Panel manipulation in social stress testing: The Bath Experimental Stress Test for Children (BEST-C).

BACKGROUND: Whilst acute stress paradigms in adults make use of adult panel members, similar paradigms modified for child participants have not manipulated the panel. Most work has utilised an audience of adult confederates, regardless of the age of the population being tested. The aim of this study was to trial a social stress test for children that provided a meaningful environment using age-matched child peers as panel actors. METHODS: Thirty-three participants (7-11 years) underwent the Bath Experimental Stress Test for Children (BEST-C). Based on the Trier Social Stress Test (TSST), it comprises a shortened six-minute public speaking task and four-minute maths challenge. It differs from previous stress tests by using age-matched children on the panel, pre-recorded and presented as a live feed, and includes an expanded manipulation check of subjective experience. Salivary cortisol was assessed at four time points, pre-post stress testing; life events, daily hassles and coping strategies were measured through questionnaires. A simple numerical coding scheme was applied to post-test interview data. RESULTS: The BEST-C generated a typical stress and adaptation response in salivary cortisol (p=.032). Age and gender differences were observed during recovery. Cortisol responses mapped directly onto three distinct subjective response patterns: (i) expected response and recovery; (ii) expected response, no recovery; (iii) no response. CONCLUSIONS: The BEST-C, utilising child confederates of participant target age is a meaningful social stress test for children. This is the first social stress test developed specifically for children that manipulates panel characteristics by using child confederates and a pre-recorded sham panel. Greater cortisol responses to the test were also found to match subjective verbal accounts of the experience. It offers a meaningful acute stress paradigm with potential applications to other child and adolescent age groups. Furthermore, it leads the way in the use of panel manipulation in social stress testing

The need to belong and symptoms of acute physical health in early adolescence

This study examined the role of social belonging and self-esteem in acute physical health and mood in 159 young adolescents (aged 11 to 14 years). Standardized self-report measures of belongingness (school, home and community), self-esteem, acute physical symptoms, and affect, were completed for the previous month. Higher levels of inclusive belonging were associated with fewer physical symptoms and better affect. Domain specific belonging was independently linked to acute physical symptoms and level of affect, with pathways between belonging and outcome mediated by self-esteem. Findings emphasize the need for greater recognition of the role of belonging in physical health outcomes. </jats:p

Autism research is “all about the blokes and the kids”: autistic women breaking the silence on menopause.

Objectives: The menopause is a major transition marked by considerable challenges to health and well‐being. Its impact on autistic women has been almost largely ignored but is of significant concern, given the poorer physical and mental health, emotion regulation and coping skills, and the common social isolation of this group. We aimed to explore awareness and perception of the menopause; menopausal experiences and their impact across each individual’s life; ways that menopause with autism might differ from a non‐autistic menopause; and what optimal support might look like. Design: A qualitative interview study. Methods: Comprehensive interviews were conducted with 17 autistic participants (16 of whom identified as cisgender women). Inductive thematic analysis was used, guided by IPA principles and literature. Results: Four major themes were identified: (1) covering the long journey of our participants to recognizing autism in adulthood; (2) menopausal awareness and perceptions; (3) symptoms and their impact; and (4) ways that a neurodiverse menopause might differ from the norm. Menopausal experiences varied greatly and some participants experienced marked deterioration in daily function and coping skills, mental health, and social engagement. Menopausal awareness was often low, so too was confidence in help from health care professionals. Conclusions: These findings implicate the potential for menopause to severely compromise health and well‐being of autistic people and indicate an area of underserved support needs

Can Ancient and Modern Stressors be Distinguished? A Mixed-Methods Exploration of Psychosocial Characteristics and Health Symptoms in Young and Older Adults.

A novel conceptualisation of stress includes a distinction between ancient (AS) and modern stressors (MS); the notion that established adaptive psychophysiological coping processes may enable individuals to better withstand AS than MS. Two consecutive mixed-methods studies assessed the feasibility of distinguishing between AS and MS in young and older adults, using questionnaires and interviews. MS were positively associated with cold symptoms in older adults; and five psychosocial characteristics were identified to profile AS and MS along a continuum. An evolutionary distinction between AS and MS provides an important psychological dimension in better understanding and assessing stress-health processes

Putting Proverbs to the Test:An Engaging Approach for Developing Students' Hypothesis Testing Skills

Integral to most undergraduate psychology degree programs are research methods courses. Students learn about theory, study design and hypothesis testing, and gain knowledge that is assessed by laboratory reports. We describe a problem-based learning approach with an emphasis on acquisition of study design skills. Working in small groups, students took well-known falsifiable proverbs, developed hypotheses to test them, recruited and assessed participants, analyzed the data, and presented their findings in a poster format. This approach allowed students to develop key skills to systematically experiment with an idea using proverbs as a proxy for theory. We suggest proverb testing as a useful technique to engage student-centered active learning in psychology and in the behavioral sciences more broadly

Parental Attachment, Adult-Child Romantic Attachment, and Marital Satisfaction: An Examination of Cultural Context in Taiwanese and Thai Heterosexual Couples.

Relationship dynamics between married couples can differ considerably, with varying impacts on relationship satisfaction. However, very limited research attention has been paid to how intergenerational attachment, relating to an individual's perception of his/her own and that of his/her parents' attachment, can affect marital dynamics within different cultural contexts. The current study examined associations between married heterosexual couples' romantic attachment, perception of parental attachment, and marital satisfaction in 100 Thai couples (M age = 45.59 years, SD = 10.86) and 73 Taiwanese couples (M age = 39.55 years, SD = 9.13). Results revealed that romantic attachment anxiety was negatively associated with marital satisfaction in the Taiwanese couples; in the Thai couples, neither romantic attachment anxiety nor avoidance was associated with marital satisfaction. Husbands reported higher romantic attachment anxiety than their wives in Taiwan, but this was not observed in the Thai couples. Taiwanese wives reported higher scores on their perceived parental attachment avoidance than did their husbands; whereas the reverse trend was observed in the Thai couples. These findings highlight the need to consider intergenerational aspects of attachment in cultural contexts, and they have important implications for practitioners working with couples from Asian cultural backgrounds

Self-conscious emotions in patients suffering from chronic musculoskeletal pain: a brief report.

OBJECTIVE: The role of self-conscious emotions (SCEs) including shame, guilt, humiliation and embarrassment are of increasing interest within health. Yet, little is known about SCEs in the experience of chronic pain. This study explored prevalence and experience of SCEs in chronic pain patients compared to controls and assessed the relationship between SCEs and disability in pain patients. DESIGN AND MEASURES: Questionnaire assessment comparing musculoskeletal pain patients (n=64) and pain-free control participants (n=63). Pain was assessed using the McGill Pain Questionnaire; disability, using the Roland-Morris Disability Questionnaire; and six SCEs derived from three measures (i) Test of Self-Conscious Affect-3 yielding subscales of shame, guilt, externalisation and detachment (ii) The Brief Fear of Negative Evaluation Scale and (iii) The Pain Self-Perception Scale assessing mental defeat. RESULTS: Significantly greater levels of shame, guilt, fear of negative evaluation and mental defeat were observed in chronic pain patients compared to controls. In the pain group, SCE variables significantly predicted affective pain intensity; only mental defeat was significantly related to disability. CONCLUSION: Findings highlight the prevalence of negative SCEs and their importance in assessment and management of chronic pain. The role of mood in this relationship is yet to be explored