Association of Knowledge and Health Habits with Physiological Hydration Status.

The association of hydration knowledge and health habits with hydration status and fluid intake is rarely examined. We sought to determine whether knowledge or physical health behaviors predict physiological hydration status and fluid intake. Ninety-six participants (59 female; 27 ± 10 year) completed the previously validated hydration survey. Participants then recorded total fluids consumed (TFC), collected urine, and tracked void frequency for 24 h. Hydration status was assessed via 24 h urine specific gravity (USG) and osmolality (Uosm). Health behaviors included self-reported physical activity, BMI, smoking, alcoholic drinking, and sleep status. TFC was significantly correlated with 24 h USG (r = -0.390; p < 0.001), Uosm (r = -0.486; p < 0.001), total urine volume (r = 0.675; p < 0.001), and void frequency (r = 0.518; p < 0.001). Hydration knowledge was not correlated with 24 h USG (r = 0.085; p = 0.420), Uosm (r = 0.087; p = 0.419), urine total volume (r = 0.019; p = 0.857), void frequency (r = 0.030; p = 0.771), or TFC (r = 0.027; p = 0.813). Hydration knowledge did not predict 24 h USG (LR+ = 1.10; LR- = 0.90), Uosm (LR+ = 0.81; LR- = 1.35), or TFC (LR+ = 1.00; LR- = 1.00). Health habits did not predict 24 h USG, Uosm, or TFC. In conclusion, self-reported 24 h diet and fluid log recording is comparable to hydration status verification via 24 h urine collection. Hydration knowledge and health habits are not related to, or predictive of, hydration status.

"I'm so dumb and worthless right now": factors associated with heightened momentary self-criticism in daily life.

Self-criticism is a trait associated with increased psychopathology, but self-criticism is also a personality state reflecting an action that people do in moments of time. In the current study, we explored factors associated with heightened self-criticism in daily life. Participants (N = 197) received five random prompts per day for one week on their mobile phones, where they reported their current affect (negative and positive affect), willpower self-efficacy, distress intolerance, degree of support and criticism from others, current context (location, activity, hunger, tiredness) and momentary self-criticism. We first demonstrated that self-criticism varies over time and across contexts, and is associated with heightened trait self-criticism. Then, using multilevel modelling, we explored the contextual factors associated with greater self-criticism. We found that self-criticism was higher when people were at home, and more tired. We also found higher self-criticism to be associated with greater negative and lower positive affect, greater distress intolerance, lower willpower and greater perceived criticism from others. In addition, self-criticism predicted subsequent distress intolerance, willpower and positive affect in lagged analyses. This study provides evidence that both environmental and psychological factors are associated with the dynamics of self-critical thoughts.

Examining state self-criticism and self-efficacy as factors underlying hopelessness and suicidal ideation.

INTRODUCTION: When people feel hopeless, they are more likely to think about suicide. Prior work has shown that both hopelessness and suicidal ideation fluctuate over time; however, there are likely other contextual factors underlying increased hopelessness and suicidal ideation in moments of time. METHOD: In two studies using retrospective recall of a real event (Study 1, n = 268) and an experimental imaginal vignette design (Study 2, n = 356), we examined self-criticism and self-efficacy for self-regulation as crucial factors underlying hopelessness in people vulnerable to suicidal ideation. RESULTS: In both studies, greater state self-criticism and lower state self-efficacy were associated with greater hopelessness. In Study 2, we also measured suicidal ideation, and found that higher self-criticism and lower self-efficacy for self-regulation scores were associated with greater suicidal ideation, even when controlling for negative affect. Evidence of an interaction between self-criticism and self-efficacy was found with scores in Study 2 but not in Study 1; specifically, lower self-efficacy was associated with greater ideation when self-criticism was high but not when self-criticism was low. CONCLUSION: Overall, results support self-criticism and self-efficacy as important contextual factors underlying hopelessness and suicidal ideation and attending to the potential interactive effect between self-criticism and self-efficacy.

I can't handle my desires: Development and validation of a self-report measure of desire intolerance and associations with distress intolerance.

