Three studies examine the effects of exposure to nature on positive affect and ability to reflect on a life problem. Participants spent 15 min walking in a natural setting (Studies 1, 2, & 3), an urban setting (Study 1), or watching videos of natural and urban settings (Studies 2 & 3). In all three studies, exposure to nature increased connectedness to nature, attentional capacity, positive emotions, and ability to reflect on a life problem; these effects are more dramatic for actual nature than for virtual nature. Mediational analyses indicate that the positive effects of exposure to nature are partially mediated by increases in connectedness to nature and are not mediated by increases in attentional capacity. The discussion focuses on the mechanisms that underlie the exposure to nature/well-being effects.

Does the language people use to refer to the self during introspection influence how they think, feel, and behave under social stress? If so, do these effects extend to socially anxious people who are particularly vulnerable to such stress? Seven studies explored these questions (total N ϭ 585). Studies 1a and 1b were proof-of-principle studies. They demonstrated that using non-first-person pronouns and one's own name (rather than first-person pronouns) during introspection enhances self-distancing. Studies 2 and 3 examined the implications of these different types of self-talk for regulating stress surrounding making good first impressions (Study 2) and public speaking (Study 3). Compared with the first-person group, the non-first-person group performed better according to objective raters in both studies. They also displayed less distress (Studies 2 and 3) and engaged in less maladaptive postevent processing (Study 3). Studies 4 and 5 examined how these different forms of self-talk influence the way people appraise social-anxiety-provoking events. They demonstrated that non-first-person language use (compared with first-person language use) leads people to appraise future stressors in more challenging and less threatening terms. Finally, a meta-analysis (Study 6) indicated that none of these findings were moderated by trait social anxiety, highlighting their translational potential. Together, these findings demonstrate that small shifts in the language people use to refer to the self during introspection consequentially influence their ability to regulate their thoughts, feelings, and behavior under social stress, even for vulnerable individuals.Keywords: distancing, stress, social anxiety, rumination, self-regulation, emotion regulation During the summer of 2010, LeBron James, a future Hall-ofFame basketball player, faced a tough decision. Should he stay with the small market team that nurtured his career from its inception, or move to a larger city market? Shortly after making his choice (he joined the larger market team), he described his decision-making process in an interview noting, "One thing I didn't want to do was make an emotional decision. I wanted to do what's best for LeBron James and to do what makes LeBron James happy" (Greenberg, 2010).Notice how James begins by referring to himself using the pronoun I, but then quickly switches to using his own name after indicating that he does not want to make an emotional decision. Does this shift from I to James represent a mere quirk of speech? Or could it represent something more-a process, for example, that consequentially influences people's capacity to control their thoughts, feelings, and behavior? Here we suggest that it is the latter. Specifically, we hypothesize that using one's own name and other non-first-person pronouns to refer to the self during introspection is a form of self-distancing that enhances self-regulation. 1 Harnessing Language to Promote Self-RegulationSeveral lines of research motivate this prediction. First, converging evidence...

