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Demand–withdraw patterns of spousal response to family conflict were examined among 83 couples living in a stepfamily context. Using daily process methods, husbands and wives were each asked to report separately on incidents of relationship conflict, responses to this conflict, and subsequent negative affect for a period of seven consecutive days. Data were analyzed using multilevel modeling and interpreted from a dyadic coping perspective. Findings indicated that when husbands engaged in demand or withdraw responses both members of the dyad subsequently reported declines in mood. Wives demanding and withdrawing had no significant cross-spousal impact. Of particular interest was the finding that husbands’ use of confrontive demanding exacerbated the negative impact of wives’ withdrawal on wives’ mood. [ABSTRACT FROM PUBLISHER]

Objective To determine whether perceptions of clinical manifestations (fatigue, pain, and physical limitation) of rheumatoid arthritis (RA) differ between spouses and their partners with RA, and to determine whether the differences are associated with the perception of beneficial and problematic spousal social support. Methods English-speaking adults with RA of ≥6 months' duration and their spouses (n = 222 couples) completed standardized questionnaires for fatigue, pain, physical limitation, beneficial spousal support, and problematic spousal support. Spouses completed questionnaires based on their perception of their partner with RA. Agreement scores for fatigue, pain, and physical limitation were calculated by subtracting spouse scores from the scores of the partner with RA. Agreement levels were defined a priori: agreement (within ± one-half of a minimum clinically important difference [MCID] unit), overestimator (< one-half an MCID), and underestimator (> one-half an MCID). Separate hierarchical linear regression models were used to measure the association between beneficial support and problematic support after adjusting for RA duration, physical health, sex, educational level, relationship duration, and satisfaction. Results Response rate for couples was 82%. Relative to participants with RA, spouses overestimated fatigue (26%), pain (29%), and physical limitation (39%), and underestimated fatigue (11%), pain (17%), and physical limitation (34%). After statistically controlling for demographic, disease, and psychosocial variables, participants with RA whose spouses underestimated fatigue received more problematic support (R2 = 3.7%, P = 0.002), as did those whose spouses underestimated or overestimated physical limitation (R2 = 3.4%, P = 0.017). Conclusion Persons with RA perceived more problematic spousal support when their spouse underestimated fatigue, or underestimated or overestimated physical limitation levels. [ABSTRACT FROM AUTHOR]

Previous research on multiple role stress has hypothesized the existence of two types of stress contagion: spillover, in which the stresses experienced in either the work or home domain lead to stresses in the other domain; and crossover, in which the stresses experienced by one's spouse at work lead to stresses for oneself at home However, empirical evidence of these processes has been largely indirect and qualitative. This study provides the first direct quantitative evidence on the causal dynamics of stress contagion across work and home domains in married couples. Contrary to previous thinking, results indicate that husbands are more likely than their wives to bring their home stresses into the workplace. Also, stress contagion from work to home was evident for both husbands and wives. Furthermore, the contagion of work stress into the home sets in motion a process of dyadic adjustment, whereby individuals, particularly wives, appear to modify their housework efforts to compensate for the work stresses of their spouses. Such findings provide important insights into the dynamics of gender differences in role stress and confirm the value of studying chronic stress processes at the level of analysis where such stresses are inevitably manifest--in day-to-day events and activities. [ABSTRACT FROM AUTHOR]

Objectives Negative and repetitive self-oriented thinking (rumination) is associated with lower well-being and health. The social context of rumination remains underexplored and mostly centers on marital relationships. To embrace the diversity of older adult relationships, this study includes a range of different relationships (e.g. spouses, siblings, friends, etc.) and examines the role of rumination by close others on individual well-being during the coronavirus disease 2019 pandemic. Methods Using daily diary data from 140 Canadian older adults (M = 72.21 years, standard deviation [ SD ] = 5.39, range: 63–87 years, 47% women, 71% university educated) and a close other of their choice (M = 59.95 years, SD = 16.54, range: 18–83 years, 78% women, 81% university educated), this project builds on past research examining daily life rumination dynamics from a dyadic perspective. For 10 days, both dyad members reported their daily rumination and affect quality in the evening. Results Multilevel models replicate past work showing that individual rumination was associated with higher negative affect (within-person: b = 0.27, p <.001, between-person: b = 0.57, p <.001) and lower positive affect (within-person: b = −0.18, p <.001, between-person: b = −0.29, p <.001). Importantly, we additionally observed that partner rumination was associated with higher negative affect (b = 0.03, p =.038) and lower positive affect (b = −0.04, p =.023), highlighting the social context of rumination. Discussion Findings illustrate the significance of rumination for the self and others and underline the merit of taking a dyadic perspective on what is typically viewed as an individual-level phenomenon. [ABSTRACT FROM AUTHOR]

