High Emotional Expression Research Articles

Projective technique “Bird’s Nest Drawing” in child clinical psychology

IntroductionThe “Bird’s Nest Drawing” technique is one of expressive drawing projective techniques. In Russia it has been used since the 2020s. We suggest the pilot version of using this projective technique in child clinical psychology. There were investigated the cognitive and emotional components of performance by children with different types of ontogenesis.Purpose: pilot application of the technique of “Bird’s Nest Drawing” (BND) in the psychological diagnosis of children with different types of ontogenesis.Objectives69 children and adolescents 6-17 years old (28 male), examined at the Mental Health Research Center. 1. hospital patients (11-16 years old, 18 persons) diagnoses F20.8, F21.4, 2) outpatient clients with psychological diagnostics (7-16 years old, 45 persons), most of them have psychiatric diagnoses and some of them came for a consultation independently of doctors (there were family and behavior problems). 3) children conceived with the help of assisted reproductive technologies (IVF) - participants in a program for studying cognitive and emotional-personal development (5-13 years old, 8 people). Control group of normal children (14 persons).MethodsBird’s Nest Drawing (D.Kaiser, 2003, Kuftyak, 2021) - clinical expert assessment of the drawing parameters (size, location, quality, compliance with instructions) and the emotional component (color, self-assessment of the drawing).Results Table 1.Frequency of different indicators of BND in compared groups of children. Groups N Central place High Quality of drawing Nest out of tree birds /eggs Different colors Safety of nest High Assessment by participants High positive emotional expression Assessment by expertsHospital patients18 (4 m)12410410**413**5**Outpatient clients45 (22 m)38131917321025**17Children IVF8 (2 m_72436**163Normal children14(6 m)1437412**413**11**** - significance of the differences (p≤0,05 by φ criterion).Based on the data obtained, it can be noted that the most different between groups turned out to be an indicator for using different colors, subject’s assessment his picture and emotional expression assessment of picture by experts. Other parameters are similar: please of drawing,DiscussionWe have obtained our own resalts about BND method in children with different type of ontogenesis. These data are similar to D.Kaiser and E.Kuftyak in opportunity of good diagnostic practice of BND method in children and adolescents with different type of ontogenesis in scientificConclusionsBND method is a good test for child clinical psychology as a projective one. Restrictions of this investigation - small groups, simple parameters for assessment. We plan to continue this work with more clinical (diagnosis, syndrome et cetera) and sex and age characteristics.Disclosure of InterestNone Declared

Bipolar disorder(BPD):epidemiological characteristics, current situation and treatment

Bipolar disorder (BPD) is a common mental disease. Patients have both depressive symptoms and manic symptoms, which affect the quality of life of patients. At the same time, it can be complicated with somatic symptoms. Patients often feel incompetent, or even commit suicide. BPD has a high misdiagnosis rate, accompanied by high morbidity and mortality, so people should pay more attention to BPD. Many factors may lead to BPD, such as the high recurrence rate of patients in families with high emotional expression; the recovery period of patients with negative life events was prolonged; patients with bad social adaptation and environmental stress have an increased probability of serious emotional symptoms or affective disorders; Patients with irregular life are prone to attack when facing negative life events, but most of them are from heredity or environment. According to the pathogenesis or characteristics of BPD, many epidemiological studies have been carried out clinically, such as family research, adoption research, twins research, etc. the treatment of bipolar disorder, in the maintenance treatment of drugs, There are sufficient evidences that lithium salt are effective for both acute manic episodes and depressive episodes, does not cause manic depressive transition, and long-term use can prevent recurrence, also reduce the suicide rate of patients.

