Increases In Positive Affect Research Articles

Outcomes of art therapy and coloring for professional and informal caregivers of patients in a radiation oncology unit: A mixed methods pilot study.

Caring for cancer patients can be highly stressful for both family caregivers and oncology professionals. These high levels of stress can lead to poorer patient outcomes and increased risk of health problems for the caregivers themselves. Art therapy may help these caregivers as art-making can be a relaxing and enjoyable form of self-expression and art therapists can support individuals in expressing and processing challenging emotions. Research on art-making or art therapy with caregivers of cancer patients has shown some positive results, but its interpretation is limited by the use of multifaceted interventions. In this mixed-methods study we compared two brief arts-based approaches for both professional and informal caregivers: single sessions of coloring or open-studio art therapy, with a 45-minute session each. Assessments imcluded self-reports of affect, stress, self-efficacy, anxiety, burnout arnd creative agency alongside salivary biomarkers before and after the session. Open-ended questions, field notes and observations formed the qualitative part of the study. Thirty-four professional (n=25) and informal (n=9) caregivers participated. Participants in both conditions showed increases in positive affect, creative agency, and self-efficacy and decreases in negative affect, anxiety, perceived stress, and burnout. Participants in both conditions expressed enjoyment, relaxation, appreciation of time away from stressors, creative problem solving, a sense of flow, and personal and existential insight. The two approaches also elicited distinct experiences with participants reporting that they found improved focus in coloring and appreciated the support and freedom of expression in open studio art therapy. These findings suggest that even brief art-making interventions can be beneficial for stressed caregivers of cancer patients. As experience with art-making increased the impact, repeated sessions may be even more useful. We recommend that oncology units have dedicated studio spaces with therapeutic support and different forms of art-making available to meet individual caregiver needs.

Good for self or good for others? The well-being benefits of kindness in two cultures depend on how the kindness is framed

ABSTRACT In light of cultural differences in conceptions of happiness, we investigated whether members of independent (vs. interdependent) cultures would benefit from prosocial behavior when self-focus is highlighted (vs. when other-focus is highlighted). In a 1-week randomized controlled intervention, U.S. (N = 280) and South Korean (N = 261) participants were randomly assigned to read a news article that described kind acts as good for oneself or good for others, or to read a control article. All participants then performed kind acts throughout the week, and completed pre- and post- measures of subjective well-being, connectedness, competence, and autonomy. Consistent with independent self-construals, U.S. participants who read that kindness was good for themselves showed greater increases in positive affect, satisfaction with life, and feelings of connectedness – and greater decreases in negative affect – than those who read the control article. Future research is needed to continue developing culturally-sensitive designs of positive activities.

The expression of schizotypy in the daily lives of artists.

A considerable amount of research suggests that positive schizotypy (cognitive and perceptual aberrations, such as pseudo-hallucinations) is associated with creativity in the arts. In order to better understand how positive schizotypy might be expressed in the creative process, the experience sampling method was used to explore the experiential correlates of schizotypy in a sample of artists. Artists (N = 41) were sampled over a week-long period, answering questions at random intervals that related to mood, cognition, state of consciousness and behaviour, resulting in reports on 2495 experiences. The sample scored significantly higher than normative samples on positive, but not negative, schizotypy, supporting previous research on the role of ‘healthy schizotypy’ in creativity. Multi-level modelling demonstrated that positive schizotypy predicted a particular experiential profile in daily life, characterised by more frequent reports of the flow state, altered experience, internal dialogue, vivid imagery, distractibility, introspection and high self-esteem. Positive schizotypy (but not other dimensions of schizotypy) was also a significant predictor of art-making and inspiration in daily life. Random intercept and slope models suggested that positive schizotypy was associated with greater increases in positive affect and self-esteem during or following art-making, supporting an ‘affective hypothesis’ for the relationship between schizotypy and artistic involvement. This study supports previous research linking positive schizotypy with artistic creativity, and suggests that, in this context, positive schizotypy can be associated with adaptive experiences, including inspiration, flow and self-esteem. Further, art-making may serve a therapeutic function for artists high in positive schizotypy.

