Measuring narrative identity: rater coding versus questionnaire-based approaches.

Narrative identity - how individuals narrate their lived and remembered past - is usually assessed via independent rater coding, but new methods relying on self-report have been introduced. To test the assumption that different methods assess aspects of the same underlying construct, studies measuring similar components of narrative identity with different methods are needed. However, such studies are surprisingly rare. To begin to fill this gap, the present study compared the narrative variables, temporal coherence, causal coherence, and thematic coherence, measured via rater coding of participants' self-generated narratives of the remembered past and via subscales of the self-report measure Awareness of Narrative Identity Questionnaire (ANIQ). The results showed that the ANIQ subscales did not correlate significantly with their corresponding rater-coded dimension, and that the ANIQ subscales were generally unrelated to the other rater-coded dimensions. Furthermore, an exploratory factor analysis demonstrated that the ANIQ subscales loaded together on a factor that did not include any rater-coded variables. The findings suggest that the narrative variables share little empirical overlap when assessed via the ANIQ and rater coding of self-generated narratives.

Alcohol Use and Abstinence throughout Adolescence: The Changing Contributions of Perceived Risk of Drinking, Opportunities to Drink, and Self-Control.

Objective: Adolescence is characterized by psychosocial and cognitive changes that can alter the perceived risk of negative effects of alcohol, opportunities to drink, and self-control. Few studies have investigated whether these factors change in their contribution to adolescent drinking over time. This study examined associations between perceived risk, opportunities to drink, self-control, and past-year drinking and investigated whether self-control buffers the effect of lower perceived risk and frequent drinking opportunities on the probability of past-year drinking. Method: Data from a four-wave longitudinal study (2015-2020) of 2,104 North Carolina adolescents (Mage = 12.36, SDage = 1.12, at Time 1) were used to assess changes in associations between self-control, perceived risk of drinking, and drinking opportunities on the frequency of past-year drinking. Hypotheses were tested using latent trajectory models. Results: At all timepoints, greater perceived risk, fewer drinking opportunities, and higher self-control were associated with drinking abstinence in the past year. Self-control buffered the impact of frequent drinking opportunities and lower perceived risk on the probability of alcohol use at Times 1-3. Conclusions: Despite expectations that adolescents' ability to navigate their environments improves as they age, associations between risk, protective factors, and past-year drinking were relatively stable over time. Nevertheless, self-control protected against frequent drinking opportunities and lower perceived risk. Strategies that support or relieve the need for self-control (e.g., situation modification) may protect against alcohol use throughout adolescence.

Comparative assessment of the feasibility and validity of daily activity space in urban and non-urban settings.

Activity space research explores the behavioral impact of the spaces people move through in daily life. This research has focused on urban settings, devoting little attention to non-urban settings. We examined the validity of the activity space method, comparing feasibility and data quality in urban and non-urban contexts. Overall, we found that the method is easily implemented in both settings. We also found location data quality was comparable across residential and activity space settings. The major differences in GPS (Global Positioning System) density and accuracy came from the operating system (iOS versus Android) of the device used. The GPS-derived locations showed high agreement with participants' self-reported locations. We further validated GPS data by comparing at-home time allocation with the American Time Use Survey. This study suggests that it is possible to collect daily activity space data in non-urban settings that are of comparable quality to data from urban settings.

Collective Views of Vaccination Predict Vaccine Hesitancy and Willingness to Receive a COVID-19 Vaccine.

We examined the association between sociodemographic factors, views of vaccines as being an individual choice to protect oneself vs. a collective choice to protect others, general vaccine hesitancy, and willingness to receive a COVID-19 vaccine. In a sample of adults (N = 619; 33% non-white), we showed that demographic factors explain significant variance in both vaccine hesitancy and willingness to receive a COVID-19 vaccine. Viewing vaccines as an individual choice to protect oneself explained additional variance in vaccine hesitancy. However, people who viewed vaccines as a collective choice to protect others showed both less vaccine hesitancy and greater willingness to receive a COVID-19 vaccine. These findings suggest that promoting prosocial attitudes about vaccinations may decrease vaccine hesitancy and increase vaccine uptake.