Multiple studies have focused on the role of psychosocial factors as predictors of COVID-19 vaccination willingness and uptake, with less attention paid to whether vaccination itself could influence wellbeing. The current study evaluated this possibility with respect to sense of purpose, the perception one has goals and a direction in life, building on previous evidence this factor may influence vaccination willingness and decision-making. Across seven waves of monthly data from February to August 2021, participants (n = 2169, m age = 48.0 years) across Canada and the United States reported on their sense of purpose and vaccination status. Using piecewise regression models, results indicated that sense of purpose did not appear to fluctuate in the month prior to, during, or following COVID-19 vaccination. However, across most months of the survey, vaccinated participants did report greater sense of purpose relative to unvaccinated participants. These findings are discussed with respect to whether health behaviors, such as vaccination, should be viewed as behaviors indicative of leading a purposeful life. [ABSTRACT FROM AUTHOR]

Objective: Fatigue is a distressing symptom many cancer patients experience even after completion of treatment. Although theory and empirical evidence indicate that negative cognitions perpetuate fatigue after completion of treatment, insight into how this process unfolds in daily life is limited. This study used an intensive longitudinal design to investigate the reciprocal relationship between catastrophizing and fatigue in daily life and whether affective and behavioral processes mediate these relationships.Methods: Post-treatment colorectal cancer patients (n = 101) completed daily diaries (14 days, 3 times daily) regarding their fatigue, catastrophizing, positive and negative affect, and physical activity. Multilevel modeling was applied to investigate within-person associations within days.Results: Analyses revealed a positive reciprocal relationship between fatigue and catastrophizing throughout the day. That is, high levels of catastrophizing were associated with increases in fatigue within patients. In turn, but to a lesser extent, high levels of fatigue predicted increases in catastrophizing at the next assessment. Low positive affect and high negative affect mediated the effect of catastrophizing on increases in fatigue. Only negative affect mediated the reverse relationship. Physical activity did not mediate either relationship.Conclusions: This study provides evidence for a mutually reinforcing relationship between catastrophizing and fatigue in daily life, which might explain the perpetuation of fatigue after completion of cancer treatment. Fatigue-specific cognitive behavior therapy could be improved by educating patients about this daily reciprocal relationship, train them to quickly replace catastrophizing thoughts in daily life, and help them to cope with affective changes induced by fatigue. [ABSTRACT FROM AUTHOR]

Agentic threat tends to elicit support seeking and hinder support provision. Communal threat tends to elicit support seeking and provision. We examined whether the associations between threats and support are moderated by Extraversion and Agreeableness. Three hundred fifty undergraduate students completed questionnaires twice daily across one week, reporting the worst stressor of the half-day, appraisals of agentic and communal threats, and efforts to seek and provide support. In response to agentic threat, those higher in Extraversion increased their support seeking and decreased their support provision to a greater extent than those lower in Extraversion. In response to communal threat, those higher in Agreeableness increased their support seeking and provision to a greater extent than those lower in Agreeableness. [ABSTRACT FROM AUTHOR]

Background Both the close relationship processes and health model and the dyadic health influence model posit that beliefs about the relationship (e.g. relationship satisfaction) and influence strategies (e.g. social control) serve as mediators of health behavior change. The evidence for such mediation is limited. Purpose This study investigated two competing hypotheses that arise from these models: (1) perceived use of positive and negative social control (attempts to influence the partner's behaviors) predict sedentary behavior (SB) indirectly, via relationship satisfaction; or (2) relationship satisfaction predicts SB indirectly, via positive and negative social control. Methods Data from 320 dyads (target persons and their partners, aged 18–90 years), were analyzed using mediation models. SB time was measured with GT3X-BT accelerometers at Time 1 (T1; baseline) and Time 3 (T3; 8 months following baseline). Relationship satisfaction and social control were assessed at T1 and Time 2 (T2; 2 months following baseline). Results Higher T1 relationship satisfaction among target persons predicted target persons' reporting of higher T2 negative control from partners, which in turn predicted lower T3 SB time among target persons. Lower T1 relationship satisfaction among partners predicted target persons' reporting of higher T2 perceived negative control from partners, which predicted lower T3 SB time among target persons. On average, both members of the dyad reported moderate-to-high relationship satisfaction and low-to-moderate negative control. Conclusions In contrast to very low levels of negative control, its low-to-moderate levels may be related to beneficial behavioral effects (lower SB time) among target persons reporting moderate-to-high relationship satisfaction. [ABSTRACT FROM AUTHOR]