Desire intolerance is conceptualized as a motivational counterpoint to the transdiagnostic risk factor of distress intolerance and is defined as the inability or unwillingness to "sit with" the motivation to approach a rewarding object or task. The current work describes the development and validation of a novel measure of desire intolerance. After initial item development and exploratory factor analysis (Study 1) and confirmatory factor analysis (Study 2), the 10-item unidimensional Desire Intolerance Questionnaire (DIQ) was created. Desire intolerance was conceptually related to low self-control (Studies 1-4) and both approach and avoidance motivation (Studies 2, 4, 5) and was distinct from delay of gratification (Study 3). Greater desire intolerance was also associated with higher distress intolerance (Studies 4 and 5). In Study 4, we used qualitative coding to explore what people were thinking about when they considered their "desires." Findings revealed that higher desire intolerance was associated with thinking about desired long-term outcomes more than proximal short-term hedonic pleasures. Finally, Study 4 focused on unique and independent associations between desire and distress intolerance with psychopathology, and we found that both distress intolerance were associated with heightened psychological distress and borderline personality symptoms. Only distress intolerance was uniquely associated with uncontrolled eating and self-criticism, whereas only desire intolerance was uniquely associated with aggressive behavior and dichotomous thinking. The current research supports the DIQ as a psychometrically sound indicator of difficulties withstanding desires and allows for a better understanding of intolerance as a transdiagnostic clinical phenomena. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Hovering or invalidating? Examining nuances in the associations between controlling parents and problematic outcomes for college students.

Objective: The purpose of these studies was to examine whether college students' beliefs about themselves (i.e., self-compassion and beliefs about emotions) could be mechanisms explaining the relationship between problematic parenting behaviors (helicopter parenting and parental invalidation) and outcomes including perfectionism, affective distress, locus of control, and distress tolerance. Participants: Respondents included 255 (Study 1) and 277 (Study 2) college undergraduates. Methods: Simultaneous regressions and separate path analyses with helicopter parenting and parental invalidation as predictors, with self-compassion and emotion beliefs as mediators. Results: Across both studies, parental invalidation predicted perfectionism, affective distress, distress tolerance, and locus of control, and these links were often mediated by self-compassion. Self-compassion emerged as the most consistent and strongest link between parental invalidation and negative outcomes. Conclusion: People who internalize their parents' criticism and invalidation such that they hold negative beliefs about themselves (i.e., low self-compassion) may be vulnerable to negative psychosocial outcomes.

The dynamics of smoking quit motivation in daily life: Associations with momentary self-regulation and nightly quit intentions.

Due to prior work suggesting dynamic fluctuations in quit motivation over time, the current study used ecological momentary assessment (EMA) to examine contextual predictors of momentary quit motivation, most notably perceived self-regulation. The sample (n = 84) intentionally excluded smokers actively trying to quit and those who plan to never quit, focusing on the group of smokers who are interested in but not yet committed to quitting. Participants completed one week of EMA, where they responded to random prompts 7x/day and logged each cigarette. At each prompt, they completed measures assessing cigarette craving, affect (positive and negative), quit motivation, and perceived momentary self-regulation (i.e., willpower self-efficacy, distress intolerance, craving uncontrollability). Participants also completed a nightly prompt where they reported their quit intentions. Results revealed that the newly developed 4-item index of quit motivation had strong psychometric properties, and demonstrated fluctuations over time and across situations. Quit motivation was higher when craving was ideographically lower than usual, and when willpower was higher than usual. People with higher distress intolerance reported higher quit motivation. In addition, stronger quit motivation and less variability in quit motivation was associated with higher quit intentions. The current study suggests that quit motivation does shift dynamically and speaks to the potential importance of targeting craving and willpower self-efficacy to enhance people's motivation to quit.

Perceived emotion invalidation predicts daily affect and stressors.

