Cultural differences in caring for people with dementia: a pilot study of concern about losing face and loneliness in Chinese American and European American caregivers.

OBJECTIVES: Heavy demands upon dementia caregivers can lead to a number of poor health outcomes including declines in physical, mental, and brain health. Although dementia affects people from all backgrounds, research in the US has largely focused on European American caregivers. This has made providing culturally-competent care more difficult. This study begins to address this issue by empirically examining how culturally-shaped beliefs can influence loneliness in family caregivers of people with dementia. METHODS: We conducted a preliminary questionnaire study with Chinese American and European American family caregivers of people with dementia (N = 72). RESULTS: Chinese American caregivers were more concerned than European American caregivers about losing face, which in turn, was associated with greater loneliness. This pattern remained when accounting for caregiver gender, age, and relationship to the person with dementia. CONCLUSIONS: These preliminary findings highlight the role that cultural beliefs can play in adverse caregiver outcomes, and suggest that addressing concerns about losing face may be an important way for healthcare providers to help reduce loneliness among Chinese American caregivers. CLINICAL IMPLICATIONS: Understanding how cultural beliefs influence caregiver outcomes is critical as healthcare professionals work to provide culturally-competent care and design culturally-sensitive interventions.

The Health Behavior Model of Personality in the Context of a Public Health Crisis.

OBJECTIVE: The US Centers for Disease Control and Prevention recommended behavioral measures to slow the spread of COVID-19, such as social distancing and wearing masks. Although many individuals comply with these recommendations, compliance has been far from universal. Identifying predictors of compliance is crucial for improving health behavior messaging and thereby reducing disease spread and fatalities. METHODS: We report preregistered analyses from a longitudinal study that investigated personality predictors of compliance with behavioral recommendations in diverse US adults across five waves from March to August 2020 (n = 596) and cross-sectionally in August 2020 (n = 405). RESULTS: Agreeableness-characterized by compassion-was the most consistent predictor of compliance, above and beyond other traits, and sociodemographic predictors (sample A, ß = 0.25; sample B, ß = 0.12). The effect of agreeableness was robust across two diverse samples and sensitivity analyses. In addition, openness, conscientiousness, and extraversion were also associated with greater compliance, but effects were less consistent across sensitivity analyses and were smaller in sample A. CONCLUSIONS: Individuals who are less agreeable are at higher risk for noncompliance with behavioral mandates, suggesting that health messaging can be meaningfully improved with approaches that address these individuals in particular. These findings highlight the strong theoretical and practical utility of testing long-standing psychological theories during real-world crises.

Coping With Health Threats: The Costs and Benefits of Managing Emotions.

How people respond to health threats can influence their own health and, when people are facing communal risks, even their community's health. We propose that people commonly respond to health threats by managing their emotions with cognitive strategies such as reappraisal, which can reduce fear and protect mental health. However, because fear can also motivate health behaviors, reducing fear may also jeopardize health behaviors. In two diverse U.S. samples (N = 1,241) tracked across 3 months, sequential and cross-lagged panel mediation models indicated that reappraisal predicted lower fear about an ongoing health threat (COVID-19) and, in turn, better mental health but fewer recommended physical health behaviors. This trade-off was not inevitable, however: The use of reappraisal to increase socially oriented positive emotions predicted better mental health without jeopardizing physical health behaviors. Examining the costs and benefits of how people cope with health threats is essential for promoting better health outcomes for individuals and communities.

Poor caregiver mental health predicts mortality of patients with neurodegenerative disease.

Dementia and other neurodegenerative diseases cause profound declines in functioning; thus, many patients require caregivers for assistance with daily living. Patients differ greatly in how long they live after disease onset, with the nature and severity of the disease playing an important role. Caregiving can also be extremely stressful, and many caregivers experience declines in mental health. In this study, we investigated the role that caregiver mental health plays in patient mortality. In 176 patient-caregiver dyads, we found that worse caregiver mental health predicted greater patient mortality even when accounting for key risk factors in patients (i.e., diagnosis, age, sex, dementia severity, and patient mental health). These findings highlight the importance of caring for caregivers as well as patients when attempting to improve patients' lives.

Cardiac Vagal Control and Depressive Symptoms: The Moderating Role of Sleep Quality.

