J. Sabura Allen

An examination of emotion regulation, temperament, and parenting style as potential predictors of adolescent depression risk status : A correlational study

Given that depression is a debilitating disorder, it is critical that we advance our understanding about the aetiology of this disorder. This study investigated both traditional (temperament and parenting) and novel (emotion regulation strategy) risk factors associated with adolescent depression. Forty-four adolescents (12-16 years; 64% females) with high scores on a self-report depressive symptomatology questionnaire were compared to a similar group of 44 adolescents with low scores, matched for age, gender, and ethnicity. Significant group differences were present on all assessed risk factors. The presence of high depressive symptomatology was found to be associated with (1) low levels of temperamentally based positive mood, flexibility, and approach behaviours, (2) a parenting style characterized by low nurturance and high overprotection, and (3) emotion regulation characterized by higher levels of expressive suppression and lower levels of cognitive reappraisal. It was concluded that, in addition to specific temperament characteristics and parenting style, use of particular emotion regulation strategies is associated with varying levels of depressive symptomatology. These findings reinforce the importance of incorporating emotion regulation into explanatory models of depression symptomatology. Further research that tests the direction of effects for these cross-sectional findings is warranted.

Impulsivity in borderline personality disorder: Reward-based decision-making and its relationship to emotional distress

Impulsivity in Borderline Personality Disorder (BPD) has been defined as rapid and unplanned action. However, a preference for immediate gratification and discounting of delayed rewards might better account for the impulsive behaviors that appear to regulate emotional distress in BPD. To investigate this, a delay discounting task was administered to 30 outpatients diagnosed with BPD and 28 healthy community controls (all aged 15-24) before and after a mood induction. Trait impulsivity was measured with the Barratt Impulsiveness Scale. The results showed that the BPD group had a greater preference for immediate gratification and higher rate of discounting the delayed reward than the control group. Although the mood induction resulted in increased feelings of rejection and anger in all participants, and the rate of delay discounting changed significantly in the control group, the rate of discounting did not change for the BPD group. There was no evidence of rapid decision-making in the BPD group as response times were similar between the two groups during both trials. Finally, greater general impulsiveness and nonplanning impulsiveness were associated with greater rates of discounting in the BPD group. Together these findings suggest that BPD is characterized by a preference for immediate gratification and tendency to discount longer-term rewards. This characteristic appears to exist independent of feelings of rejection and anger, rather than being reactive to this, and to be related to trait impulsivity.

Mindfulness-Based Cognitive Therapy for Problem Gambling

This article describes treatment of a female problem gambler using mindfulness-based cognitive therapy (MBCT). The treatment protocol was adapted for problem gamblers from the manualized MBCT intervention developed by Segal, Williams, and Teasdale. Gambling behavior and mindfulness practice were monitored using daily diary entries maintained by the participant. The Beck Anxiety Inventory, Beck Depression Inventory—II, and the Five Facet Mindfulness Questionnaire were administered at pretreatment, posttreatment, 4-week follow-up, and 10-week follow-up phases. The Client Satisfaction Questionnaire was also used to assess acceptability of the intervention. The participant abstained from gambling, and anxiety and depression scores significantly reduced to subclinical levels over the assessment period. Exploration of mindfulness facets revealed that MBCT for problem gambling (MBCT-PG) may be useful in promoting acceptance of distressing thoughts and emotions. However, the participant did not maintain an intensive mindfulness-meditation practice over the follow-up phase of the intervention. The clinical implications of this case study are discussed.

Mindfulness and Problem Gambling: A Review of the Literature

This article reviews the literature with respect to mindfulness and its potential for reducing the severity of problem gambling behaviour. Interest in the role of mindfulness as a treatment for problem gambling has gained the attention of researchers across Australia, the United States, and Canada. However, the literature is limited and current studies have severe methodological limitations. Despite this issue, investigations have revealed that dispositional mindfulness is related to less severe problem gambling outcomes and that psychological distress, overconfidence and risk willingness, myopic focus on reward and ego involvement may act as mediators in this relationship. Moreover, the literature indicates that the inverse relationship between dispositional mindfulness and psychological distress may be mediated by factors such as values clarification; emotional, cognitive, and behavioural flexibility; non-attachment; emotion dysregulation/distress intolerance; thought suppression; and rumination. This article discusses the theoretical and clinical implications of these relationships with respect to mindfulness-based interventions for problem gambling. It is recommended that the approach be considered with cautious optimism.

A Study of Maladaptive Schemas and Borderline Personality Disorder in Young People

Maladaptive schemas are hypothesized to play a significant role in the development and maintenance of Borderline Personality Disorder (BPD). This study investigates which maladaptive schemas are present early in the course of BPD and whether specific maladaptive schemas are associated with particular BPD diagnostic criteria during this phase. Thirty outpatients (aged 15–24) diagnosed with BPD and 28 community controls completed the Young Schema Questionnaire—Short Form. Compared to controls, the BPD group had significantly higher scores for most maladaptive schemas and their scores were clinically elevated across all schema domains. BPD diagnostic criteria and schema profiles showed substantial heterogeneity and were not related to one another. These findings do not support the association of specific maladaptive schemas with BPD and emphasize the importance of individual case formulation of diagnostic and schema features in the early phase of BPD.