BackgroundCognitive Behavioral Therapy (CBT) for depression is efficacious, but effectiveness is limited when implemented in low-income settings due to engagement difficulties including nonadherence with skill-building homework and early discontinuation of treatment. Automated messaging can be used in clinical settings to increase dosage of depression treatment and encourage sustained engagement with psychotherapy.ObjectivesThe aim of this study was to test whether a text messaging adjunct (mood monitoring text messages, treatment-related text messages, and a clinician dashboard to display patient data) increases engagement and improves clinical outcomes in a group CBT treatment for depression. Specifically, we aim to assess whether the text messaging adjunct led to an increase in group therapy sessions attended, an increase in duration of therapy attended, and reductions in Patient Health Questionnaire-9 item (PHQ-9) symptoms compared with the control condition of standard group CBT in a sample of low-income Spanish speaking Latino patients.MethodsPatients in an outpatient behavioral health clinic were assigned to standard group CBT for depression (control condition; n=40) or the same treatment with the addition of a text messaging adjunct (n=45). The adjunct consisted of a daily mood monitoring message, a daily message reiterating the theme of that week’s content, and medication and appointment reminders. Mood data and qualitative responses were sent to a Web-based platform (HealthySMS) for review by the therapist and displayed in session as a tool for teaching CBT skills.ResultsIntent-to-treat analyses on therapy attendance during 16 sessions of weekly therapy found that patients assigned to the text messaging adjunct stayed in therapy significantly longer (median of 13.5 weeks before dropping out) than patients assigned to the control condition (median of 3 weeks before dropping out; Wilcoxon-Mann-Whitney z=−2.21, P=.03). Patients assigned to the text messaging adjunct also generally attended more sessions (median=6 sessions) during this period than patients assigned to the control condition (median =2.5 sessions), but the effect was not significant (Wilcoxon-Mann-Whitney z=−1.65, P=.10). Both patients assigned to the text messaging adjunct (B=−.29, 95% CI −0.38 to −0.19, z=−5.80, P<.001) and patients assigned to the control conditions (B=−.20, 95% CI −0.32 to −0.07, z=−3.12, P=.002) experienced significant decreases in depressive symptom severity over the course of treatment; however, the conditions did not significantly differ in their degree of symptom reduction.ConclusionsThis study provides support for automated text messaging as a tool to sustain engagement in CBT for depression over time. There were no differences in depression outcomes between conditions, but this may be influenced by low follow-up rates of patients who dropped out of treatment.

Professor Ozlem N Ayduk, Chair Does the time perspective people adopt when reflecting on stressful events influence how they respond emotionally to these events? If so, through what cognitive pathway(s) does it have this effect? Part 1 of my dissertation examined these questions in a series of seven studies. Studies 1a, 1b, and 2 tested the hypothesis that adopting a distant-future perspective on recent stressors (relative to a near-future or control perspective) reduces emotional distress, examining four potential mediators of this effect. Study 3 built upon the prior studies by investigating whether their findings apply to a new domain and affect longer-term outcomes. Studies 4-6 centered on a key cognitive mechanism that helped to account for the distress-reducing properties of temporal distancing across our first three studies-impermanence focus. Studies 4 and 5 examined whether individual differences in impermanence focus predicted emotional reactions to negative events in a manner similar to adopting a distant-future perspective. Study 6 manipulated impermanence focus to test whether it affected emotional reactions to stressors in a manner parallel to adopting a distant-future perspective.Part 2 of my dissertation examined boundary conditions of the buffering effects of temporal distancing-exploring conditions under which temporal distancing might amplify rather than reduce emotional distress. However, very few moderators of the link between temporal distancing and reduced distress were found, and those that were identified were weak. Taken together, these studies demonstrate that temporal distancing plays an important role in emotional coping with negative events, and that it does so by directing individuals' attention to the impermanent aspects of these events. Moreover, temporal distancing appears to be a strategy that effectively reduces the distress associated with a wide variety of stressors, for a broad range of individuals.i Acknowledgements