• Ways of coping with the threat of COVID-19 predicted subsequent vaccine hesitancy. • Avoidance coping was associated with subsequent vaccine hesitancy. • Low perception of COVID-19 threat was associated with subsequent vaccine hesitancy. • Approach coping reduced vaccine hesitancy among those perceiving low COVID-19 threat. • Coping responses may serve as targets for intervention to reduce vaccine hesitancy. The COVID-19 pandemic has brought to light the importance of identifying factors associated with vaccine hesitancy. Disease threat and coping responses are central to health behavior engagement and present potential alterable targets for intervention. To examine the roles of perceived threat of COVID-19 and coping in vaccine hesitancy, we examined how coping strategies involving approach and avoidance interact with perceived threat of COVID-19 to predict vaccine hesitancy. We used data from 1570 North American participants who reported their vaccine hesitancy as part of a longitudinal study assessing psychosocial responses to the pandemic. We used logistic regression models and mean scores of perceived threat of COVID-19, approach coping, and avoidance coping from prior timepoints to predict vaccine hesitancy in December 2020, when COVID-19 vaccines were first being approved for use in North America. Low perceived threat of COVID-19 was associated with greater likelihood of being vaccine hesitant. However, approach coping moderated this association, such that people who engaged in more approach coping were less likely to be vaccine hesitant even when they did not feel personally threatened by COVID-19. In contrast, avoidance coping was associated with greater likelihood of vaccine hesitancy regardless of perceived threat of COVID-19. Our results illustrate the contributions of approach and avoidance coping to vaccine hesitancy and in doing so, provide preliminary evidence for coping behavior to serve as a target for intervention to reduce vaccine hesitancy. [ABSTRACT FROM AUTHOR]

Parents and adolescents often hold discrepant views about the family environment and these discrepancies may in turn influence adolescents' psychological adjustment. The current study examined how adolescent-parent perceptions of family routines and chaos, and their congruence and incongruence, relate to adolescents' self-reported psychological adjustment (depressive symptoms and perceived stress), both concurrently ( N = 261; 53 % female) and 2 years later ( N = 118; 50 % female). Using polynomial regression and response surface analysis, results indicated that adolescents' perceptions of the family environment were a stronger predictor of adolescents' adjustment than parents' perceptions (76 % mothers), concurrently and over time. However, both congruence and incongruence in adolescent-parent perceptions were also related to adolescents' adjustment. Specifically, congruently negative adolescent-parent perceptions were associated with worse concurrent adolescent adjustment. Further, incongruence defined by more negativity in adolescents' versus parents' perceptions was associated with worse adolescent psychological adjustment, concurrently and over time. In sum, in addition to the strong links between adolescents' perceptions of the family and their own psychological adjustment, examining how congruent and incongruent adolescents' perceptions are with parents' perceptions may shed additional light on how the family environment relates to adolescent adjustment. [ABSTRACT FROM AUTHOR]

Background: Social support has been strongly linked to health outcomes. However, the factors associated with satisfaction with social support remain poorly understood.Purpose: We examined the impact of different types of support, affect, marital satisfaction, personality, and disease-related variables on day-to-day and overall satisfaction with spouse responses.Methods: Sixty-nine married people with rheumatoid arthritis completed an initial structured interview, followed by twice-daily phone interviews for 1 week.Results: Higher levels of esteem support were associated with increased satisfaction, whereas negative spouse responses were related to decreased satisfaction across the day. Greater positive affect and lower pain were associated with higher concurrent satisfaction, but the effects did not last over the day. At the between-person level, older age and lower fatigue were related to higher satisfaction.Conclusions: Several key factors related to support satisfaction were identified. Esteem support appeared to play a particularly important role and warrants attention in future research. [ABSTRACT FROM AUTHOR]

