Positive Affect Research Articles

A dyadic investigation of shy children's behavioral and affective responses to delivering a speech.

Shyness is typically associated with avoidant social behavior and restricted affect in new social situations. However, we know considerably less about how one child's shyness influences another child's behavior and affect in new social situations. Children's shyness was parent-reported when children were age 3 (N=105, 52 girls, Mage=3.50 years), and children were tested approximately 1 year later (Mage=4.76 years) in same-gender dyads where they were asked to give an impromptu speech about their most recent birthday in front of an experimenter and the other member of the dyad. We examined whether children's shyness and speech order influenced their own and their social partner's observed behavior and affect during the speech. Regardless of speech order, children's own shyness was positively associated with their own avoidant social behavior and gaze aversion. Regardless of shyness, children who gave their speech second averted their gaze more than children who gave their speech first. We also found that children who gave their speech second displayed less positive affect if their social partner who they watched give the speech first was shyer. We speculate that some 4-year-old children may be sensitive to the avoidant behaviors of their shy peers and, in turn, respond with less animation when it is their turn to participate in the same activity. RESEARCH HIGHLIGHTS: We examined whether preschool children's shyness and speech order influenced their own and their social partner's observed behavior and affect during a dyadic speech task Children's own shyness was positively associated with their own avoidant social behavior and gaze aversion Children who gave their speech second averted their gaze more than children who gave their speech first. Children who gave their speech second displayed less positive affect if their social partner who they watched give a speech first was shyer These findings suggest that preschool-aged children are sensitive to learning about their environment indirectly through social observation.

Behind the Bench: Power Dynamics in the Supreme Court of the United States Through the Lens of Construal Level

Power dynamics exist among the nine justices on the Supreme Court. Through the lens of construal level, the justices’ psychological distance can indicate power, which can ultimately affect the decision-making process on case deliberation. This research examines power dynamics arising from tenure, gender, and political ideology of the justices, and the type of opinion written, through language conveyed in written opinions. I find that tenure, gender and political ideology have some association with abstraction, certainty, positive affect and/or future orientation, suggesting that justices have predictable behavioral implications stemming from their power level. Results for the type of opinions show significance for the opposite prediction, with concurring and dissenting opinions exhibiting more abstract, certain and positive. Exploring power dynamics among the justices helps to unpack the decision-making process in the High Court.

Power of a Few Vagrant Words: Effects of Direct and Indirect Suggestions for Self-Representation in Art-Based Online Interventions

ABSTRACT This study compares two groups of university students with differing instructions participating in an object drawing task as a part of an art therapy-based self-help online intervention. The intervention aimed to help participants enhance positive mood and subjective feeling of self-control and reduce negative mood. The object task contained suggestive elements in the instructions similar to self-hypnosis with an indirect and a direct way of formulation. Quantitative (positive affect and negative affect scale and Self-Assessment Manikin scale) and qualitative methods (text and picture rating) were used to investigate the difference between the outcome effects on the two groups. The results found a significant decrease in negative mood for indirect suggestion, while a significant increase of positive mood for the direct suggestion condition. Based on qualitative analyses, findings indicated that hidden implications in the art-making instructions modified the chosen imaginary and emotional changes related to art-making. Suggestions in the instructions can make a difference in one’s mood and this should also be considered while designing guidelines for self-hypnosis.

The Partisan Vote: Shared Partisanship and Constituent Service in the U.S. Congress

The theory of the “personal vote” assumes that constituent service, or the process by which members of Congress help their constituents navigate the federal bureaucracy, is a component of representation that transcends partisanship. However, recent research suggests that affective polarization and negative partisanship may discourage constituents from reaching out to ask for help from cross-partisan legislators. Using a conjoint experiment, I show that shared partisanship has a strong effect on constituents’ decisions about which of their legislators to contact for assistance. However, positive in-party affect is unrelated to these preferences, suggesting that negative partisanship is responsible for this result. Gender and seniority also matter for constituents’ preferences even when accounting for shared partisanship. The results suggest that legislators’ ability to build a “personal vote” by performing constituent service may be weakened in an era of strong partisanship.