BACKGROUND AND OBJECTIVES: Perceived emotion invalidation is linked to the development or worsening of a variety of emotional and physical health conditions. However, prior studies are largely cross-sectional and whether there are day-to-day effects of generally feeling invalidated is unknown. DESIGN: We examined the relations between perceived emotion invalidation and momentary affect, average daily affect, and the experience of daily stressors among a sample of young adults using ecological momentary assessment (EMA). METHODS: Participants (n = 86) completed measures of perceived emotion invalidation and emotional reactivity at baseline then completed one week of EMA including: (1) 7x/day reports of current affect and social context and (2) 1x/day index of experienced stressors and their intensity. RESULTS: Higher perceived emotion invalidation predicted lower momentary positive affect. Perceived invalidation also interacted with social context such that higher emotion invalidation predicted greater negative affect when participants were with non-close others (i.e., co-workers, acquaintances). Only participants with high perceived emotional invalidation experienced increased stress alongside heightened daily negative affect. CONCLUSIONS: These results provide preliminary evidence that feeling emotionally invalidated may predict affective experiences, including how emotions are momentarily experienced and how life stressors are interpreted when they are later reflected on.

The Self-Invalidation Due to Emotion Scale: Development and psychometric properties.

Self-stigma involves internalized negative evaluation in people with a societally prescribed label (i.e., mental health diagnosis). Thus, measures of self-stigma due to mental illness exclude people without a diagnosis who may negatively evaluate themselves because of their emotions-a process we define as self-invalidation due to emotion. In the current research, we introduced a novel measure of self-invalidation due to emotion distinct from measures of self-stigma due to mental illness and perceived emotion invalidation. After expert review of the item pool (Study 1), and principal component (Study 2) and confirmatory factor analysis (Study 3), a 10-item scale for Self-Invalidation Due to Emotion Scale (SIDES) was developed, with subscales of self-invalidation due to high and low emotional experience. A college student and community sample (Study 4) confirmed test-retest reliability and demonstrated that greater self-invalidation due to high emotional experience predicted greater emotion dysregulation, emotional reactivity and expressivity, and beliefs about emotion uncontrollability. In contrast, greater self-invalidation due to low emotional experience predicted less emotional reactivity and expressivity, and greater beliefs about emotion controllability. Finally, in a community sample of people with a history of mental illness (Study 5), greater self-invalidation due to high but not low emotional experience predicted symptoms of borderline personality pathology and distress regardless of self-stigma due to mental illness or perceived emotion invalidation. The current research supports the SIDES as a psychometrically sound, more inclusive measure of self-stigma, relevant for predicting distress and maladaptive emotional tendencies in people with and without a mental illness. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Because you had a bad day: the role of negative affect and justification in self-control failure.

Justification thinking (using excuses to "allow" giving into temptation) has been identified as a potential link between negative affect and self-control failure. We hypothesised that negative affect would prompt greater justification thinking, specifically deservingness thinking (i.e. "I deserve a treat"), and tested this for both inhibitory (temptation is to approach reward; self-control is to inhibit) and initiatory (temptation is to refrain from action, self-control is to initiate action) hypothetical self-control dilemmas. We found that only for inhibitory self-control (Study 1; N = 105) but not initiatory (Study 2; N = 116), negative affect resulted in greater deservingness thinking compared to neutral affect. We also hypothesised that negative mood coupled with justification would prompt greater likelihood of imagined self-control failure. We found that for inhibitory self-control (Study 3; N = 569), participants in negative affect (vs. neutral) and justification (vs. no justification) conditions were independently more likely to report they would fail at self-control. For initiatory self-control (Study 4; N = 321), we found an effect of negative affect on hypothetical self-control failure but no effect of justification. Overall, these studies confirm the role of negative affect in self-control processes and highlight differences between inhibitory and initiatory self-control situations.

Cognition and affect in imagined and recalled scenarios as a function of a specificity manipulation: An experience sampling study.

Previous work has examined the effect of specificity and temporal focus (i.e., memory vs. imagination) on people's cognition and associated affect. Here, using experience sampling methods, we take these previously addressed questions out of the laboratory into daily-life settings. Participants (N = 228) were randomly assigned to a specificity or control condition, and recorded imagined or recalled scenarios twice a day for 1 week. Results revealed a main effect of specificity where specificity prompts resulted in written scenarios that were rated by independent judges as more creative, more positive, less negative, more coherent, and incorporated more sensory content. Specificity had few direct influences on affect, though an interaction showed that imagined scenarios with specificity prompts resulted in reduced self-reported anxiety. Implications and future directions are discussed.

