Findings

Letdown

Kevin Lewis

March 29, 2015

Having 'Been There' Doesn't Mean I Care: When Prior Experience Reduces Compassion for Emotional Distress

Rachel Ruttan, Mary-Hunter McDonnell & Loran Nordgren
Journal of Personality and Social Psychology, forthcoming

Abstract:
For those who are struggling with a difficult experience and who seek the support of others, it is a common assumption that others who have been through the experience in the past will be more understanding. To the contrary, the current research found that participants who had previously endured an emotionally distressing event (e.g., bullying, unemployment) more harshly evaluated another person's failure to endure a similar distressing event compared to participants with no experience enduring the event. These effects emerged for three naturally occurring distressing events, as well as one experimentally-induced distressing event. The effect was driven by the tendency for those who previously endured the distressing event to view the event as less difficult to overcome. Taken together, the paper's findings present a paradox such that, in the face of struggle or defeat, the people we are most apt to seek for advice or comfort may be the least likely to provide it.

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Social Identities of Clients and Therapists During the Mental Health Intake Predict Diagnostic Accuracy

Ora Nakash & Tamar Saguy
Social Psychological and Personality Science, forthcoming

Abstract:
Across countries, common mental disorders are often more prevalent and/or more persistent among disadvantaged members (e.g., ethnic minorities) compared with advantaged group members. Although these disparities constitute a heavy challenge to national health organizations, there is little empirical evidence to help account for the mechanism underlying them. In this study, conducted in clinics across Israel, we investigated processes, rooted in the clinical encounter that may contribute to mental health disparities. We focused on the accuracy of diagnostic decisions, which are likely to substantially impact the client’s prognosis. Therapists’ diagnostic decisions following the initial intake with their client were compared with independent structured diagnostic interview of the client. Results revealed that therapists were twice as likely to misdiagnose mental illness when their client was a member of a disadvantaged (relative to advantaged) group. Implications for the quality of mental health services that members of disadvantaged groups receive are discussed.

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Suicidality among military-connected adolescents in California schools

Tamika Gilreath et al.
European Child & Adolescent Psychiatry, forthcoming

Abstract:
Previous research indicates that suicidal ideation is higher among military-connected youth than non military-connected youth. This study extends prior work by examining suicidal ideation, plans, and attempts in military-connected and non military-connected adolescents. Data were gathered from 390,028 9th and 11th grade students who completed the 2012–2013 California Healthy Kids Survey. Bivariate comparisons and multivariate logistic analyses were conducted to examine differences in suicidal ideation, plans, attempts, and attempts requiring medical attention between military and not military-connected youth. In multivariate logistic analyses, military-connected youth were at increased risk for suicidal ideation (OR = 1.43, 95 % CI = 1.37–1.49), making a plan to harm themselves (OR = 1.19, CI = 1.06–1.34), attempting suicide (OR = 1.67, CI = 1.43–1.95), and an attempted suicide which required medical treatment (OR = 1.71, CI = 1.34–2.16). These results indicate that military-connected youth statewide are at a higher risk for suicidal ideation, plans, attempts, and attempts requiring medical care because of suicidal behaviors. It is suggested that policies be implemented to increase awareness and screening among primary care providers, school personnel, and military organizations that serve military-connected youth.

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Suicidal Disclosures among Friends: Using Social Network Data to Understand Suicide Contagion

Anna Mueller & Seth Abrutyn
Journal of Health and Social Behavior, March 2015, Pages 131-148

Abstract:
A robust literature suggests that suicide is socially contagious; however, we know little about how and why suicide spreads. Using network data from the National Longitudinal Study of Adolescent to Adult Health, we examine the effects of alter’s (1) disclosed and (2) undisclosed suicide attempts, (3) suicide ideation, and (4) emotional distress on ego’s mental health one year later to gain insights into the emotional and cultural mechanisms that underlie suicide contagion. We find that when egos know about alter’s suicide attempt, they report significantly higher levels of emotional distress and are more likely to report suicidality, net of extensive controls; however, alter’s undisclosed suicide attempts and ideation have no significant effect on ego’s mental health. Finally, we find evidence that emotional distress is contagious in adolescence, though it does not seem to promote suicidality. We discuss the implications of our findings for suicide contagion specifically and sociology more generally.