Under pressure: Effects of distraction and reappraisal on adolescents' psychophysiological stress responses

Although cognitive reappraisal and distraction are generally both beneficial to down-regulate negative affect, it remains unknown whether one may be more effective in helping adolescents handle stressful situations. Therefore, this study compared the effects of both strategies on adolescent's psychophysiological stress responses. Belgian adolescents (N = 82, Mage = 13.99 years, SDage = 0.62; 38% males) received a 100-min training on cognitive reappraisal or distraction to ensure adolescents could use the strategies when instructed; subsequently they were exposed to a standardized interpersonal stressor after which they were instructed to use the learned technique. As compared to participants in the cognitive reappraisal condition, participants in the distraction condition reported larger increases in positive affect during the initial minutes of stress recovery. However, no clear differences emerged when examining negative affect and respiratory sinus arrythmia recovery. These findings provide new insights into the effectiveness of cognitive reappraisal and distraction in adolescents.

Comparative analysis of visual-thermal perceptions and emotional responses in outdoor open spaces: Impacts of look-up vs. look-forward viewing perspectives.

Horizontal and vertical viewing perspectives exert varying influences on the environmental perceptions and emotional states of college students. Despite this, scant research addresses the impact on this demographic. We selected typical campus open spaces for comprehensive physical parameter assessments, encompassing meteorological and spatial characteristics. A cohort of 36 healthy college students participated in a questionnaire survey designed to ascertain shifts in visual comfort, thermal comfort, and emotional responses when viewing landscapes in look-forward and look-up orientations. Key findings following both viewing modalities included: 1) a notable rise in mean visual comfort vote (MVCV), by 1.22 for look-forward and 1.01 for look-up, with a pronouncedly higher sunlight sensation vote (SSV) for the latter orientation; 2) a significant increase in thermal comfort vote (TCV), although the difference in increments between the two viewing angles was minimal; 3) Positive affect (PA) exhibited considerable improvement in both viewing conditions, while negative affect (NA) was markedly reduced in the look-up condition relative to look-forward viewing; 4) The SSV was predominantly influenced by the trunk ratio and canopy-to-trunk ratio, with substantial weights of 31.47% and 32.15%, respectively. Landscape element diversity emerged as the most critical factor affecting visual comfort vote (VCV) and aesthetic assessment score (AAS), with overwhelming weights of 70.67% and 63.15%, respectively. Moreover, the leaf ratio was identified as the chief determinant of emotional responses. Our results provide insights into the design of campus spaces for enhanced student well-being.

Home-based motivational interviewing for late-life rural hoarding disorder: a pilot study

Objectives The primary purpose of this pilot study was to determine the feasibility and acceptability of a novel brief (six-session) motivational interviewing home-based intervention for hoarding disorder designed for rural older adults. The secondary aims were to examine the engagement of proposed mechanisms of change and the preliminary efficacy of symptom reduction. Method Fifteen rural-dwelling older adults were enrolled in the pilot trial for Project RECLAIM (Reduce Clutter and Increase Meaning). Engagement of proposed mechanisms of change was assessed weekly for reported engagement in sorting/discarding behaviors and from baseline to post-treatment on readiness for change and motivation. Symptom reduction was assessed from baseline to post-treatment on hoarding symptoms and general psychological functioning. Results Sixty percent of participants completed all six sessions of RECLAIM. Over the course of treatment, participants reported significant decreases in household clutter (d = −0.85) and object attachment (d = −1.01) and increases in positive affect (d = 0.71), readiness for change (d = 0.40) and motivation (d = 0.52), and sorting between sessions (ß = 3.82). Conclusion The significant reductions in hoarding symptoms after only six sessions of treatment suggest that a brief, in-home, intervention may be a viable option for symptom reduction, particularly for rural-dwelling older adults.

Further Examining Positive Affect in Relation to Worry: A Synergistic Effect Between Positive Affect Expressivity and Proneness to Positive Affect.