Pre-pandemic activity on a myalgic encephalomyelitis/chronic fatigue syndrome support forum is highly associated with later activity on a long COVID support forum for a variety of reasons: A mixed methods study.

Encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID share some clinical and social characteristics. We predicted that this would lead to an increased interaction between pre-pandemic members of an ME/CFS online support community and a long COVID community. We performed a mixed-methods retrospective observational study of the Reddit activity of 7,544 users active on Reddit's long COVID forum. From among 1600 forums, pre-pandemic activity specifically on a ME/CFS forum is the top predictor of later participation on the long COVID forum versus an acute COVID support forum. In the qualitative portion, motives for this co-participation included seeking mutual support and dual identification with both conditions. Some of this effect may be explained by pre-existing ME/CFS possibly being a risk factor for long COVID and/or SARS-CoV-2 infection being a cause of ME/CFS relapse. The high rate of ME/CFS patients seeking mutual support on a long COVID forum speaks to the long-suffering experience of these patients not feeling heard or respected, and the hope of some ME/CFS patients to gain legitimacy through the public's growing recognition of long COVID.

Intellectual Humility and Responsiveness to Public Health Recommendations.

We examined the association between intellectual humility (IH)-a willingness to consider credible new information and alternative views and revise one's own views if warranted-and adherence to experts' health behavior recommendations in the U.S. during the COVID-19 pandemic. Study 1 (N = 541) results showed that people higher in IH are more likely to engage in recommended health behaviors (e.g., mask-wearing, social distancing)-even when controlling for political affiliation. Additional analyses focused specifically on mask-wearing produced initial evidence consistent with mediation of the IH-mask-wearing relationship by the beliefs that mask-wearing 1) is an effective way to slow the spread of COVID-19 and 2) protects others. Based on the pathway from IH to mask-wearing through a concern for others found in Study 1, Study 2 further examined the relationship between IH and prosocial tendencies. The results from Study 2 (Ns for correlation coefficients ranged from 265 to 702) showed an association between IH and several values and traits that reflect a concern for others (e.g., agreeableness, benevolence). These findings suggest that IH may influence behavior through both intra- and interpersonal mechanisms. Implications of these findings for the health-behavior domain are discussed.

Day-to-day variation in adolescent food insecurity.

This study examined differences in both average and variability in daily adolescent food insecurity, by adolescents' levels of economic disadvantage and race/ethnicity. We used data from a 14-day ecological momentary assessment of 395 adolescents enrolled in public schools in North Carolina. Each evening, adolescents were asked questions about that day's food insecurity. Economically disadvantaged adolescents reported both higher average food insecurity and more day-to-day variability in food insecurity than non-economically disadvantaged adolescents. Controlling for economic disadvantage, Black adolescents also experienced both higher average food insecurity and more variability from day to day than White or Hispanic adolescents. For those receiving Supplemental Nutrition Assistance Program (SNAP) benefits, daily food insecurity was higher in the second half of the month after SNAP transfer than in the beginning of the month. Food insecurity among adolescents is not static but varies from day to day. This daily variation is greater for economically disadvantaged youth.

Narrative identity does not predict well-being when controlling for emotional valence.

Narrative identity refers to a person's internalized and evolving life story. It is a rapidly growing research field, motivated by studies showing a unique association with well-being. Here we show that this association disappears when controlling for the emotional valence of the stories told and individuals' general experience of autobiographical memory. Participants (N = 235) wrote their life story and completed questionnaires on their general experience of autobiographical memory and several dimensions of well-being and affect. Participants' life stories were coded for standard narrative identity variables, including agency and communion. When controlling for emotional valence of the life story, the general experience of autobiographical memory was a significant predictor of most well-being measures, whereas agency was a predictor of one variable only and communion of none. These findings contradict the claim of an incremental association between narrative identity and well-being, and have important theoretical and practical implications for narrative identity as an outcome measure in interventions.

