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Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think

Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think causes their seizures, and the psychological consequences of those attributions. The aim of the present study was to investigate PNES patients' attributions for their seizures, and to determine how these attributions relate to stress and emotion regulation. It was hypothesized that participants who attribute their seizures to something (i.e., have an explanation for their seizures) will have lower perceived stress and less difficulty with emotion regulation than those who are unsure of the cause of their seizures. Twenty-four PNES participants completed a questionnaire assessing seizure diagnosis, characteristics of seizure impact, perceived stress, psychological symptoms, emotion regulation, attributions for seizures, and coping resources. Contrary to the hypothesis, having an explanation for seizures, rather than being “unsure” of seizure cause, was related to greater perceived stress. While it would seem that attributing unpredictable seizure events to a cause would lower perceived stress and emotion regulation difficulty, this study indicates that an attribution to an unknown cause may be more beneficial for the individual.
ContributorsBarker, Mallory (Author) / Roberts, Nicole A. (Thesis advisor) / Miller, Paul A. (Committee member) / Burleson, Mary H (Committee member) / Arizona State University (Publisher)
Created2012
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Description
The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day

The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day intensity of negative somatic symptoms (e.g. headaches, dizziness, aches and pains). Hierarchical linear modeling was used to estimate path models for both husbands and wives. Direct and indirect effects were observed. Results showed that quality of conversation and physical affection increased later-day positive mood for both husbands and wives; however, positive quality activity increased later-day positive affect for wives only. Quality of sexual activity decreased later-day negative affect for wives only. Less later-day negative affect decreased next-day intensity of symptoms for both husbands and wives. Lastly, quality of sexual activity decreased later-day negative affect, which decreased next-day somatic symptoms for wives. This was the only significant indirect effect. Implications are that high marital quality is important for maintaining psychological health for both spouses, and physical health, particularly for wives.
ContributorsVincelette, Tara (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Schweitzer, Nicholas J (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found

Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found that experiencing more post-traumatic stress symptoms (PTSS) is linked with worse romantic relationship quality. Accordingly, higher PTSS may be a pathway through which more IPT leads to fewer touch behaviors, more touch aversion, and worse relationship quality. Participants were 543 English-speaking females (64.8% White; mean age 30.3 years) recruited through online survey systems Sona and Prolific. The following measures were used: Cumulative Stress and Trauma Scale (IPT); Brennan Touch Scale (touch aversion); the PTSD Checklist for DSM-5 (PTSS); CSE Scale for Trauma (CSET); Emotion Regulation Questionnaire (expressive suppression); and Perceived Relationship Quality Component Index (relationship quality). Mediation and moderated mediation models were analyzed using the PROCESS macro v.3.4 in SPSS v. 27. The major hypotheses were that 1) more IPT would lead to fewer touch behaviors, greater touch aversion, and worse relationship quality through its links to greater PTSS; and 2) the pathways between PTSS and the outcome variables would be moderated by expressive suppression (strengthening the association) and trauma coping self-efficacy (weakening the association). The results showed that the overall associations between IPT and touch behaviors and between IPT and relationship quality were not significant, but the indirect links via PTSS were significant. The association between IPT and touch aversion was significant, but the addition of PTSS as a mediator made that association nonsignificant. When moderators were added, there were mixed outcomes. The moderation term for CSET on the PTSS to touch behaviors pathway was significant. Because touch is important for healthy relationships, therapies should focus on reducing touch aversion for people with a history of IPT and high PTSS. Furthermore, therapy focusing on improving CSET and reducing expressive suppression may help increase touch behaviors, reduce touch aversion, and improve relationship quality in individuals with IPT.
ContributorsMunson, Aubrie A (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A (Committee member) / Hall, Deborah L (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high

Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high (n=40) or low (n=40) in overall symptoms of psychopathology. As hypothesized, PNES individuals reported experiencing less frequent affectionate touch and less interoceptive awareness than either control group. They also reported more somatic symptoms, more emotion regulation difficulties, and less positive emotion than the low psychopathology group. Unexpectedly, there were no group differences in emotional awareness difficulties, nor in initiation of affectionate touch. Across participants, lower interoceptive awareness was associated with lower affectionate touch frequency, indicating that if one has difficulty understanding and being aware of their own body, affectionate touch sensations may not necessarily be understood as pleasant and may be minimized or avoided. Emotional awareness difficulties surprisingly were associated with greater affectionate touch frequency among PNES (versus the expected pattern of awareness difficulties associated with less affectionate touch, as found among controls), suggesting affectionate touch may be used as an attempt to try and understand one’s own feelings, or to compensate for, or even mask a lack of understanding. Findings indicate a distinct difference in physical affection frequency and interoceptive awareness among PNES individuals even when matched to a group similar in psychiatric distress/psychopathology. These findings offer insight into the relationships between interoceptive awareness, affectionate touch, and emotion regulation more broadly.
ContributorsVillarreal, Lucia (Author) / Roberts, Nicole A (Thesis advisor) / Burleson, Mary H (Committee member) / Duran, Nicholas (Committee member) / Arizona State University (Publisher)
Created2021
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Description
Cultural background and norms can shape beliefs and behavior. As such, the propensity toward seeking help from others is likely also dependent on cultural background. Those who identify strongly with their native culture may have different attitudes toward help-seeking compared to individuals who are more acculturated to U.S. culture. This

Cultural background and norms can shape beliefs and behavior. As such, the propensity toward seeking help from others is likely also dependent on cultural background. Those who identify strongly with their native culture may have different attitudes toward help-seeking compared to individuals who are more acculturated to U.S. culture. This investigation surveyed a sample of 551 participants from four ethnic backgrounds via Prolific and the School of Social and Behavioral Sciences Research Participation System (SONA) to examine whether greater overall help-seeking was evident among 1) individuals from the majority U.S. culture (European American) compared with ethnic minority individuals in the U.S. identifying as Black/African American, Asian American, or Hispanic/Latino; 2) individuals who endorsed more individualistic cultural values; 3) individuals reporting higher levels of acculturation (i.e., greater comfort with mainstream American culture); and 4) individuals who reported greater emotion granularity (EG), which is the ability to understand one’s own emotions in a more detailed way; and 5) the interactions of ethnic group and each of these constructs (i.e., individualism, acculturation, and emotion granularity). Results based on analysis of variance revealed that, contrary to the first study hypothesis (H1), White/European American participants reported being less likely to seek help for personal or emotional problems than Black/African American participants. In exploratory analyses, Black/African Americans also reported greater help-seeking tendencies than Asian Americans. Also contrary to what was hypothesized (H2), participants high in individualism reported less help-seeking tendencies than participants low in individualism. The third hypothesis (H3) was not supported: Ethnicity did not interact with individualism in predicting help-seeking behavior. As hypothesized (H4), greater acculturation (i.e., comfort with mainstream culture), was associated with greater help seeking; however, (H5) acculturation and ethnic group membership did not interact to predict help-seeking. Finally (H6), there were not differences in help-seeking based on comparisons of individuals higher versus lower in EG, nor did EG interact with ethnic group membership (H7); however, exploratory correlational results indicated greater EG (when measured as a continuous variable) was associated with greater help-seeking. Understanding cultural influences on help-seeking can be invaluable in helping professionals navigate how to effectively provide diverse populations with culturally accessible resources.
ContributorsSuciu, Julia Anna (Author) / Roberts, Nicole A (Thesis advisor) / Burleson, Mary H (Committee member) / Nelson-Coffey, Katherine (Committee member) / Hall, Deborah L (Committee member) / Arizona State University (Publisher)
Created2024
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Description
This study investigated the potential influences of a marital interaction involving affectionate touch and/or positive relationship-focused conversation on physiological reactivity to a subsequent laboratory stress task, and whether depressive symptoms moderated these relations. It was hypothesized that 1) the stress task would cause cardiac sympathetic activation and cardiac parasympathetic withdrawal;