Improvements in adolescent mental health and positive affect using creative arts therapy after a school shooting: A pilot study

Mass shootings have increased in the United States in recent decades and are associated with adverse psychological outcomes. This pilot study used a pre-post design to evaluate the effectiveness of a two-week creative arts therapy camp at improving the mental health of adolescents exposed to the horrific February 14th shooting at Marjory Stoneman Douglas High School in Parkland, Florida. Participants (n = 34) were rising high school students and participated in visual art, drama, or music therapy. At baseline, a third of participants indicated clinically significant moderate-to-severe depression, a third indicated clinically significant moderate-to-severe anxiety, and nearly two thirds indicated high levels of posttraumatic stress. There were statistically significant reductions in posttraumatic stress (d = .54), depression (d = .34), and anxiety symptoms (d = .52), significant decreases in negative affect (d = .42), and significant increases in positive affect (d = .81) between pre- and post-treatment time points. When drama, music, and visual arts treatments were examined separately, drama therapy significantly improved mental health and positive affect. The vast majority of participants reported that they had fun, gained a deeper understanding of themselves, and felt safe during the treatment. Group-delivered arts therapy may be an effective treatment to improve mental health and affect in adolescents exposed to a school shooting.

Web-Based Benefit-Finding Writing for Adults with Type 1 or Type 2 Diabetes: Preliminary Randomized Controlled Trial.

BackgroundThe high prevalence of diabetes distress and subclinical depression in adults with type 1 and type 2 diabetes mellitus (T1DM and T2DM, respectively) indicates the need for low-intensity self-help interventions that can be used in a stepped care approach to address some of their psychological needs. However, people with diabetes can be reluctant to engage in mental health care. Benefit-finding writing (BFW) is a brief intervention that involves writing about any positive thoughts and feelings concerning a stressful experience such as an illness, avoiding potential mental health stigma. It has been associated with increases in positive affect and positive growth and has demonstrated promising results in trials in other clinical populations. However, BFW has not been examined in people with diabetes.ObjectiveThis study aimed to evaluate the efficacy of a Web-based BFW intervention for reducing diabetes distress and increasing benefit finding in diabetic adults with T1DM or T2DM compared to a control writing condition.MethodsAdults with T1DM or T2DM and diabetes distress were recruited online through the open access Writing for Health program. After completing baseline questionnaires, they were randomly allocated to receive online BFW or an active control condition of online writing about the use of time (CW). Both groups completed 15-minute online writing sessions, once per day, for 3 consecutive days. Online measures were administered at baseline, 1 month, and 3 months postintervention. Participants were also asked to rate their current mood immediately prior to and following each writing session.ResultsSeventy-two adults with T1DM or T2DM were recruited and randomly allocated to receive BFW (n=24) or CW (n=48). Participants adhered to the BFW regimen. Greater increases in positive affect immediately postwriting were found in the BFW group than in the CW group. However, there were no significant group-by-time interactions (indicating intervention effects) for benefit finding or diabetes distress at either the 1-month or 3-month follow-up. Both the BFW and CW groups demonstrated small, significant decreases in diabetes distress over time.ConclusionsBFW was well tolerated by adults with diabetes in this study but did not demonstrate efficacy in improving diabetes distress or benefit finding compared to an active control writing condition. However, due to recruitment difficulties, the study was underpowered and the sample was skewed to individuals with minimal diabetes distress and none to minimal depression and anxiety at baseline. Future research should continue to investigate the efficacy of variants of therapeutic writing for adults with T1DM or T2DM, using larger samples of participants with elevated diabetes distress.Trial RegistrationAustraliand New Zealand Clinical Trials Registry ACTRN12615000241538; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368146

Changes in positive affect in cognitive-behavioral treatment of anxiety disorders

