How does disgust regulate social rejection? a mini-review.

The need to belong is a fundamental aspect of human nature. Over the past two decades, researchers have uncovered many harmful effects of social rejection. However, less work has examined the emotional antecedents to rejection. The purpose of the present article was to explore how disgust--an emotion linked to avoidance and social withdrawal--serves as an important antecedent to social rejection. We argue that disgust affects social rejection through three routes. First, disgust encourages stigmatization, especially of those who exhibit cues of infectious disease. Second, disgust and disease-avoidance give rise to cultural variants (e.g., socially conservative values and assortative sociality), which mitigate social interaction. Third, when the self is perceived as a source of contamination, it promotes shame, which, subsequently, encourages withdrawal from social interaction. Directions for future research are also discussed.

Barriers to mother-adolescent communication about sex, maternal monitoring and sexual behaviour among adolescents in Mexico.

Mexican mothers have an important role in adolescent sexuality; however, they report multiple barriers to parent-child sex communication, which may impact adolescent sexual behaviour. This cross-sectional study examines whether adolescent perceptions of maternal barriers to communication are associated with adolescent sexual behaviour frequency indirectly through its association with maternal monitoring, and whether these associations differ by age and gender. Mexican adolescents (N = 1433), ages 12-19 (53% girls), completed a survey on normative sexual behaviours, adolescent perceptions of maternal barriers to sex communication, and maternal monitoring. Structural equation modelling analyses revealed that more barriers to communication (adolescent perceptions) were associated with more sexual behaviour frequency (i.e., oral and vaginal sex) among Mexican adolescents indirectly through its association with maternal monitoring. Findings were stronger for adolescents in 8th grades, but no differences were found by gender. This model expands our understanding of the parenting factors that impact Mexican adolescent sexuality.

Maternal marital status predicts self-reported stress among pregnant women following hurricane Florence.

OBJECTIVES: The effects of stress caused by natural disasters may be more pronounced in individuals with preexisting disadvantages. The degree of hardship and psychological distress associated with Hurricane Florence was assessed in 83 pregnant women. This research helps identify unmarried pregnant women as a group particularly at risk of distress following a natural disaster. METHODS: We assessed hardship associated with the hurricane using a questionnaire modeled on previous studies of stress due to natural disasters. We assessed distress using the Impact of Event Scale-Revised. We assessed social support and household food security using validated questionnaires. We used hierarchical linear regression to test predictors of distress marital status. Finally, we analyzed interactions between marital status and hardship, social support, and food security to examine whether these variables explained differences in distress among married and unmarried women. RESULTS: Results indicated that unmarried women may be at higher risk of distress following natural disasters. Unmarried women were younger, had lower food security and education levels. We found no differences between experiences of hurricane-related hardship based on marital status. However, unmarried women were likely to have higher levels of distress following the hurricane. Hardship was a significant predictor of distress, but food security and social support were not significant predictors. CONCLUSIONS: This study identifies unmarried pregnant women as a high risk/vulnerable group that may need additional support during emergencies. Taken together, this study further assesses how socially disadvantaged members of society may be unequally impacted by natural disasters.

The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study.

INTRODUCTION: Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice. METHOD: This mixed methods study was guided by Kolcaba's holistic comfort theory. Descriptive and inferential statistics and a qualitative descriptive approach to cognitive interviewing were used. Children aged 4 to 8 years (n = 16) experiencing a nonurgent needle procedure and registered nurses (n = 14) who administered the instrument were recruited. RESULTS: Eight qualitative themes of feasibility and comprehensibility were identified. Perspectives of children and nurses were not significantly associated with any demographic variable. The Pediatric Procedural Holistic Comfort Assessment is a feasible instrument to implement but will benefit from minor revisions. DISCUSSION: This study has implications for nursing practice, research methodology, and future research. The Pediatric Procedural Holistic Comfort Assessment can be successfully implemented by nurses in health care settings.

Nurses' Knowledge and Treatment Beliefs: Use of Complementary and Alternative Medicine for Pain Management.

Purpose: To examine the relationship between nurses' knowledge, attitudes, and beliefs about medicines, in general, and complementary and alternative medicine (CAM) and identify the predictors of referrals for pain management. Method: This descriptive, correlational study utilized an online survey to collect data from direct care nurses at a large medical center in southeastern United States. The online survey consisted of the Complementary and Alternative Medicines and Beliefs Inventory (CAMBI), the Beliefs about Medicine Questionnaire, and four open-ended questions. Referral data were obtained from the Information Management Department at this medical center. Results: Among the 218 nurses who completed the survey (15.12%), majority (85%) supported CAM use, but only 32% reported utilizing CAM therapies with patients. Medical surgical, emergency department, and perioperative nurses scored higher on their CAMBI total score and were more likely to refer for CAM therapies when compared with intensive care unit nurses. Conclusions: Beliefs about CAM specifically were not related to referrals for CAM therapies. This study suggests the need for further education on the nurse's role in CAM usage. Understanding the link between nurses' knowledge, attitudes, and treatment beliefs and their relationship to CAM usage provides direction for future educational interventions.