There is emerging interest in understanding positive affect dysfunction in relation to anxiety, including worry. This set of two studies examined the association between the inhibition of affect expression (general affect expressivity in Study 1, positive affect expressivity in Study 2) and worry, with a particular interest in the moderating role of proneness to experience positive affect. Subjects were US-residing adults (Study 1 N = 502, Study 2 N = 250) who were recruited through a crowdsourcing website and completed self-report measures of study variables. Moderated regression was used to examine study predictions that affect expression would negatively correlate with worry when coupled with diminished positive affect. Proneness toward negative affect was included as a covariate within multivariate analyses. An interactive effect between affect expressivity and positive affect was supported in Study 2 (positive affect expressivity) but not Study 1 (general affect expressivity) in relation to worry. A diminished tendency to express positive affect was associated with greater worry when coupled with less positive affect. Study results and future directions are discussed in terms of the potential emotion-regulatory functions of positive affect expressivity as it relates to worry.

The effects of combining visual-auditory stimuli with exercise on short-term affect improvement: a randomized controlled trial

Abstrac tPrior research has explored the effects of engaging with real or virtual natural landscapes and listening to music during aerobic exercise on short-term affect, however, the specific differences in the improvement of short-term affect by different combinations of Virtual Reality (VR) and music rhythm require further investigation. The objective of this study is to investigate the effects of various combinations of VR and music on short-term mood, thereby providing a reference for future research on public fitness. This study recruited 132 valid participants (mean age 24.0 ± 0.9 years), with a gender distribution of 68 males and 64 females. Participants were randomly assigned to one of four groups: Visual-Music (V-M), Music-Visual (M-V), Visual-only (V), and Music-only (M). The exercise mode was 15 min of aerobic power cycling with 2 min of low-intensity power cycling intervals in the middle. After the exercise, the participants were asked to sit and then performed either a VR intervention or a music intervention for 15 min. The collected indicators included blood pressure, positive/negative affect, and heart rate variability indicators (RMSSD, SDNN, LF/HF). Data analysis included descriptive statistics, repeated measures ANOVA, and multifactor ANOVA. The effect of different VR and Music combined with exercise interventions on the improvement of short-term affect was analyzed based on the effect size (ɳp2) and combined with the significance p-value. Intra-group results showed that DBP, positive and negative affect, SDNN, RMSSD indicators in V-M group were significant differences (p < 0.05), while SBP, positive affect, negative affect, SDNN, RMSSD, LF/HF indicators in M-V group were significant differences (p < 0.05). Only SDNN and RMSSD indicators in M group had significant differences (p < 0.05), and only SBP and RMSSD indicators in V group had significant differences (p < 0.05). The results between groups showed that only SDNN and LH/HF groups had a significant difference (p < 0.05), other indicators had a trend of improvement or positive promotion to a certain extent, but the statistical difference was not significant (p > 0.05). Aerobic exercise with consistent intensity and the combined visual-auditory interventions (M-V and V-M) significantly improved blood pressure, and the short-term affect of physiological responses (LF/HF, SDNN, RMSSD), along with subjective affect measures, compared to other groups. These findings suggest that incorporating VR and music with exercise can effectively enhance short-term affect, recommending an integrated approach to aerobic exercise and relaxation through music and visual exposure to natural environments.

Take Action, Recover Well? The Role of Daily Proactive Recovery Strategies for Recovery, Stress, Affect, and Next-Day Performance

Although both employee wellbeing and performance are valued by organizations, achieving them conjointly is not simple in practice. Prior studies have highlighted the role of daily experiences of recovery from work stress for employee wellbeing and performance. In a work-life characterized by pressures to intensify the pace of work, employees may increasingly use proactive efforts to shape their daily off-job time to effectively recover from stress and maintain their wellbeing and performance. Based on the integrative needs model of crafting, effort-recovery model, and conservation of resources theory as guiding frameworks, we examine whether employees’ daily proactive recovery strategies predict daily off-job and work stress, affect, and subjective work performance through enhanced recovery experiences. Daily diary measurements were collected among a sample of 377 Norwegian employees across a period of two weeks in early 2022 (from Monday to Thursday, i.e., eight measurement days in total). Results of Bayesian multilevel models showed that crafting for detachment, for relaxation, and for autonomy during off-job time negatively predicted off-job stress and negative affect through matching recovery experiences, whereas crafting for mastery positively predicted positive affect through mastery experiences. Crafting for relaxation and for autonomy were directly negatively related to next-day work stress, but these effects were not mediated by matching recovery experiences. Crafting for autonomy positively predicted next-day self-rated work performance through control experiences. Our study contributes to the literature on recovery from work by highlighting proactive recovery strategies as important initiators of daily recovery processes.