Impact of Emotional Expression of Parents on their Children who have Specific Learning Disorders and the Role of Parental Educational Counseling Program


 Background: Children are the world’s real treasures; they should be cherished, well raised and given the chance to develop properly. Some of them in different countries all over the world are suffering from different forms of specific learning disorders, which can be extremely frustrating the school child especially if associated with parental high emotional expression.
 Objectives: The purpose of the study is to identify the relation between emotional expressions (EE) of parents and anxiety rate in their children with specific learning disorders (SLDs), and its correlation with serum cortisol level of the children. The effect of parental educational counseling program (PECP) on anxiety rate of children and parental emotional expression was studied.
 Methods: The study was carried out on 140 children with SLD to evaluate their anxiety rate by using Taylor anxiety scale of children, and measuring serum cortisol level. Data were collected from parents by emotional expression scale (EES). Taylor anxiety scale and EES were repeated for children and parents after conducting sessions of PECP.
 Results: Results of Taylor anxiety scale showed that 60% of studied children were suffering from morbid anxiety. Results of EES showed that 80% of parents were practicing high emotional expression. Scores of children on Taylor anxiety scale demonstrated significant drop from 33.06±10.4 to 25.85±10.4 after applying the intervention (P < 0.001). More than two thirds of parents became practicing low EE after receiving sessions of the interventional program PECP. Scores of parents on EES showed significant drop from 61.31±16.84 to 36.51±13.89 after PECP (P < 0.001). A statistically significant positive correlation between scores of Taylor anxiety scale and EES before PECP was found (R = 0.533), and also after PECP (R = 0.309).
 Average level of serum cortisol of children with SLD was 8.973+1.784 mcg/dl, and it was significantly higher in boys than girls (P < 0.05). Serum cortisol level of studied children was higher in children with morbid and severe anxiety (P < 0.001). Cortisol levels of children were significantly higher in those whose parents were practicing high EE. Serum cortisol level of children revealed positive correlation with each of their scores on Taylor anxiety scale (R = 0.771) and scores of parents on EES (R = 0.468).
 Conclusion: Results of this study proved presence of direct relation between anxiety in school children with specific learning disorders and high emotional expressions of their parents. Results concluded effectiveness of PECP in management of children’s anxiety and parental emotional expression.
 Key words: Specific learning disorders, Emotional expression, Anxiety disorder, Serum cortisol level.

The Impact of Parents’ Emotional Expression on Their Children with Specific Learning Disorders: The Role of Parental Educational Counseling Program

Background: According to the diagnostic and statistical manual of mental disorders, the fifth edition (DSM-5), specific learning disorders (SLDs) are neurodevelopmental disorders that share common features of persistent difficulty in learning key academic skills like reading, writing, or mathematics. Some children in different countries worldwide suffer from various forms of SLDs, which can be highly frustrating for a schoolchild, especially if associated with high (negative) parents' emotional expression (PEE).Aim: This study aimed to identify the relation between PEE and anxiety in children with SLD, and evaluate the effect of a parental educational counselling program (PECP) on the emotional expressions (EE) of parents and anxiety in children with SLD.Methods: A randomized controlled trial was conducted on 140 children with SLD and their parents at the Helwan University Educational Hospital's Learning Disability Unit (LDU) in Cairo, Egypt. The emotional expression scale (EES) of parents and Taylor manifest anxiety scale (TMAS) of children were used, and children's serum cortisol levels were measured as an anxiety marker. TMAS and EES were repeated after the conduction of 10 sessions of PECP. Serum cortisol samples were taken before PECP.Results: The study was revealed that more than half (60%) of studied children are suffered from morbid anxiety, and 80% of their parents practised high EE. Cortisol levels were significantly higher in children with severe& morbid anxiety, and in children whose parents practised high EE (P<0.001). After applying PECP, scores of TMAS demonstrated a significant drop from 33.06±10.4 to 25.85±10.4, and scores of EES showed a significant drop from 61.31±16.84 to 36.51±13.89. Conclusions: There was a statistically significant positive correlation between scores of TMAS& EES before and after PECP (r=0.533) and (r=0.309), respectively, proving the presence of a direct impact of PEE on the anxiety of studied children with SLDs.