Assessing the Within-Person Variability of Internal and External Sexual Consent.

Sexual consent is often conceptualized as an internal willingness to engage in sexual activity, which can be communicated externally to a sexual partner. Internal sexual consent comprises feelings of physical response, safety/comfort, arousal, agreement/want, and readiness; external sexual consent includes communication cues that may be explicit or implicit and verbal or nonverbal. Most previous research on sexual consent has focused on between-person differences; little attention has been devoted to examining the within-person variation of sexual consent across time. We conducted a 28-day experience sampling methodology (ESM) study with a sample of adults (N = 113) to assess fluctuations in internal and external sexual consent across a given person's sexual events. We found that more than 50% and up to 80% of the variance in sexual consent scores could be accounted for by within-person variability. The type of sexual behavior participants engaged in during a sexual event predicted their internal and external consent. Further, internal consent feelings predicted external consent communication. Overall, our findings provided initial evidence regarding the extent that situational contexts are relevant for sexual consent. ESM study designs may be used to further investigate the potential contextual, intrapersonal, and interpersonal factors associated with internal and external sexual consent.

Developing Valid and Feasible Measures of Sexual Consent for Experience Sampling Methodology.

Preliminary evidence indicates that people's sexual consent (i.e., their willingness to engage in sexual activity and communication of that willingness) varies across time and context. Study designs that assess sexual consent at multiple time points (e.g., experience sampling methodology [ESM]) are needed to better understand the within-person variability of sexual consent. However, extant validated measures of sexual consent are not appropriate for ESM studies, which require shorter assessments due to the increased burden this methodology has on participants. As such, the goal of the present study was to develop ESM measures of sexual consent based on items that have previously been validated for use in cross-sectional surveys. We selected items that balanced face validity as evidenced by cognitive interviews (n = 10) and content validity as evidenced by experts' ratings (n = 6). To assess the construct validity and feasibility of these items, we administered the selected ESM measures of sexual consent in a seven-day pilot study (n = 12). The results suggested that the ESM measures developed in the present study were a valid and feasible assessment of people's experience-specific internal consent feelings and external consent communication. We conclude with recommendations for sex researchers interested in ESM.

Severity of personality dysfunction predicts affect and self-efficacy in daily life.

According to the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5) alterative model of personality disorders, severity of personality dysfunction theoretically involves deficits in identity, self-direction, empathy, and intimacy. We predicted that people with greater personality dysfunction would experience more problems in daily life, particularly problems associated with self-efficacy for engaging with affect and self-control (i.e., subjective willpower and distress intolerance), along with greater intensity of life stressors and higher perceived invalidation from others. Using ecological momentary assessment, participants (N = 99) were randomly prompted 7 times a day for 1 week, where they were asked questions about momentary affect, their perceived level of momentary distress tolerance, and their momentary willpower. Each night they were also asked about stressors experienced that day and intensity of their subjective response to those stressors and their daily experience of being invalidated. Results found that higher personality dysfunction, assessed at baseline, predicted greater daily negative affect, less daily positive affect, more intensely experienced stressors, and more perceived invalidation. We also found that personality dysfunction interacted with positive affect in predicting momentary self-efficacy and daily invalidation; people with greater personality dysfunction experienced lower momentary willpower, higher distress intolerance and stronger perceived invalidation alongside lower positive affect. These findings provide evidence that personality functioning influences daily life as well as support the use of the alterative model of personality disorders in conceptualizing personality pathology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Disentangling beliefs about emotions from emotion schemas.

