Psychological, physical, and interpersonal correlates of emotional expressiveness, conflict, and control

1991 ◽  
Vol 5 (2) ◽  
pp. 131-150 ◽  
Author(s):  
Laura A. King ◽  
Robert A. Emmons
Keyword(s):  
Psychological Distress ◽  
Emotional Expression ◽  
Married Couples ◽  
Well Being ◽  
Physical Symptoms ◽  
Emotional Expressiveness ◽  
Future Research ◽  
Emotional Control ◽  
Over Expression ◽  
Ambivalence Over Emotional Expression

This article examines the relations between emotional expression, conflict over expression, and emotional control and psychological and physical distress. Fifty married couples completed two mail‐in surveys containing the Emotional Expressiveness Questionnaire (EEQ), the Ambivalence Over Emotional Expression Questionnaire (AEQ), and the Emotional Control Questionnaire (ECQ), as well as measures of psychological and physical well‐being. They also made expressiveness and well‐being ratings of their spouses. AEQ and ECQ scores were significantly positively correlated with measures of psychological distress and questionnaire measures of physical discomfort. In addition, AEQ scores for items dealing explicitly with anger predicted visits to health‐care provider for illness. EEQ scores did not predict either psychological distress or physical symptoms. AEQ scores were also positively correlated with spouse's symptoms and alcohol use. Wives' expressiveness ratings for their husbands were negatively correlated with a number of indices of psychological distress, while husbands' ratings of wives' expressiveness were positively correlated with measures of distress. Generally, expressiveness, inhibition, and conflict over expression in one spouse did not consistently predict well‐being of the other. Implications of these findings for future research in the area of emotion and illness as well as in relationship satisfaction are discussed.

Caregiving in quarantine: Humor styles, reframing, and psychological well-being among parents of children with disabilities

2021 ◽  
pp. 026540752110435
Author(s):  
Heidi L. Fritz
Keyword(s):  
Psychological Distress ◽  
Social Interactions ◽  
Children With Disabilities ◽  
Well Being ◽  
Family Satisfaction ◽  
The United States ◽  
Future Research ◽  
Humor Styles ◽  
Psychological Well Being ◽  
Over Time

Prior research links adaptive humor styles (affiliative and self-enhancing) with enhanced psychological well-being and maladaptive humor styles (aggressive and self-defeating) with worse psychological well-being, primarily through humor styles’ influence on individuals’ social interactions and efforts to positively reframe stressors. The present study examined the unique relation of each humor style with psychological well-being with a focus on understanding mechanisms of adjustment under highly stressful conditions. Ninety-nine parents of children with disabilities were surveyed at the beginning of the COVID-19 pandemic in the United States in March 2020, and 79 parents completed follow-up surveys in July 2020. As predicted, at T1, self-enhancing humor was associated with less psychological distress and greater family satisfaction, self-defeating humor was associated with greater distress, and aggressive humor was associated with lower family satisfaction. Moreover, affiliative humor predicted decreased psychological distress over time, whereas self-defeating humor predicted increased psychological distress and decreased family satisfaction over time. Relations were largely mediated by caregiver positive reappraisal, family efforts to reframe daily disability-related challenges, and negative social interactions. Future research should further examine the influence of caregiver humor styles on family dynamics, family reframing norms, and caregiving efficacy.

Understanding Hospice Patients’ Beliefs About Their Life Expectancy: A Qualitative Interview Study

2020 ◽  
pp. 104990912094848
Author(s):  
Jennifer M. Taber ◽  
Clare L. Stacey ◽  
Denice K. Sheehan
Keyword(s):  
Life Expectancy ◽  
Advanced Disease ◽  
Well Being ◽  
Physical Symptoms ◽  
Future Research ◽  
Common Source ◽  
Structured Interviews ◽  
Qualitative Interview Study ◽  
Hospice Patients ◽  
Length Of Life

Background: Patients with advanced disease often overestimate their life expectancy, which potentially impacts decision making. Objective: To examine the nature and source of hospice patients’ life expectancy estimates, about which little is known. Design: Using semi-structured interviews, patients were asked to estimate their life expectancy and elaborate on their response. Setting/Subjects: Participants were hospice patients ( n = 20, 55% male; 60% cancer). Measurement: We conducted thematic analysis using open and focused coding. Results: Many participants had difficulty answering the life expectancy question and expressed uncertainty about when they would die. One-third overestimated their length of life relative to actual survival. The most common source of patients’ prognostic beliefs was knowledge about their body, including physical symptoms and change over time. Half of patients reported that a provider had given them a prognostic estimate, and one-third agreed with, or gave estimates consistent with, the provider’s estimate. Some patients said providers do not know prognosis or that time of death was unknowable. Conclusions: Key findings were that 1) many hospice patients had difficulty estimating life expectancy, and 2) hospice patients’ life expectancy estimates were frequently based on their body and not on information from medical providers. These findings have implications for measuring prognostic awareness, as valid assessment is a necessary component of determining whether prognostic awareness is beneficial for patients. Future research should examine how life expectancy estimates are associated with well-being and whether results extend to larger samples of patients with advanced disease not in hospice.

scholarly journals Predictors and Effects of Usage of an Online Mindfulness Intervention for Distressed Cancer Patients: Usability Study

10.2196/17526 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e17526
Author(s):  
Linda Cillessen ◽  
Monique OM van de Ven ◽  
Félix R Compen ◽  
Else M Bisseling ◽  
Marije L van der Lee ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cancer Patients ◽  
Controlled Trial ◽  
Cancer Recurrence ◽  
Well Being ◽  
Fear Of Recurrence ◽  
Fear Of Cancer Recurrence ◽  
Future Research ◽  
Linear Regression Models ◽  
Treatment As Usual