The Effect of Ostracism upon Mood in Youth with Borderline Personality Disorder

The experience of rejection or abandonment in Borderline Personality Disorder (BPD) can lead to profound changes in affect. Yet, the intensity, duration, and type of mood changes that occur in response to rejection remain unclear. This study examined the effect of ostracism upon mood in 30 outpatient youth diagnosed with BPD and 22 healthy community control participants (aged 15-24). Cyberball, a virtual balltoss game, was used to simulate ostracism and 13 mood states were recorded before, immediately after, and 15 minutes after the game. The results showed that while ostracism induced changes in anger, rejection, surprise, suspicion, and joy, there were no differences in the pattern of emotional responding and regulation between the two groups. The BPD group consistently rated their mood as more intense across all 13 mood states and across time compared with the control group. These findings suggest that, compared to healthy individuals, those youth with BPD experience negative emotions as more intense and that in mild cases of interpersonal rejection, their emotional responding and regulation are similar to their healthy peers.

Mechanisms of action in the relationship between mindfulness and problem gambling behaviour

Previous studies have found an inverse relationship between mindfulness and problem gambling severity. This paper presents the findings from two studies of treatment seeking problem gamblers designed to explore the role of mindfulness in problem gambling. Treatment-seeking problem gamblers displayed significantly lower mindfulness scores than adult community members and university students. Mindfulness was significantly related to most indices of gambling, and psychological distress was an important mechanism in these relationships. Rumination, emotion dysregulation and thought suppression were also implicated as mediators in the inverse relationship between mindfulness and psychological distress. Taken together, the findings provide theoretical support for existing models of mindfulness which suggest that mindfulness operates by reducing psychological distress through these cognitive mechanisms. They also suggest that mindfulness training may be a new and innovative avenue for therapy to improve treatment effectiveness for problem gambling.

The Application of an Etiological Model of Personality Disorders to Problem Gambling

Problem gambling is a significant mental health problem that creates a multitude of intrapersonal, interpersonal, and social difficulties. Recent empirical evidence suggests that personality disorders, and in particular borderline personality disorder (BPD), are commonly co-morbid with problem gambling. Despite this finding there has been very little research examining overlapping factors between these two disorders. The aim of this review is to summarise the literature exploring the relationship between problem gambling and personality disorders. The co-morbidity of personality disorders, particularly BPD, is reviewed and the characteristics of problem gamblers with co-morbid personality disorders are explored. An etiological model from the more advanced BPD literature—the biosocial developmental model of BPD—is used to review the similarities between problem gambling and BPD across four domains: early parent–child interactions, emotion regulation, co-morbid psychopathology and negative outcomes. It was concluded that personality disorders, in particular BPD are commonly co-morbid among problem gamblers and the presence of a personality disorder complicates the clinical picture. Furthermore BPD and problem gambling share similarities across the biosocial developmental model of BPD. Therefore clinicians working with problem gamblers should incorporate routine screening for personality disorders and pay careful attention to the therapeutic alliance, client motivations and therapeutic boundaries. Furthermore adjustments to therapy structure, goals and outcomes may be required. Directions for future research include further research into the applicability of the biosocial developmental model of BPD to problem gambling.

Subacute effects of ecstasy on mood: an exploration of associated risk factors

Ecstasy use may result in lowered mood, anxiety or aggression in the days following use. Yet, few studies have investigated what factors increase the risk of experiencing such symptoms. Ecstasy users (at least once in the last 12 months) who subsequently took ecstasy (n=35) over the period of one week, were compared on measures of mood, sleep, stress and drug use, with those who abstained from ecstasy (n=21) that week. Measures were administered the week prior to ecstasy use and one and three days following use, or the equivalent day for abstainers. Mood symptoms were assessed using the Kessler-10 self-report psychological distress scale, a subjective mood rating (1–10), and using the depression, anxiety and hostility items from the clinician-rated Brief Psychiatric Rating Scale. Timeline Followback methods were used to collect information on drug use and life stress in the past month. Self-reported sleep quality was also assessed. Ecstasy use was not associated with subacute depressive, anxiety or aggressive symptoms. Rather, lowered mood and increased psychological distress were associated with self-reported hours and quality of sleep obtained during the three-day follow-up. These findings highlight the importance of considering sleep disruption in understanding the short-term mood effects of ecstasy use.

Are Mating Strategies and Mating Tactics Independent Constructs

This study explored the constructs of mating tactics and mating strategies. These constructs are conceptually related but distinct. In current research, the measurement of one of these constructs often is viewed as being indicative of the other. Therefore, an exploration of these constructs will enhance understanding of study outcomes in this research area. Self-report measures of mating tactics and strategies were administered to 183 female participants, aged 18–45 years. The Escalating Sexual Encounters Questionnaire (ESEQ, Greer & Buss, 1994), the Derogatis Sexual Experience Scale (Derogatis & Melisaratos, 1979), the Sexual Strategies Measure (SSM, Schmitt, 1996), the Sociosexual Orientation Inventory (Simpson & Gangestad, 1991), and two questions assessing age at menarche and total number of sexual partners were administered. Exploratory factor analysis with oblique rotation produced two distinct factors reflecting a “tactic”-based factor and a “strategy”-based factor. This finding is consistent with viewing mating tactics and mating strategies as distinct and varying independently. An important implication of this study is that measurement of mating tactics is not indicative of underlying mating strategies in women. Further, four patterns of female mating styles emerged upon review of participant factor scores and are discussed within an evolutionary context.