The Impact of Emotional Expressions of Parents on their Children with Specific Learning Disorders: The Role of Parental Educational Counseling Program

BACKGROUND: Children are the world’s real treasures; they should be cherished, well raised, and given the chance to develop properly. Some of them in different countries worldwide are suffering from various forms of specific learning disorders (SLDs), which can be extremely frustrating the school child, especially if associated with parental high emotional expression (EE). OBJECTIVES: The purpose of the study is to identify the relation between parents’ EEs and anxiety rate in their children with SLDs and its correlation with serum cortisol level of the children. The effect of parental educational counseling program (PECP) on the anxiety rate of children and parental EE was studied. METHODS: The study was carried out on 140 children with SLD to evaluate their anxiety rate using Taylor anxiety scale of children, and measuring serum cortisol level. Data were collected from parents by EE scale (EES). Taylor anxiety scale and EES were repeated for children and parents after conducting sessions of PECP. RESULTS: Results of Taylor anxiety scale showed that 60% of studied children were suffering from morbid anxiety. Results of EES showed that 80% of parents were practicing high EE. Scores of children on Taylor anxiety scale demonstrated a significant drop from 33.06 ± 10.4 to 25.85 ± 10.4 after applying the intervention (p < 0.001). More than two-thirds of parents became practicing low EE after receiving sessions of the interventional program PECP. Scores of parents on EES showed a significant drop from 61.31 ± 16.84 to 36.51 ± 13.89 after PECP (p < 0.001). A statistically significant positive correlation between scores of Taylor anxiety scale and EES before PECP was found (r = 0.533) and after PECP (r = 0.309). Average level of serum cortisol of children with SLD was 8.973 ± 1.784 mcg/dl, and it was significantly higher in boys than girls (p < 0.05). Serum cortisol level of studied children was higher in children with morbid and severe anxiety (p < 0.001). Cortisol levels of children were significantly higher in those whose parents were practicing high EE. Serum cortisol level of children revealed a positive correlation with each of their scores on Taylor anxiety scale (r = 0.771) and scores of parents on EES (r = 0.468). CONCLUSION: Results of this study proved the presence of direct relation between anxiety in school children with SLDs and high EEs of their parents. Results concluded the effectiveness of PECP in the management of children’s anxiety and parental EE.

Caregivers' experiences and perspectives of factors associated with relapse in Iranian people living with schizophrenia: A qualitative study.

Relapse in People Living with Schizophrenia (PLS) has several reasons and recognizing these can increase the effectiveness of treatment interventions. Formal and informal caregivers are an informed source to reduce relapse in PLS. This study explores the caregivers' perspective in Iran on the factors affecting relapse in PLS. A total of 28 caregivers (16 formal caregivers and 12 informal caregivers) of PLS were enrolled in our qualitative study. A content analysis was conducted using individual and group, semi-structured in-depth interviews with informal and formal caregivers of PLS. This study was conducted in a hospital, three universities, and a non-governmental organization in Tehran, Iran. The majority (69%) of the participants were females. About half of the informal caregivers were over 60 years old and about 40% of the formal caregivers were in the age range of 30 to 40 years. The average number of years of work for informal caregivers was 17.6 years and the average of work experience among the formal caregivers was 14.1 years. Seven key dual themes were identified from data: 'awareness-stigma', 'social support-social exclusion', 'treatment adherence-treatment discontinuation', 'holistic approach - one-dimensional approach', 'supported employment-social dysfunction', 'emotional management in family - family with high emotional expression', and 'access to treatment-treatment gap'. The results of this research can help practitioners and policymakers to enable evidence-based practices to reduce relapse in PLS by emphasizing and acting on factors identified in our analyses.

On the Application of Information Technology in the Teaching of Ancient Poetry Recitation

Ancient poetry recitation teaching, as a course that requires high human literacy, emotional expression and knowledge reserve, how to enable teachers to improve the teaching mode and construct a recitation classroom that can more inspire students to learn initiative, has become a need Problems that the ancient Chinese teachers in universities and colleges focus on solving. This article starts with the importance of introducing information technology in ancient poetry recitation classes in colleges and universities, looking for specific teaching models, hoping to provide suggestions for other teachers.

