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Background: Loneliness has been linked to an increased risk of sleep problems. Past research has largely relied on trait loneliness or daily recall loneliness when evaluating associations with sleep., Objective: The present study extended this work by evaluating the patterns of loneliness throughout the day, including a daily average of all reports, a maximum value, and daily variation. These loneliness patterns predicted daily subjective and objective sleep measures to evaluate whether they provide unique insight to this relationship., Methods: Undergraduate students (n = 71; 77% female; age 18-28) completed 2weeks of electronic surveys 4 times a day to assess loneliness. Each morning participants completed a diary of their prior night's sleep quality, as well as wore actigraphy devices to objectively assess sleep parameters. A total of 778 momentary surveys and 565days of actigraphy-assessed sleep data were collected. Multilevel models tested whether within-person daily aggregates of loneliness were associated with within-person daily sleep outcome variables., Results: Subjective sleep duration, quality, and fatigue were significantly predicted by daily average loneliness. Subjective sleep latency, quality, and fatigue were significantly predicted by daily max loneliness. Only fatigue was significantly predicted by daily loneliness variability. No objective sleep measures were significantly predicted by daily loneliness measures., Conclusions: Patterns of daily loneliness focusing on central tendency (average) or intensity (max) were more consistently associated with subjective (but not objective) assessments of sleep than variability., Competing Interests: Declaration of conflicts of interest The authors have no conflicts of interest to declare., (Copyright © 2024 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.)

Stress forecasting is the cognitive process of anticipating and preparing to respond to future stress experiences based on one's own perceived future stress. Though it may seem intuitive that stress forecasting predicts stress, competing theories exist that indicate the relationship is not so inherent. In this paper we conducted two studies which both examine the relationships between stress forecasting and day stress, examining two different stress domains (appraisal and coping). Participants in Study 1 (n = 143 working adults) and Study 2 (n = 60 undergraduate students) completed 4 and 14 days, respectively, of ecological momentary assessment reports of stress appraisal forecasting, stress coping forecasting, stress appraisal reports, and stress coping reports, for a combined total of 5280 completed assessments. Exploratory analysis in Study 2 examined the importance of morning forecast discrepancy in relation to evening recalls of day stress. Results indicate that within domain (e.g., stress appraisal to appraisal reports), or domain specific, stress forecasting is predictive of day stress, and that across domains (e.g., stress appraisal to coping reports), or domain crossover, was consistent between stress appraisal forecasting and stress coping reports. Results suggest that magnitude of bias and day outlook (i.e., being either optimistic or pessimistic) about one's coping ability matters for day stress outcomes. Findings have implications for developing challenge-based thinking interventions and further understanding cognitive processes for building stress management strategies., (© 2023 The Authors. Stress and Health published by John Wiley & Sons Ltd.)

Stress is multidimensional, including exposure, subjective appraisals, perceived coping, rumination, and worry. Although research has shown each dimension can predict poor social, emotional, and subjective well-being, rarely have these dimensions of stress been compared as one is experiencing stress. This paper used ecological momentary assessment (EMA) to repeatedly measure stress dimensions and self-reported health to test whether each stress dimension has a unique relationship with well-being over time at the between-person and within-person levels. Participants (n = 165, 79.6% female) were Hispanic undergraduates, who completed EMAs twice a day for 14 consecutive days, resulting in 3,436 EMAs and 1,987 morning sleep observations. At each EMA, participants reported on the dimensions of stress, feelings of loneliness and belongingness (social well-being), levels of sadness, happiness, and anxiety (emotional well-being), and how healthy they felt (subjective well-being). Sleep quality and duration (subjective well-being) were assessed each morning. Multilevel models revealed few relationships at the between-person level. At the within-person level, appraisals, coping, rumination, and worry consistently predicted social, emotional, and subjective well-being. Lagged analyses suggested some relationships for appraisal, coping, and worry. Results suggest the importance of measuring stress in a multidimensional capacity and examining associations with well-being across multiple health facets., (© 2021 John Wiley & Sons Ltd.)