Background One in three cancer patients experience high psychological distress. Mindfulness-based interventions are effective in reducing psychological distress in this patient group. However, these interventions lack availability and flexibility, which may compromise participation in the intervention for cancer patients experiencing late symptoms like fatigue or pain. Therefore, mindfulness-based interventions are increasingly offered via the internet. However, little is known about the usage of these online mindfulness-based interventions. Objective The aim of this study was to (1) predict uptake of and adherence to online mindfulness-based cognitive therapy (eMBCT) using baseline patient characteristics (demographic, cancer-related, personality, and psychological variables) and (2) examine the relations between adherence and treatment outcomes in eMBCT for cancer patients. Methods A total of 125 cancer patients were assigned to eMBCT in a parent randomized controlled trial comparing MBCT and eMBCT with treatment as usual in distressed cancer patients. Various usage measures of eMBCT were automatically tracked within the online program. Based on activity of use, participants were classified as nonusers, minimal users, low users, and intended users. Questionnaires were used to assess baseline characteristics (preintervention) and outcomes (pre- and postintervention). To answer the research questions, data were analyzed with t tests, χ2 tests, and linear regression models. Results Based on weekly activity, participants were classified as nonusers (n=17, 13.6%), who completed no exercises in MBCT; minimal users (n=31, 24.8%), who completed at least one exercise of one to three sessions; low users (n=12, 9.6%), who completed at least one exercise of four to seven sessions; and intended users (n=65, 52.0%), who completed at least one exercise of eight to nine sessions. Nonusers had more fear of cancer recurrence at baseline than users (uptake), and intended users were more conscientious than minimal and low users (adherence). Intended users reported a larger reduction in psychological distress and more improvement of positive mental health (ie, emotional, psychological, and social well-being) after the intervention than other participants. Conclusions This study showed that adherence was related to improved patient outcomes. Patients with strong fear of recurrence or low levels of conscientiousness should receive extra attention, as they are less likely to respectively start or complete eMBCT. Future research may focus on the development of flexible and adaptive eMBCT programs to fit individual needs.

scholarly journals The Impact of COVID-19 Psychological Distress on Students' Academic Challenges in University

2021 ◽  
Vol 12 (1) ◽  
pp. 57-70
Author(s):  
Kate Shostak ◽  
Allyson Hadwin ◽  
Paweena Sukhawathanakul
Keyword(s):  
Psychological Distress ◽  
Online Survey ◽  
Well Being ◽  
Future Research ◽  
Grade Point ◽  
Emotional Challenges ◽  
Academic Challenges ◽  
Social And Emotional ◽  
The Impact ◽  
The Relationship

The COVID-19 pandemic has introduced significant disruptions in the learning environment for many post-secondary students with many shifting entirely to remote online learning, which can compound existing academic challenges. While emerging evidence has suggested that COVID-19 impacts students’ well-being and stress, little is known about how the pandemic has affected students academically. This study investigates how different types of academic challenges mediate the relationship between students’ COVID-19 psychological distress and their academic performance. Participants (n=496) completed an online survey that measured COVID-19 psychological distress, self-reported grade point average (GPA), and academic challenges. Mediational analyses estimating indirect pathways were conducted using structural equation modelling on Mplus. Our results showed that all challenges increased along with COVID-19 distress, but specific challenges had a significant relationship with the expected GPA. We found that out of the five academic challenge areas, metacognitive, motivational, and social and emotional challenges emerged as the salient challenge areas that fully mediated the relationship between COVID-19 distress and GPA. Contrary to our prediction, while more significant COVID-19 distress predicted more social and emotional challenges, these challenges were associated to higher GPA. Future research is invited to help students manage and cope with their academic challenges.

scholarly journals Understanding the Relation Between Sleep and Health in Adulthood: Daily Experiences to Long-Term Health Outcomes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 635-635
Author(s):  
Hye Won Chai ◽  
David Almeida ◽  
Soomi Lee
Keyword(s):  
Health Outcomes ◽  
Sleep Duration ◽  
Well Being ◽  
Physical Symptoms ◽  
Future Research ◽  
Negative Events ◽  
Short Sleep Duration ◽  
Restorative Sleep

Abstract An increasing number of studies evinces the significant role of sleep in health outcomes including physical symptoms, cardiometabolic functioning, and chronic health conditions. To further advance the field’s knowledge on sleep and health in adulthood, it is necessary to have an integrative understanding of this topic that pulls together short-term determinants to long-term health consequences of sleep. As such, this symposium places diverse aspects of sleep across multiple contexts, ranging from predictors and consequences of sleep in daily life to the role of sleep in long-term changes in health across adulthood. The first paper by Lee and colleagues examines the role of daily positive and negative events as precursors of concurrent and next-day sleep duration. The second paper by Joo and colleagues addresses the moderating role of nightly sleep duration in the association between daily stressor severity and intensity of headaches. The third paper by Chai and colleagues explores how the association between daily emotional well-being and cardiometabolic syndrome differs by sleep deficiency and by age. The fourth paper by Sin and colleagues focuses on daily affective vulnerability to short sleep duration as a risk factor for developing chronic conditions 10 years later. The final paper by Reither and colleagues assesses within-person changes and between-person differences in restorative sleep and their associations with body mass trajectories across 15 years. The discussant, Dr. Soomi Lee, will integrate key points from the studies, discuss the utilization of diverse measurements of sleep, and address considerations for future research on sleep and health.

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