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Learning Problems as Predictors of Depressive Symptomology in Women TANF Recipients

Elizabeth Wahler, Melanie Otis & Carl Leukefeld
Journal of Poverty, forthcoming

Abstract:
Little is known about relationships between barriers to self-sufficiency in the Temporary Assistance for Needy Families (TANF) population. This study utilized ordinary least squares regression to analyze secondary data from a nonprobability sample of 2,156 women TANF recipients to examine learning problems as a predictor of depressive symptomology. After controlling for substance abuse, intimate partner violence victimization, physical health problems, demographics, and difficulty with interpersonal relationships, learning problems significantly predicted depressive symptomology. Findings suggest that many TANF recipients with learning problems are at an increased risk of experiencing depressive symptomology. To assist these individuals with overcoming mental health issues, underlying causes should be identified and addressed.

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Widening Rural-Urban Disparities in Youth Suicides, United States, 1996-2010

Cynthia Fontanella et al.
JAMA Pediatrics, forthcoming

Objective: To examine trends in US suicide mortality for adolescents and young adults across the rural-urban continuum.

Design, Setting, and Participants: Longitudinal trends in suicide rates by rural and urban areas between January 1, 1996, and December 31, 2010, were analyzed using county-level national mortality data linked to a rural-urban continuum measure that classified all 3141 counties in the United States into distinct groups based on population size and adjacency to metropolitan areas. The population included all suicide decedents aged 10 to 24 years.

Results: Across the study period, 66 595 youths died by suicide, and rural suicide rates were nearly double those of urban areas for both males (19.93 and 10.31 per 100 000, respectively) and females (4.40 and 2.39 per 100 000, respectively). Even after controlling for a wide array of county-level variables, rural-urban suicide differentials increased over time for males, suggesting widening rural-urban disparities (1996-1998: adjusted incidence rate ratio [IRR], 0.98; 2008-2010: adjusted IRR, 1.19; difference in IRR, P = .02). Firearm suicide rates declined, and the rates of hanging/suffocation for both males and females increased. However, the rates of suicide by firearm (males: 1996-1998, 2.05; and 2008-2010: 2.69 times higher) and hanging/suffocation (males: 1996-1998, 1.24; and 2008-2010: 1.63 times higher) were disproportionately higher in rural areas, and rural-urban differences increased over time (P = .002 for males; P = .06 for females).

Conclusions and Relevance: Suicide rates for adolescents and young adults are higher in rural than in urban communities regardless of the method used, and rural-urban disparities appear to be increasing over time. Further research should carefully explore the mechanisms whereby rural residence might increase suicide risk in youth and consider suicide-prevention efforts specific to rural settings.

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Sadness Shifts to Anxiety Over Time and Distance From the National Tragedy in Newtown, Connecticut

Bruce Doré et al.
Psychological Science, forthcoming

Abstract:
How do increasing temporal and spatial distance affect the emotions people feel and express in response to tragic events? Standard views suggest that emotional intensity should decrease but are silent on changes in emotional quality. Using a large Twitter data set, we identified temporal and spatial patterns in use of emotional and cognitive words in tweets about the Sandy Hook Elementary School shooting. Although use of sadness words decreased with time and spatial distance, use of anxiety words showed the opposite pattern and was associated with concurrent increases in language reflecting causal thinking. In a follow-up experiment, we found that thinking about abstract causes (as opposed to concrete details) of this event similarly evoked decreased sadness but increased anxiety, which was associated with perceptions that a similar event might occur in the future. These data challenge current theories of emotional reactivity and identify time, space, and abstract causal thinking as factors that elicit categorical shifts in emotional responses to tragedy.