This study investigated the potential influences of a marital interaction involving affectionate touch and/or positive relationship-focused conversation on physiological reactivity to a subsequent laboratory stress task, and whether depressive symptoms moderated these relations. It was hypothesized that 1) the stress task would cause cardiac sympathetic activation and cardiac parasympathetic withdrawal; and that physical affection and/or positive conversation would 2) reduce sympathetic activation as indicated by cardiac interbeat interval (IBI), cardiac pre-ejection period (PEP), and finger pulse transit time (FPTT) and 3) reduce parasympathetic withdrawal (as indicated by respiratory sinus arrhythmia; RSA) in response to stress. Further, we expected that, compared to those lower in reported depressive symptoms, those higher in depressive symptoms 4) would show blunted cardiovascular activation in response to stress across experimental conditions; and after engaging in a positive marital exchange, 5) would demonstrate a smaller interaction-related reduction in stress-related sympathetic activation; but 6) show no difference in interaction-related reduction of stress-related parasympathetic withdrawal. Participants were 183 married couples who were at least moderately happy in their marriages and in generally good health. Participants completed a measure of depression (among other questionnaires) in an online survey, then attended a 3-hour laboratory session. After measuring baseline physiology with spouses in separate rooms, couples were then randomly assigned to either touch (while sitting quietly, then hug), talk (positive conversation, but no touch), both (touch while talking, then hug), or neither (sit quietly without touching or talking). Next, participants separately performed a stress-inducing speech task about their spouses’ strengths and weaknesses. Physiological indicators were recorded throughout the stress task. While positive conversation reduced husbands’ stress-related parasympathetic withdrawal, it predicted greater stress-related activation in wives’ PEP response. Stress reactivity (as indicated by FPTT) was reduced in husbands with lower depressive symptoms when the marital exchange included only touch or only talk, whereas for husbands with more depressive symptoms, there were no effects of the marital interaction. For wives, depressive symptoms predicted blunted cardiovascular activation regardless of positive interaction condition, as illustrated by smaller stress-related reduction in FPTT responses. Furthermore, higher self-reported depressive symptoms predicted larger interaction-related decreases in stress-related IBI responses in wives who experienced spousal touch. This study builds on previous work and is the first to explore how depressive symptoms may influence the relations between affectionate touch and stress reactivity.
ContributorsDuncan, Cayla Jessica (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Mickelson, Kristin (Committee member) / Arizona State University (Publisher)
Created2018
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Description
Intimate relationship functioning and mental well-being are inherently linked; thus, for those with mental illness, such as social anxiety, intimate relationship functioning may be impaired. Research on the intimate relationships of those with social anxiety has often focused on emotion regulation, as emotions play a crucial role in the development

Intimate relationship functioning and mental well-being are inherently linked; thus, for those with mental illness, such as social anxiety, intimate relationship functioning may be impaired. Research on the intimate relationships of those with social anxiety has often focused on emotion regulation, as emotions play a crucial role in the development and maintenance of interpersonal relationships and are a clear area of deficit among those with social anxiety. The current thesis had three primary aims: 1a) to examine individual emotion expressivity and 1b) interpersonal emotion regulation processes among individuals with varying levels of social anxiety; 2) to examine individual and interpersonal emotion regulation within romantic relationships; and, 3) to examine how individual emotion expressivity and interpersonal emotion regulation influence relationship health and intimacy among those with varying levels of social anxiety. For Aim 1, differences in individual emotion expressivity and interpersonal emotion regulation were analyzed using regression analyses with social anxiety as a continuous predictor. Analyses were also conducted using a dichotomous grouping (i.e., non-socially anxious and socially anxious) and conducting a multivariate analysis of covariance (MANCOVA).

For Aim 2, the impact of individual and interpersonal emotion regulation processes on relationship health was examined using a series of regression analyses. Finally, Aim 3 was tested using structural equation modeling (SEM). Results suggest those with social anxiety show specific, but not general, deficits in individual emotion expressivity and interpersonal emotion regulation, and both individual and interpersonal emotion regulation had positive effects on relationship health. Regarding the primary analyses, interpersonal emotion regulation fully mediated the association between individual emotion expressivity and relationship health. Further, although the strength of these paths varied between groups, the valence and general pattern of these findings were similar for both those with social anxiety and those without. The study provided novel insights into the role of interpersonal emotion regulation in relationship health, and extended previous findings on emotion regulation and relationship health among those with social anxiety.
ContributorsSchodt, Kaitlyn Beatrice (Author) / Mickelson, Kristin D (Thesis advisor) / Burleson, Mary H (Committee member) / Roberts, Nicole A. (Committee member) / Arizona State University (Publisher)
Created2019
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Description
The value of safe sex may be discounted based on contextual factors associated with an opportunity for sex. College students (n = 75) in a within-subjects study selected hypothetical sexual partners from a set of pictures and classified them based on attractiveness and estimated chance of having an STI. In