Use of Quantile Treatment Effects Analysis to Describe Antidepressant Response in Randomized Clinical Trials Submitted to the US Food and Drug Administration: A Secondary Analysis of Pooled Trial Data.

Importance: Major depressive disorder (MDD) is a leading cause of global distress and disability. Earlier studies have indicated that antidepressant therapy confers a modest reduction in depressive symptoms on average, but the distribution of this reduction requires more research. Objective: To estimate the distribution of antidepressant response by depression severity. Design, Setting, and Participants: In this secondary analysis of pooled trial data, quantile treatment effect (QTE) analysis was conducted from the US Food and Drug Administration (FDA) database of antidepressant monotherapy for patients with MDD, encompassing 232 positive and negative trials submitted to the FDA between 1979 and 2016. Analysis was restricted to participants with severe MDD (17-item Hamilton Rating Scale for Depression [HAMD-17] score ≥20). Data analysis was conducted from August 16, 2022, to April 16, 2023. Intervention: Antidepressant monotherapy compared with placebo. Main Outcomes and Measures: The distribution of percentage depression response was compared between the pooled treatment arm and pooled placebo arm. Percentage depression response was defined as 1 minus the ratio of final depression severity to baseline depression severity, expressed as a percentage. Depression severity was reported in HAMD-17-equivalent units. Results: A total of 57 313 participants with severe depression were included in the analysis. There was no significant imbalance in baseline depression severity between the pooled treatment arm and pooled placebo arm, with a mean HAMD-17 difference of 0.037 points (P = .11 by Wilcoxon rank sum test). An interaction term test for rank similarity did not reject the rank similarity governing percentage depression response (P > .99). The entire distribution of depression response was more favorable in the pooled treatment arm than in the pooled placebo arm. The maximum separation between treatment and placebo occurred at the 55th quantile and corresponded to an absolute improvement in depression due to active drug of 13.5% (95% CI, 12.4%-14.4%). The separation between treatment and placebo diminished near the tails of the distribution. Conclusions and Relevance: In this QTE analysis of pooled clinical trial data from the FDA, antidepressants were found to confer a small reduction in depression severity that was broadly distributed across participants with severe depression. Alternatively, if the assumptions behind the QTE analysis are not met, then the data are also compatible with antidepressants eliciting more complete response in a smaller subset of participants than is suggested by this QTE analysis.

The association between evening social media use and delayed sleep may be causal: Suggestive evidence from 120 million Reddit timestamps.

Public health officials and clinicians routinely advise social media users to avoid nighttime social media use due to the perception that this delays the onset of sleep and predisposes to the health risks of insufficient sleep. With some exceptions, the evidence behind this advice mostly derives from surveys identifying an association between self-reported social media usage and self-reported sleep patterns. In principle, these associations could alternatively be explained by users turning to social media to pass the time when they are otherwise having difficulty sleeping, or by individual differences that draw some people to frequent social media use, or by offline activities that overlap with both social media use and delayed sleep. To attempt to distinguish among these explanations, we leveraged estimated bedtimes from 44,000 Reddit users reported in a recent study and their 120 million posts to test whether the relationship between sleep and social media has properties suggestive of a causal relationship. We find that users are especially likely to be active on Reddit after their bedtime (and therefore awake) on nights that they posted to Reddit shortly before bedtime, especially if they posted multiple times or in high-engagement forums that night. Overall, this study lends additional support to the notion that there likely is some causal effect of evening social media use on delayed sleep onset.

Digital location tracking: A preliminary investigation of parents' use of digital technology to monitor their adolescent's location.