Lower cardiac vagal control (CVC) has been linked to greater depression. However, this link has not been consistently demonstrated, suggesting the presence of key moderators. Sleep plausibly is one such factor. Therefore, we investigated whether sleep quality moderates the link between CVC (quantified by high-frequency heart rate variability, HF-HRV) and depressive symptoms (assessed using established questionnaires) in 29 healthy women. Results revealed a significant interaction between HF-HRV and sleep quality in predicting depressive symptoms: participants with lower HF-HRV reported elevated depressive symptoms only when sleep quality was also low. In contrast, HF-HRV was not associated with depressive symptoms when sleep quality was high, suggesting a protective function of high sleep quality in the context of lower CVC.

Knowing when to seek anger: Psychological health and context-sensitive emotional preferences.

According to hedonic approaches to psychological health, healthy individuals should pursue pleasant and avoid unpleasant emotions. According to instrumental approaches, however, healthy individuals should pursue useful and avoid harmful emotions, whether pleasant or unpleasant. We sought to reconcile these approaches by distinguishing between preferences for emotions that are aggregated across contexts and preferences for emotions within specific contexts. Across five days, we assessed daily confrontational and collaborative demands and daily preferences for anger and happiness. Somewhat consistent with hedonic approaches, when averaging across contexts, psychologically healthier individuals wanted to feel less anger, but not more happiness. Somewhat consistent with instrumental approaches, when examined within contexts, psychologically healthier individuals wanted to feel angrier in more confrontational contexts, and some wanted to feel happier in more collaborative contexts. Thus, although healthier individuals are motivated to avoid unpleasant emotions over time, they are more motivated to experience them when they are potentially useful.

Preferring familiar emotions: as you want (and like) it?

Do people want to feel emotions that are familiar to them? In two studies, participants rated how much they typically felt various emotions (i.e., familiarity of the emotion) and how much they generally wanted to experience these emotions. We found that, in general, people wanted to feel pleasant emotions more than unpleasant emotions. However, for both pleasant and unpleasant emotions, people more (vs. less) familiar with an emotion also wanted to experience it more. Links between the familiarity of an emotion and wanting to experience that emotion were not explained by the concurrent experience of familiar emotions. Also, we show that although familiar emotions were also liked more, liking did not fully account for wanting familiar emotions. Finally, the familiarity of emotions mediated the links between trait affect and the emotions people wanted to feel. We propose that people are motivated to feel familiar emotions, in part, because of their instrumental value.

DESPERATELY SEEKING HAPPINESS: VALUING HAPPINESS IS ASSOCIATED WITH SYMPTOMS AND DIAGNOSIS OF DEPRESSION.

Culture shapes the emotions people feel and want to feel. In Western cultures, happiness is an emotion that many people want to feel. Although experiencing happiness is associated with increased well-being and psychological health, recent evidence suggests wanting to feel happy to an extreme degree, or, highly valuing happiness, leads to decreased well-being. To examine whether these effects of valuing happiness might extend to clinical outcomes, we examined the hypothesis that depression is associated with highly valuing happiness. To do so, we examined the relationship between valuing happiness and depression in two U.S. samples. As hypothesized, valuing happiness was associated with increased depressive symptoms in a community sample with remitted major depressive disorder (MDD), even when controlling for social desirability and neuroticism (Study 1). Furthermore, valuing happiness was elevated in a remitted MDD sample (vs. healthy controls), even when controlling for current depressive symptoms, general affect valuation, and extreme goal pursuit (Study 2). Taken together, these findings suggest that the culturally-pervasive value placed on attaining happiness can represent a risk factor for symptoms and a diagnosis of depression. More broadly, they indicate that a cultural approach can meaningfully extend our understanding of clinical phenomena.

Personality Trait Change Across a Major Global Stressor.

The current research examined three related questions in a 21-month longitudinal study of a diverse sample of U.S. participants (N = 504): (a) How did Big Five traits change during the COVID-19 pandemic? (b) What factors were associated with individual differences in trait change? and (c) How was Big Five trait change associated with downstream well-being, mental health, and physical health? On average, across the 21-month study period, conscientiousness increased slightly, and extraversion decreased slightly. Individual trajectories varied around these average trajectories, and although few factors predicted these individual differences, greater increases in conscientiousness, extraversion, and agreeableness, and greater decreases in neuroticism were associated better well-being and fewer mental and physical health symptoms. The present research provides evidence that traits can change in the context of a major global stressor and that socially desirable patterns of trait change are associated with better health.

The interpersonal risks of valuing happiness: Links to interpersonal emotion regulation and close others' mental health.