OBJECTIVE: The current study sought to empirically evaluate a new clinical tool, the Individual Beliefs about Emotion (IBAE) which assesses nine beliefs about emotion. The goal was to examine the overlap of the IBAE with the Leahy Emotional Schema Scale (LESS), indices of psychopathology, and emotion dysregulation. METHOD: Participants (n = 513) completed the IBAE, the LESS, and measures of affective distress, borderline personality features, and emotion dysregulation. RESULTS: Results indicated that both emotion beliefs (IBAE) and schemas (LESS) were influenced by age and gender. Both measures significantly predicted variance in affective distress, borderline symptoms, and emotion dysregulation, although the LESS was a stronger predictor. CONCLUSION: We conclude that the LESS total score is a particularly useful measure of maladaptive schematic attitudes toward emotion, with additional evidence that the IBAE is a clinical tool that can be useful in psychotherapy to quickly assess a variety of emotion beliefs.

Anhedonia and the Relationship Between Other Depressive Symptoms and Aggressive Behavior.

Depression has been linked to multiple forms of aggressive behavior in college students; however, it is unclear which aspects of depression explain this connection. Anhedonia, defined as the loss of interest and/or pleasure in previously enjoyed activities, may provide unique information about relationships between depression and aggression. Using cross-sectional data from two independent samples of college students (N = 747 and N = 736 for Study 1 and Study 2, respectively), we examined whether anhedonia helped explain the relationship between broader depressive symptoms and different forms of aggressive and antisocial behavior. Anhedonia accounted for variance in both self-directed aggression and antisocial behavior independent of gender, hostility, anger, other depressive symptoms, and cognitive distortions (Study 2). In addition, there were significant indirect effects of depressive symptoms on self-directed aggression (Studies 1 and 2) and antisocial behavior (Study 2) via anhedonia. Hypotheses involving other-directed aggression received mixed support, with anhedonia atemporally associated with other-directed aggression independent of broader depressive symptoms in Study 1, but not in Study 2. The current findings suggest that anhedonia is an important individual difference that helps explain the relationship between depression and aggressive and antisocial acts and that anhedonia may be differentially associated with various types of aggressive and antisocial behavior.

Examining Facets of Mindfulness in the Relationship Between Invalidating Childhood Environments and Emotion Regulation.

Research has shown that growing up in an environment in which emotions are invalidated (i.e., ignored or responded to negatively) by parents is associated with later difficulties regulating emotions. Meanwhile, dispositional mindfulness has been shown to engender a greater capacity for emotion regulation, through use of adaptive strategies like cognitive reframing and minimizing use of maladaptive strategies like expressive suppression. The current study aimed to explore the role of invalidating childhood environments on use of cognitive reappraisal and expressive suppression as emotion regulation skills and to investigate the role of mindfulness in this relationship. Participants were recruited via Amazon Mechanical Turk (n = 1094, Mage = 58.3% women) and completed self-report measures assessing perceptions of maternal invalidation, mindfulness, and emotion regulation. Results demonstrated that the mindfulness facets of describing, non-judging, and non-reactivity partially mediated the relationship between perception of maternal invalidation and expressive suppression. Awareness and non-reactivity were found to mediate the relationship between perception of maternal invalidation and cognitive reappraisal. Clinical implications are discussed.

Beliefs About Emotion Shift Dynamically Alongside Momentary Affect.

This study examined if beliefs about emotion change across emotional contexts in daily life, and it investigated whether people with prominent features of borderline personality pathology experience greater shifts in emotion beliefs during emotional states. Undergraduate participants with (n = 49) and without borderline features (n = 50) completed a 1-week ecological momentary assessment study where they provided ratings of affect, nine different beliefs about emotion, and indicators of momentary self-efficacy. Results support the notion of beliefs as relatively schematic. However, most of the beliefs about emotion shifted with either positive or negative affect, and they predicted momentary self-efficacy for tolerating distress and exerting willpower. Those with borderline features experienced greater instability of beliefs, and borderline features moderated the relationships between affect and many beliefs. Results confirm that there are implications for emotion beliefs for people who struggle with emotion regulation and impulsivity (i.e., people with features of borderline personality).

Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China.