The rural–urban stress divide: Obtaining geographical insights through Twitter

To understand rural–urban differences in stressors, this study compared the cognitive and emotional language in geolocated Twitter posts in the United States against survey-reported county-level trends from the Gallup-Sharecare Well-Being Index. Mentions of stress on Twitter can predict population-level trends in stress in both rural (R2=31.6%) and urban (R2=26.7%) communities. While mentions of poor health are limited to only rural areas with low socioeconomic status, higher emotional expression is associated with higher stress across all rural communities. Controlling for socioeconomic status, urban communities reporting higher stress are also more likely to discuss relationships on Twitter. The findings contribute to an understanding of how language use on social media acts as a barometer of the social and cultural differences between regions. The data and stress topics developed in this paper are publicly available and can be accessed at https://osf.io/af8ce/.

Factors influencing confabulation in Japanese patients with Alzheimer's disease.

Confabulations are often observed in patients with Alzheimer's disease (AD) and can increase family caregivers' burdens. Previous studies have focused on the relationship between confabulation and cognitive ability. However, few studies have investigated the association between confabulation and familial factors. Here, we aimed to examine whether confabulation relates to familial factors, such as the level of family caregivers' expressed emotion or the level of functioning of the family. Twenty-seven outpatients with AD and their family caregivers participated in this study. We examined confabulations about episodic memory, semantic memory, and future planning using the Modified Confabulation Battery (MCB). We investigated correlations between scores on the MCB and scores on the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Family Attitude Scale (FAS), and the Family Adaptability and Cohesion Evaluation Scale. Multiple regression analyses were performed using the total scores on the MCB and domain-specific scores on the MCB as dependent variables, and the scores on the MMSE, GDS, and FAS as independent variables. MCB scores were positively related to FAS scores (P < 0.01) and negatively to GDS scores (P < 0.05), but not to MMSE scores. Regarding the three domains the MCB measured, confabulation about episodic memory and future planning showed a positive relationship with FAS scores. Family attitude was the factor most related to confabulation in our study. Patients with AD may attempt to avoid confronting family caregivers' high emotional expression through confabulation, or confabulation itself might result in high emotional expression among family caregivers. Psychoeducational or therapeutic approaches for family caregivers might reduce confabulation in patients with AD.

Nursing students' emotional intelligence, coping styles and learning satisfaction in clinically simulated palliative care scenarios: An observational study

BackgroundEmotional intelligence is highly relevant in palliative care training, considering the coping styles used by nursing students. Clinical simulation provides the opportunity to evaluate these variables in a realistic and natural context. ObjectivesTo analyze the possible relation between emotional intelligence, coping styles and satisfaction with one's own self-learning in nursing students participating in simulated scenarios related to palliative care at the end of life. MethodsA descriptive, observational and correlational study of students in their second year of nursing at a Spanish University during the 2015/2016 academic year. Three variables were measured: emotional intelligence (Trait Meta-Mood Scale-24), coping styles (the Questionnaire for Dealing with Stress) and satisfaction with students' own learning (Student Satisfaction and Self-Confidence in Learning Scale, Spanish version CSLS-Sv). ResultsIn total, 74 students participated in this study (ME: 20.3years). An association was found between satisfaction with learning, according to the EI attention subscale (in which the highest scores were registered) and two specific coping styles (FSP, with high scores and open emotional expression). ConclusionsEmotional intelligence and coping styles are desirable qualities in students, especially as they have a relevant role in satisfaction with one's own learning. Nonetheless, in part, these results depend on the characteristics of the educational activities designed, which is especially relevant in simulation applied to palliative care.