While most people want to feel happy, valuing happiness can paradoxically make people unhappy. We propose that such costs may extend to interpersonal contexts, given that valuing happiness may shape how people (i.e., regulators) manage others' (i.e., targets') emotions (i.e., extrinsic interpersonal emotion regulation). While valuing happiness could motivate regulators to reduce targets' distress using effective forms of emotion regulation, it may also push them to be intolerant toward targets' distress and, in turn, predict worse target well-being. The current investigation examines how two approaches to happiness (i.e., happiness aspiring and happiness concern) predict how regulators manage their children's and romantic partners' distress-two fundamental close relationship types that allow us to address the robustness of our findings. We obtained longitudinal reports across a year from socioculturally diverse regulators (N = 279, including partially overlapping groups of 155 parents and 248 partnered individuals) and cross-sectional reports from partners. We found that people who aspired to be happy were more successful at using reappraisal and distraction to manage targets' emotions, while those who were concerned about happiness were less successful at accepting targets' emotions (i.e., confirmed by partners' reports). In turn, more successful use of reappraisal and distraction predicted better target well-being, and less successful acceptance of targets' emotions predicted poorer target well-being across the next 8 months. These findings underscore the importance of understanding individual differences that shape consequential forms of interpersonal emotion regulation, thereby illuminating who is most likely to help their loved ones and who may be putting them at risk. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Unpacking the pursuit of happiness: Being concerned about happiness but not aspiring to happiness is linked with negative meta-emotions and worse well-being.

Previous work suggests that sometimes the more people value happiness, the less happy they are. For whom and why is this the case? To answer these questions, we examined a model of happiness pursuit that disentangles two previously conflated individual differences related to valuing happiness. The first individual difference operates at the strength of the value itself and involves viewing happiness as a very important goal (i.e., aspiring to happiness). The second individual difference occurs later in the process of pursuing happiness and involves judging one's levels of happiness (i.e., concern about happiness). This model predicts that aspiring to happiness is relatively innocuous. Conversely, being concerned about happiness leads people to judge their happiness, thereby infusing negativity (i.e., negative meta-emotions) into potentially positive events, which, in turn, interferes with well-being. We tested these hypotheses using cross-sectional, daily-diary, and longitudinal methods in student and community samples, collected between 2009 and 2020, which are diverse in gender, ethnicity, age, and geographic location (Ntotal = 1,815). In Studies 1a and 1b, aspiring to happiness and concern about happiness represented distinct individual differences. In Study 2, concern about happiness (but not aspiring to happiness) was associated with lower well-being cross-sectionally and longitudinally. In Study 3, these links between concern about happiness and worse well-being were partially accounted for by experiencing greater negative meta-emotions during daily positive events. These findings suggest that highly valuing happiness is not inherently problematic; however, concern and judgment about one's happiness can undermine it. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Evidence for utilitarian motives in emotion regulation.

This investigation demonstrates that emotion regulation can be driven by considerations of utility per se. We show that as participants prepared for a negotiation, those who were motivated to confront (vs. collaborate with) another person believed that anger would be more useful to them. However, only participants who were motivated to confront another and expected to receive a monetary reward for their performance (i.e., high utility), were motivated to increase their anger in preparation for the negotiation. Participants who were motivated to confront another but did not expect their performance to be rewarded (i.e., low utility), did not try to increase their anger, even though they expected anger to be useful in the negotiation. Such patterns demonstrate that people are motivated to experience even unpleasant emotions to maximise utility.

The political is personal: The costs of daily politics.

Politics and its controversies have permeated everyday life, but the daily impact of politics on the general public is largely unknown. Here, we apply an affective science framework to understand how the public experiences daily politics in a two-part examination. We first used longitudinal, daily diary methods to track two samples of U.S. participants as they experienced daily political events across 2 weeks (Study 1: N = 198, observations = 2,167) and 3 weeks (Study 2: N = 811, observations = 12,790) to explore how these events permeated people's lives and how people coped with that influence. In both diary studies, daily political events consistently not only evoked negative emotions, which corresponded to worse psychological and physical well-being, but also greater motivation to take political action (e.g., volunteer, protest) aimed at changing the political system that evoked these emotions in the first place. Understandably, people frequently tried to regulate their politics-induced emotions, and regulating these emotions using effective cognitive strategies (reappraisal and distraction) predicted greater well-being, but also weaker motivation to take action. Although people protected themselves from the emotional impact of politics, frequently used regulation strategies came with a trade-off between well-being and action. Second, we conducted experimental studies where we manipulated exposure to day-to-day politics (Study 3, N = 922), and the use of various emotion regulation strategies in response (Study 4, N = 1,277), and found causal support for the central findings of Studies 1-2. Overall, this research highlights how politics can be a chronic stressor in people's daily lives, underscoring the far-reaching influence politicians have beyond the formal powers endowed unto them. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Emotional responses to a global stressor: Average patterns and individual differences.

