On the advantages and disadvantages of choice: future research directions in choice overload and its moderators.

Researchers investigating the psychological effects of choice have provided extensive empirical evidence that having choice comes with many advantages, including better performance, more motivation, and greater life satisfaction and disadvantages, such as avoidance of decisions and regret. When the decision task difficulty exceeds the natural cognitive resources of human mind, the possibility to choose becomes more a source of unhappiness and dissatisfaction than an opportunity for a greater well-being, a phenomenon referred to as choice overload. More recently, internal and external moderators that impact when choice overload occurs have been identified. This paper reviews seminal research on the advantages and disadvantages of choice and provides a systematic qualitative review of the research examining moderators of choice overload, laying out multiple critical paths forward for needed research in this area. We organize this literature review using two categories of moderators: the choice environment or context of the decision as well as the decision-maker characteristics.

The practice of Daylight Saving Time in Canada: Its suitability with respect to sleep and circadian rhythms.

Daylight Saving Time (DST) is the practice of setting the clocks one hour forward from Standard Time (ST) in the spring and back again to ST in the fall. This commentary discusses the impact of bi-annual time changes on sleep and circadian rhythms and suggests avenues to minimize negative outcomes on the well-being of Canadian citizens. Ideally, ST should be close to solar time, meaning that daylight is equally distributed before and after noon time, i.e., when the sun is at its highest point in the sky. In Canada, some provinces are proposing to opt out of DST to either return to constant ST throughout the year or to implement permanent DST. National and international associations of clinicians and researchers on sleep and biological rhythms and in health sciences have positioned themselves in favour of permanent ST. In Canada, the Canadian Sleep Society and the Canadian Society for Chronobiology have also issued such a position. This commentary focuses on the implications of previous research findings for sleep and health in Canada given its northern geographical location. It concludes with a research agenda focusing on the Canadian context.

RéSUMé: L'heure avancée (HA) consiste à avancer les horloges d'une heure par rapport à l'heure normale (HN) au printemps et à revenir à l'HN à l'automne. Le but de ce commentaire est de traiter de l'impact des changements d'heure semestriels sur le sommeil et les rythmes circadiens et de proposer des moyens d'en minimiser les conséquences négatives sur le bien-être des citoyens canadiens. Idéalement, l'HN devrait être proche de l'heure solaire, ce qui signifie que la lumière du jour est répartie de manière égale avant et après midi, c'est-à-dire lorsque le soleil est à son point culminant dans le ciel. Au Canada, certaines provinces proposent de renoncer à la pratique du changement d'heure pour revenir à une HN constante tout au long de l'année ou mettre en place l'HA de façon permanente. Des associations nationales et internationales de cliniciens et de chercheurs sur le sommeil, les rythmes biologiques et les sciences de la santé se sont prononcées en faveur de l'HN permanente. Au Canada, la Société canadienne du sommeil et la Société canadienne de chronobiologie ont adopté la même position. Le commentaire est centré sur les retombées des résultats de recherches antérieures pour le sommeil et la santé au Canada, compte tenu de sa situation géographique nordique. Il se termine par un programme de recherche axé sur le contexte canadien.

Psychiatric Admissions of Children and Adolescents Across School Periods and Daylight-Saving Transitions.

OBJECTIVES: This study sought to examine fluctuations in admissions to a child and adolescent inpatient psychiatry unit in relation to school breaks, school starts, as well as time change transitions in and out of Daylight-Saving Time (DST). METHODS: Five years (2012-2017) of youth inpatient admissions to a pediatric hospital in Ontario were retrieved (n=2,498). A sub-sample was grouped weekly, starting on the Sunday of each week for a total of 260 weekly time bins. The number of admissions during in and out of school periods, school starts in the fall and winter semester, and time change transitions were compared. RESULTS: Admissions were significantly higher during school periods as opposed to out of school periods, and significantly increased from prior- to post-school starts. No significant difference in admission rates were found in and out of DST changes. Weekly time series analyses for DST changes and monthly time series analyses for school starts did not identify a significant seasonality in admissions. CONCLUSIONS: These findings suggest that school periods and school onset may be significant stressors associated with an increased rate of psychiatric admissions. The presence of potential compensating factors is proposed to explain the lack of relationship between pedopsychiatric admissions and time change transitions.