ObjectiveThis study evaluated changes in positive affect within cognitive-behavioral treatments (CBT) for anxiety disorders. It was hypothesized that there would be significantly greater increases in positive affect in CBT conditions compared to the waitlist, and particularly higher in the Unified Protocol (UP) than the single disorder protocols (SDP) given the UP's focus on emotions (including positive emotions) rather than symptoms. MethodPatients with heterogeneous anxiety disorders (N = 223) were randomly assigned to the UP, SDP or waitlist. Linear mixed model regression (intent to treat) analyses were used to compare change in positive affect, quality of life, and savoring between patients in the treatment conditions (UP and SDP) versus waitlist conditions. Between condition effect sizes were calculated to assess the magnitude of difference within conditions at post-treatment. ResultsResults indicated a significant Group (treatment vs. waitlist) × Time (pre- post-treatment) interaction (F(1, 154.36) = 6.75; p = .01) for positive affect in which the treatment group showed significant improvements in positive affect pre- to post-treatment (ESsg = 0.37, SEsg = 0.09, 95% CI [0.20: 0.54]) and the waitlist condition did not. There were no differences between UP and SDP conditions in positive affect at baseline or at post-treatment. ConclusionsThese results suggest CBT, which typically focuses on reductions in negative affect, may also improve positive affect. The importance of future research evaluating, targeting, and improving positive affect in CBT trials is discussed.Clinicaltrials.gov Identifier: NCT01243606

The association of positive affect and cardiovascular health in Hispanics/Latinos with chronic kidney disease: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

The beneficial influence of positive affect (e.g., joy) remains unexplored in relation to heart health in adults with chronic kidney disease (CKD)—a population at increased risk for poor cardiovascular health (CVH). Therefore, we evaluated the association of positive affect and CVH in a diverse U.S. population of Hispanics/Latinos with CKD. We analyzed cross-sectional data of adults ages 18–74 enrolled between 2008 and 2011 in the Hispanic Community Health Study/Study of Latinos with prevalent CKD (N = 1712). Positively worded items from the Center for Epidemiologic Studies Depression Scale were used to create a composite positive affect score (0–6; higher scores indicate greater positive affect). Prevalent CKD was defined as estimated glomerular filtration <60 ml/min/1.73 m2 or urine albumin-to-creatinine ratio ≥30 mg/g. A composite CVH score was calculated using diet, body mass index, physical activity, cholesterol, blood pressure, fasting glucose, and smoking status. Each metric was defined as ideal, intermediate, or poor to compute an additive score. Linear regression was used for continuous scores of CVH and logistic regression for binary treatment (e.g., ≥4 Ideal). In participants with CKD, each unit increase in the positive affect score was associated with higher CVH scores when modeling CVH as a continuous outcome (β = 0.06, 95% CI = 0.01, 0.11). Similarly, a 1-unit increase in positive affect was associated with 1.15 times the odds of having >4 (vs. <4) ideal CVH indicators. Positive affect is associated with favorable CVH profiles in Hispanics/Latinos with CKD. Replication and prospective studies are needed to elucidate whether emotional well-being is a potential therapeutic target for intervention.

Toward an Understanding of Incongruent Affect in People With Schizophrenia.

Previous studies have found that people with schizophrenia report more negative affect (NA) in response to positive and neutral stimuli (incongruent NA) than people without schizophrenia, perhaps related to heightened overall NA. We sought to decrease NA and increase positive affect (PA) using the Broad-Minded Affective Coping (BMAC) procedure in people with (n = 29) and without (n = 26) schizophrenia. We also investigated whether decreased NA would contribute to a decrease in incongruent NA in people with schizophrenia. The BMAC procedure increased PA but did not decrease NA in participants, nor did it influence reports of incongruent NA (in response to positive and neutral films) in people with schizophrenia. Baseline NA in people with schizophrenia was correlated with incongruent NA and symptom severity. Results indicate that people with schizophrenia report heightened NA that does not readily diminish in the face of heightened PA.