Personality is a well-established contributor to perceptions of social support availability, a coping resource that was particularly affected by the social repercussions of the COVID-19 pandemic. The present study uses lagged regression to examine the role of Big Five personality traits in predicting changes in perceived availability of social support during the COVID-19 pandemic among a sample of 1386 North Americans. Controlling for perceived availability of social support in 2020, we found that extraversion and conscientiousness were associated with greater perceived support in 2021, whereas neuroticism was associated with less. The findings provide insight into how perceived availability of social support, although often found to be stable, exhibited variability during the COVID-19 pandemic and point to personality as a key contributor to the process. Expanding on previously documented cross-sectional associations between perceptions of social support availability and Big Five personality traits, the present study reveals how such traits may serve as risk and protective factors and be used to identify those at risk of degradation in perceived availability of social support during times of heightened stress. In doing so, results also point to the potential clinical utility of brief measures of personality for preventive interventions. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic left many people grieving multiple deaths and at risk for developing symptoms of complicated grief (CG). The present study is a prospective examination of the role of neuroticism and social support in the development of CG symptoms. Findings from cross-classified multilevel models pointed to neuroticism as a risk factor for subsequent CG symptoms. Social support had a stress-buffering effect, emerging as a protective factor following the loss of a first degree relative. More recent loss and younger age of the deceased were both independently associated with heightened CG symptoms. Results from the present study provide insight into heterogeneity in CG symptom development at the between-person level, and variability in CG symptoms within individuals in response to different deaths. Findings could therefore aid in the identification of those at risk for the development of CG symptoms. [ABSTRACT FROM AUTHOR]

Experiencing stressors related to the COVID-19 pandemic such as health-related concern, social isolation, occupational disruption, financial insecurity, and resource scarcity can adversely impact mental health; however, the extent of the impact varies greatly between individuals. In this study, we examined the role of neuroticism as an individual-level risk factor that exacerbates the association between pandemic stressors and depressive symptoms. With repeated assessments of pandemic stressors and depressive symptoms collected from 3181 participants over the course of the pandemic, we used multilevel modeling to test if neuroticism moderated the association between pandemic stressors and depressive symptoms at both between- and within-person levels. At the between-person level, we found that participants who reported more pandemic stressors on average had higher levels of depressive symptoms and that this association was stronger among those high in neuroticism. At the within-person level, reporting more pandemic stressors relative to one's average on any given occasion was also associated with heightened depressive symptoms and this effect was similarly exacerbated by neuroticism. The findings point to pandemic stressor exposure and neuroticism as risk factors for depressive symptoms and, in demonstrating their synergistic impact, may help identify individuals at greatest risk for adverse psychological responses to the COVID-19 pandemic. • Examines the association between COVID-19 stressors and depressive symptoms. • Those reporting more stressors tended to report more depressive symptoms across time. • During periods when stressors increased, depressive symptoms also tended to increase. • Those higher in neuroticism had greater reactivity to stressor exposure. • Findings point to COVID-19 stressors and neuroticism as risk factors for depression. [ABSTRACT FROM AUTHOR]

Based on attribution theory, this study hypthesized that past spousal supportiveness may act as a moderator of the link between one partner's current support behavior and the other partner's relationship satisfaction. A sample of 88 patients with colorectal cancer and their partners completed questionnaires approximately 3 and 9 months after diagnosis. The data were analyzed employing dyadic data analytic approaches. In the short-term, spousal active engagement-which involved discussing feelings and engaging in joint problem solving-was positively associated with relationship satisfaction in patients as well as in partners, but only when past spousal support was relatively low. Spousal protective buffering-which involved hiding worries and fears and avoiding talking about the disease-was negatively associated with relationship satisfaction in patients, again only when past spousal support was relatively low. If past spousal support was high, participants rated the quality of their relationship relatively high, regardless of their partner's current support behavior. Over time, past spousal supportiveness was not found to mitigate the negative association between spousal protective buffering and relationship satisfaction. Overall, our results indicate that relationship satisfaction can be maintained if past spousal supportiveness is high even if the partner is currently not very responsive to the individual's needs, at least in the short-term. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has wreaked havoc on lives around the globe. In addition to the primary threat of infection, widespread secondary stressors associated with the pandemic have included social isolation, financial insecurity, resource scarcity, and occupational difficulties. The current study examined the impact of these disruptions on psychological distress during the initial adjustment phase to the pandemic in North America. A sample of 2463 residents of the US and Canada completed both baseline and follow-up surveys across several weeks between March and May 2020. Those participants perceiving stress related to higher levels of personal threat to health and to the well-being of family members at baseline reported higher levels of depressive symptoms at follow-up, even after controlling for baseline depressive symptoms. In addition, pandemic-related secondary stressors (social isolation, financial insecurity, occupational difficulty, and resource scarcity) were all independently associated with depressive symptoms at follow-up, controlling for both baseline depression and perceived health threats. The results were robust and held up after controlling for demographic factors. Women, young adults, and those who reported lower income were all at higher risk for subsequent depressive symptoms. Findings from the present study can help to identify key groups at risk for mental health problems during the pandemic, and indicate actionable areas for targeted intervention. • Examines mental health during early stages of COVID-19 pandemic in North America. • COVID threat to oneself and loved ones was associated with increased depression. • Secondary pandemic-related stressors were also associated with depression risk. • Women, young adulthood, and low income were also risk factors for depression. [ABSTRACT FROM AUTHOR]

