily diary over a 28 day period. No differences were found between the 2 groups in terms of the relation among levels of reward or frustration experienced, magnitude of initial response, or time taken to recover. However, examination of the relation between number of previous episodes and time to recover revealed that history of mania was associated with prolonged activation following reward, whereas history of both mania and depression were associated with prolonged recovery following frustration. The findings do not support an association between lifetime diagnosis of bipolar disorder and slow recovery of BAS activity. Nevertheless, they offer tentative support for an association between number of previous episodes and slow recovery of BAS activity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A naturalistic observation study of the links between parental depressive symptoms and preschoolers' behaviors in everyday life.

Previous research has shown that parental depressive symptoms are linked to a number of negative child outcomes. However, the associations between parental depressive symptoms and actual child behaviors in everyday life remain largely unknown. The aims of this study were to investigate the links between parental depressive symptoms and everyday child behaviors and emotional language use using a novel observational methodology, and to explore the potential moderating role of parent–child conflict. We tracked the behaviors and language use of 35 preschool-aged children for two 1-day periods separated by one year using a child version of the Electronically Activated Recorder, a digital voice recorder that records ambient sounds while participants go about their daily lives. Parental depressive symptoms were positively associated with multiple problem behaviors among children (i.e., crying, acting mad, watching TV) when measured both concurrently and prospectively, and with negative emotion word use prospectively. Further, the links between parental depressive symptoms and child crying were moderated by parents' perceptions of parent–child conflict. This study offers the first empirical evidence of direct links between parental depressive symptoms and child behaviors in daily life and presents a promising research tool for the study of everyday child behaviors. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effects of daily events on mood states in major depressive disorder.

Major depressive disorder (MDD) is characterized by high negative affect (NA) and low positive affect (PA), but little is known about emotional reactivity in daily life. The authors used experience sampling methodology to investigate changes in NA and PA following minor daily events in MDD compared with healthy participants. Contrary to expectation, MDD participants did not report more frequent negative events, although they did report fewer positive events. Multilevel regression showed that both NA and PA responses to negative events were blunted in the MDD group, whereas responses to positive events were enhanced. NA responses to negative events persisted longer in MDD participants. Depressed participants with a positive family history or longer current episodes showed relatively greater NA responses to negative events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Regulatory control and adults' stress-related responses to daily life events.

In this study, the authors examined the relations of regulatory control to adults' daily stress-related responses. A physiological index of regulatory control (vagal tone) and daily response of stress and coping were obtained from 92 college students. The results of the study generally confirmed the prediction that individuals who are high in regulatory control were relatively unlikely to experience high levels of negative emotional arousal in response to stressors, but this relation held only for moderate- to high-intensity stressors. Moreover, under conditions of moderate to high stress, highly regulated individuals were likely to cope constructively with the stressor. Mediational analyses suggested that the relation of regulatory control to constructive coping was partially mediated by negative emotional arousal. The results support the conclusion that individual differences in regulatory control interact with situational factors in influencing the prediction of stress-related responses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Further Examination of the Exposure Model Underlying the Efficacy of Written Emotional Disclosure.

In the current study, the authors examined the effects of systematically varying the writing instructions for the written emotional disclosure procedure. College undergraduates with a trauma history and at least moderate posttraumatic stress symptoms were asked to write about (a) the same traumatic experience, (b) different traumatic experiences, or (c) nontraumatic everyday events across 3 written disclosure sessions. Results show that participants who wrote about the same traumatic experience reported significant reductions in psychological and physical symptoms at follow-up assessments compared with other participants. These findings suggest that written emotional disclosure may be most effective when individuals are instructed to write about the same traumatic or stressful event at each writing session, a finding consistent with exposure-based treatments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of stressful daily events on mood states: relationship to global perceived stress

This study used experience sampling methodology to examine the relationship between stressful daily events and mood. Eighty-five male white-collar workers completed self-reports 10 times a day for 5 days. Controlling for individual differences in mood levels, multilevel regression analyses showed that events were followed by increases in negative affect (NA) and agitation (Ag) and by decreases in positive affect (PA). More unpleasant events were associated with greater changes in all three mood dimensions; controllability mitigated the effects of events on NA and PA. Prior events had persistent effects on current mood. High perceived stress (PS) was associated with greater reactivity of NA and PA to current events, whereas trait anxiety moderated reactivity of Ag. Results indicate that PS is related not only to a higher frequency of reported events but also to more intense and prolonged mood responses to daily stress.     

How do depressed and healthy adults interpret nuanced facial expressions?

This study investigates the discrimination accuracy of emotional stimuli in subjects with major depression compared with healthy controls using photographs of facial expressions of varying emotional intensities. The sample included 88 unmedicated male and female subjects, aged 18–56 years, with major depressive disorder (n = 44) or no psychiatric illness (n = 44), who judged the emotion of 200 facial pictures displaying an expression between 10% (90% neutral) and 80% (nuanced) emotion. Stimuli were presented in 10% increments to generate a range of intensities, each presented for a 500-ms duration. Compared with healthy volunteers, depressed subjects showed very good recognition accuracy for sad faces but impaired recognition accuracy for other emotions (e.g., harsh, surprise, and sad expressions) of subtle emotional intensity. Recognition accuracy improved for both groups as a function of increased intensity on all emotions. Finally, as depressive symptoms increased, recognition accuracy increased for sad faces, but decreased for surprised faces. Moreover, depressed subjects showed an impaired ability to accurately identify subtle facial expressions, indicating that depressive symptoms influence accuracy of emotional recognition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bidirectional relations of religious orientation and depressive symptoms in adolescents: A short-term longitudinal study.

Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our 4-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious orientation measured at baseline significantly predicted lower self-reported depressive symptoms 4 months later, controlling for initial level of depressive symptoms and cognitive style; in contrast, extrinsic orientation and the interaction between religious orientation and life events did not significantly predict later depressive symptoms. Self-reported depressive symptoms, however, did not predict either intrinsic or extrinsic religious orientation 4 months later. Factors contributing to different findings for adolescents versus adults in the relation between extrinsic religious orientation and depression are suggested. (PsycINFO Database Record (c) 2011 APA, all rights reserved)