OBJECTIFS: La présente étude visait à examiner les fluctuations des hospitalisations dans une unité psychiatrique pour enfants et adolescents relativement aux congés scolaires, aux retours en classe, ainsi qu'aux transitions à l'entrée et au sortir de l'heure d'été. MÉTHODES: Cinq ans (2012­2017) d'hospitalisations de jeunes patients dans un hôpital psychiatrique de l'Ontario ont été récupérés (n = 2 498). Un sous-échantillon a été assemblé chaque semaine, débutant le dimanche de chaque semaine pour un total de 260 plages horaires hebdomadaires. Le nombre d'hospitalisations durant les périodes scolaires et en dehors, les retours en classe à l'automne et au semestre d'hiver et les transitions du changement de temps a été comparé. RÉSULTATS: Les hospitalisations étaient significativement plus élevées durant les périodes scolaires par opposition aux périodes non scolaires, et augmentaient significativement d'avant le retour en classe à l'après retour en classe. Aucune différence significative des taux d'hospitalisation n'a été constatée à l'entrée ou à la sortie de l'heure d'été. Les analyses des séries de plages hebdomadaires pour les changements de l'heure d'été et les analyses des séries de temps mensuelles pour les retours en classe n'ont pas identifié de saisonnalité significative des hospitalisations. CONCLUSIONS: Ces résultats suggèrent que les périodes scolaires et le début de l'école peuvent être des stresseurs significatifs associés à un taux accru d'hospitalisations psychiatriques. La présence de facteurs de compensation potentiels est proposée pour expliquer l'absence de relation entre les hospitalisations pédopsychiatriques et les transitions du changement de l'heure d'été.

Social, financial and psychological stress during an emerging pandemic: observations from a population survey in the acute phase of COVID-19.

INTRODUCTION: The negative impacts of COVID-19 have rippled through every facet of society. Understanding the multidimensional impacts of this pandemic is crucial to identify the most critical needs and to inform targeted interventions. This population survey study aimed to investigate the acute phase of the COVID-19 outbreak in terms of perceived threats and concerns, occupational and financial impacts, social impacts and stress between 3 April and 15 May 2020. METHODS: 6040 participants are included in this report. A multivariate linear regression model was used to identify factors associated with stress changes (as measured by the Cohen's Perceived Stress Scale (PSS)) relative to pre-outbreak retrospective estimates. RESULTS: On average, PSS scores increased from low stress levels before the outbreak to moderate stress levels during the outbreak (p<0.001). The independent factors associated with stress worsening were: having a mental disorder, female sex, having underage children, heavier alcohol consumption, working with the general public, shorter sleep duration, younger age, less time elapsed since the start of the outbreak, lower stress before the outbreak, worse symptoms that could be linked to COVID-19, lower coping skills, worse obsessive-compulsive symptoms related to germs and contamination, personalities loading on extraversion, conscientiousness and neuroticism, left wing political views, worse family relationships and spending less time exercising and doing artistic activities. CONCLUSION: Cross-sectional analyses showed a significant increase from low to moderate stress during the COVID-19 outbreak. Identified modifiable factors associated with increased stress may be informative for intervention development. TRIAL REGISTRATION NUMBER: NCT04369690; Results.

Culturing Articular Cartilage Explants in the Presence of Autologous Adipose Tissue Modifies Their Inflammatory Response to Lipopolysaccharide.