Mindfulness Induces Changes in Anterior Alpha Asymmetry in Healthy Older Adults

Anterior alpha asymmetry is an EEG measure of relative left- or right-sided prefrontal cortical activity that has been associated with affective style, such that greater relative left-sided activity is associated with positive affect and approach-related behaviours. While mindfulness has been shown to enhance attention and affect, here we investigate the underlying neurobiological changes supporting these outcomes by assessing anterior alpha asymmetry. A longitudinal RCT was conducted to investigate the effect of an 8-week mindfulness training (MT) intervention on anterior alpha asymmetry and affect in a group of healthy adults aged over 60 years (n = 41). An active control computer-based attention training (CT) program (n = 26) designed to activate similar attentional components to mindfulness was used to determine if outcomes resulted from attention training or mindfulness-specific factors. The Sustained Attention to Response Task was used to assess attentional performance, while a breath counting task was used to classify mindfulness participants into high (MT-HIGH; n = 19) and low (MT-LOW; n = 22) proficiency groups. While all groups displayed improved attentional performance, only the MT-HIGH and MT-LOW groups showed significant increases in positive affect as measured by the Positive and Negative Affect Schedule. The MT-HIGH group showed significantly increased relative left-sided activity at both Fp1/Fp2 and F3/F4 electrode pairs, while no significant changes were observed in the MT-LOW and CT groups. These results suggest that 8 weeks of mindfulness training is capable of inducing changes in resting anterior alpha asymmetry, but these results are dependent upon the level of proficiency achieved.

Broadening your horizons: Self-expanding activities promote desire and satisfaction in established romantic relationships.

In the early stages of romantic relationships, sexual desire is often intense, but over time, as partners get to know each other, desire tends to decline. Low sexual desire has negative implications for relationship satisfaction and maintenance. Self-expansion theory suggests that engaging in novel activities with a long-term romantic partner can reignite feelings of passion from the early stages of a relationship. Across 3 studies using dyadic, daily experience, longitudinal, and experimental methods, we find evidence for our central prediction that engaging in self-expanding activities with a partner is associated with higher sexual desire. In turn, we found that higher desire fueled by self-expansion is associated with greater relationship satisfaction. Self-expansion, through sexual desire, is also associated with an increased likelihood that couples will engage in sex, and when they do engage in sex, they feel more satisfied with their sexual experiences. We also demonstrate that the benefits of self-expansion for relationship satisfaction are sustained over time, and that the effects cannot be attributed solely to increases in positive affect, time spent interacting with the partner or closeness during the activity. Implications for self-expansion theory and sexual desire maintenance in relationships are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Bidirectional relationship of stress and affect with physical activity and healthy eating.

ObjectivesPhysical activity and healthy eating seem to be protective against experiencing stress and negative affect as well as increase positive affect. At the same time, previous studies showed that people reduce salutogenic behaviours such as physical activity and healthy eating in the face of stress and negative affect while increasing such behaviours in the context of positive affect. Due to daily fluctuations of these behaviours, the present study examined these relationships in daily life using ecological momentary assessment (EMA).Design and methodsFifty‐one university students responded to six daily prompts during 7 days via smartphone‐based EMA. Items examined stress, emotional experience, physical activity duration, and healthy eating.ResultsHigher stress and negative affect, as well as lower positive affect, were related to a reduction in subsequent physical activity. Higher physical activity levels, in turn, were associated with less subsequent stress and negative affect, as well as more positive affect. No such effects for stress and affect on healthy eating or vice versa were found.ConclusionsEngaging in physical activity is related to better mood and less stress/negative affect over the next several hours in daily life. Prevention efforts therefore may benefit by focusing on promoting physical activity, particularly when stress/negative affect is high to ‘break the cycle’ of inactivity, stress, and negative affect. Potential effects of healthy eating might be more subtle and characterized by interindividual differences or state effects. Statement of contribution What is already known on this subject? Physical activity can reduce stress as well as negative emotions and can enhance positive emotions.People tend to eat less healthy food during stressful times, and healthy eating can increase general health.Physical activity and healthy eating have been mostly assessed separately and through retrospective methods. What does this study add? This is an EMA study investigating bidirectional effects of stress, emotions, and salutogenic behaviour.After physical activity, people felt less stressed/negative and more positive; feeling better and less stressed resulted in more physical activity.Healthy eating was not associated with stress or emotion level and vice versa.