Previous research suggests that affectionate touch such as hugs might downregulate stress systems such as the hypothalamic pituitary adrenal (HPA) axis. However, the current literature lacks in generalizability beyond the laboratory setting and outside the context of romantic relationships. The cortisol awakening response (CAR) is a measure of the HPA axis and is responsive to daily fluctuations in stress and social information. However, associations between affectionate touch and the CAR have never been assessed. This study used ecological momentary assessment (EMA) to measure daily hugging behaviors in 104 first-year college students and salivary cortisol to assess the CAR. Participants who reported more daily hugs in their social interactions had significantly smaller CARs the next morning compared to days they reported fewer hugs. This study contributes to the literature on social interactions and stress responsive systems and emphasizes the importance of assessing affectionate touch behaviors such as hugs that can be exchanged outside the context of romantic relationships.

Repeated assessments in everyday life enables collecting ecologically valid data on dynamic, within-persons processes. These methods have widespread utility and application and have been extensively used for the study of stressors and stress responses. Enhanced conceptual sophistication of characterizing intraindividual stress responses in everyday life would help advance the field. This article provides a pragmatic overview of approaches, opportunities, and challenges when intensive ambulatory methods are applied to study everyday stress responses in "real time." We distinguish between three stress-response components (i.e., reactivity, recovery, and pileup) and focus on several fundamental questions: (a) What is the appropriate stress-free resting state (or "baseline") for an individual in everyday life? (b) How does one index the magnitude of the initial response to a stressor (reactivity)? (c) Following a stressor, how can recovery be identified (e.g., when the stress response has completed)? and (d) Because stressors may not occur in isolation, how can one capture the temporal clustering of stressors and/or stress responses (pileup)? We also present initial ideas on applying this approach to intervention research. Although we focus on stress responses, these issues may inform many other dynamic intraindividual constructs and behaviors (e.g., physical activity, physiological processes, other subjective states) captured in ambulatory assessment.

BackgroundResearch pairing ecological momentary assessment (EMA) methodology and ambulatory cortisol during daily life is still rare, as is careful testing of the within-person associations between stress, affect, and cortisol. Using a circumplex approach, we considered both valence and arousal components of affect.PurposeTo examine the within-person covariation of momentary cortisol with momentary perceived stress, affective valence, and affective arousal in everyday life.Methods115 working adults (Mage = 41.2; 76% women; 76% white) completed six EMA surveys per day over 3 days. Each assessment included reports of perceived stress and affect (used to construct indicators of affective valence and arousal), followed by a saliva sample (from which cortisol was assessed). Multi-level models were used to examine the momentary associations between perceived stress, affective valence, affective arousal, and cortisol.ResultsMoments characterized by higher perceived stress were associated with higher cortisol (p = .036). Affective valence covaried with cortisol (p = .003) such that more positive valence was associated with lower cortisol and more negative valence with higher cortisol. Momentary affective arousal was not related to cortisol (p = .131). When all predictors were tested in the same model, only valence remained a significant predictor of cortisol (p = .047).ConclusionMomentary perceived stress and affective valence, but not affective arousal, were associated with naturalistic cortisol. Cortisol was more robustly associated with affective valence than perceived stress or affective arousal. These findings extend our understanding of how moments of stress and particular characteristics of affective states (i.e., valence but not arousal) may "get under the skin" in daily life.

Sleep problems and poorer well-being may be particularly salient for Latino/a college students as they tend to experience sociocultural adjustments during this transitory time. Social connections, a correlate of health, change moment-to-moment for college students and may be experienced differently for people who more strongly endorse horizontal collectivist cultural values. We used ecological momentary assessment (EMA) to examine how in-the-moment social connections influence in-the-moment health, and how horizontal collectivism moderates the moment-to-moment associations. Self-identified Latino/a college students (n = 221) completed a demographic information and cultural values questionnaire and then responded to EMA measures on their social connections, affective and subjective well-being, and sleep for 14 consecutive days. Better in-the-moment social connections associated with better health. Horizontal collectivism moderated some, but not all associations between social connections and health. Social connections are multidimensional and differently predict in-the-moment health among Latino/a college students who more strongly endorse horizontal collectivistic values. We discuss implications for identifying vulnerable well-being moments among this understudied population.

The experience of naturally-occurring stress in daily life has been linked with lower physical activity levels. However, most of this evidence comes from general and static reports of stress. Less is known how different temporal components of everyday stress interfere with physical activity. In a coordinated secondary analysis of data from two studies of adults, we used intensive, micro-longitudinal assessments (ecological momentary assessments, EMA) to investigate how distinct components of everyday stress, that is, reactivity to stressor events, recovery from stressor events, and pileup of stressor events and responses predict physical activity. Results showed that components of everyday stress predicted subsequent physical activity especially for indicators of stress pileup. In both studies, the accumulation of stress responses over the previous 12 h was more predictive of subsequent physical activity than current stress reactivity or recovery responses. Results are compared to the effects of general measures of perceived stress that showed an opposite pattern of results. The novel everyday stress approach used here may be fruitful for generating new insights into physical activity specifically and health behaviors in general.

