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- All Subjects: latent profile analysis
- Creators: Davis, Mary C.
- Creators: Infurna, Frank J
- Member of: ASU Electronic Theses and Dissertations
- Member of: Theses and Dissertations
- Resource Type: Text
Description
Despite the strong link between pain and depressive symptoms, the mechanisms by which they are connected in the everyday lives of individuals with chronic pain are not well understood. In addition, previous investigations have tended to ignore biopsychosocial individual difference factors, assuming that all individuals respond to pain-related experiences and affect in the same manner. The present study tried to address these gaps in the existing literature. Two hundred twenty individuals with Fibromyalgia completed daily diaries during the morning, afternoon, and evening for 21 days. Findings were generally consistent with the hypotheses. Multilevel structural equation modeling revealed that morning pain and positive and negative affect are uniquely associated with morning negative pain appraisal, which in turn, is positively related to pain’s activity interference in the afternoon. Pain’s activity interference was the strongest predictor of evening depressive symptoms. Latent profile analysis using biopsychosocial measures identified three theoretically and clinically important subgroups (i.e., Low Functioning, Normative, and High Functioning groups). Although the daily pain-depressive symptoms link was not significantly moderated by these subgroups, individuals in the High Functioning group reported the lowest levels of average morning pain, negative affect, negative pain appraisal, afternoon pain’s activity interference, and evening depressive symptoms, and the highest levels of average morning positive affect across 21 days relative to the other two groups. The Normative group fared better on all measures than did the Low Functioning group. The findings of the present study suggest the importance of promoting morning positive affect and decreasing negative affect in disconnecting the within-day pain-depressive symptoms link, as well as the potential value of tailoring chronic pain interventions to those individuals who are in the greatest need.
ContributorsMun, Chung Jung (Author) / Karoly, Paul (Thesis advisor) / Davis, Mary C. (Thesis advisor) / Suk, Hye Won (Committee member) / Dishion, Thomas J (Committee member) / Arizona State University (Publisher)
Created2017
Description
Interpersonal strain is linked with depressive symptoms in middle-aged adults. Self-compassion is an emerging resilience construct that may be advantageous in navigating relationship strain by helping individuals respond to emotions in a kind and nonjudgmental way. Although theory and empirical evidence suggests that self-compassion is protective against the impact of stress on mental health outcomes, many studies have not investigated how self-compassion operates in the context of relationship strain. In addition, few studies have examined psychological or physiological mechanisms by which self-compassion protects against mental health outcomes, depression in particular. Thus, this study examined 1) the extent to which trait self-compassion buffers the relation between family strain and depressive symptoms, and 2) whether these buffering effects are mediated by hope and inflammatory processes (IL-6) in a sample of 762 middle-aged, community-dwelling adults. Results from structural equation models indicated that family strain was unrelated to depressive symptoms and the relation was not moderated by self-compassion. Hope, but not IL-6, mediated the relation between family strain and depressive symptoms and the indirect effect was not conditional on levels of self-compassion. Taken together, the findings suggest that family strain may lead individuals to experience less hope and subsequent increases in depressive symptoms, and further, that a self-compassionate attitude does not affect this relation. Implications for future self-compassion interventions are discussed.
ContributorsMistretta, Erin (Author) / Davis, Mary C. (Thesis advisor) / Karoly, Paul (Committee member) / Infurna, Frank (Committee member) / Arizona State University (Publisher)
Created2019
Description
Drawing upon the theoretical framework of Cooley’s (1902) “looking-glass self” model, the current study examined how affective dimensions of parenting in adolescence contribute to psychopathology in early adulthood through the mediating mechanism of authenticity – one’s level of comfort with being oneself. Using latent profile analysis (LPA), a three-class solution was identified, classifying inadequate, adequate, and optimal profiles of parenting in adolescence. Class membership was used in a multilevel mediation structural equation model to examine longitudinal links with authenticity and psychopathology (e.g., internalizing, externalizing, and substance abuse disorders) in early adulthood. Results demonstrated that optimal compared to inadequate parent-adolescent relationship quality was directly linked to higher levels of authenticity, which in turn, was directly linked to lower levels of all forms of psychopathology in early adulthood. Results also indicated that authenticity fully mediated the link between profiles of parent-adolescent relationship quality (e.g., grade 12) and internalizing, externalizing, and substance abuse disorders in early adulthood (e.g., four years post-college). In conclusion, the current study demonstrated the influence of affective dimensions of parenting profiles in adolescence on the development of psychopathology in early adulthood via the mediating mechanism of authenticity. Moreover, findings from the current study suggest that authenticity is a critical feature shared in common among various forms of psychopathology. Finally, clinical implications are discussed regarding the potential effectiveness of evidence-based psychotherapies aimed at the promotion of authenticity as a mechanism for improving mental health and well-being.
ContributorsEbbert, Ashley Marie (Author) / Infurna, Frank J (Thesis advisor) / Luthar, Suniya S (Committee member) / Grimm, Kevin J (Committee member) / Krasnow, Aaron D (Committee member) / Arizona State University (Publisher)
Created2021