Misremembering Solitude: The Role of Personality and Cultural Self-Concepts in Shaping Discrepancies Between Recalled and Concurrent Affect in Solitude.

Affect recall is key to psychological assessment and decision-making. However, self-concepts (self-beliefs) may bias retrospective affect reports such that they deviate from lived experiences. Does this experience-memory gap apply to solitude experiences? We hypothesized that individuals misremember how they feel overall and when in solitude, in line with self-concepts of introversion, self-determined/not-self-determined solitude motivations, and independent/interdependent self-construal. A pilot study comparing retrospective to daily affect reports captured over 2 weeks (N = 104 UK university students) provided preliminary evidence of introversion and not-self-determined solitude shaping affect recall. In the main pre-registered study, participants aged 18-49 in the UK (N = 160) and Hong Kong (N = 159) reported their momentary affective states and social situations 5 times per day over 7 days, then recalled how they felt over the week. Individuals higher in self-determined solitude were more prone to retrospectively overestimate their high- and low-arousal positive affect in solitude and showed less overestimation/more underestimation of negative affect in solitude. Higher not-self-determined solitude was associated with overestimating loneliness, and higher interdependent self-construal with overestimating loneliness and energy levels, in solitude. Comparisons based on residence/ethnicity suggest culture influences solitude-seeking and affective memory. Implications for well-being and affect measurement are discussed.

Dimensional Affective Sensitivity to Hormones across the Menstrual Cycle (DASH-MC): A transdiagnostic framework for ovarian steroid influences on psychopathology.

Fluctuations in progesterone (P4) and estradiol (E2) across the menstrual cycle can exert direct effects on biological systems implicated in neuropsychiatric disorders and represent a key biological source of variability in affective, cognitive, and behavioral disorders. Although these cyclical symptoms may be most readily identified when they occur exclusively in relation to the menstrual cycle, as in DSM-5 premenstrual dysphoric disorder, symptom changes of similar magnitude occur in a larger proportion of people with ongoing psychiatric disorders. Studies investigating cyclical regulation of brain and behavior often produce inconsistent results, which may be attributed to a lack of focus on specific hormonal events and individual differences in related sensitivities. We propose a transdiagnostic Dimensional Affective Sensitivity to Hormones across the Menstrual Cycle (DASH-MC) framework, postulating that atypical neural responses to several key hormonal events provoke specific temporal patterns of affective and behavioral change across the menstrual cycle. We review prospective and experimental evidence providing initial support for these dimensions, which include (1) luteal-onset negative affect caused by a sensitivity to E2 or P4 surges (mediated by neuroactive metabolites such as allopregnanolone), typified by irritability and hyperarousal; (2) perimenstrual-onset negative affect caused by a sensitivity to low or falling E2, typified by low mood and cognitive dysfunction; and (3) preovulatory-onset positive affect dysregulation caused by a sensitivity to E2 surges, typified by harmful substance use and other risky reward-seeking. This multidimensional, transdiagnostic framework for hormone sensitivity can inform more precise research on ovarian steroid regulation of psychopathology, including further mechanistic research, diagnostic refinement, and precision psychiatry treatment development. Additionally, given the high rates of hormone sensitivity across affective disorders, the DASH-MC may guide broader insights into the complex neurobiological vulnerabilities driving female-biased affective risk, as well as potential triggers and mechanisms of affective state change in psychiatric disorders.

Aversion to light is associated with impulsivity.