Coping strategies in Spanish older adults: a MIMIC model of socio-demographic characteristics and activity level

ABSTRACTObjectives: The aim of this study was to analyze the combined effect of socio-demographic characteristics and activity level on coping strategies and to test which of these variables has a greater impact on coping.Method: A sample of 243 men and women aged 55–99 years old was selected from different elderly activity centers in Granada, Spain, using a convenience sampling. Associations between eight coping strategies measured by Coping Strategies Inventory and the above mentioned variables were examined using a Multiple Indicator and Multiple Causes model.Results: Age was negatively related with problem solving, express emotions and social support. Activity level was positively related with problem solving, cognitive restructuring, express emotions and social support and it was negatively associated with social withdrawal. Gender only predicted the scores in self-criticism and living alone was related with higher emotional expression. Participation in creative activities, attending University for the third age and practicing physical exercise were related with differences in the use of several coping strategies.Conclusions: There is a complex relationship between socio-demographic characteristics, activity level and the coping strategies used by the elderly. It is important to understand this relationship in order to identify older adults who use ineffective coping, and to subsequently include them in intervention programs to improve their coping abilities.

Gender Differences in Emotional Response: Inconsistency between Experience and Expressivity.

The present study investigated gender differences in both emotional experience and expressivity. Heart rate (HR) was recorded as an indicator of emotional experience while the participants watched 16 video clips that induced eight types of emotion (sadness, anger, horror, disgust, neutrality, amusement, surprise, and pleasure). We also asked the participants to report valence, arousal, and motivation as indicators of emotional expressivity. Overall, the results revealed gender differences in emotional experience and emotional expressivity. When watching videos that induced anger, amusement, and pleasure, men showed larger decreases in HR, whereas women reported higher levels of arousal. There was no gender difference in HR when the participants watched videos that induced horror and disgust, but women reported lower valence, higher arousal, and stronger avoidance motivation than did men. Finally, no gender difference was observed in sadness or surprise, although there was one exception—women reported higher arousal when watching videos that induced sadness. The findings suggest that, when watching videos that induce an emotional response, men often have more intense emotional experiences, whereas women have higher emotional expressivity, particularly for negative emotions. In addition, gender differences depend on the specific emotion type but not the valence.

Effect Modification by Coping Strategies on the Association of Organizational Justice with Psychological Distress in Japanese Workers

Several previous studies showed that the lack of organizational justice was associated with poor mental health. However, no study examined the effect modification by internal factor, such as coping strategies, on the association of organizational justice with mental health. The purpose of the present study was to investigate the effect modification by coping strategies on the association of organizational justice with psychological distress. A total of 471 men and 764 women from a manufacturing company in Japan completed self-administered questionnaires, including the Organizational Justice Questionnaire, K6 scale (i.e., psychological distress scale), Brief Scales for Coping Profile, and demographic characteristics. Multiple logistic regression analyses were conducted for each coping strategy. After adjusting for demographic characteristics, the association of the lack of procedural justice with psychological distress was greater among the low changing a point of view group than among their counterparts. Furthermore, the interaction term of procedural justice with changing a point of view was significant. The association of the lack of procedural justice and interactional justice with psychological distress was also greater among the high emotional expression involving others group than among their counterparts, while the interaction terms of procedural justice and interactional justice with emotional expression involving others were marginally significant. Positive emotion-focused coping strategies, such as changing a point of view, may effectively prevent psychological distress when there is a lack of organizational justice, while problem-focused coping strategies may have no effects, and negative emotion-focused coping strategies, such as emotional expression involving others, may have harmful effects on the association.