Although stress is a common experience in everyday life, a clear understanding of how often an individual experiences and reports stress is lacking. Notably, there is little information regarding factors that may influence how frequently stress is reported, including which stress dimension is measured (i.e., stressors-did an event happen, subjective stress-how stressed do you feel, conditional stress-how stressful a stressor was) and the temporal features of that assessment (i.e., time of day, day of study, weekday vs. weekend day). The purpose of the present study was to conduct a coordinated analysis of five independent ecological momentary assessment studies utilizing varied stress reporting dimensions and temporal features. Results indicated that, within days, stress was reported at different frequencies depending on the stress dimension. Stressors were reported on 15-32% of momentary reports made within a day; across days, the frequency ranged from 42 to 76% of days. Depending on the cutoff, subjective stress was reported more frequently ranging about 8-56% of all moments within days, and 40-90% of days. Likewise, conditional stress ranged from just 3% of moments to 22%, and 11-69% of days. For the temporal features, stress was reported more frequently on weekdays (compared to weekend days) and on days earlier in the study (relative to days later in the study); time of day was inconsistently related to stress reports. In sum, stress report frequency depends in part on how stress is assessed. As such, researchers may wish to measure stress in multiple ways and, in the case of subjective and conditional stress with multiple operational definitions, to thoroughly characterize the frequency of stress reporting.

Advancing age is often characterized by preserved or even enhanced emotion regulation, which is thought to manifest in terms of age-related reductions in the within-person association between stressors and negative affect. Existing research from ecological momentary assessment and end-of-day daily diary studies examining such age-related benefits have yielded mixed results, potentially due to differences in samples, design, and measurement of everyday stressors and negative affect. We conducted a coordinated analysis of 5 ecological momentary assessments and 2 end-of-day daily diary studies to examine adult age differences in the within-person association between everyday stressors and negative affect. Reported stressor occurrences are robustly associated with higher negative affect, regardless of study design and sample characteristics. Across studies, interactions between age and everyday stressors predicting negative affect revealed a pattern of age-related decreases in the stressor-negative affect association, but this interaction was only significant for 2 studies. Further, examination of statistical power of the included studies suggests that, despite differences in the number of repeated assessments, power to detect within-person stressor-negative affect associations is quite good. In contrast, despite possessing wider age ranges, observed age differences were relatively small in magnitude, and studies are potentially underpowered to detect age differences in these within-person associations. We discuss the importance of study design, interval of repeated assessments and number of participants for examining age differences in everyday stressors and negative affect, as well as the virtue of coordinated analyses for detecting consistent direction of associations, but inconsistent patterns of statistical significance. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

It is well established that individuals who engage in more positive social interactions report a broad array of benefit relative to those with fewer positive social interactions. Yet less is known about how, within individuals, naturally occurring social interactions in daily life relate to momentary indicators of health (e.g., mood, psychological, and physiological stress). The current study used ecological momentary assessment (EMA) to examine these within-person relationships, as well as complementary between-person relationships, among 115 adults (75% female; Mage = 41.21). Participants completed six EMA surveys per day for 3 days to report on whether they experienced any social interactions and whether the interactions were pleasant as well as on their mood, pain, tiredness, interest, and perceived stress; they also provided a salivary cortisol sample after each EMA survey. Multilevel modeling analyses showed that individuals felt more happiness and interest, and less sadness, tiredness, and pain, during moments when they were engaged in a social interaction versus when they were not. Individuals also reported less stress during more pleasant versus less pleasant social interactions. When examining between-person effects, we found evidence that people who gave more pleasant interactions generally reported more positive outcomes. This study presents evidence for intraindividual links between social interactions and momentary health indicators in daily life.