The purpose of the current study was to explore the effect of autologous adipose tissue on cartilage responses to lipopolysaccharide (LPS). We hypothesized that LPS elicits an inflammatory response in cartilage, and that response is augmented in the presence of adipose tissue. Furthermore, we hypothesized that this augmented inflammatory response is due, at least in part, to increased exposure of cartilage to adipose tissue-derived c3a. Porcine cartilage explants from market-weight pigs were cultured in the presence or absence of autologous adipose tissue for 96 hours, the final 48 hours of which they were stimulated with LPS (0 or 10 µg/mL). Adipose tissue explants were also cultured alone, in the presence or absence of LPS. Media from all cartilage treatments was assayed for c3a/c3a des Arg, PGE2, GAG, and NO, and the viability of cartilage tissue was determined by differential fluorescent staining. Media from adipose tissue explants was assayed for c3a/c3a des Arg and PGE2. LPS produced a significant increase in PGE2, GAG, and NO production when cartilage was cultured in the absence of adipose tissue. Coculture of adipose tissue prevented a significant increase in PGE2 in cartilage explants. There was no effect of adipose tissue on LPS-induced GAG or NO, but the presence of adipose tissue significantly reduced cell viability in LPS-stimulated cartilage explants. Adipose tissue explants from lean animals reduced inflammatory responses of cartilage to LPS via a c3a/c3a des Arg-independent mechanism and were associated with a significant decline in cell viability. Thus, contrary to our hypothesis, adipose tissue from lean animals does not augment the inflammatory response of cartilage to stimulation by LPS. The mechanism of modulatory effects of adipose tissue on LPS-induced increase in PGE2 and decline in chondrocyte viability requires further research but appears to have occurred via a mechanism that is independent of adipocentric c3a/c3a des Arg.

Sleep architecture in adolescents hospitalized during a suicidal crisis.

OBJECTIVE/BACKGROUND: Rates of suicide attempts in Canadian youths are concerning. Adolescence is a sensitive period for the emergence of both sleep and mood problems, two major risk factors for suicidality. This naturalistic study aimed to define the sleep profile of adolescents under the combined influence of suicidality, depression and pharmacotherapy during hospitalization for a suicidal crisis. PATIENTS/METHODS: Seventeen suicidal adolescents (15.0 + 1.2years, 82% females) with major depression were recruited from a Canadian pedopsychiatric inpatient unit. Seventeen non-depressed adolescents were retrospectively collated from another database (15.0 + 1.1years, 83% females). None of the participants had a history of sleep disorders or significant medical conditions. RESULTS: Compared to controls, suicidal adolescents had a longer sleep onset latency (Z = -4.5, p < 0.001), longer REM latency (Z = -3.2, p = 0.001), higher percentage of NREM1 sleep t(33) = -2.6, p = 0.020), and higher REM density (Z = -2.8, p = 0.004) than controls. Higher REM density correlated with higher CDI-II scores (r = 0.55, p = 0.27) A significant interaction indicated that the two groups had similar NREM3 percentages in the first two-thirds of the night, but that the suicidal group had significantly lower NREM3 percentage than the controls in the last third of the night (F(2,66) = 3.4, p = 0.041). CONCLUSIONS: Significant sleep abnormalities were observed during hospitalization for a suicidal crisis in a sample of depressed and mostly medicated adolescents. This included sleep initiation and REM sleep latency abnormalities, shallower sleep and high REM density. Future studies should decipher the relative effects of depression, suicidality and medication on sleep. These findings stress the need to address sleep disturbances in the management of suicidality in adolescents.

Grin and Bear It?: Employees' Use of Surface Acting During Co-worker Conflict.

Using survey data from 459 employed individuals, the conditional indirect effects of three types of interpersonal conflict at work on strains and performance through surface acting were tested. Results indicated that task, relationship and non-task organizational conflict were positively related to depressive and physical symptoms and negatively related to performance. Task conflict had a significantly weaker association with employee outcomes than either relationship or non-task organizational conflict. Surface acting negatively related to all types of conflict, although it had a weaker association with relationship conflict than task or non-task organizational conflict. Support was found for moderated mediation relationships whereby surface acting mediated the associations between all types of conflict with depressive symptoms, as well as the association between relationship and non-task organizational conflict with physical symptoms, when conflict was infrequent. Surface acting also mediated the associations between all types of conflict and performance when conflict was frequent. Future research directions are discussed that can advance our theoretical understanding of how emotional labour and interpersonal conflict interact to affect employees, as well as further our ability to improve employee well-being and organizational functioning. Copyright © 2016 John Wiley & Sons, Ltd.