The emergence of the novel COVID-19 disease and the social distancing measures implemented to curb its spread affected most aspects of daily life. Past work suggests that during times of more severe stress, people respond to daily stressors with relatively higher negative affect. However, little is known about how people responded to daily stressors and positive events at different moments in time during the COVID-19 pandemic. Thus, we examined longitudinal changes in daily event-related affect (covariation of daily stressors or positive events with same-day affect) from Spring 2020 (wave 1) to 2022 (wave 2). The sample consisted of 324 adults aged 18-80 (mean = 52 years; 89% women) from the US and Canada who completed weeklong daily diaries at both waves. The results revealed improvements in affective well-being, stressor-related affect (i.e., smaller fluctuations in affect on stressor days vs. nonstressor days), and positive event-related affect (i.e., lower negative affect on days with vs. without positive events). Furthermore, as people gradually resumed their social activities from 2020 to 2022, people reported being exposed to an increased frequency of both stressors and positive events. This study highlights the potential influence of socio-historical phenomena, such as an ongoing pandemic, on the events that people encounter and how they emotionally respond to them., (© 2024 The Author(s). Stress and Health published by John Wiley & Sons Ltd.)

Objective: Growing research indicates that daily stress is associated with poorer same-day cognitive performance, for example, memory and attention. However, it is unclear whether this relationship holds across diverse ages and engagement in physical activity (PA), or whether these factors might buffer the relationship between daily stress and subjective cognitive function., Methods: Ecological momentary assessment data were collected from adults aged 25 to 88 years across British Columbia, Canada. For 14 days, participants ( N = 204) wore a triaxial physical activity monitor, reported stressor occurrence in mobile surveys four times per day, and rated their subjective attention and memory at the end of each day., Results: Multilevel models evaluated daily stressor occurrence as a predictor of subjective attention and memory, with same-day PA engagement and age as moderators. Subjective attention and memory were lower on days when a stressor had occurred, compared to stressor-free days. Neither PA nor age moderated the within-person associations of daily stressors with subjective cognition., Conclusion: The lack of stress-buffering effects for same-day PA and age raises questions about the contexts in which PA promotes cognitive functioning and about age-related processes underlying stress and cognition. Future work could examine the mechanisms that might explain the link between daily stress and cognition function, as well as the associations of different intensity and forms of physical activity on stress across age groups., (Copyright © 2024 by the American Psychosomatic Society.)

Objective: Examining the personality and well-being correlates of positive event diversity., Background: Past research has highlighted that personality traits are linked to the frequency of daily positive events. This study is the first to examine positive event diversity, the extent to which positive events are spread across multiple types of positive life domains, as well as its personality and well-being correlates., Method: We conducted parallel analyses of three daily diary datasets (Ns = 1919, 744, and 1392) that included evening assessment of daily positive events and affective well-being. The Big Five personality traits were assessed in baseline surveys., Results: Positive Event Diversity was related to higher person-mean daily positive affect but not negative affect. Higher Extraversion, Agreeableness, Openness, and lower Neuroticism were correlated with more positive event diversity. These associations became nonsignificant when controlling for positive event frequency. Positive event frequency moderated the link between positive event diversity and person-mean affect, such that higher positive event diversity was associated with higher negative and lower positive affect for people who experienced more frequent positive events., Conclusions: No consistent evidence was found for personality as a moderator of the positive event diversity-well-being link across the three studies. Further, the well-being implications of positive event diversity may be better understood when interpreting them alongside indexes of positive event frequency., (© 2024 The Authors. Journal of Personality published by Wiley Periodicals LLC.)