The value of safe sex may be discounted based on contextual factors associated with an opportunity for sex. College students (n = 75) in a within-subjects study selected hypothetical sexual partners from a set of pictures and classified them based on attractiveness and estimated chance of having an STI. In the sexual delay discounting (SDD) task, participants rated their likelihood (0 – 100%) of waiting for some period of time (e.g., 3 hours) to have protected sex with their selected partners, when they could have immediate sex without protection. In the sexual probability discounting (SPD) task, participants rated their likelihood of having protected sex if the opportunity was uncertain (e.g., 50%), when they could have unprotected sex for sure (100%). All participants included in the final analyses were aware of and had a positive attitude towards protection against STIs as they indicated preference for immediate (or certain) protected sex. Results show that participants’ willingness to have safe sex systematically decreased as the delay to and odds against having safe sex increased. However, these discounting patterns were observed only in some partner conditions but not others, showing that preference for delayed (or uncertain) safe sex was altered by perceived attractiveness and STI risk of sexual partners. Moreover, the hyperbolic discounting model provided good to acceptable fit to the delay and probability discounting data in most-wanted and least-STI conditions. Gender differences in devaluation of safe sex were also found.
ContributorsWongsomboon, Sineenuch (Author) / Robles, Elías (Thesis advisor) / Roberts, Nicole A. (Committee member) / Burleson, Mary H (Committee member) / Arizona State University (Publisher)
Created2016
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Description
This study was designed to investigate whether workplace positivity of full-time workers was related to health ratings. Positivity was conceptualized by a high rating of perceived work-performance, and work-engagement as defined by the Utrecht Work-Engagement Scale, including vigor, dedication, and absorption (Schaufeli, & Bakker, 2004). Health was measured utilizing the

This study was designed to investigate whether workplace positivity of full-time workers was related to health ratings. Positivity was conceptualized by a high rating of perceived work-performance, and work-engagement as defined by the Utrecht Work-Engagement Scale, including vigor, dedication, and absorption (Schaufeli, & Bakker, 2004). Health was measured utilizing the RAND SF-36 health survey including the eight subscales: overall, general health, physical and social functioning, emotional well-being, role limitations due to physical health or emotional problems, energy or fatigue, and bodily pain. All measures were collected simultaneously. It was predicted that perceived work-performance and all measures of work-engagement are positively associated with the aforementioned health ratings. Multiple regression analyses revealed that higher (positive) perception of work-performance and vigor were positively related to health ratings. Absorption was negatively related to health ratings. Dedication was only negatively related to physical functioning. These findings suggest that not all measures of positivity in the workplace are related to better health. Implications and future directions are discussed.
ContributorsFlores, Melissa Ann (Author) / Vargas, Perla A (Thesis advisor) / Burleson, Mary H (Committee member) / Hall, Deborah (Committee member) / Arizona State University (Publisher)
Created2014
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Description
Humans are social beings, which means interpersonal relationships are important contributors to our psychological health. Our health and behavior is manifested through a dynamic cycle of interacting factors: environmental, personal, and behavioral. Contributing to this interaction, interpersonal relationships provide benefits such as increased social support and decreased loneliness. The care

Humans are social beings, which means interpersonal relationships are important contributors to our psychological health. Our health and behavior is manifested through a dynamic cycle of interacting factors: environmental, personal, and behavioral. Contributing to this interaction, interpersonal relationships provide benefits such as increased social support and decreased loneliness. The care and attention of relationship partners are communicated in multiple ways, one of which is interpersonal touch. Although touch can communicate positive feelings and support, it can also be used negatively in certain contexts. Unwanted or forced touch occurs when an individual experiences sexual or physical trauma. Experiencing this type of trauma often results in negative psychological consequences. Exactly how sexual or physical trauma—both of which involve unwanted touch—might influence an individual’s attitudes towards touch is important to explore. If an individual feels negatively about interpersonal touch due to previous experience of trauma, this might negatively influence the amount of current touch with a partner, and also the survivor’s psychological well-being.

In the current study, I proposed that previous occurrence of sexual or physical trauma would predict both decreased frequency of touch in a current intimate relationship and poorer individual well-being, and that these relations would be explained by negative touch attitudes. Results supported these hypotheses, suggesting that lingering negative touch attitudes following trauma could be an underlying mechanism affecting social and individual functioning. As seen in our model, these attitudes fully mediated the effects between previous sexual or physical trauma and individual well-being, as well as frequency of touch. This understanding can help provide further insight into the repercussions of trauma and the underlying mechanisms attributing to continued negative effects.
ContributorsHurd, Julie Ann (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Miller, Paul A. (Committee member) / Arizona State University (Publisher)
Created2018