The emergence of digital technologies has changed the dynamic of parent-adolescent relationships. Parents can now use digital technologies to monitor their adolescent's physical location. Yet, to date, no known research has examined the extent to which digital location tracking occurs in parent-adolescent dyads, and how tracking links to adolescent adjustment. The current research examined digital location tracking in a large sample of adolescents (N = 729; Mage = 15.03). Overall, about half of parents and adolescents reported digital location tracking. Girls and younger adolescents were more likely to be tracked, and tracking was associated with greater externalizing problems and alcohol consumption; however, these associations were not robust across multiple informants and sensitivity analyses. Positive linkages with externalizing problems and cannabis use were in part contingent on age and positive parenting, with associations emerging for older adolescents and adolescents who report lower positive parenting. Older adolescents are increasingly striving for independence and autonomy, and adolescents who perceive lower positive parenting may view digital tracking as controlling and intrusive. However, results were not robust after statistical correction. This brief report is intended to serve as a preliminary investigation into digital location tracking, and future research is needed to determine the directionality of associations. Possible consequences of parental digital tracking require careful consideration by researchers in order to provide guidance on the best practices for engaging in digital monitoring while nurturing and respecting the parent-adolescent relationship. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Questionable Practice of Partialing to Refine Scores on and Inferences About Measures of Psychological Constructs.

Partialing is a statistical approach researchers use with the goal of removing extraneous variance from a variable before examining its association with other variables. Controlling for confounds through analysis of covariance or multiple regression analysis and residualizing variables for use in subsequent analyses are common approaches to partialing in clinical research. Despite its intuitive appeal, partialing is fraught with undesirable consequences when predictors are correlated. After describing effects of partialing on variables, we review analytic approaches commonly used in clinical research to make inferences about the nature and effects of partialed variables. We then use two simulations to show how partialing can distort variables and their relations with other variables. Having concluded that, with rare exception, partialing is ill-advised, we offer recommendations for reducing or eliminating problematic uses of partialing. We conclude that the best alternative to partialing is to define and measure constructs so that it is not needed.

Adjusting to the COVID-19 outbreak in the United States: The impact of disruptions on habits and changes in health behaviors.

The COVID-19 pandemic provides a naturalistic test of whether pandemic-related disruptions weaken habits and undermine behavior stability. We hypothesized that better capacity to effortfully guide behavior (self-regulation) would buffer this effect and be associated with behavior stability and development of new habits to accomplish daily behaviors. A cross-sectional study of 416 MTurk workers recruited in April 2020 (Mage = 34.60, SD = 11.51) indicated that pandemic-related disruptions generally exceeded people's capacity to effortfully modify their behavior. Self-regulation related to the development of new habits and to lower likelihood that work productivity decreased. Self-regulation also protected against the effect of disruption on the likelihood that substance use increased. Besides these associations, self-regulation was largely unrelated to health-related behaviors and, in some instances, associated with poorer outcomes. These findings underscore the need to appreciate the impact of contextual disruptions in interpreting and promoting change in health-related behaviors.

Estimation of Bedtimes of Reddit Users: Integrated Analysis of Time Stamps and Surveys.

BACKGROUND: Individuals with later bedtimes have an increased risk of difficulties with mood and substances. To investigate the causes and consequences of late bedtimes and other sleep patterns, researchers are exploring social media as a data source. Pioneering studies inferred sleep patterns directly from social media data. While innovative, these efforts are variously unscalable, context dependent, confined to specific sleep parameters, or rest on untested assumptions, and none of the reviewed studies apply to the popular Reddit platform or release software to the research community. OBJECTIVE: This study builds on this prior work. We estimate the bedtimes of Reddit users from the times tamps of their posts, test inference validity against survey data, and release our model as an R package (The R Foundation). METHODS: We included 159 sufficiently active Reddit users with known time zones and known, nonanomalous bedtimes, together with the time stamps of their 2.1 million posts. The model's form was chosen by visualizing the aggregate distribution of the timing of users' posts relative to their reported bedtimes. The chosen model represents a user's frequency of Reddit posting by time of day, with a flat portion before bedtime and a quadratic depletion that begins near the user's bedtime, with parameters fitted to the data. This model estimates the bedtimes of individual Reddit users from the time stamps of their posts. Model performance is assessed through k-fold cross-validation. We then apply the model to estimate the bedtimes of 51,372 sufficiently active, nonbot Reddit users with known time zones from the time stamps of their 140 million posts. RESULTS: The Pearson correlation between expected and observed Reddit posting frequencies in our model was 0.997 on aggregate data. On average, posting starts declining 45 minutes before bedtime, reaches a nadir 4.75 hours after bedtime that is 87% lower than the daytime rate, and returns to baseline 10.25 hours after bedtime. The Pearson correlation between inferred and reported bedtimes for individual users was 0.61 (P<.001). In 90 of 159 cases (56.6%), our estimate was within 1 hour of the reported bedtime; 128 cases (80.5%) were within 2 hours. There was equivalent accuracy in hold-out sets versus training sets of k-fold cross-validation, arguing against overfitting. The model was more accurate than a random forest approach. CONCLUSIONS: We uncovered a simple, reproducible relationship between Reddit users' reported bedtimes and the time of day when high daytime posting rates transition to low nighttime posting rates. We captured this relationship in a model that estimates users' bedtimes from the time stamps of their posts. Limitations include applicability only to users who post frequently, the requirement for time zone data, and limits on generalizability. Nonetheless, it is a step forward for inferring the sleep parameters of social media users passively at scale. Our model and precomputed estimated bedtimes of 50,000 Reddit users are freely available.