Both trait and state mindfulness predict lower aggressiveness via anger rumination: A multilevel mediation analysis.

Trait mindfulness, or the capacity for nonjudgmental, present-centered attention, predicts lower aggression in cross-sectional samples, an effect mediated by reduced anger rumination. Experimental work also implicates state mindfulness (i.e., fluctuations around one's typical mindfulness) in aggression. Despite evidence that both trait and state mindfulness predict lower aggression, their relative impact and their mechanisms remain unclear. Higher trait mindfulness and state increases in mindfulness facets may reduce aggression-related outcomes by (1) limiting the intensity of anger, or (2) limiting rumination on anger experiences. The present study tests two hypotheses: First, that both trait and state mindfulness contribute unique variance to lower aggressiveness, and second, that the impact of both trait and state mindfulness on aggressiveness will be uniquely partially mediated by both anger intensity and anger rumination. 86 participants completed trait measures of mindfulness, anger intensity, and anger rumination, then completed diaries for 35 days assessing mindfulness, anger intensity, anger rumination, anger expression, and self-reported and behavioral aggressiveness. Using multilevel zero-inflated regression, we examined unique contributions of trait and state mindfulness facets to daily anger expression and aggressiveness. We also examined the mediating roles of anger intensity and anger rumination at both trait and state levels. Mindfulness facets predicted anger expression and aggressiveness indirectly through anger rumination after controlling for indirect pathways through anger intensity. Individuals with high or fluctuating aggression may benefit from mindfulness training to reduce both intensity of and rumination on anger.

The push of social pain: Does rejection's sting motivate subsequent social reconnection?

Physical pain motivates the healing of somatic injuries, yet it remains unknown whether social pain serves a similarly reparative function toward social injuries. Given the substantial overlap between physical and social pain, we predicted that social pain would mediate the effect of rejection on greater motivation for social reconnection and affiliative behavior toward rejecters. In Study 1, the effect of rejection on an increased need to belong was mediated by reports of more intense social pain. In Study 2, three neural signatures of social pain (i.e., activity in the dorsal anterior cingulate cortex, left and right anterior insula during social rejection), each predicted greater behavioral proximity to rejecters. Our findings reify the overlap between social and physical pain. Furthermore, these results are some of the first to demonstrate the reparative nature of social pain and lend insight into how this process may be harnessed to promote postrejection reconnection.

The Brief Aggression Questionnaire: Structure, Validity, Reliability, and Generalizability.

In contexts that increasingly demand brief self-report measures (e.g., experience sampling, longitudinal and field studies), researchers seek succinct surveys that maintain reliability and validity. One such measure is the 12-item Brief Aggression Questionnaire (BAQ; Webster et al., 2014), which uses 4 3-item subscales: Physical Aggression, Verbal Aggression, Anger, and Hostility. Although prior work suggests the BAQ's scores are reliable and valid, we addressed some lingering concerns. Across 3 studies (N = 1,279), we found that the BAQ had a 4-factor structure, possessed long-term test-retest reliability across 12 weeks, predicted differences in behavioral aggression over time in a laboratory experiment, generalized to a diverse nonstudent sample, and showed convergent validity with a displaced aggression measure. In addition, the BAQ's 3-item Anger subscale showed convergent validity with a trait anger measure. We discuss the BAQ's potential reliability, validity, limitations, and uses as an efficient measure of aggressive traits.

Alexithymia is associated with blunted anterior cingulate response to social rejection: implications for daily rejection.

Social rejection elicits distress through the brain's alarm system, the dorsal anterior cingulate cortex (dACC). The distress of rejection facilitates subsequent inclusion. As a result, traits that blunt this dACC response to social rejection might then threaten group membership, leading to further subsequent rejection. Alexithymia, the inability to identify and describe affective states, is associated with social impairment and reduced dACC activity under conditions of negative affect. Thus, we expected that alexithymia would relate to less dACC activation during rejection and that this blunted response would explain an association between alexithymia and greater rejection in everyday life. Using functional magnetic resonance imaging and daily diaries, we found that subclinical individual differences in the core feature of alexithymia, difficulty identifying affect, was associated with a blunted dACC response to social rejection. Deficits in affect identification were also associated with greater daily rejection and that this effect was mediated and suppressed by dACC activation to rejection. Our findings emphasize the crucial role of the dACC in response to social rejection and extend the literature on alexithymia's ability to dampen neural responses and contribute to poor social functioning. The suppressing role of the dACC suggests future directions for clinical interventions on those with affective disorders.