Objective: Abundant research has linked nightly sleep as an antecedent of daily psychosocial experiences; however, less is known about sleep's influence on daily expectations of these experiences. Therefore, this research examined the day-to-day associations of sleep quality, duration, and efficiency with next-day expectations for stress(ors) and positive experiences, as well as whether these expectations were related to end-of-day reports of physical symptoms., Methods: In Study 1, U.S. adults ( n = 354; ages 19 to 74) completed twice-daily diaries for 10 weekdays about sleep, expectations for encountering daily stressors and positive events, and physical symptoms. In Study 2, adults in Canada ( n = 246; ages 25 to 87) wore a sleep watch for 14 consecutive days and completed mobile surveys 5×/day about sleep, stressfulness and pleasantness expectations, and physical symptoms., Results: Multilevel models indicated that self-reported sleep quality and duration, but not efficiency, were associated with lower next-day expectations for stressors (Study 1) and stressfulness (Study 2). Self-reported sleep quality (Study 1) and all sleep indices (Study 2) predicted greater next-day expectations for positive events and pleasantness, respectively. For actigraphy-assessed sleep (Study 2), only longer-than-usual actigraphic sleep duration was associated with lower stressfulness expectations, whereas both sleep duration and efficiency were positively linked with daily pleasantness expectations. Only pleasantness expectations (Study 2)-but not daily stressfulness and event expectations (Study 1)-predicted end-of-day physical symptoms., Conclusion: Findings suggest the importance of sleep on expectations of next-day stress and positive experiences, of which may have implications for daily physical health., (Copyright © 2024 by the American Psychosomatic Society.)

Objectives: Negative and repetitive self-oriented thinking (rumination) is associated with lower well-being and health. The social context of rumination remains underexplored and mostly centers on marital relationships. To embrace the diversity of older adult relationships, this study includes a range of different relationships (e.g., spouses, siblings, friends, etc.) and examines the role of rumination by close others on individual well-being during the coronavirus disease 2019 pandemic., Methods: Using daily diary data from 140 Canadian older adults (M = 72.21 years, standard deviation [SD] = 5.39, range: 63-87 years, 47% women, 71% university educated) and a close other of their choice (M = 59.95 years, SD = 16.54, range: 18-83 years, 78% women, 81% university educated), this project builds on past research examining daily life rumination dynamics from a dyadic perspective. For 10 days, both dyad members reported their daily rumination and affect quality in the evening., Results: Multilevel models replicate past work showing that individual rumination was associated with higher negative affect (within-person: b = 0.27, p < .001, between-person: b = 0.57, p < .001) and lower positive affect (within-person: b = -0.18, p < .001, between-person: b = -0.29, p < .001). Importantly, we additionally observed that partner rumination was associated with higher negative affect (b = 0.03, p = .038) and lower positive affect (b = -0.04, p = .023), highlighting the social context of rumination., Discussion: Findings illustrate the significance of rumination for the self and others and underline the merit of taking a dyadic perspective on what is typically viewed as an individual-level phenomenon., (© The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Direct-to-consumer (DTC) genetic tests have become an attractive product for those hoping to gain insight into their health, ancestry, and biological relatedness. In some cases, test results are unexpected, and lead to the revelation of previously undisclosed family secrets. A subset of individuals may pursue testing explicitly for this purpose; however, the psychosocial processes underlying this motivation remain unexamined. Grounded in the literature on family secrecy, trauma, and the development of self-concept, we tested a hypothesized mediation model to provide insight into this motivation among a sample of 433 individuals in pursuit of DTC genetic testing. In line with the documented association between maladaptive family communication patterns and trauma exposure in childhood, we found that exposure to adverse childhood experiences was associated with the motivation to pursue DTC genetic testing for the purpose of uncovering family secrets. We also found evidence of an indirect effect through reduced self-concept clarity. These findings suggest that impaired identity formation processes may have played a role in transmitting the effect. Furthermore, the findings highlight a novel way in which family histories may contribute to DTC genetic testing motivations. Future examination of these and other psychosocial phenomena that contribute to DTC genetic testing will be crucial to consider as the tests become increasingly accessible, and as the information they can provide becomes increasingly comprehensive. Findings from this line of research could help to identify for whom and under what conditions DTC genetic testing benefits well-being, and the conditions under which the act of testing and receipt of results could have adverse psychosocial effects. These insights will be of interest to genetic counselors working in the field of DTC genetic testing, and those working with individuals and families affected by unexpected test results., (© 2023 The Authors. Journal of Genetic Counseling published by Wiley Periodicals LLC on behalf of National Society of Genetic Counselors.)