Major stressors often challenge emotional well-being-increasing negative emotions and decreasing positive emotions. But how long do these emotional hits last? Prior theory and research contain conflicting views. Some research suggests that most individuals' emotional well-being will return to, or even surpass, baseline levels relatively quickly. Others have challenged this view, arguing that this type of resilient response is uncommon. The present research provides a strong test of resilience theory by examining emotional trajectories over the first 6 months of the COVID-19 pandemic. In two pre-registered longitudinal studies (total N =1147), we examined average emotional trajectories and predictors of individual differences in emotional trajectories across 13 waves of data from February through September 2020. The pandemic had immediate detrimental effects on average emotional well-being. Across the next 6 months, average negative emotions returned to baseline levels with the greatest improvements occurring almost immediately. Yet, positive emotions remained depleted relative to baseline levels, illustrating the limits of typical resilience. Individuals differed substantially around these average emotional trajectories and these individual differences were predicted by socio-demographic characteristics and stressor exposure. We discuss theoretical implications of these findings that we hope will contribute to more nuanced approaches to studying, understanding, and improving emotional well-being following major stressors.

Assessing Emotion Polyregulation in Daily Life: Who Uses It, When Is It Used, and How Effective Is It?

Most research on emotion regulation has focused on understanding individual emotion regulation strategies. Preliminary research, however, suggests that people often use several strategies to regulate their emotions in a given emotional scenario (polyregulation). The present research examined who uses polyregulation, when polyregulation is used, and how effective polyregulation is when it is used. College students (N = 128; 65.6% female; 54.7% White) completed an in-person lab visit followed by a 2-week ecological momentary assessment protocol with six randomly timed survey prompts per day for up 2 weeks. At baseline, participants completed measures assessing past-week depression symptoms, social anxiety-related traits, and trait emotion dysregulation. During each randomly timed prompt, participants reported up to eight strategies used to change their thoughts or feelings, negative and positive affect, motivation to change emotions, their social context, and how well they felt they were managing their emotions. In pre-registered analyses examining the 1,423 survey responses collected, polyregulation was more likely when participants were feeling more intensely negative and when their motivation to change their emotions was stronger. Neither sex, psychopathology-related symptoms and traits, social context, nor subjective effectiveness was associated with polyregulation, and state affect did not moderate these associations. This study helps address a key gap in the literature by assessing emotion polyregulation in daily life. Supplementary Information: The online version contains supplementary material available at 10.1007/s42761-022-00166-x.

Whither Inhibition?

Inhibition is considered a process essential to goal pursuit and as a result has become a central construct in many disciplines in psychology and adjacent fields. Despite a century's worth of debate, however, there is little consensus about what inhibition actually is. We suggest that it is time to abandon the concept of inhibition as it currently stands, given that its definition has been problematic. Instead, we propose an alternative framework in which inhibition is the target outcome, rather than a process to obtain a goal. We leverage existing process models to elucidate how people can achieve an inhibition goal by actively regulating impulses and desires. Although the field has been led astray by classifying inhibition as a process, our framework is intended to provide greater practical utility to the study of goal pursuit moving forward.

White fragility: An emotion regulation perspective.

To address anti-Black Racism, systemic change across many domains in American life will be necessary. There are many barriers to change, however, and progress requires identifying these barriers and developing tools to overcome them. Given that White individuals disproportionately occupy "gatekeeping" positions of power, one key barrier to systemic change is rooted in White individuals' emotional (and emotion-regulatory) responses when considering their own role in racism (e.g., involvement in racist systems, biased actions). White people often experience such moments as a jeopardy to their valued goals and are consequently highly motivated to reduce the negative emotions that they feel by denying or avoiding the issue-a multifaceted response known as a White fragility response. When White individuals enact a White fragility response, they can further damage the well-being of Black members of their community and weaken their own motivation for systemic change. Given its stark costs, it is critical to understand White fragility responses. In this article, we argue that White fragility can be usefully viewed through the lens of emotion and emotion regulation theory. In particular, we describe the emotion and emotion regulation responses that characterize White fragility, summarize the wide-ranging consequences of White fragility responses, highlight more sustainable ways forward, and end by considering a broader fragility framework that acknowledges multiple dimensions of power. Although emotion regulation lies at the heart of White fragility, emotion regulation is also a tool that can be leveraged for greater justice. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The Benefits of Living With Close Others: A Longitudinal Examination of Mental Health Before and During a Global Stressor.