Longitudinal and daily associations between adolescent self-control and digital technology use.

There is fear that adolescents have limited control over their digital technology use. The current research examines longitudinal (Study 1) and daily (Study 2) associations between U.S. adolescents' self-control and digital technological impairment and use. Using a large sample (N = 2,104; Wave 1: Mage = 12.36, 52% female, 57% economically disadvantaged, 48% racial minority), Study 1 tested how changes in adolescents' self-control and perceived technological impairment co-occur across time (between-person associations) and if self-control and perceived impairment are prospectively and bidirectionally associated with each other (within-person associations). There was evidence of between-person associations, in that poorer self-control and perceived technological impairment both increase over adolescence, and these increases are positively associated with each other. However, there was no evidence of prospective within-person associations. Using a subsample from Study 1 (N = 388), Study 2 found support for a between-person association for self-control and using digital technology for entertainment, in which adolescents who reported poorer self-control relative to their peers also engaged in greater digital technology use for entertainment. There was no robust support for within-person associations. These findings suggest that adolescents with poorer self-control may have established tendencies to experience greater technological impairment and use more digital technology for entertainment, but the lack of within-person associations indicate caution is needed for a cause-and-effect relation. Adolescents with existing poorer self-control may be more vulnerable to problematic digital technology use in a developmental period where digital technology is particularly rewarding, and intervention and prevention efforts should be geared toward these adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Pubertal timing moderates the same-day coupling between family hassles and negative affect in girls and boys.

This study examined the association between pubertal timing, daily affect, conduct problems, and the exposure to hassles across family, peer, and school contexts. Adolescents (M age = 12.27; 49.7% female; 62.6% White) completed ecological momentary assessments across 14 consecutive days (N = 388). Earlier maturing girls reported lower daily averages of positive affect compared to their same-sex, same-age peers. We did not find evidence for a relationship between pubertal timing and daily negative affect or conduct problems in girls, nor for daily negative and positive affect or conduct problems in boys. However, pubertal timing did moderate the day-level association between average negative affect and family hassles for both girls and boys. When experiencing more family hassles, earlier maturing girls reported greater negative affect relative to later maturing girls who experienced family hassles. In contrast, later maturing boys, relative to earlier maturing boys, reported higher levels of negative affect in the context of family hassles.

Sensation seeking and its relationship with psychopathic traits, impulsivity and aggression: a validation of the Dutch Brief Sensation Seeking Scale (BSSS).

Sensation seeking is a personality trait that manifests as a preference for change, variety and novelty. Sensation seeking has been positively associated with different externalising behaviours. However, its associations with psychopathic traits, impulsivity and aggression are unclear. These associations were examined via the psychometric properties of the Dutch version of the Brief Sensation Seeking Scale (BSSS) using individuals from the general population and forensic patients. The results show that the BSSS has good psychometric properties, including test-retest reliability and a four-factor structure. Additionally, the results support associations between sensation seeking and psychopathic traits, impulsivity and total scores of aggression but revealed no specific associations with different types of aggression (e.g. proactive and reactive). The Dutch BSSS is a valuable tool for assessing sensation seeking in both the general population and forensic patients. Future research should further examine its utility and explore the role of sensation seeking in antisocial conduct.