Empirical validation of the integrative psychological group intervention for women with breast cancer - preliminary results

Background/Aim. Breast cancer diagnosis is an extremely stressful life event that brings a number of physical and psychological challenges. However, supportive and psychoeducational group interventions can significantly decrease psychological distress in patients. The aim of this study was to empirically validate the effects of the integrative psychological group intervention, regarding the affective state of women who underwent breast cancer surgery at the Oncology Institute of Vojvodina. Methods. This study was conducted on a sample of 30 women, with the average age of 53.17 years (standard deviation ? SD = 10.09). Following the surgical intervention, the inpatients participated in an integrative group session consisting of the following parts: 1) supportive-expressive, 2) psycho-educational and 3) healtheducational. Before the session, participants filled in a demographic data questionnaire, measures of positive and negative affect (PANAS), optimism (LOT-R), hope (AHS), neuroticism (BFI) and symptoms of depression (DASS-21). At the end of the group sessions, the participants filled in the PANAS again. Results. A paired-samples t-test showed that following an intervention, a statistically significant increase in positive affect had occurred (t(29) = -4.44, p &lt; 0.001). For negative affect, the t-test also yields the statistically significant results (t(29) = 5.60, p &lt; 0.001), showing that intervention led to a significant decrease in negative affect. The nonparametric Wilcoxon Signed-Rank test also confirmed these results. The multiple regression analysis (F (4, 25) = 3.46, p = 0.02) showed that high neuroticism and low symptoms of depression significantly predicted a greater increase in positive affect following the session. Another regression analysis (F (4, 25) = 3.32, p = 0.03) showed that the higher symptoms of depression and, marginally, higher hope significantly predicted a greater decrease in negative affect. Conclusion. Our results showed that the integrative psychological group intervention had positive short-term effects regarding the affective state of women who underwent breast cancer surgery, and that different psychological variables can play a significant role in prediction of changes in patients? affect.

Improvements in Depressive Symptoms and Affect During Cardiac Rehabilitation: PREDICTORS AND POTENTIAL MECHANISMS.

Depression is indicative of poor prognosis in cardiac patients. Reductions in depression have been observed following cardiac rehabilitation (CR). Whether similar improvements in positive and negative affect occur is unknown. Greater understanding of depressive symptom and affect change is needed to enhance facilitators of emotional improvement after a cardiac event. Cardiac rehabilitation attendees (n = 637) completed measures of depressive symptoms, affect, health status, and social support at CR intake and discharge. Body mass index, metabolic equivalents, and blood pressure were also measured. Relationships between changes in psychosocial and physical health indicators and depressive symptoms, positive affect, and negative affect were examined. From intake to discharge, depressive symptoms (d = 0.40, P < .001) and negative affect (d = 0.26, P < .001) decreased. Positive affect increased (d = 0.34, P < .001). In multivariate regression, predictors of depressive symptom reduction were increased vitality (β = -.26) and decreased bodily pain (β = -.08). Predictors of positive affect increase were increased vitality (β = .25), social support (β = .16), and physical role functioning (β = .09). Predictors of negative affect reduction were increased vitality (β = -.23) and social support (β = -.10). Changes in indicators of physical health were not related to depressive symptom or affect change. Depressive symptom and affect improvements following CR were observed and most strongly associated with improvements in vitality and social support. Future research should explore how enhancement of these mechanisms may further improve depressive symptom and affect during CR.

Taboo gesticulations as a response to pain.

