When does activism benefit well-being? Evidence from a longitudinal study of Clinton voters in the 2016 U.S. presidential election

Contrary to the expectations of many, Hillary Clinton lost the 2016 U.S. presidential election. The initial shock to her supporters turned into despair for most, but not everyone was affected equally. We draw from the literature on political activism, identity, and self-other overlap in predicting that not all Clinton voters would be equivalently crushed by her loss. Specifically, we hypothesize that pre-election measures of political activism, and level of self-other identification between participants and Clinton-that is, how much a person was "with her"-will interact to predict the level of distress of Clinton voters two months later. Longitudinal data support our hypothesis. Notably, among Clinton voters, greater activism negatively predicted depressive symptoms, and positively predicted sleep quality, but only when participants were highly identified with Clinton. We discuss the implications of the results for theory and research on social action and well-being

Everyday co-presence with a romantic partner is associated with lower C-reactive protein

Social relationships are an important driver of health, and inflammation has been proposed as a key neurobiological mechanism to explain this effect. Behavioral researchers have focused on social relationship quality to further explain the association, yet recent research indicates that relationship quality may not be as robust a predictor as previously thought. Here, building on animal models of social bonds and recent theory on close relationships, we instead investigated merely being in the physical presence of one's romantic partner. Specifically, we tested the hypothesis that spending more time co-present with a loved partner in everyday life would be associated with lower C-reactive protein (CRP). Three times over the course of one month, 100 people in romantic relationships reported how much time they spent in the same physical space as their partner in the prior 24 h, in minutes, and provided a sample of blood for CRP assay (n observations = 296). Results from multi-level models showed that when one reported spending more time in the physical presence of their partner they had lower CRP – an effect that was independent from social relationship quality explanations from the prior literature, including romantic relationship quality, hostility, and loneliness. These findings move past global assessments of social isolation to consider a novel everyday behavior that is of great interest in the non-human animal literature – spending time together – as a potential mechanism linking high-quality relationships and physical health in adult humans. The findings also point to future research on additional behavioral mechanisms that are not dependent on stress pathways: people in high-quality relationships tend to spend enjoyable and affectionate time with one another, which may impact inflammation

Conflicted Emotions Following Trust-based Interaction

We investigated whether 20 emotional states, reported by 170 participants after participating in a Trust game, were experienced in a patterned way predicted by the “Recalibrational Model” or Valence Models. According to the Recalibrational Model, new information about trust-based interaction outcomes triggers specific sets of emotions. Unlike Valence Models that predict reports of large sets of either positive or negative emotional states, the Recalibrational Model predicts the possibility of conflicted (concurrent positive and negative) emotional states. Consistent with the Recalibrational Model, we observed reports of conflicted emotional states activated after interactions where trust was demonstrated but trustworthiness was not. We discuss the implications of having conflicted goals and conflicted emotional states for both scientific and well-being pursuits

Prognostication using SpO(2)/FiO(2) in invasively ventilated ICU patients with ARDS due to COVID-19-Insights from the PRoVENT-COVID study

Background: The SpO(2)/FiO(2) is a useful oxygenation parameter with prognostic capacity in patients with ARDS. We investigated the prognostic capacity of SpO(2)/FiO(2) for mortality in patients with ARDS due to COVID-19. Methods: This was a post-hoc analysis of a national multicenter cohort study in invasively ventilated patients with ARDS due to COVID-19. The primary endpoint was 28-day mortality. Results: In 869 invasively ventilated patients, 28-day mortality was 30.1%. The SpO(2)/FiO(2) on day 1 had no prognostic value. The SpO(2)/FiO(2) on day 2 and day 3 had prognostic capacity for death, with the best cut-offs being 179 and 199, respectively. Both SpO(2)/FiO(2) on day 2 (OR, 0.66 [95%-CI 0.46-0.96]) and on day 3 (OR, 0.70 [95%-CI 0.51-0.96]) were associated with 28-day mortality in a model corrected for age, pH, lactate levels and kidney dysfunction (AUROC 0.78 [0.76-0.79]). The measured PaO2/FiO(2) and the PaO2/FiO(2) calculated from SpO(2)/FiO(2) were strongly correlated (Spearman's r = 0.79). Conclusions: In this cohort of patients with ARDS due to COVID-19, the SpO(2)/FiO(2) on day 2 and day 3 are independently associated with and have prognostic capacity for 28-day mortality. The SpO(2)/FiO(2) is a useful metric for risk stratification in invasively ventilated COVID-19 patients. (C) 2021 The Authors. Published by Elsevier Inc

Postpartum psychiatric disorders

Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders (PPDs). These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other PPDs can include obsessive–compulsive disorder, post-traumatic stress disorder and eating disorders. The aetiology of PPDs is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors. The goals of treating postpartum mental illness are reducing maternal symptoms and supporting maternal–child and family functioning. Women and their families should receive psychoeducation about the illness, including evidence-based discussions about the risks and benefits of each treatment option. Developing effective strategies in global settings that allow the delivery of targeted therapies to women with different clinical phenotypes and severities of PPDs is essential

Better together: Integrative analysis of behavioral gratitude in close relationships using the three-factorial interpersonal emotions (TIE) framework

Several lines of research document various relational and personal benefits of gratitude and its key behavioral manifestation, expressed gratitude. Integrating these lines, we propose the three-factorial interpersonal emotions (TIE) analytical framework, using two directions of gratitude behavior—expression and receipt of the expression—perspectives of both individuals reporting those behaviors—the acting self and the observing partner—and two temporal scopes to examine gratitude—the dispositional and the situational (operationalized as one’s 2-week average thanking behavior and daily variations around the average, respectively). These describe eight (2 × 2 × 2) prototypical aspects of behavioral manifestations of interpersonal emotions such as expressed gratitude. We demonstrate the TIE model using a well-powered dyadic daily-diary dataset of naturally emerging gratitude interactions within romantic couples. Results show all aspects of situational gratitude behavior uniquely forecast daily increases in relationship satisfaction; these effects mediate contemporaneous daily increases in life satisfaction, and are not attributable to self-disclosure, fairness, politeness, or general positivity. Alternatively, although they each show a zero-order effect, many aspects of dispositional gratitude behavior do not exert independent effects on relationship or life satisfaction, nor do they hold against the four nongratitude constructs. Exemplifying the utility of the TIE model, we conclude behavioral gratitude is an everyday phenomenon; it comprises related yet distinguishable interpersonal acts, and can be understood from the different perspectives of the actors involved. Methodologically, our work shows the value of bringing relationship–science techniques to study the social functions of emotions, and generates new questions about gratitude in everyday life