The Experience of Succeeding and Failing at Self-Control: A Qualitative Analysis.

Despite the importance of emotions for learning and performance of future behaviors, few studies have attempted to qualitatively describe emotions that arise in response to self-control successes and failures. This study is the first qualitative analysis to examine the complexity of goals that give rise to self-control challenges of two types-initiation and inhibition-and the emotions that follow success and failure experiences. Thematic analysis revealed a sometimes blurred line between inhibition and initiation, and a variety of goals that challenge views that successful self-control is good and unsuccessful self-control is bad. Descriptions of self-control challenges and resulting experiences further uncovered distinctions and apparent emotional profiles characteristic of self-control dilemmas involving inhibition or initiation, suggesting that these two forms of self-control are not only theoretically but also experientially distinct.

Distinct but correlated latent factors support the regulation of learned conflict-control and task-switching.

Cognitive control is guided by learning, as people adjust control to meet changing task demands. The two best-studied instances of "control-learning" are the enhancement of attentional task focus in response to increased frequencies of incongruent distracter stimuli, reflected in the list-wide proportion congruent (LWPC) effect, and the enhancement of switch-readiness in response to increased frequencies of task switches, reflected in the list-wide proportion switch (LWPS) effect. However, the latent architecture underpinning these adaptations in cognitive stability and flexibility - specifically, whether there is a single, domain-general, or multiple, domain-specific learners - is currently not known. To reveal the underlying structure of control-learning, we had a large sample of participants (N = 950) perform LWPC and LWPS paradigms, and afterwards assessed their explicit awareness of the task manipulations, as well as general cognitive ability and motivation. Structural equation modeling was used to evaluate several preregistered models representing different plausible hypotheses concerning the latent structure of control-learning. Task performance replicated standard LWPC and LWPS effects. Crucially, the model that best fit the data had correlated domain- and context-specific latent factors. Thus, people's ability to adapt their on-task focus and between-task switch-readiness to changing levels of demand was mediated by distinct (though correlated) underlying factors. Model fit remained good when accounting for speed-accuracy trade-offs, variance in individual cognitive ability and self-reported motivation, as well as self-reported explicit awareness of manipulations and the order in which different levels of demand were experienced. Implications of these results for the cognitive architecture of dynamic cognitive control are discussed.

Association of chronic non-cancer pain status and buprenorphine treatment retention among individuals with opioid use disorder: Results from electronic health record data.

Background: Although chronic non-cancer pain (CNCP) is common among individuals with opioid use disorder (OUD), its impact on buprenorphine treatment retention is unclear. The goal of this study was to use electronic health record (EHR) data to examine the association of CNCP status and 6-month buprenorphine retention among patients with OUD. Methods: We analyzed EHR data of patients with OUD who received buprenorphine treatment in an academic healthcare system between 2010 and 2020 (N = 676). We used Kaplan-Meier curves and Cox proportional hazards regression to estimate risk of buprenorphine treatment discontinuation (≥90 days between subsequent prescriptions). We used Poisson regression to estimate the association of CNCP and the number of buprenorphine prescriptions over 6 months. Results: Compared to those without CNCP, a higher proportion of patients with CNCP were of older age and had comorbid diagnoses for psychiatric and substance use disorders. There were no differences in the probability of buprenorphine treatment continuation over 6 months by CNCP status (p = 0.15). In the adjusted cox regression model, the presence of CNCP was not associated with time to buprenorphine treatment discontinuation (HR = 0.90, p = 0.28). CNCP status was associated with a higher number of prescriptions over 6 months (IRR = 1.20, p < 0.01). Conclusions: These findings suggest that the presence of CNCP alone cannot be reliably associated with buprenorphine retention in patients with OUD. Nonetheless, providers should be aware of the association between CNCP and greater psychiatric comorbidity among patients with OUD when developing treatment plans. Research on the influence of additional characteristics of CNCP on treatment retention is needed.