Background and aims Prior research indicates that swearing increases pain tolerance and decreases pain perception in a cold pressor task. In two experiments, we extend this research by testing whether taboo hand gesticulations have a similar effect. Methods Study 1 focused on males and females who, across two trials, submerged an extended middle finger (taboo) and an extended index finger (control) in ice water until discomfort necessitated removal. Study 2 focused exclusively on pain perception in males who, across three trials, submerged their hand, flat, with extended middle finger and with extended index finger, for 45 s each. Results In study 1 taboo gesticulation did not increase pain tolerance or reduce pain perception compared with the index finger control condition, as a main effect or as part of an interaction with condition order. While there was a gesture×gender interaction for pain tolerance, this was driven by an increased pain tolerance for the index finger gesture for women but not men. The results of study 2 again showed that taboo gesticulation did not lower pain perception, although it did increase positive affect compared with both non-taboo gesture conditions. Conclusions Taken together these results provide only limited evidence that taboo gesticulation alters the experience of pain. These largely null findings further our understanding of swearing as a response to pain, suggesting that the activation of taboo schemas is not sufficient for hypoalgesia to occur.

The impact of within‐day work breaks on daily recovery processes: An event‐based pre‐/post‐experience sampling study

Research on recovery from work stress has emphasized the importance of within‐day work breaks. However, prior research has not been designed and analysed in a way that fully aligns with the processes described by the underlying theoretical framework (i.e., the effort‐recovery model). The current paper examines the effects of within‐day work breaks on recovery using an event‐based pre‐/post (EBPP)‐design, in a way that more fully captures the recovery process as described by the effort‐recovery model. We also included designs used in previous studies (i.e., an interval‐based design and an event‐based design without pre‐break strain measures) to demonstrate the differences between the EBPP design and previous designs. The results of the EBPP model using a sample of Chinese white‐collar employees showed that within‐day work breaks are significantly associated with reduced fatigue and negative affect and increased positive affect, supporting the predicted recovery effects of within‐day work breaks. However, mixed results were found in the interval‐based design, and non‐significant results were found in the event‐based design without pre‐break measurements. We discuss methodological implications and explain how the EBPP design could be applied to study other episodic phenomena.Practitioner points An event‐based pre‐/post‐design (EBPP) can be used to study recovery and other momentary, episodic events at work. Within‐day work breaks can help employees reduce fatigue and negative affect and increase positive affect. Relaxation break activities, nutrition‐intake activities, social activities, and cognitive activities help recovery.

Feasibility and preliminary effectiveness of a drum circle activity to improve affect in patients, families and staff of a pediatric hospital

ABSTRACT Background: Children, families and staff in pediatric hospitals often experience elevated psychological distress. Art-based initiatives, such as group drumming, have been proposed as strategies to support well-being in this context. Methods: This study evaluated the feasibility and potential benefits of a drum circle activity designed to improve the affective experience of patients, families and staff in a large pediatric hospital. A total of 48 patients, 16 employees and 15 visitors completed questionnaires before and after up to 12 joint drum circle sessions. A total of 12 respondents took part in semi-structured interviews. Results: Quantitative analyses showed significant pre-post-session increases in positive affect (beta = .48; p < .001) and decreases in negative affect (beta = −.29; p < .001). Qualitative results corroborated these findings, in addition to suggesting the safety of the activity as well as other potential benefits. Conclusions: This preliminary study supports the usefulness of group drumming to enhance the well-being of pediatric hospital patients, families and staff.

Subjective Well-Being of Afghan Refugees in Pakistan: The Moderating Role of Perceived Control in Married Men

The purpose of this study was to examine the role of perceived control in moderating the effects of acculturative stress on the well-being of first generation Afghan married men refugees (N = 137, 25-50years) residing in Lahore, Pakistan. The participants completed a survey questionnaire comprising a demographic information sheet, the Multidimensional Acculturative Stress Scale (Jibeen, Khalid, International Journal of Intercultural Relations 34:233-243, 2010), the Cognitive Stress Scale (Cohen et al., Journal of Health and Social Behavior 24:385-396, 1983), the Positive Affect & Negative Affect Schedule (Watson et al., Journal of Personality & Social Psychology 47:1063-1070, 1988), and the Satisfaction with Life Scale (Diener et al., Journal of Personality Assessment 49:1-5, 1985). The results of moderated regression analyses revealed that perceived control can reduce the effect of stressful circumstances on satisfaction with life and increase positive psychological affect. The results could have implications for developing social and clinical therapeutic interventions towards a greater sense of self-determination and positive well-being to improve the refugees' ability to take control of their lives.