Explaining the relationship between religiousness and substance use: self-control matters.

Religiousness is reliably associated with lower substance use, but little research has examined whether self-control helps explain why religiousness predicts lower substance use. Building on prior theoretical work, our studies suggest that self-control mediates the relationship between religiousness and a variety of substance-use behaviors. Study 1 showed that daily prayer predicted lower alcohol use on subsequent days. In Study 2, religiousness related to lower alcohol use, which was mediated by self-control. Study 3 replicated this mediational pattern using a behavioral measure of self-control. Using a longitudinal design, Study 4 revealed that self-control mediated the relationship between religiousness and lower alcohol use 6 weeks later. Study 5 replicated this mediational pattern again and showed that it remained significant after controlling for trait mindfulness. Studies 6 and 7 replicated and extended these effects to both alcohol and various forms of drug use among community and cross-cultural adult samples. These findings offer novel evidence regarding the role of self-control in explaining why religiousness is associated with lower substance use.

Low glucose relates to greater aggression in married couples.

Intimate partner violence affects millions of people globally. One possible contributing factor is poor self-control. Self-control requires energy, part of which is provided by glucose. For 21 days, glucose levels were measured in 107 married couples. To measure aggressive impulses, each evening participants stuck between 0 and 51 pins into a voodoo doll that represented their spouse, depending how angry they were with their spouse. To measure aggression, participants competed against their spouse on a 25-trial task in which the winner blasted the loser with loud noise through headphones. As expected, the lower the level of glucose in the blood, the greater number of pins participants stuck into the voodoo doll, and the higher intensity and longer duration of noise participants set for their spouse.

Who is most vulnerable to social rejection? The toxic combination of low self-esteem and lack of negative emotion differentiation on neural responses to rejection.

People have a fundamental need to belong that, when satisfied, is associated with mental and physical well-being. The current investigation examined what happens when the need to belong is thwarted-and how individual differences in self-esteem and emotion differentiation modulate neural responses to social rejection. We hypothesized that low self-esteem would predict heightened activation in distress-related neural responses during a social rejection manipulation, but that this relationship would be moderated by negative emotion differentiation-defined as adeptness at using discrete negative emotion categories to capture one's felt experience. Combining daily diary and neuroimaging methodologies, the current study showed that low self-esteem and low negative emotion differentiation represented a toxic combination that was associated with stronger activation during social rejection (versus social inclusion) in the dorsal anterior cingulate cortex and anterior insula-two regions previously shown to index social distress. In contrast, individuals with greater negative emotion differentiation did not show stronger activation in these regions, regardless of their level of self-esteem; fitting with prior evidence that negative emotion differentiation confers equanimity in emotionally upsetting situations.

The interactive effect of social pain and executive functioning on aggression: an fMRI experiment.

Social rejection often increases aggression, but the neural mechanisms underlying this effect remain unclear. This experiment tested whether neural activity in the dorsal anterior cingulate cortex (dACC) and anterior insula in response to social rejection predicted greater subsequent aggression. Additionally, it tested whether executive functioning moderated this relationship. Participants completed a behavioral measure of executive functioning, experienced social rejection while undergoing functional magnetic resonance imaging and then completed a task in which they could aggress against a person who rejected them using noise blasts . We found that dACC activation and executive functioning interacted to predict aggression. Specifically, participants with low executive functioning showed a positive association between dACC activation and aggression, whereas individuals with high executive functioning showed a negative association. Similar results were found for the left anterior insula. These findings suggest that social pain can increase or decrease aggression, depending on an individual's regulatory capability.

The brief aggression questionnaire: psychometric and behavioral evidence for an efficient measure of trait aggression.

A key problem facing aggression research is how to measure individual differences in aggression accurately and efficiently without sacrificing reliability or validity. Researchers are increasingly demanding brief measures of aggression for use in applied settings, field studies, pretest screening, longitudinal, and daily diary studies. The authors selected the three highest loading items from each of the Aggression Questionnaire's (Buss & Perry, 1992) four subscales--Physical Aggression, Verbal Aggression, anger, and hostility--and developed an efficient 12-item measure of aggression--the Brief Aggression Questionnaire (BAQ). Across five studies (N = 3,996), the BAQ showed theoretically consistent patterns of convergent and discriminant validity with other self-report measures, consistent four-factor structures using factor analyses, adequate recovery of information using item response theory methods, stable test-retest reliability, and convergent validity with behavioral measures of aggression. The authors discuss the reliability, validity, and efficiency of the BAQ, along with its many potential applications.

The voodoo doll task: Introducing and validating a novel method for studying aggressive inclinations.