The coronavirus disease 2019 (COVID-19) pandemic can have a profound impact on the mental health of patients who survived the illness. However, little is known about the prevalence rate of mental health disorders among hospital discharged COVID-19 patients and its associated factors. A cross-sectional survey of hospital discharged patients was conducted April 11-22, 2020 in Wuhan, China (where the pandemic began). 675 participants completed the survey, including 90 (13.3%) medical staff (physicians and nurses who had been ill). We used Fisher's exact test and multivariable logistic regression methods to explore the risk factors associated with mental health problems (anxiety, depression, and PTSD symptoms associated with COVID-19 hospitalization). Adverse mental health effects of COVID-19 are evident after discharge from the hospital, with sleep difficulties highlighted as a central issue. As we found that perceived discrimination was a central predictor of mental illness, preventing and addressing social stigma associated with COVID-19 may be crucial for improving mental health for recovered patients.

Examining the links between hydration knowledge, attitudes and behavior.

PURPOSE: This study aimed to examine the psychological factors (knowledge, barriers and facilitators) that can contribute to hydration-related behaviors (i.e., fluid intake) in the general population and how these relate to physical health. METHODS: A structured survey was developed to examine the links between hydration knowledge (29 items), attitudes about hydration (80 items), and fluid intake behavior (8 items) among US adults. Survey data from Phase 1 (n =301, US adults) psychometrically evaluated the items via item analysis (knowledge and fluid behavior) and factor analysis (attitudes). Phase 2 survey data (n =389, US adults and college students) refined and validated the new 16-item hydration knowledge measure, 4-item fluid intake behavior index, and 18-item attitude measure (barriers and facilitators of hydration-related behaviors) alongside indices of physical health (BMI and exercise behaviors). RESULTS: Participants had a moderate level of hydration knowledge (Phase 1: 10.91 ± 3.10; Phase 2: 10.87 ± 2.47). A five-factor measure of attitudes which assessed both facilitators (social pressure and attention to monitoring) and barriers (lack of effort, physical barriers and lack of a fluid container) to hydration demonstrated strong internal consistency (αs from 0.75 to 0.90). Attitudes about hydration-most notably barriers to hydration-were associated with indicators of health and with fluid intake behaviors, whereas hydration knowledge was not. CONCLUSIONS: Increasing hydration knowledge may be necessary for people who hold inaccurate information about hydration, but attitudes about hydration are likely to have a larger impact on fluid intake behaviors and health-related outcomes.

Differences in Distress Intolerance Among Daily and Intermittent Smokers.

INTRODUCTION: Distress intolerance is an important risk factor for smokers. Smokers have greater problems tolerating distress than nonsmokers, and distress intolerance is theoretically an important predictor of early lapse. However, much of the distress intolerance research has been conducted on daily smokers. Understanding distress intolerance in nondaily or intermittent smokers may help elucidate whether distress intolerance is a function of current smoking habits. AIMS AND METHODS: Daily (n = 36) and intermittent (n = 28) smokers completed behavioral distress intolerance tasks (breath holding, mirror tracing persistence, and image persistence) along with self-report measures of both general and smoking-specific distress intolerance. They also completed 1 week of ecological momentary assessment where positive and negative affect were assessed along with momentary distress intolerance, at both random times (7×/day) and immediately prior to smoking a cigarette. RESULTS: Results found no differences between intermittent and daily smokers on behavioral distress intolerance tasks or general self-reported distress intolerance. Daily smokers reported greater self-reported smoking-specific distress intolerance compared to intermittent smokers. In addition, across both smoker groups, momentary distress intolerance was higher at smoking compared to random sessions, and low positive affect predicted greater momentary distress intolerance specifically for intermittent smokers prior to smoking. CONCLUSIONS: The lack of differences between daily and intermittent smokers on general distress intolerance measures suggests that distress intolerance abilities and self-perceptions are not a function of higher levels of current smoking. However, the contextual variation in momentary distress intolerance is worth further exploration in both daily and intermittent smokers. IMPLICATIONS: The overall lack of differences between intermittent and daily smokers on distress intolerance tasks and self-report measures suggests that daily smoking is not associated with lower abilities to manage or tolerate distress at the individual difference level. However, understanding fluctuations in distress intolerance across time and context is crucial, as smokers' perceptions of their abilities to manage distress shift based on affect and smoking contexts. Stabilizing or increasing self-efficacy in tolerating distress during daily life is likely an important avenue for future research.