Comparison of the Rorschach Test Characteristics between Bipolar Disorder and Unipolar Depression

Objectives : Differential diagnosis based on descriptive psychopathology between bipolar and unipolar depression in the clinical setting is a still huge challenge. Projective psychological tests might provide additional clues. This study aimed to find distinct Ror schach test characteristics of bipolar depression in comparison with unipolar depression. Methods : Medical records and raw data of the Rorschach Inkblot test applied using standardized procedure for the Exner Comprehensive System were retrospectively reviewed for patients with bipolar disorder or unipolar depression. Individual variables of the Rorchach test were compared among three groups, i.e., (hypo) mania (n=59), bipolar depression (n=56) and unipolar depression (n=25). Results : Bipolar depression group, in accordance with (hypo) manic group, showed more color reponses (WSumC), more extroverted and intuitive decision-making (EBright), and higher emotional expression (CF+C) and instability (ebright), compared to unipolar deperssion group. On the contrary, the (hypo) mania group displayed more cognitive errors (Sum6, WSum6) compared to both depression groups. Conclusion : This study suggests that Rorchach test might provide valuable markers for differential diagnosis between bipolar and unipolar depression, and that some of those markers could be regarded as trait markers of bipolar disorder. (Korean J Schizophr Res 2012;15:81-89)

The precipitants of manic/hypomanic episodes in the context of bipolar disorder: A review

Mania/hypomania is the hallmark feature of bipolar disorder. This paper aims to review the current evidence in relation to factors hypothesised to precipitate bipolar mania/hypomania, and suggest areas for future research. A selective review of original and review papers was conducted. The electronic databases 'PsycINFO' and 'PubMed' were searched using the following search strings: "bipolar disorder" or "mania" or "hypomania" or "manic-depression" with "triggers" or "precipitants" or "precedents" or "predictors". There is evidence that goal attainment events, antidepressant medication, disrupted circadian rhythms, spring/summer seasonal conditions, and more tentatively, stressful life events and high emotional expression, may precipitate bipolar mania/hypomania in susceptible individuals. Evidence from case reports and clinical observations are also reported. The pathways to bipolar mania/hypomania may be many and varied, and many of these pathways may be outside the awareness of individuals with bipolar disorder. Greater awareness of the broad number of precipitating factors is needed to inform self-management and psycho-educational programs to build resilience to further episodes. Future research is needed to explore what other factors may precipitate bipolar mania/hypomania, and to determine why some factors may precipitate mania/hypomania in some individuals with bipolar I or II disorder but not in others.

中國大學生情緒表達性之探索性研究

The present research is an exploratory research focused on emotional expressivity of university students in China. The methodology of the research combined quantitative and qualitative, including Berkeley Expressivity Questionnaire (BEQ, Gross &amp; John, 1995) drawn from U.S.A., and in-depth interview. 1531 participants from 13 universities in Beijing with 829 females and 702 males were invited to participate in the research, and 15 students with 7 females and 8 males (about 1% of Ss) received the in-depth interview. In this research, data shows that Chinese university students are highly in emotional expressivity generally, especially in positive emotional expressivity (M=5.25, SD=.80), while relatively low in negative emotional expressivity (M=4.02, SD=.99). Significant differences are found in Chinese students' emotional expressivity in gender, and major (p&lt;.05). Females are higher than males, and students who study Arts display higher emotional expressivity than students who study Science. From in-depth interview data analysis, strong Chinese culture characteristics can be found in students' emotion expressivity, including relation-focus, the doctrine of the medium, and family-value-focus, etc. Gender difference in emotional expressivity can be tracked to Chinese traditional concept of gender expectation as "Male dominate outside while female dominate inside" (男主外女主內). Since most of the Arts students are female, they higher in emotional expressivity may also be tracked to gender expectation of emotional discourse. The present research is to present some principle of emotional expressivity of university students in China, and the finding of the research can be the empirical basis for university students' emotional education, psychological counseling and the further research, not only in practice but also in future researches. 本文是關於中國大學生情緒表達性的探索性研究，研究方法採用了質性研究和量化研究，包括了採用伯克利大學的情緒表達性量表 (Gross &amp; John, 1995) 和深入訪談方法。參加此次的問卷調查是來自北京13所大學 (約占北京市高校13%) 的1531位大學生 (829女702男) ，從中抽取15位學生 (7女8男，約占總數1%) 進行深入訪談。結果表明中國大學生情緒表達性總體而言並不低，尤其積極情緒的表達傾向性較高(M=5.25, SD=.80)，消極情緒表達性相對較低(M=4.02, SD=.99)。性別和學生所學專業較明顯地影響學生的情緒表達性(p&lt;.05)，總體而言，女生高於男生，而文科類學生高於理工科類學生。從訪談的結果可以看出，學生的情緒表達性深受中國文化的影響，包括維護人際關係和諧、中庸之道以及家庭價值為中心等傳統文化與價值。性別的差異可以追溯到中國傳統文化對不同性別在情緒上的不同期望，尤其受 "男主外女主內" 的傳統文化影響較多。本研究首次描述了中國大學生情緒表達性的現狀，研究結果希望為大學生的情緒健康教育、心理輔導等在實踐和研究提供實證性基礎。