Objective: Abundant evidence has linked everyday discrimination with health risks. Because the COVID-19 pandemic has increased exposure to discrimination (e.g., based on age and race), it is important to understand the day-to-day implications of discrimination experiences for well-being. Furthermore, daily positive events were examined as a moderator due to their potential for mitigating the associations between everyday discrimination and well-being., Method: From March to August 2020, 1,212 participants aged 18-91 in the United States and Canada (84% women, 75% White) completed surveys for seven consecutive evenings about everyday discrimination, positive events, physical health symptoms, and positive and negative affect. Data were analyzed using multilevel models and controlled for sociodemographic factors., Results: Everyday discrimination was reported on 9.3% of days when in-person or remote social interactions occurred. Within-persons, positive affect was lower and negative affect and physical symptoms were higher on days when discrimination occurred versus on days without discrimination. Positive events mitigated the within-person association between everyday discrimination and same-day negative affect, but not for positive affect or physical symptoms. Discrimination perceived to be due to age was associated with higher negative affect and lower positive affect within-persons. Positive events did not moderate the associations between age-based discrimination and same-day outcomes., Conclusions: Everyday discrimination was related to lower daily positive affect and higher negative affect and physical symptoms during the COVID-19 pandemic. This study provides initial evidence that daily positive events partially offset the increased negative affect associated with same-day discrimination. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Background: Sense of purpose is a salient predictor of health outcomes, at least partially because individuals with a higher sense of purpose appear to engage in healthier lifestyle behaviors. Yet, little work has considered the role that greater physical activity may play in allowing individuals to maintain or develop a higher sense of purpose., Methods: Using five waves of monthly data (total n = 2337), the current study investigates the bi-directional association between sense of purpose and monthly reports of average time spent per day in moderate and vigorous physical activity utilizing Random Intercept Cross-Lagged Panel models., Results: Findings suggested differences based on physical activity intensity. For moderate physical activity, concurrent within-person associations revealed that during months when sense of purpose was higher relative to a person's usual level, they also spent more time than usual engaging in moderate physical activity. Bi-directional cross-lagged effects indicated that higher sense of purpose predicted more next-month moderate physical activity, and vice versa. Only between-person associations were evident for vigorous physical activity, such that people with a higher sense of purpose on average spent more time in vigorous physical activity on average. The discussion focuses on the methodological advances of the current study, as well as implications for future research., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Recent research highlights a variety of negative outcomes associated with intraindividual variability in positive affect (PA) and in sleep. Thus, this study examined the associations of variability in multiple dimensions of sleep (quality, duration, wake after sleep onset, bedtime, rise-time) with mean and variability in PA. For 7 days, morning and evening surveys were collected online from two separate samples: community-based adults ( N  = 911) and university students ( N  = 322). Regression analyses revealed that across both samples, people with more variable sleep quality exhibited greater fluctuations in PA throughout the week and, surprisingly, higher levels of PA on average. In the community sample only, individuals with more variable sleep duration had lower and more variable PA. Findings suggest that fluctuations in sleep quality and duration are linked with daily PA outcomes, which is important to consider as technological advances and modern demands make inadequate and irregular sleep increasingly common., Supplementary Information: The online version contains supplementary material available at 10.1007/s42761-021-00082-6., Competing Interests: Conflict of InterestDr. Slavish reports industry grant funding from Canopy Growth Corporation that is outside the scope of the current work. The other authors have no conflicts of interest to report., (© The Society for Affective Science 2021.)

Objectives: As hearing aid outcome measures move from retrospective to momentary assessments, it is important to understand how contextual factors influence subjective ratings. Under laboratory-controlled conditions, we examined whether subjective ratings changed as a function of acoustics, response timing, and task variables., Design: Eighteen adults (age 21 to 85 years; M = 51.4) with sensorineural hearing loss were fitted with hearing aids. Sentences in noise were presented at 3 overall levels (50, 65, and 80 dB SPL) and 3 signal to noise ratios (0, +5, and +10 dB signal to noise ratio [SNR]). Listeners rated three sound quality dimensions (intelligibility, noisiness, and loudness) under four experimental conditions that manipulated timing and task focus., Results: The quality ratings changed as the acoustics changed: intelligibility ratings increased with input level (p < 0.05); noisiness ratings increased at poorer SNRs (p < 0.05); and loudness ratings increased as input level increased (p < 0.05). Timing of rating was significant at the highest presentation level (80 dB SPL): Participants gave higher noise ratings while listening to the signal than afterward (p < 0.05). Presence of a secondary task had no significant effect on ratings (p > 0.1)., Conclusions: The findings of this laboratory study provide evidence to support the conclusion that group-mean listener ratings of loudness, noisiness, and intelligibility change in predictable ways as level and SNR of the speech in noise stimulus are altered. They also provide weak evidence to support the conclusion that timing of the ratings (during or immediately after sound exposure) can affect noisiness ratings under certain conditions, but no evidence to support the conclusion that timing affects other quality ratings. There is also no evidence to support the conclusion that quality ratings are influenced by the presence of, or focus on, a secondary nonauditory task of the type used here.