Testing the influence of negative and positive emotion on future health-promoting behaviors in a community sample

Adaptive behaviors, such as exercise and relaxation, are well-demonstrated to provide broad benefits, yet little is known about how emotion precede and/or influence their use. Broadly, literature suggests that adaptive health behaviors are enacted for the purpose of regulating negative affective experiences. However, other theoretical work suggests that positive affect precedes adaptive health behaviors, serving to maintain positive affective states. We sought to explicitly test the role of within-person fluctuations in negative and positive emotion in future adaptive behavior. Adults (n = 56) who were either psychologically healthy (n = 22) or diagnosed with major depression and/or social anxiety disorder (n = 34) completed an in-lab diagnostic interview, followed by a 14-day experience sampling diary measuring within-person fluctuations in positive and negative emotion and health behaviors. Within-person levels of positive affect was significantly associated with future positive health behaviors. Prior positive behaviors was also significantly associated with behaviors reported in the next signal. Additionally, mean positive affect was significantly associated with engagement in positive health behaviors. There were no significant associations for within-person or mean negative affect, and there were no group differences. Together, these results support a maintenance model, such that within-person increases in positive affect predicted future report of positive health behaviors.

Changes in cognitive distortions and affectivity levels in adolescent depression after acute phase fluoxetine treatment

ABSTRACTIntroduction: It is supposed that both antidepressants and psychotherapies work in a manner consistent with cognitive theories of depression when changing negative affective and cognitive distortions. This study evaluated changes in cognitive distortions (i.e. systematic misinterpretations of new information) and affectivity in adolescent major depressive disorder (MDD) after acute phase treatment with fluoxetine.Methods: Twenty-five adolescents (mean age 15.10 years (SD = 1.19); 17 (68%) females) with MDD receiving fluoxetine were followed for 8 weeks. Clinician rating scales of MDD and self-reports of cognitive distortions and affectivity were completed before and after the treatment.Results: Seven (28%) adolescents showed significant improvement in cognitive distortions, 11 (44%) showed a significant decrease in negative affect, and 15 (60%) showed a significant increase in positive affect. The responders to fluoxetine had significantly decreased level of negative affect (62.5%) and an increased level in positive affect (81.2%) compared to non-responders, whereas there were no differences between the two regarding changes in cognitive distortions.Conclusions: Treatment with fluoxetine over 8 weeks led to reductions in cognitive distortions, with decreased negative and increased positive affect in adolescents with MDD. Improvements in affectivity levels closely corresponded to reductions in depressive symptoms and were greater than improvements in cognitive distortions.

Social media and its relationship with mood, self-esteem and paranoia in psychosis.

ObjectiveAn evidence‐base is emerging indicating detrimental and beneficial effects of social media. Little is known about the impact of social media use on people who experience psychosis.MethodForty‐four participants with and without psychosis completed 1084 assessments of social media use, perceived social rank, mood, self‐esteem and paranoia over a 6‐day period using an experience sampling method (ESM).ResultsSocial media use predicted low mood, but did not predict self‐esteem and paranoia. Posting about feelings and venting on social media predicted low mood and self‐esteem and high paranoia, whilst posting about daily activities predicted increases in positive affect and self‐esteem and viewing social media newsfeeds predicted reductions in negative affect and paranoia. Perceptions of low social rank when using social media predicted low mood and self‐esteem and high paranoia. The impact of social media use did not differ between participants with and without psychosis; although, experiencing psychosis moderated the relationship between venting and negative affect. Social media use frequency was lower in people with psychosis.ConclusionFindings show the potential detrimental impact of social media use for people with and without psychosis. Despite few between‐group differences, overall negative psychological consequences highlight the need to consider use in clinical practice.