Stress is an established risk factor for negative health outcomes, and responses to everyday stress can interfere with health behaviors such as exercise and sleep. In accordance with the Science of Behavior Change (SOBC) program, we apply an experimental medicine approach to identifying stress response targets, developing stress response assays, intervening upon these targets, and testing intervention effectiveness. We evaluate an ecologically valid, within-person approach to measuring the deleterious effects of everyday stress on physical activity and sleep patterns, examining multiple stress response components (i.e., stress reactivity, stress recovery, and stress pile-up) as indexed by two key response indicators (negative affect and perseverative cognition). Our everyday stress response assay thus measures multiple malleable stress response targets that putatively shape daily health behaviors (physical activity and sleep). We hypothesize that larger reactivity, incomplete recovery, and more frequent stress responses (pile-up) will negatively impact health behavior enactment in daily life. We will identify stress-related reactivity, recovery, and response in the indicators using coordinated analyses across multiple naturalistic studies. These results are the basis for developing a new stress assay and replicating the initial findings in a new sample. This approach will advance our understanding of how specific aspects of everyday stress responses influence health behaviors, and can be used to develop and test an innovative ambulatory intervention for stress reduction in daily life to enhance health behaviors.

Global life satisfaction has been linked with long-term health advantages, yet how life satisfaction impacts the trajectory of long-term health is unclear. This paper examines one such possible mechanism-that greater life satisfaction confers momentary benefits in daily life that accumulate over time. A community sample of working adults (n = 115) completed a measure of life satisfaction and then three subsequent days of ecological momentary assessment surveys (6 times/day) measuring affect (i.e., emotional valence, arousal), and perceived stress, and also provided salivary cortisol samples. Multilevel models indicated that people with higher (vs. lower) levels of life satisfaction reported better momentary affect, less stress, marginally lower momentary levels and significantly altered diurnal slopes of cortisol. Findings suggest individuals with high global life satisfaction have advantageous daily experiences, providing initial evidence for potential mechanisms through which global life satisfaction may help explain long-term health benefits.

Stress forecasting is the cognitive process of anticipating and preparing to respond to future stress experiences based on one's own perceived future stress. Though it may seem intuitive that stress forecasting predicts stress, competing theories exist that indicate the relationship is not so inherent. In this paper we conducted two studies which both examine the relationships between stress forecasting and day stress, examining two different stress domains (appraisal and coping). Participants in Study 1 (n = 143 working adults) and Study 2 (n = 60 undergraduate students) completed 4 and 14 days, respectively, of ecological momentary assessment reports of stress appraisal forecasting, stress coping forecasting, stress appraisal reports, and stress coping reports, for a combined total of 5280 completed assessments. Exploratory analysis in Study 2 examined the importance of morning forecast discrepancy in relation to evening recalls of day stress. Results indicate that within domain (e.g., stress appraisal to appraisal reports), or domain specific, stress forecasting is predictive of day stress, and that across domains (e.g., stress appraisal to coping reports), or domain crossover, was consistent between stress appraisal forecasting and stress coping reports. Results suggest that magnitude of bias and day outlook (i.e., being either optimistic or pessimistic) about one's coping ability matters for day stress outcomes. Findings have implications for developing challenge‐based thinking interventions and further understanding cognitive processes for building stress management strategies. [ABSTRACT FROM AUTHOR]

This paper asks whether workers with higher socioeconomic status (SES) experience different levels of stress at work than workers with lower SES and, if so, what might explain these differences. We collected innovative assessments of immediate objective and subjective measures of stress at multiple time points across consecutive days from 122 employed men and women. We find that in comparison to higher SES individuals, those with lower SES reported greater happiness at work, less self-reported stress, and less perceived stress; cortisol, a biological marker of stress, was unrelated to SES. Worker's momentary perceptions of the workplace were predicted by SES, with higher SES individuals more commonly reporting feeling unable to meet work demands, fewer work resources, and less positive work appraisals. In turn, perceptions of the workplace had a generally consistent and robust effect on positive mood, subjective stress, and cortisol.

BackgroundAlthough a relationship between mood and pain has been established cross-sectionally, little research has examined this relationship using momentary within-person data.PurposeWe examined whether baseline depressive symptoms and within-person levels of negative and positive mood predicted momentary pain among 31 individuals with rheumatoid arthritis (RA).MethodsDepressive symptomatology was measured at baseline. Mood and RA symptoms were self-reported via ecological momentary assessment five times a day for seven consecutive days. Analyses controlled for gender, age, weekend day, time of day, and experiences of stress.ResultsGreater momentary positive mood was associated with less momentary pain and fewer arthritis-related restrictions; negative mood was associated with more restrictions. Greater depressive symptomatology also predicted more pain and restrictions, an effect which was not accounted for by mood.ConclusionsResults suggest that both depression and mood are uniquely associated with momentary pain; as such, multi-component interventions may provide optimal disease management.