Context: Understanding cancer patients' everyday pain experiences and their concomitant use of pain medication may help identify ways to improve pain management among outpatients., Objectives: This study examined the between-person and within-person associations between pain intensity and analgesic use in metastatic breast cancer patients., Methods: Fifty-three women who were initiating treatment for metastatic breast cancer completed electronic diary assessments six times per day for 14 days., Results: The likelihood of taking medication was found to depend on patients' average pain levels and on whether their pain was better or worse than usual at the time. Patients who typically experienced moderate-to-high pain were more likely to be prescribed and to take analgesics than were patients who typically experienced low pain. However, these patients tended not to vary their medication use based on within-person fluctuations in pain. In contrast, patients who typically experienced low pain tended to increase their medication use at times when their pain was higher than usual but were less likely to use medication than were patients who typically experienced higher levels of pain., Conclusion: Our findings provide some evidence that patients with advanced cancer tend to use their pain medications appropriately. Patients with lower pain appear to be taking medications in response to increases in pain, whereas patients whose pain is typically more intense may be relying on other cues to prompt them to take analgesic medication. Clinicians may need to be sensitive to individual differences in the factors associated with pain medication use in daily life., (Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)

We review research and theory examining stress and coping in stepfamilies as predictors of marital quality and divorce. Although the divorce rate in first-marriages has stabilized after years of increase in North America, the divorce rate of remarriages continues to increase. We argue that depression and marital distress are both mechanisms through which stepfamily stress impacts marital stability, with parenting stressors particularly potent determinants of divorce. We draw upon our own research predicting divorce across 20 years in 112 married couples in stepfamilies, as well as from the larger literature on stepfamilies., (Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.)

Objective: The present study examined the role of maternal posttraumatic growth in changes in behavioral problems among the siblings of children with complex chronic health conditions., Methods: Data were collected from a sample of 70 siblings from 58 families with at least one child diagnosed with a life-threatening genetic, metabolic, or neurological condition. Every 6 months for up to 4 years, sibling behavior problems were assessed through both parent-reports and youth self-reports. At each visit, mothers also completed self-reports of posttraumatic growth., Results: Time-lagged multilevel regression analyses revealed that higher levels of maternal posttraumatic growth predicted subsequent declines in parent-reported internalizing, externalizing, and total behavior problems among healthy siblings. These findings were partially replicated using youth self-reports of their own behavior problems., Conclusion: The findings suggest that the benefits of posttraumatic growth may extend beyond the self to other family members, particularly to children in the family.

Given evidence suggesting a detrimental effect of occupational stress on sleep, it is important to identify protective factors that may ameliorate this effect. We followed 87 paramedics upon waking and after work over 1 week using a daily diary methodology. Multilevel modeling was used to examine whether the detrimental effects of daily occupational stress on sleep quality were buffered by perceived social support availability. Paramedics who reported more support availability tended to report better quality sleep over the week. Additionally, perceived support availability buffered postworkday sleep from average occupational stress and days of especially high occupational stress. Perceived support availability also buffered off-workday sleep from the cumulative amount of occupational stress experienced over the previous workweek. Those with low levels of support displayed poor sleep quality in the face of high occupational stress; those high in support did not show significant effects of occupational stress on sleep. (PsycINFO Database Record, ((c) 2016 APA, all rights reserved).)

Objective: Parental empathy is associated with a host of beneficial psychosocial outcomes for children. However, less is known about the effects of being empathic for parents. The current study tested the hypothesis that, although parental empathy may be beneficial to children both psychologically and physiologically, it may take a physiological toll on parents., Method: The current study examined psychological and physiological correlates of parental empathy in 247 parent-adolescent dyads. During a baseline laboratory visit, parents and adolescents provide blood samples from which markers of systemic inflammation, including interleukin 1-ra, interleukin 6, and C-reactive protein, were assayed. Parents completed self-report questionnaires of empathy, well-being, and self-esteem, and also reported on their child's emotion regulation. Following the laboratory visit, adolescents completed 2 weeks of daily diary reporting on their emotion regulation abilities., Results: In adolescents, parental empathy was significantly associated with both better emotion regulation and with less systemic inflammation. For parents, being empathic was associated with greater self-esteem and purpose in life, but also with higher systemic inflammation., Conclusions: These findings reinforce the importance of simultaneously considering both psychological and physical health-related effects of psychosocial traits and suggests that empathy may have diverging effects across providers and recipients of empathy., ((c) 2016 APA, all rights reserved).)