Exposure to bright light can be visually aversive. This study explored the association between light aversion and various facets of impulsivity. A total of 1,245 participants completed the UPPS-Impulsive Behavior Scale to assess five facets of impulsivity. Additionally, participants responded to questions regarding their aversion to light (e.g., how aversive do you find bright light?). Spearman's correlation coefficients (rho) revealed that individuals who find light physically aversive, or who experience a negative physical response to exposure (e.g., nausea or headache) triggered by bright indoor light or sunlight, tend to act impulsively under extreme negative and positive affect. Individuals who experience a negative physical response to exposure display greater premeditation, indicating a higher likelihood of considering the potential consequences of their actions. Moreover, these individuals score lower on sensation-seeking, suggesting a reduced inclination to seek out thrilling or novel experiences. These results reveal a complex relationship between light aversion and impulsivity, where those who find light aversive tend to be less impulsive in general, but more impulsive under extreme positive or negative affect.

Happiness across the borders-A cross-sectional study among patients with psoriasis and atopic dermatitis in Europe.

Dermatological research has traditionally concentrated on evaluating mental comorbidities, neglecting positive concepts like happiness. Initial studies indicate that psoriasis and atopic dermatitis (AD) impair the happiness of those affected. Considering global happiness variations, this study aimed to explore the disease- and country-specific differences in disease-related quality of life and happiness, and potential influential factors on heuristic happiness among psoriasis and AD patients in Europe. A cross-sectional multicentre study was conducted in dermatology departments of university-affiliated hospitals in eight European countries (Austria, Germany, Italy, Malta, Poland, Portugal, Romania and Ukraine) between October 2021 and February 2023. Adult psoriasis and AD patients completed a standardized questionnaire in their native languages, providing data on demographics, disease-related characteristics, disease-related quality of life (Dermatology Life Quality Index, DLQI), heuristic happiness, positive affect (PA), negative affect (NA) and satisfaction with life (SWL). Descriptive analysis and quantile regression were performed. Between psoriasis (n = 723) and AD (n = 316) patients almost no differences were observed in happiness, SWL and NA, except for DLQI and small differences in PA, with AD patients reporting greater impact than psoriasis patients. Country-wise variation emerged in DLQI, heuristic happiness, PA, NA and SWL with Austrian patients displaying the highest levels of happiness, satisfaction and positivity, coupled with higher treatment care and lower disease severity. Quantile regression revealed varying coefficients for predictor variables across quantiles, indicating, for example positive effects on heuristic happiness associated with current or previous receipt of systemic therapies at different quantiles. This study shows notable happiness differences across European countries and significant disease-related variations, particularly with AD patients being more impaired than psoriasis patients. The findings highlight the need for equality in treatment access and support the development of targeted positive psychological interventions to enhance happiness considering country-specific distinctions in future research and health policies for psoriasis and AD patients.

Subjective sleep may mediate the associations between tomorrow anticipations and next-day affect.

This study investigated whether stress and positive anticipations about tomorrow are associated with emotional experiences the following day, mediated by the preceding night's sleep. Data were from 141 full-time nurses, utilizing a 14-day ecological momentary assessment combined with actigraphy sleep monitoring. Each evening, participants rated the anticipated pleasantness or stressfulness of the following day. Each morning, participants reported on their previous night's sleep. Additionally, participants reported their momentary positive affect (PA) and negative affect (NA) three times per day, with daily averages computed. Multilevel mediation models, adjusted for sociodemographics, work shift, workday, and previous day's affect, revealed that days following more stress anticipations were associated with reduced PA and increased NA. Conversely, days following more pleasantness anticipations were associated with increased PA and decreased NA. These within-person associations were mediated by self-reported time-in-bed, sufficiency, and quality, such that less stressful and more pleasant anticipations were associated with better sleep, and better sleep was subsequently associated with increased PA and decreased NA. No mediation was found by the actigraphy sleep parameters. Findings suggest that emotional states may covary not only with present stimuli but also with anticipation of future events and subjective sleep recovery in the context of those anticipations.