BackgroundEngagement in leisure has a wide range of beneficial health effects. Yet, this evidence is derived from between-person methods that do not examine the momentary within-person processes theorized to explain leisure's benefits.PurposeThis study examined momentary relationships between leisure and health and well-being in daily life.MethodsA community sample (n = 115) completed ecological momentary assessments six times a day for three consecutive days. At each measurement, participants indicated if they were engaging in leisure and reported on their mood, interest/boredom, and stress levels. Next, participants collected a saliva sample for cortisol analyses. Heart rate was assessed throughout the study.ResultsMultilevel models revealed that participants had more positive and less negative mood, more interest, less stress, and lower heart rate when engaging in leisure than when not.ConclusionsResults suggest multiple mechanisms explaining leisure's effectiveness, which can inform leisure-based interventions to improve health and well-being.

ObjectiveSocial support has been linked to beneficial effects on health directly (main effect) and as a buffer to stress. Most research, however, has examined these relationships using global and retrospective assessments of health and stress, which may be subject to recall biases. This study used ambulatory ecological momentary assessment (EMA) methods to test the main and stress-buffering effects of social support on the daily health and well-being of asthma and rheumatoid arthritis (RA) patients.DesignCommunity volunteers with asthma (n = 97) or RA (n = 31) responded to EMA prompts five times daily for one week.Main outcomesBaseline perceived social support was obtained, and then, participants reported mood, stress and symptoms using EMA. Multilevel mixed-modelling examined whether social support predicted mood and symptoms directly or via stress-reducing effects.ResultsSupporting a main effect, more perceived social support predicted decreased negative mood and stress severity. Supporting a stress-buffering effect, more perceived social support resulted in fewer reported symptoms when stress was present.ConclusionResults suggest perceived social support directly relates to better ambulatory status and dynamically buffers individuals against the negative effects of stressors, and highlight the importance of studying social support across different temporal and contextual levels.

Theoretical work proposes that acceptance, attention monitoring, decentering, self-compassion, and nonreactivity are mechanisms that explain beneficial effects of mindfulness training. Yet, whether these mechanisms represent independent constructs and whether they naturally vary within person is unclear. This study examined whether mindfulness mechanisms represent independent constructs that naturally fluctuate within a person over time, and whether these fluctuations differentially relate to negative emotions. A sample of university staff employees (n = 143; 74.8% female; M ± SDage = 38.2 ± 10.9; 53.8% White) reported on mindfulness mechanisms and negative emotions five times a day for four days for a total of 2,122 assessments. Four distinct mechanisms emerged – acceptance-attention, decentering, self-compassion, nonreactivity – that exhibit substantial moment-to-moment variation. Greater acceptance-attention, self-compassion, and nonreactivity were associated with lower negative emotions; greater decentering was associated with higher negative emotions when examined concurrently with the other mechanisms. The unique associations of all mindfulness mechanisms with negative emotions, combined with their high levels of variability from moment to moment, suggest their potential as targets for mindfulness interventions to improve emotional well-being. [ABSTRACT FROM AUTHOR]

Background Negative interpersonal interactions are associated with acute increases in ambulatory blood pressure (ABP). Yet, the mechanisms underlying this relationship are unclear. Purpose This study tested whether negative interpersonal interactions predict higher ABP both in the moment and during subsequent observations, and whether increases in negative mood mediate these relations. These associations were tested among Black and Hispanic urban adults who may be at higher risk for negative interpersonal interactions as a function of discrimination. Race/ethnicity and lifetime discrimination were tested as moderators. Methods Using a 24-hr ecological momentary assessment (EMA) design, 565 Black and Hispanic participants (aged 23–65, M = 39.06, SD = 9.35; 51.68% men) had their ABP assessed every 20 min during daytime accompanied by an assessment of negative interpersonal interactions and mood. This produced 12,171 paired assessments of ABP and self-reports of participants' interpersonal interactions, including how much the interaction made them feel left out, harassed, and treated unfairly, as well as how angry, nervous, and sad they felt. Results Multilevel models revealed that more intense negative interpersonal interactions predicted higher momentary ABP. Mediation analyses revealed that increased negative mood explained the relationship between negative interpersonal interactions and ABP in concurrent and lagged analyses. Discrimination was associated with more negative interpersonal interactions, but neither race/ethnicity nor lifetime discrimination moderated findings. Conclusions Results provide a clearer understanding of the psychobiological mechanisms through which interpersonal interactions influence cardiovascular health and may contribute to health disparities. Implications include the potential for just-in-time interventions to provide mood restoring resources after negative interactions. [ABSTRACT FROM AUTHOR]