For better or worse, the people one lives with may exert a powerful influence on one's mental health, perhaps especially during times of stress. The COVID-19 pandemic-a large-scale stressor that prompted health recommendations to stay home to reduce disease spread-provided a unique context for examining how the people who share one's home may shape one's mental health. A seven-wave longitudinal study assessed mental health month to month before and during the pandemic (February through September 2020) in two diverse samples of U.S. adults (N = 656; N = 544). Preregistered analyses demonstrated that people living with close others (children and/or romantic partners) experienced better well-being before and during the pandemic's first 6 months. These groups also experienced unique increases in ill-being during the pandemic's onset, but parents' ill-being also recovered more quickly. These findings highlight the crucial protective function of close relationships for mental health both generally and amid a pandemic.

The Insulating Function of Sleep for Well-being: Daily Sleep Quality Attenuates the Link Between Current Affect and Global Life Satisfaction.

Transient affect can be tightly linked with people's global life satisfaction (i.e., affect globalizing). This volatile judgment style leaves life satisfaction vulnerable to the inevitable highs and lows of everyday life, and has been associated with lower psychological health. The present study examines a potentially fundamental but untested regulatory role of sleep: insulating people's global life satisfaction from the affective highs and lows of daily life. We tested this hypothesis in two daily diary samples (N 1 = 3,011 daily diary observations of 274 participants and N 2 = 12,740 daily diary observations of 811 participants). Consistent with preregistered hypotheses, following nights of reported high-quality sleep, the link between current affect and global life satisfaction was attenuated (i.e., lower affect globalizing). Sleep-based interventions are broadly useful for improving psychological health and the current findings suggest another avenue by which such interventions may improve well-being: by providing crucial protection against the risks associated with affect globalizing. Supplementary Information: The online version contains supplementary material available at 10.1007/s42761-021-00092-4.

An In Situ, Child-Led Intervention to Promote Emotion Regulation Competence in Middle Childhood: Protocol for an Exploratory Randomized Controlled Trial.

BACKGROUND: Emotion regulation is a key transdiagnostic risk factor for a range of psychopathologies, making it a prime target for both prevention and treatment interventions in childhood. Existing interventions predominantly rely on workshops or in-person therapy-based approaches, limiting the ability to promote emotion regulation competence for children in everyday settings and at scale. Purrble is a newly developed, inexpensive, socially assistive robot-in the form of an interactive plush toy-that uses haptic feedback to support in-the-moment emotion regulation. It is accessible to children as needed in their daily lives, without the need for a priori training. Although qualitative data from previous studies show high engagement in situ and anecdotal evidence of the robot being incorporated into children's emotion regulation routines, there is no quantitative evidence of the intervention's impact on child outcomes. OBJECTIVE: The aim of this study is to examine the efficacy of a new intervention model for child-led emotion regulation-Purrble-that can be deployed across prevention and treatment contexts. METHODS: Overall, 134 children aged 8 to 10 years will be selected from an enriched nonclinical North American population; for inclusion, the cutoff for the parents' rating of child dysregulation will be ≥10 points in the total difficulties score on the Strengths and Difficulties Questionnaire. This cutoff was selected to obtain a measurable, but not necessarily clinical, level of the child's emotion regulatory difficulties. The selected families will be randomly assigned with .5 probability to receive either a Purrble or an active control (noninteractive plush toy). The primary outcome will be a daily ecological momentary assessment measure of child emotion regulation capability (as reported by parents) over a period of 4 weeks. Exploratory analyses will investigate the intervention impact on secondary outcomes of child emotion regulation, collected weekly over the same 4-week period, with follow-ups at 1 month and 6 months postdeployment. Quantitative data will be analyzed on an intent-to-treat basis. A proportion of families (approximately 30% of the sample) will be interviewed after deployment as part of the process analysis. RESULTS: The study is funded by the UKRI Future Leaders Fellowship (MR/T041897/1) and an in-kind contribution from the Committee for Children. This study received ethical approval from the Pearl institutional review board (#18-CFC-101). Participant recruitment started in February 2021, with the 1-month deployment in April-May 2021. The results of this analysis will be published in 2022. CONCLUSIONS: This study will be the first quantitative evaluation of the efficacy of an innovative, proof-of-concept intervention model for an in situ, child-led emotion regulation intervention. Insights into the trajectory of daily changes, complemented with weekly questionnaire batteries and postdeployment interviews, will result in an in-depth understanding of whether and how the hypothesized intervention logic model works, leading to further intervention optimization. TRIAL REGISTRATION: ClinicalTrials.gov NCT04810455; http://clinicaltrials.gov/ct2/show/NCT04810455. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/28914.