Perceived effects of residential design on mental well-being: A quasi-experimental study of the University of Michigan's Munger graduate residences

IntroductionResearch documents effects of residential settings on mental well-being (MWB), yet studies on graduate student housing and MWB are scarce. The University of Michigan's (UM) Munger Graduate Residences (“Munger”) building, located in Ann Arbor, Michigan, USA, offers students a central campus housing location, generous common areas, and residential units containing shared living spaces for six or seven residents who each receive their own private bedroom and bathroom. Of the building's 631 bedrooms, 87% do not have windows. MethodsThis quasi-experimental, multi-method study compared Munger (n = 124) and non-Munger (n = 132) graduate student residents’ self-reported MWB, identified design elements residents perceived to affect MWB, and explored how these design elements influenced MWB according to residents. A questionnaire was distributed virtually to 2295 UM graduate students (618 Munger residents, 1677 living elsewhere, locally) that consisted of an existing MWB scale (three subscales: Attentional Function Index, Positive and Negative Affect Scale, and Social Connectedness Scale) and open-ended questions about design elements and MWB. MWB scale and subscale scores were compared for the 256 completed (of 447) responses using multiple linear regression, accounting for demographic, academic, and residential characteristics. Quantitative content analysis of 236 complete open-ended responses was used to identify and compare frequencies of design elements associated with MWB. Design elements most frequently associated with MWB were further analyzed using qualitative content analysis to understand how residents perceived design to affect MWB. ResultsWhen compared to non-Munger residents, Munger residents reported significantly lower MWB (p < .001), attentional function (p = .004), positive and negative affect (p = .001), and social connectedness (p = .002). Content analyses revealed 13 design element categories residents perceived to influence MWB. Positive MWB effects were reported for Munger's amenities and non-Munger units' amount of space for privacy and interaction. Munger residents reported more negative and fewer positive MWB effects of design than non-Munger residents. Although design elements reported to negatively affect MWB across groups primarily related to poor indoor environmental quality and control (e.g., lighting, temperature, ventilation) and social control over privacy and interaction, 75.9% of Munger (vs. 0%, non-Munger) residents reported that windowless bedrooms negatively affected MWB. ConclusionsAccording to residents, Munger's generous shared amenities and naturally lit common areas did not compensate for perceived negative MWB effects of windowless private bedrooms, inadequate indoor environmental quality, inability to control lighting, temperature, and ventilation, and high-density living with randomly-assigned roommates. Study findings have implications for designers, planners, developers, and policy makers working with future graduate student and multi-unit housing, as well as recommendations for existing housing management to support MWB.

Trajectories of depressive symptoms and subjective well-being before and after the onset of the COVID-19 pandemic: Two six-year longitudinal studies

Previous research investigated the trajectories of mental health and well-being during and after the onset of the COVID-19 pandemic. However, less is known about the trajectories of mental health and well-being before, during, and two years after the onset of the pandemic. The aim of the current study was to investigate the trajectory of depression symptoms and subjective well-being (i.e., life satisfaction and positive and negative affect) trajectories over six time points (2017–2022), three before the pandemic and three after the onset of the pandemic. To increase the robustness of our overall conclusions and avoid reliance on data from only one country, we used data from two nationwide representative longitudinal surveys conducted in Germany (GESIS Panel study; N = 5184) and Switzerland (Swiss Household Panel study; N = 17,074). Using covariance pattern mixture models, the results revealed that a four-class model best fit the data. The Stable/resilient trajectory was the most common across outcomes (74.2%–90.1% of participants). Three additional trajectories of Chronic/Low, Upright U-shaped, and Inverted U-shaped emerged in the analysis of negative affect and depression symptoms, while distinct trajectory classes of Worsening, Improving/Stable, and Upright U-shaped also emerged for analyses of positive affect and life satisfaction shaped. In conclusion, there was no evidence of a long-term impact of the pandemic for the vast majority of participants (about 90%). For the remaining participants, the COVID-19 pandemic (along with its exceptional circumstances) was a turning point or a catalyst that reversed, accelerated, or flattened a pre-pandemic trend. These changes in trends were not only negative (e.g., greater depression symptoms), but also positive (e.g., less depression symptoms).