Objective: Changes in surroundings and social relationships may heighten feelings of loneliness, suggesting the need to measure as a state. This study tested whether loneliness fluctuates within and across days and the resultant associations with psychological distress. Further it tested familism as a moderator as endorsing this cultural value may buffer the negative effects of state loneliness. Participants: Participants (n = 220) were Latinx undergraduate students. Methods: Students reported their loneliness levels and psychological distress twice a day for two weeks using an ecological momentary assessment approach. Results: Results showed that experiencing a higher than usual level of loneliness predicted greater sadness, stress, and anxiety at both the moment-to-moment and day-to-day level. Familism, measured at baseline, only moderated the relationship between loneliness and sadness. Conclusions: The findings suggest being in a lonely moment may lead to the initiation or amplification of psychological distress immediately and the effects may linger over the day. Supplemental data for this article can be accessed online at https://doi.org/10.1080/07448481.2021.1927051 [ABSTRACT FROM AUTHOR]

Background Anxiety, anger, and sadness are related to elevated ambulatory blood pressure (ABP), yet it is unclear whether each emotion exerts unique effects. Moreover, an understanding of who might be most susceptible to the negative effects of these emotions is limited, with the trait tendency to experience them or one's race as potential moderators. Purpose The study examined the potential for differential effects of momentary anxiety, anger, and sadness on ABP. The study assessed whether a trait tendency to experience these negative emotions and/or race (Black vs. non-Black) would moderate these relationships. Methods Participants (n = 153) completed trait anxiety, anger, and depressive symptoms measures at baseline. ABP was collected over two 24-hour periods 3–4 months apart. Momentary measures of anxiety, anger, and sadness were assessed via ecological momentary assessment (EMA) after each ABP reading. Results Momentary anxiety consistently predicted diastolic blood pressure but not systolic blood pressure. Momentary anger and sadness did not predict blood pressure (BP). Conditional effects were found with momentary anxiety and anger predicting elevated BP in those individuals with trait anxiety/anger at its mean. Trait anxiety and depression consistently predicted heightened BP in Black participants. Trait anger did not moderate the relationships between negative emotions and ABP. Conclusions Findings suggest that momentary anxiety and anger should be given attention as potential risk factors for hypertension and highlight the unique perspective of EMA methods. Black participants who were more anxious and depressed experienced heightened BP, with anxiety and depression providing possible intervention targets in improving racial disparities in cardiovascular health. [ABSTRACT FROM AUTHOR]

Caregivers to Alzheimer's patients are at risk for depression, partly due to restriction of self-oriented activities. This study tested if having more diversity in activities, doing activities more frequently, and/or engaging in more social or active activities predicted less negative and more positive affect. Caregivers (n = 25) completed an ecological momentary assessment questionnaire four times a day for two weeks – a total of 1,298 assessments – measuring engagement in self-oriented activities and affect at each assessment. Multilevel models revealed that more diversity in activities and more frequent engagement predicted better affect, particularly social activities. Bidirectional relationships were observed in which positive and negative affect carried forward to predict more subsequent activity engagement, particularly active activities. The reciprocal relationship between self-oriented activities and affect provides support for the Activity Restrictions Model for how depression develops in caregivers, and the potential for Behavioral Activation Therapy to reduce depressive mood. [ABSTRACT FROM AUTHOR]

