Objectives The high likelihood of recurrences in depression is linked to progressive increase in emotional reactivity to stress (stress sensitization). Mindfulness-based therapies teach mindfulness skills designed to decrease emotional reactivity in the face of negative-affect producing stressors. The primary aim of the current study was to assess whether Mindfulness-Based Cognitive Therapy (MBCT) is efficacious in reducing emotional reactivity to social evaluative threat in a clinical sample with recurrent depression. A secondary aim was to assess whether improvement in emotional reactivity mediates improvements in depressive symptoms. Methods Fifty-two individuals with partially-remitted depression were randomized into an 8-week MBCT course or a waitlist control condition. All participants underwent the Trier Social Stress Test (TSST) before and after the 8-week trial period. Emotional reactivity to stress was assessed with the Spielberger State Anxiety Inventory at several time points before, during and after the stressor. Results MBCT was associated with decreased emotional reactivity to social stress, specifically during the recovery (post-stressor) phase of the TSST. Waitlist controls showed an increase in anticipatory (pre-stressor) anxiety, which was absent in the MBCT group. Improvements in emotional reactivity partially mediated improvements in depressive symptoms. Limitations Limitations include small sample size, lack of objective or treatment adherence measures, and non-generalizability to more severely depressed populations. Conclusions Given that emotional reactivity to stress is an important psychopathological process underlying the chronic and recurrent nature of depression, these findings suggest that mindfulness skills are important in adaptive emotion regulation when coping with stress.

Life history theory suggests that individual differences in parenting are partially rooted in environmental conditions experienced early in life. Whereas certain conditions should promote increased investment in parenting, unpredictable and/or harsh environments should promote decreased investment in parenting, especially in men. We tested this hypothesis in 3 studies. In Study 1a, we conducted analyses on 112 parents taking part in the Minnesota Longitudinal Study of Risk and Adaptation (MLSRA), all of whom have been continuously studied starting before they were born. Parenting orientations were assessed at age 32 via an interview. Findings showed that experiencing more unpredictability at ages 0-4 (i.e., frequent changes in parental employment status, cohabitation status, and residence) prospectively forecasted more negative parenting orientations among men, but not women. This effect was serially mediated by lower early maternal supportive presence measured at ages 0-4 and insecure attachment assessed at ages 19 and 26. In Study 1b, we replicated these findings on 96 parents from the MLSRA using behavioral observations of their parental supportive presence. In Study 2, we replicated the effect of early-life unpredictability on men's parenting orientations with a sample of 435 parents. This effect was mediated by adult attachment anxiety and avoidance. Across all studies, greater early-life harshness (low socioeconomic status [SES]) did not predict adult parenting outcomes. These findings suggest that greater early-life unpredictability may be conveyed to children through less supportive parenting, which results in insecure attachment representations in adulthood. Among men, this process culminates in less positive adult parenting orientations and less supportive parenting.

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Self-criticism is an important process in a variety of clinical disorders and predicts poor outcome in brief therapy for depression. Yet, little is known about how self-criticism can be effectively addressed in psychological treatment. Practitioners can benefit from increasing their awareness of self-critical processes in their clinical work, and from directly working with emotions in addressing self-criticisim. Emotion-focused two-chair dialogue intervention can be effective in reducing self-criticism, increasing self-compassion, and decreasing depressive and anxiety symptoms, and these improvements are largely maintained six months after therapy.

In the research program summarized here, we adopted a behavioral systems approach to explain individual differences in human sexual behavior. In the 1st stage, we developed the Sexual System Functioning Scale (SSFS)-a self-report instrument for assessing hyperactivation and deactivation of the sexual system. Sexual hyperactivation involves intense but anxious expressions of sexual desire, whereas sexual deactivation includes inhibition of sexual inclinations. In subsequent stages, we administered the SFSS to 18 samples to determine its structural, convergent, discriminant, and predictive validity as well as its nomological network. We found that SSFS deactivation and hyperactivation scores are meaningfully associated with existing measures of sexual attitudes, motives, feelings, and behaviors and with measures of personal and interpersonal well-being. Moreover, the scores predict cognitive, affective, physiological, and behavioral responses to sexual stimuli. Implications of our findings for understanding the potential of sex for both joy and distress are discussed.