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Gendered Contexts: Variation in Suicidal Ideation by Female and Male Youth across U.S. States

Kathryn Nowotny, Rachel Peterson & Jason Boardman
Journal of Health and Social Behavior, March 2015, Pages 114-130

Abstract:
We use data from the National Longitudinal Study of Adolescent Health (13,186 respondents in 30 states) to develop a unique state-level measure of the gendered context in order to examine the influence of gender normative attitudes and behaviors on state rates of suicidal ideation and individual-level suicidal ideation for female and male youth (ages 13 to 22). The findings demonstrate the negative consequences for youth, especially females who report feminine-typical traits, who live in contexts defined by restrictive gender norms at both the ecological and individual levels. This study points to the importance of fatalistic suicide for female youth and suggests possible mechanisms to explain this association.

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I Think I Am Doing Great but I Feel Pretty Bad About It: Affective Versus Cognitive Verbs and Self-Reports

Thomas Holtgraves
Personality and Social Psychology Bulletin, forthcoming

Abstract:
Four experiments were conducted to examine the effect of responding to self-report items framed with either a cognitive verb (think) or an affective verb (feel). Participants’ open-ended self-descriptions were significantly more negative when they responded to a feel prompt than when they responded to a think prompt (Experiments 1 and 2). This effect persisted and influenced scores on a subsequent measure of self-esteem (Experiment 2). Substituting the verb think for feel in the Rosenberg self-esteem scale resulted in significantly higher reported self-esteem for female participants but not for male participants (Experiments 3 and 4). The research contributes to the literature demonstrating the subtle effects of word choice on responses to self-report items.

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The Distance Between Selves: The Influence of Self-Discrepancy on Purpose in Life

Maclen Stanley & Anthony Burrow
Self and Identity, forthcoming

Abstract:
The present investigation (total N = 643) sought to examine for the first time self-discrepancy theory in relation to purpose in life. Negative associations were found between purpose and discrepancies in perceptions of one's actual and ideal personality (Study 1) and body image (Study 2). Study 3 further demonstrated experimentally that individuals describing differences between their actual and ideal physique reported less purpose than those describing similarities. Finally, Study 4 sought to compare the effects of actual/ideal and actual/ought self-discrepancies on purpose in life. Participants who wrote about differences between their actual/ideal or actual/ought selves subsequently reported less purpose than those who wrote about similarities between these domains. However, neither a main effect nor an interaction emerged between actual/ideal versus actual/ought conditions, thereby suggesting that greater discrepancy denigrated purpose independent of self-domain. Importantly, agency emerged as a mechanism explaining the association between both actual/ideal and actual/ought discrepancies and purpose.

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Adolescent earthquake survivors' show increased prefrontal cortex activation to masked earthquake images as adults

Xue Du et al.
International Journal of Psychophysiology, March 2015, Pages 292–298

Abstract:
The great Sichuan earthquake in China on May 12, 2008 was a traumatic event to many who live near the earthquake area. However, at present, there are few studies that explore the long-term impact of the adolescent trauma exposure on adults' brain function. In the present study, we used functional magnetic resonance imaging (fMRI) to investigate the brain activation evoked by masked trauma-related stimuli (earthquake versus neutral images) in 14 adults who lived near the epicenter of the great Sichuan earthquake when they were adolescents (trauma-exposed group) and 14 adults who lived farther from the epicenter of the earthquake when they were adolescents (control group). Compared with the control group, the trauma-exposed group showed significant elevation of activation in the right anterior cingulate cortex (ACC) and the medial prefrontal cortex (MPFC) in response to masked earthquake-related images. In the trauma-exposed group, the right ACC activation was negatively correlated with the frequency of symptoms of post-traumatic stress disorder (PTSD). These findings differ markedly from the long-term effects of trauma exposure in adults. This suggests that trauma exposure during adolescence may have a unique long-term impact on ACC/MPFC function, top-down modulation of trauma-related information, and subsequent symptoms of PTSD.


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