Exploring tailored virtual emotion regulation approaches for individuals with emotional eating.

BACKGROUND: Emotional eating is a complex problem fostering obesity and resulting from maladaptive emotion regulation. Traditional behavioural weight loss interventions have shown insignificant effect. They can be improved by targeting the specific needs of individuals with emotional eating. OBJECTIVE: The current study explored a tailored online approach with the aim to positively influence affect (positive and negative) and emotion regulation by applying one of three exercises: body scan, opposite action, and positive reappraisal. DESIGN: An embedded mixed-method design (questionnaire data (t0, t1, t2) and perceived usefulness of exercises in t2) was used to evaluate the effects of a two-week online quasi-experimental pilot study. SUBJECTS/SETTING: In total, 80 participants with self-reported emotional eating difficulties (DEBQ-E; Memo = 3.48, SD = .64, range 1.62-4.92) finished baseline measurements; 15 completed the intervention. The study sample was predominantly female (95%), from 18 till 66 (Mage = 38,0 ± SD = 14.25). RESULTS: Participants reported that the exercises helped them to pay attention to their physical sensations, and to see positive aspects in negative matters. The exercises were considered difficult by the participants, with too little explanation, and dull, due to minor variation. The observed changes revealed small, and moreover, not significant improvements of the three exercises on positive and negative affect and overall emotion dysregulation. Although the quantitative results did not reach significance, the qualitative data highlighted which aspects of the tailored exercises may have contributed to mood and emotion regulation outcomes. A notable observation in the present study is the substantial dropout rate, with the number of participants decreasing from 80 at baseline (T0) to 15 at the post-intervention stage (T2). CONCLUSIONS: Future studies should identify tailored online exercises in emotion regulation skills in more detail and explore the contexts in which they are most effective in a personalized virtual coach virtual coach to be developed for individuals with emotional eating. Given the high dropout rate, more emphasis should be given to a proper presentation of the exercises, as well as more explanation of their usefulness and how to perform them.

Emotional eating is eating in response to negative emotions, and is problematic because it may lead to overweight, depression, and low self-image. People with emotional eating behaviour have difficulty regulating emotions and need mental healthcare but may feel too ashamed to seek help. Moreover, healthcare is not always available at the time of need. Our goal in this research project is to develop a virtual coach application that is available 24/7. This study examined what users of such an application would think of a series of online exercises that can help you recognize and take control of your own negative emotions. We wanted participants to tell us what they thought of the exercises. We also measured whether performing the exercises had an effect on how a person felt (well-being) and whether their skills in handling their own emotions improved.The outcome was that participants found the exercises insightful, but that completion was dull. It also revealed that the measured effects were small.

How Much Do Severely Injured Athletes Experience Sport Injury-Related Growth? Contrasting Psychological, Situational, and Demographic Predictors.

Sport injury-related growth (SIRG) describes the possibility for athletes to benefit psychologically from an injury. The present, preregistered online study examined an international sample of 335 athletes with impressive athletic biographies who sustained a severe sport-related injury. Expanding the extant literature, we empirically contrasted numerous psychological, situational, and demographic predictors of perceived SIRG-specifically, athletes' optimism, coping style, self-efficacy, athletic identity, social support, need satisfaction, and injury centrality. Our data first provide empirical evidence for perceived SIRG, even when statistically controlling for a potential social-desirability bias in athletes' responses. In addition, frequentist and Bayesian regression analyses showed that several psychological variables predicted perceived SIRG-particularly athletes' informational social support, positive reframing, optimism, and injury centrality. Finally, post hoc mediation analyses showed how these psychological variables account for different levels of perceived SIRG as a function of demographic variables. Theoretical and practical implications are discussed, along with directions for future research.

A quantitative analysis of the relationship between posttraumatic growth, depression and coping styles after burn.