Tremendous interest exists in the use of brief digital "micro-interventions" for online and mobile intervention. Most digital micro-interventions, however, lack a strong theoretical or empirical basis and have not demonstrated efficacy and acceptability. We developed a suite of brief digital stress management micro-interventions based on theory and empirical evidence and tested the efficacy and acceptability of these micro-interventions in managing stress, mood, and perseverative cognition. Participants were 1,050 US adults (ages 35-65) in good health who received digital micro-intervention content (or comparison content) and then completed post-intervention measures and acceptability ratings. We created 16 brief (<2 min) micro-interventions across four therapeutic domains (relaxation, response modulation, positive experiences, and resource buffers) and a brief active comparison activity. We also created one multi-component micro-intervention (∼20 min) that contained elements of all four domains, and a time-matched active comparison activity. A subset (n=850) of participants received one of the 16 brief micro-interventions or a brief comparator; the remainder (n=200) received either the longer multi-component micro-intervention or the time-matched active comparator task. All micro-intervention stress management content reduced acute stress, negative mood, and perseverative cognitions. For all outcomes, the multi-component intervention showed the strongest effects. Active comparator tasks were more weakly associated with outcomes (except that brief distraction was highly effective at reducing perseverative cognitions). Micro-intervention acceptability was generally high across multiple dimensions. These data demonstrate that a diverse set of 16 brief digital micro-interventions comparison activity were efficacious, and an integrative multi-component micro-intervention was more efficacious. Such micro-interventions hold great potential for scalable digital implementation, including "just-in-time" intervention in response to acute risk states. [ABSTRACT FROM AUTHOR]

• People tend to experience negative emotions when mind wandering. • Our dispositional emotionality shapes the emotional experience we have during mind wandering moments. • There is specificity with emotions felt and dispositions while mind wandering. • Personality had some moderating effects on mind wandering and momentary emotions. This study tested whether dispositional emotionality and personality traits moderated the emotion a person experienced when engaging in mind wandering. Participants (n = 264) completed measures of dispositional emotionality and personality. Then on two separate days they completed a 24-hour ecological momentary assessment protocol, responding every 30 min during wake times if they were mind wandering, and how angry, sad, anxious, and happy they felt, for a total of 8,530 assessments. Using multilevel models, we found the following when mind wandering versus not: trait anger predicted more anger, depressive symptomatology more sadness, openness to experience less sadness, neuroticism more anger, and conscientiousness less happiness. Results indicate a synchrony between emotions experienced while mind wandering to one's dispositional emotionality and personality. [ABSTRACT FROM AUTHOR]

Stress is multidimensional, including exposure, subjective appraisals, perceived coping, rumination, and worry. Although research has shown each dimension can predict poor social, emotional, and subjective well‐being, rarely have these dimensions of stress been compared as one is experiencing stress. This paper used ecological momentary assessment (EMA) to repeatedly measure stress dimensions and self‐reported health to test whether each stress dimension has a unique relationship with well‐being over time at the between‐person and within‐person levels. Participants (n = 165, 79.6% female) were Hispanic undergraduates, who completed EMAs twice a day for 14 consecutive days, resulting in 3,436 EMAs and 1,987 morning sleep observations. At each EMA, participants reported on the dimensions of stress, feelings of loneliness and belongingness (social well‐being), levels of sadness, happiness, and anxiety (emotional well‐being), and how healthy they felt (subjective well‐being). Sleep quality and duration (subjective well‐being) were assessed each morning. Multilevel models revealed few relationships at the between‐person level. At the within‐person level, appraisals, coping, rumination, and worry consistently predicted social, emotional, and subjective well‐being. Lagged analyses suggested some relationships for appraisal, coping, and worry. Results suggest the importance of measuring stress in a multidimensional capacity and examining associations with well‐being across multiple health facets. [ABSTRACT FROM AUTHOR]

Stress is an established risk factor for negative health outcomes, and responses to everyday stress can interfere with health behaviors such as exercise and sleep. In accordance with the Science of Behavior Change (SOBC) program, we apply an experimental medicine approach to identifying stress response targets, developing stress response assays, intervening upon these targets, and testing intervention effectiveness. We evaluate an ecologically valid, within-person approach to measuring the deleterious effects of everyday stress on physical activity and sleep patterns, examining multiple stress response components (i.e., stress reactivity, stress recovery, and stress pile-up) as indexed by two key response indicators (negative affect and perseverative cognition). Our everyday stress response assay thus measures multiple malleable stress response targets that putatively shape daily health behaviors (physical activity and sleep). We hypothesize that larger reactivity, incomplete recovery, and more frequent stress responses (pile-up) will negatively impact health behavior enactment in daily life. We will identify stress-related reactivity, recovery, and response in the indicators using coordinated analyses across multiple naturalistic studies. These results are the basis for developing a new stress assay and replicating the initial findings in a new sample. This approach will advance our understanding of how specific aspects of everyday stress responses influence health behaviors, and can be used to develop and test an innovative ambulatory intervention for stress reduction in daily life to enhance health behaviors. [ABSTRACT FROM AUTHOR]