Effects of a Single Session of Mindfulness and Compassion on Skin Temperature in Breast Cancer Survivors.

Previous studies have suggested that mindfulness programs can be useful, in a significant sector of the population, to reduce stress when practiced for at least 8 weeks. The objective of the present investigation was to explore the effect of a single session of mindfulness practice in reducing stress in female cancer survivors. Two repeated measures studies were applied; in the first one, it was performed individually, while in the second one, it was performed in a group. Psychosocial measures were administered, and skin temperature was recorded as a marker of autonomic nervous activity. The results indicate that only when the mindfulness exercise was presented did the skin temperature increase (p < 0.05), with a large effect size (d > 0.8) during compassion, suggesting sympathetic decline. Furthermore, the psychosocial functioning of the group of female cancer survivors was like that of the non-clinical population. The data are discussed in the context of Polyvagal Theory, a theoretical model of biopsychosocial functioning, and evidence is provided on the effect of mindfulness and compassion on reducing stress and inducing positive affect in female cancer survivors.

A Critical Analysis of Impact of Sleep Deprivation on Emotional Regulation

Purpose: The objective of this paper is to understand the impact of Sleep deprivation on emotional well-being in adolescents. A prevalent issue in modern society, has significant implications for emotional regulation. This study examines the impact of sleep deprivation on emotional processes, highlighting the relationship between inadequate sleep and emotional instability. Methodology: Using a mixed-methods approach, Data was analyzed both quantitative from sleep assessments and emotional response tests, and qualitative data from participant interviews. The data was analyzed using the descriptive statistics. Findings: Results indicate that individuals experiencing sleep deprivation exhibit heightened emotional reactivity, diminished positive affect, and impaired emotional recognition and regulation capabilities. Furthermore, chronic sleep deprivation exacerbates stress and anxiety levels, contributing to long-term emotional dysregulation. These findings emphasized the necessity of adequate sleep for maintaining emotional health and informed interventions aimed at mitigating the adverse effects of sleep deprivation on emotional well-being. Unique Contribution to Theory, Practice and Policy: Future research should explore the minimizing of these effects and develop strategies to promote better sleep hygiene and emotional resilience.

Patient-Reported Preoperative Depression as a Predictor of Psychosocial Outcomes After Gender-Affirming Facial Feminization Surgery.

To understand psychosocial functioning before and after gender-affirming facial feminization surgery (FFS) as well as identify predictors of postoperative psychosocial functioning. Few investigations have rigorously explored the impact of gender-affirming FFS on psychosocial functioning in transgender and gender non-binary (TGNB) individuals. This knowledge gap hinders the identification of methods to optimize mental health quality-of-life outcomes after FFS and carries repercussions for access to care. Adult TGNB participants awaiting gender-affirming FFS were prospectively enrolled and administered Patient-Reported Outcomes Measurement Information System (PROMIS) instruments assessing anxiety, anger, depression, global mental and physical health, positive affect, emotional support, social isolation, companionship, and meaning and purpose before and 3-6 months after FFS. Paired t-tests compared pre- and postoperative scores. Multivariable linear models identified predictors of postoperative psychosocial outcomes. Among the domains, psychosocial scores improved for anxiety, depression, global mental health, social isolation, and positive affect after FFS. When accounting for potential variables contributing to postoperative psychosocial scores including other gender-affirming surgeries, hormone therapy duration, and private versus public insurance type, we found that preoperative depression scores independently predicted the variance in all other postoperative scores with global mental health (β=-0.52, 95%CI -0.58--0.31 P<0.001), anxiety (β=0.40, 95% CI 0.21-0.51, P<0.001), and meaning and purpose (β=-0.52, 95% CI -0.78--0.42 P<0.001) as the strongest models. This study suggests that gender-affirming FFS improves psychosocial functioning; however, such improvements are highly influenced by the baseline psychological functioning of each individual. These findings indicate that preoperative psychological functioning may be a potential avenue for improving outcomes after FFS via perioperative psychological interventions.