INTRODUCTION: Posttraumatic growth (PTG) is "the subjective experience of positive psychological change reported by an individual as a result of the struggle with trauma" (Zoellner and Maercker, 2006 [1]). PTG after burn is similar to PTG after other types of trauma (Martin et al., 2016 [2]). The aim was to assess the relationship between coping styles, via the BriefCOPE (Carver et al., 1989 [9]), and posttraumatic growth via the Posttraumatic Growth Inventory (Cann et al., 2010 [4]), in an adult burn population. METHOD: 36 burn patients who required surgery for wound closure were recruited within 2 years of their burn. They completed the PTGI, DASS-D, and BriefCOPE, and again one month later. Regression analysis with backwards elimination assessed the relationships between coping styles, depression and posttraumatic growth. RESULTS: Of the 14 coping types identified in the BriefCOPE, three were associated with PTG after burn: positive reframing, religion and acceptance. Three coping strategies were associated with greater levels of depression: behavioural disengagement, venting and self-blame. CONCLUSION: Behavioural disengagement, venting and self-blame behaviours can be used as 'red flags' to trigger early screening for depression and to enable timely treatment of depression. To maximise posttraumatic growth interventions that promote positive reframing, use of religion, and acceptance are necessary.

Meaning in Life Following Intimate Partner Psychological Aggression: The Roles of Self-Kindness, Positive Reframing, and Growth.

Psychological aggression is experienced by a large proportion of people in intimate relationships, and the negative impact of this experience has the potential to weaken one's sense of meaning in life. This study aimed to understand a mechanism through which the experience of psychological aggression in a past intimate relationship relates to less meaning in life. By applying self-compassion and meaning-making theory, we proposed that the experience of psychological aggression decreases one's ability to be kind toward oneself in times of suffering (i.e., self-kindness), which decreases positive reframing of the experience, which sequentially decreases growth from the experience, which in turn decreases meaning in life. Participants were 253 people who experienced psychological aggression in a past intimate relationship. Participants completed measures of psychological aggression, self-kindness, positive reframing, growth, and meaning in life. Results found that psychological aggression experienced in a past intimate relationship related to less meaning in life and that the serial mediation model proposed was supported. As such, the results indicate that greater psychological aggression experienced relates to less self-kindness, which in turn relates to less positive reframing, which is sequentially associated with less growth, which is associated with less meaning in life. The findings indicate the need for counseling and psychotherapies to bolster self-kindness in people who have experienced psychological aggression in a past intimate relationship. This is because levels of self-kindness might be depleted after experiencing psychological aggression and because self-kindness appears to support adaptive meaning-making processes.

Interpersonal positive reframing in the daily lives of couples coping with breast cancer.

OBJECTIVES: This study examined word use as an indicator of interpersonal positive reframing in daily conversations of couples coping with breast cancer and as a predictor of stress. DESIGN: The Electronically Activated Recorder (EAR) and Linguistic Inquiry and Word Count (LIWC) were used to examine naturally occurring word use conceptually linked to positive reframing (positive emotion, negative emotion, and cognitive processing words). SAMPLE: Fifty-two couples coping with breast cancer. METHODS: Couples wore the EAR, a device participants wear, that audio-recorded over one weekend (>16,000 sound files), and completed self-reports of positive reframing (COPE) and stress (Perceived Stress Scale). LIWC, a software program, measured word use. FINDINGS: Both partners' word use (i.e., positive emotion and cognitive processing words) was associated with their own reported positive reframing, and spouses' word use was also indicative of patients' positive reframing. Results also revealed that, in general, words indicating positive reframing predicted lower levels of stress. CONCLUSIONS: Findings supported the hypothesis that partners-and particularly spouses of breast cancer patients-may assist each other's coping by positively reframing the cancer experience and other negative experiences in conversation.

Couple adjustment to a stressful life event: a dyadic investigation of the roles of positive reframing and perceived benefits.

BACKGROUND AND OBJECTIVES: This study examines positive reframing (a form of meaning making), perceived benefits (a form of meanings made) and adjustment in couples who experienced a stressful life event in the past year. This study tested whether couple members' scores were nonindependent and whether one's own perceived benefits was predicted by their own positive reframing (actor effect) as well as their partner's positive reframing (partner effect). Further, this study tested actor and partner effects for the link between perceived benefits and adjustment and whether positive reframing (the initial variable) works through perceived benefits (the mediator) to affect adjustment (the outcome) at the dyadic level. DESIGN: A standard dyadic design was used. METHODS: Eighty couples completed measures of positive reframing, perceived benefits, and adjustment (depression, anxiety, positive affect, life satisfaction, and relationship satisfaction). RESULTS: Partners' scores on study variables were related, and although only actor effects were found for the path between positive reframing and perceived benefits, both actor and partner effects were found for the path between perceived benefits and adjustment. Mediation was found for actor-actor and actor-partner indirect effects. CONCLUSIONS: Results indicate that a greater focus on interpersonal factors is needed to further meaning-making theory and inform practice.