Aggression pervades modern life. To understand the root causes of aggression, researchers have developed several methods to assess aggressive inclinations. The current article introduces a new behavioral method-the voodoo doll task (VDT)-that offers a reliable and valid trait and state measure of aggressive inclinations across settings and relationship contexts. Drawing on theory and research on the law of similarity and magical beliefs (Rozin, Millman, & Nemeroff [1986], Journal of Personality and Social Psychology, 50, 703-712), we propose that people transfer characteristics of a person onto a voodoo doll representing that person. As a result, causing harm to a voodoo doll by stabbing it with pins may have important psychological similarities to causing actual harm to the person the voodoo doll represents. Nine methodologically diverse studies (total N = 1,376) showed that the VDT had strong reliability, construct validity, and convergent validity. Discussion centers on the importance of magical beliefs in understanding the causes of aggressive inclinations.

Curiosity protects against interpersonal aggression: cross-sectional, daily process, and behavioral evidence.

OBJECTIVE: Curiosity is the propensity to recognize and seek out new information and experience, including an intrinsic interest in learning and developing one's knowledge. With few exceptions, researchers have often ignored the social consequences of being curious. METHOD: In four studies using cross-sectional (N = 64), daily diary (Ns = 150 and 110, respectively), and behavioral experimental (N= 132) designs, we tested the hypothesis that individual differences in curiosity are linked to less aggression, even when people are provoked. RESULTS: We showed that both trait and daily curiosity were linked to less aggressive responses toward romantic relationship partners and people who caused psychological hurt. In time-lagged analyses, daily curiosity predicted less aggression from one day to the next, with no evidence for the reverse direction. Studies 3 and 4 showed that the inverse association between curiosity and aggression was strongest in close relationships and in fledgling (as opposed to long-lasting) romantic relationships. That is, highly curious people showed evidence of greater context sensitivity. Intensity of hurt feelings and other personality and relationship variables failed to account for these effects. CONCLUSIONS: Curiosity is a neglected mechanism of resilience in understanding aggression.

The optimal calibration hypothesis: how life history modulates the brain's social pain network.

A growing body of work demonstrates that the brain responds similarly to physical and social injury. Both experiences are associated with activity in the dorsal anterior cingulate cortex (dACC) and anterior insula. This dual functionality of the dACC and anterior insula underscores the evolutionary importance of maintaining interpersonal bonds. Despite the weight that evolution has placed on social injury, the pain response to social rejection varies substantially across individuals. For example, work from our lab demonstrated that the brain's social pain response is moderated by attachment style: anxious-attachment was associated with greater intensity and avoidant-attachment was associated with less intensity in dACC and insula activation. In an attempt to explain these divergent responses in the social pain network, we propose the optimal calibration hypothesis, which posits variation in social rejection in early life history stages shifts the threshold of an individual's social pain network such that the resulting pain sensitivity will be increased by volatile social rejection and reduced by chronic social rejection. Furthermore, the social pain response may be exacerbated when individuals are rejected by others of particular importance to a given life history stage (e.g., potential mates during young adulthood, parents during infancy and childhood).

Putting the brakes on aggression toward a romantic partner: the inhibitory influence of relationship commitment.

Why do people behave aggressively toward romantic partners, and what can put the brakes on this aggression? Provocation robustly predicts aggression in both intimate and nonintimate relationships. Four methodologically diverse studies tested the hypothesis that provocation severity and relationship commitment interact to predict aggression toward one's romantic partner, with the aggression-promoting effects of provocation diminishing as relationship commitment increases. Across all four studies, commitment to one's romantic relationship inhibited aggression toward one's partner when individuals were severely (but not mildly) provoked. Study 4 tested the hypothesis that this Partner Provocation × Commitment interaction effect would be strong among individuals high in dispositional tendencies toward retaliation but weak (perhaps even nonexistent) among individuals low in such tendencies. Discussion emphasizes the importance of understanding instigating, impelling, and inhibiting processes in the perpetration of aggression toward intimate partners.

Repulsed by violence: disgust sensitivity buffers trait, behavioral, and daily aggression.

Many models of aggression include negatively valenced emotions as common elicitors of aggressive behavior. Yet, the motivational direction of these emotions is not taken into account. The current work explored whether sensitivity to a negative emotion associated with behavioral avoidance-disgust-will predict lower levels of aggression. Five studies tested the hypothesis that disgust sensitivity predicts less aggression. In Study 1 (N = 92), disgust sensitivity predicted less trait physical and verbal aggression. In Study 2 (N = 268), participants high in disgust sensitivity were less likely to behave aggressively towards a stranger on a reaction-time task. In Study 3 (N = 51), disgust sensitivity was associated with less intimate partner violence inclinations. Study 4 (N = 247) replicated this effect longitudinally. In Study 5 (N = 166), each domain of disgust (i.e., moral, sexual, and pathogen disgust) had a buffering effect on daily aggression when daily experiences activated those specific domains. These results highlight the usefulness of considering the motivational direction of an emotion when examining its influence on aggression.