Background Loneliness is a widespread and significant problem on college campuses. Prolonged loneliness in young adulthood is a risk factor for concurrent and future mental health problems and attrition, making college a critical time for support. Cognitive and behavioral interventions show promise for decreasing loneliness and can be widely disseminated through technology. Objective This pilot randomized controlled trial was conducted to examine the initial efficacy, feasibility, and desirability of a smartphone app, Nod, designed to deliver cognitive and behavioral skill-building exercises to reduce loneliness during the transition to college. Methods First-year college students (N=221, mean age 18.7 years, 59% female) were recruited online during incoming student orientation, and randomized to either receive immediate access to Nod (experimental group, n=100) or access after 4 weeks (control group, n=121). The app delivered skills via fully automated (1) “social challenges,” suggested activities designed to build social connections; (2) reflections, brief cognitive reframing exercises; and (3) student testimonials that encouraged a growth mindset toward social connection building. Main intention-to-treat analyses were used to compare the conditions on self-assessed loneliness, depressive symptoms, and other mental health and college adjustment outcomes at week 4, controlling for baseline values on those variables. Analyses were also performed to test the hypothesis that the treatment benefits would be particularly pronounced for participants with heightened psychological vulnerability at baseline (ie, higher baseline depressive symptoms and loneliness). Results Retention was 97% at week 4, and participants viewed an average 36.7 pages of app content. There were no significant condition differences in loneliness at week 4 (F1, 211=0.05, P=.82; ηp2 <.001). However, there was a significant condition-by-baseline depression interaction to predict week-4 loneliness (F1,209=9.65, P=.002; ηp2 =.04). Simple slope analyses indicated that baseline depression positively predicted week-4 loneliness among control participants (r=0.30, t209=3.81, P<.001), but not among experimental participants (r=–0.09, t209=–0.84, P=.40), suggesting that Nod buffered participants with high baseline depression scores from experiencing heightened midquarter loneliness. Similarly, there were no significant condition differences in other week-4 outcomes. However, moderation by baseline vulnerability was found for week-4 depressive symptoms, sleep quality, and indices of college adjustment (eg, perceived social support and campus belonging). Conclusions Although Nod exposure did not impact outcomes for the full sample, these results provide initial evidence of its benefit for vulnerable students. The results of this trial suggest that cognitive and behavioral skills delivered via a mobile app can buffer psychologically vulnerable college students against heightened loneliness and depressive symptoms, as well as other negative college adjustment outcomes. Future work will aim to improve upon app engagement, and to address loneliness among other key populations. Trial Registration ClinicalTrials.gov NCT04164654; https://clinicaltrials.gov/ct2/show/NCT04164654

Recent experimental work demonstrates that temporal distancing from negative experiences reduces distress. Yet two central questions remain: (a) do people differ in the habitual tendency to temporally distance from negative experiences, and if so (b) what implications does this tendency have for well-being? Seven studies explored these questions. Study 1 describes the construction and reliability of the Temporal Distancing Questionnaire, a new measure of individual differences in the tendency to place negative experiences into a broader future time perspective. Study 2 establishes a nomological network around this construct, examining the relationship of temporal distancing to other theoretically related constructs. Study 3 tests whether people high in temporal distancing (i.e., "high temporal distancers") experience greater concurrent well-being, including greater positive affect and life satisfaction and lesser negative affect, worry, and depressive symptoms. Study 4 examines whether temporal distancing predicts well-being measured at the daily level, and across time. Finally, Studies 5a-5c explore a key way in which temporal distancing may support psychological well-being-by facilitating more adaptive responses to negative experiences. Our results demonstrate that the tendency to temporally distance from negative experiences predicts a more positive profile of affective experiences and stress-reactivity that may support immediate and longer-term well-being. Moreover, many of these findings remained significant when controlling for general reappraisal tendencies. (PsycINFO Database Record

No abstract

Depression in low-income Latino populations can be treated using group cognitive behavioral therapy (GCBT). However, effective delivery of GCBT for depression in primary care settings is often impeded by high dropout rates and poor homework adherence. In this study, we describe the structure, processes, and outcomes (including attendance, homework completion, and symptom measures) of GCBT for Spanish-speaking Latino patients with depression in an urban public sector primary care setting. For this study, 96 Latino patients in a primary care clinic participated in at least 1 session of GCBT. Although depressive symptoms among these patients, as measured by the PHQ-9, significantly decreased during treatment, attendance and homework completion were limited. Even with a strategy in place to allow patients to continue in treatment after missing several sessions, 23% of patients dropped out of therapy following their initial session, and approximately half of all patients completed less than 50% (or 8) therapy sessions. Homework was only completed 23% of the time it was checked. Greater session attendance prospectively predicted lower depressive symptoms over time. We discuss potential strategies to increase engagement, treatment effects, and symptom reduction for depression in primary care settings.