Are parents identifying positive aspects to parenting their child with an intellectual disability or are they just coping? A qualitative exploration.

Although acknowledging the stress of raising their child with intellectual disabilities, parents also report that their child has brought about many positive changes in themselves and family. This study reports what parents perceive to be a positive aspect of parenting their child, as currently what constitutes a 'positive' is unclear. Seven key themes were identified; an increased sense of personal strength and confidence, changed priorities, greater appreciation of life, pleasure in the child's accomplishments, increased faith/spirituality, more meaningful relationships and the positive effect that the child has on the wider community. Interpretive examination of the themes reveals that the positive aspects identified consist mostly of meaning-focused coping strategies. These enable parents to adapt successfully to the stressful experiences of raising their child and therefore could be amenable to meaning-focused therapeutic interventions for parents with newly diagnosed children or for those unable to identify any positive aspects of parenting their child.

Which coping strategies can predict beneficial feelings associated with prostate cancer?

AIMS AND OBJECTIVES: This study aimed to identify the extent to which different coping strategies can predict benefit finding in prostate cancer experiences. BACKGROUND: Although beginning evidence suggests that the capacity to find positives in adversity and find some benefit from cancer-associated experiences may be influenced by coping, little is known about which coping strategies can predict benefit finding in prostate cancer. DESIGN: Cross-sectional. METHOD: Data from men (n = 209) diagnosed with prostate cancer receiving hormone suppression therapy were analysed using descriptive statistics, bivariate correlations and backward stepwise multiple linear regression. Sociodemographic and clinical data, and self-report scales (17-item Benefit Finding Scale and Brief COPE) were used. RESULTS: Bivariate analyses showed significant correlations between 14 coping strategies and benefit finding in prostate cancer. Multiple linear regression modelling showed that the predictor variables 'acceptance', 'positive reframing' and 'turning to religion' explained 35% of the variance in dependant variable benefit finding when the other variables were controlled for. Of the three predictor variables, acceptance and positive reinterpretation were most strongly related to benefit finding. CONCLUSION: The self-reported coping strategies 'acceptance' and 'positive reframing' emerged as being most significantly predictive of benefit finding in this sample. 'Turning to religion' was also significant, but to a somewhat lesser extent in predicting benefit finding in the disruptive experience of prostate cancer. RELEVANCE TO CLINICAL PRACTICE: The use of positively oriented emotional coping strategies of 'acceptance', 'positive reframing' and 'turning to religion' are influential to benefit finding in prostate cancer. An understanding of the coping strategies that are predictive to benefit finding can assist clinicians to discern and target men who are more or less likely to find benefit, and to develop person-centred support strategies and interventions with an aim to optimising positive emotional states throughout the cancer journey.

Personal resilience and coping Part II: Identifying resilience and coping among U.S. military service members and veterans with implications for work.

BACKGROUND: U.S. military personnel face challenging situations including frequent deployments, family separations, and exposure to war. Identifying coping strategies used by the most resilient service members and veterans could positively influence military resiliency training programs. OBJECTIVE: The purposes of this paper are to investigate the relationship between coping and resilience among U.S. military active service members and veterans, to identify the coping strategies used by those considered most resilient, and to discuss coping and resilience as they relate to the workplace. METHODS: U.S. military active service members and veterans (N = 191) completed a demographic survey and two self-report questionnaires: The 14-Item Resilience Scale [1] and the Brief COPE [2]. RESULTS: Active duty service members had higher resilience scores than veterans (p < 0.05), but both fell into the moderate range. Coping strategies were not significantly different between the two groups (p > 0.05). Active service members' resilience was predicted by their use of positive reframing and less use of self-blame as coping strategies, accounting for 52.3% of the variance (R2 = 0.523, F(2, 60) = 32.92, p = 0.000). Veterans' resilience was predicted by longer time-in-service, greater use of humor, and less use of self-blame as coping strategies, explaining 44.8% of the variance (R2 = 0.448, F(3, 116) = 31.408, p = 0.000). CONCLUSIONS: This research identifies the positive coping strategies, and least-used negative coping strategies, of the U.S. service members and veterans in our study population with higher resilience scores. Incorporating this information into military- or veteran-based resilience training is likely to increase training effectiveness.