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1.
J Affect Disord ; 344: 510-518, 2024 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-37852584

RESUMO

BACKGROUND: The reward/circadian rhythm model of bipolar spectrum disorders (BSDs) posits that when individuals with hypersensitive reward systems encounter reward-relevant events, they experience social and circadian rhythm disruption, leading to mood symptoms. The aim of the current study is to test an element of this theoretical model by investigating changes in social rhythms during and after an ecologically-valid reward-relevant event and evaluating whether the strength of these associations differ by trait reward sensitivity and BSD diagnostic group. METHODS: Young adults from three groups (low BSD risk with moderate reward sensitivity [MRew], high BSD risk with high reward sensitivity [HRew], and high reward sensitivity with BSD [HRew+BSD]) completed a reward responsiveness task and 20-day ecological momentary assessment study structured around a participant-specific goal occurring on day 15. Social rhythm disruption (SRD) and social rhythm regularity (SRR) were assessed daily. Multilevel models examined whether reward sensitivity and group moderated associations between study phase (baseline [days 1-5], goal-striving [days 16-20], or outcome [days 16-20]) and social rhythms. RESULTS: Participants experienced greater SRD after the goal-striving event during the outcome phase, compared to the baseline phase. The HRew+BSD group had significant decreases in SRR during the outcome phase, and this pattern differed significantly from the low-risk and high-risk groups. Greater task reward responsiveness also was associated with significant decreases in SRR during the outcome phase. LIMITATIONS: This study did not test whether social rhythm irregularity was associated with subsequent mood change. CONCLUSIONS: Participants exhibited social rhythm changes over the course of this ecologically valid goal-striving period, providing evidence for the interplay between reward-activating events and social rhythms. The HRew+BSD group showed a distinct pattern in which their social rhythms were more irregular after completing reward-relevant goal-striving that was not observed for the low-BSD risk or high-BSD risk groups. These findings provide additional support for Interpersonal and Social Rhythms Therapy.


Assuntos
Transtorno Bipolar , Adulto Jovem , Humanos , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/terapia , Objetivos , Avaliação Momentânea Ecológica , Motivação , Recompensa
2.
Soc Sci Res ; 80: 156-185, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30955554

RESUMO

We study associations between secondary school socioeconomic composition and college destinations using the Education Longitudinal Study, and whether the association between school SES and type of college enrollment varies by student socioeconomic background. We also examine nonlinearities in these associations, seeking to understand if avoiding poor secondary schools or seeking out affluent secondary schools drives the positive associations between socioeconomic composition and college destinations. Our results indicate that higher SES schools benefit mid- and high-SES students more so than low-SES students. Furthermore, the relationships between school SES and college destinations are non-linear. Results suggest mid- and high-SES students' chances of enrolling in nonselective four-year colleges are higher when they avoid the poorest schools, while their chances of enrolling in selective four-year colleges increase when they enroll in the most affluent secondary schools.

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