Social Skills in College Students with High Trait Anger

College students with high and low trait anger completed an observational assessment of their “getting acquainted” skills and a questionnaire assessment of their general social skills. Observational results indicated that students in the high trait anger group displayed greater negative affectivity. Questionnaire results indicated that the high trait anger group had higher emotional expressivity and social sensitivity scores. Further, questionnaire results indicted that women had higher scores on subscales measuring emotional expressivity and emotional sensitivity. Implications of findings are discussed in terms of suggestions for social skills training in anger management programs.1

“If We Didn't Use Humor, We'd Cry”: Humorous Coping Communication in Health Care Settings

ABSTRACT Folkman and Lazarus's transactional theory of emotion and coping was used to explain how humor influences job satisfaction among health care providers. One hundred forty-two nurses completed measures of humor orientation (HO), coping efficacy, job satisfaction, and open-ended questions about their use of humor to relieve job tensions. This produced 9 categories of strategies of producing humor and 8 types of work situations identified in which humor was used to cope. Nurses (21.4%) reported using humor the most often during “patient care” situations (e.g., providing medicines, moving patients, physical therapy, and so on). More than one third (38.66%) of the nurses reported using “word-play/language” as a humorous coping strategy. Higher HO was associated with higher ratings of humor effectiveness, greater self-perceived coping efficacy, and higher emotional expressivity. Path analysis demonstrated that, as the transactional theory would predict, trait HO influences job satisfaction through its effect on heightened coping efficacy. Study limitations include the use of self-report methods and the limited number of responses to the open-ended items. Subsequent research in this area should attempt to validate the categories identified in this study and determine the most effective means of coping. Researchers also should explore differences in health care providers’ coping communication based on gender, years of experience, and profession.

Emotional vitality in infancy as a predictor of cognitive and language abilities in toddlerhood

Previous work by our group has shown that infant emotional vitality (EV), the lively expression of shared emotion both positive and negative, predicts cognitive and language abilities in toddlerhood. Specifically, infants who demonstrated a pattern of high emotional expression combined with high bids to their caregivers, fared significantly better on the Bayley II and Preschool Language Scales (PLS-3) at 2 years of age than infants who showed both low expression and low bids to mother. That study was conducted on a large, low-income, ethnically diverse sample. The current study was undertaken with a smaller but demographically similar sample as an effort to demonstrate the value of EV as a construct and to provide additional information about its links with later developmental outcomes. Replication that included a variation in the age at which EV was assessed provides support for the generalizability of the construct. In addition, this study examined EV's effects further into childhood than did the original study in order to insure they are not limited to a brief window in toddlerhood. The results indicate that over and above maternal psychological resources, EV expressed during positive/joyful and frustrating circumstances in 8-month-olds accounted for significant portions of variance in expressive language at 30 months and cognitive-developmental assessments at 24 and 36 months. This study supports EV as an important relational-emotional behaviour that increases experiences that optimize developmental outcomes. Successful replication suggests that EV holds promise as a construct with clinical utility for early interventions attempting to improve developmental outcomes in children from poor families. Copyright © 2005 John Wiley & Sons, Ltd.