Positive affect as a buffer between chronic stress and symptom severity of emotional disorders
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Research has demonstrated that stressors play a critical role in the development of generalized anxiety disorder (GAD), social anxiety disorder (SAD), and major depressive disorder (MDD). Separately, deficits in positive affect (PA) have been identified in GAD, SAD, and MDD. Whereas previous research has linked the buffering effects of PA in chronic illness, such effects have yet to be investigated for chronic stressors and emotional disorder–related symptom severity. The purpose of the present study was to examine PA as a moderator of chronic interpersonal and noninterpersonal stress on GAD, SAD, and MDD symptom severity. Using a multilevel statistical approach with a sample of adolescents and young adults ( N = 463), PA was found to moderate significantly the relationship between chronic interpersonal stress and symptom severity for MDD and SAD. Findings suggest that in times of chronic interpersonal stress, higher PA may serve as a buffer from development of SAD and MDD symptoms.
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The PANAS and MASQ are commonly employed in socially anxious groups and across disorders to measure affective abnormalities.
“The PANAS and MASQ have been used frequently in socially anxious samples (see Kashdan, 2007 for review) and across disorders to assess affective abnormalities (e.g., Brown, Chorpita, & Barlow, 1998; Sewart et al., 2019; Watson & Naragon-Gainey, 2010).”
From Examining Positive and Negative Affect as Outcomes and Moderators of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy for Social Anxiety Disorder. (2019) · cites this paper as Sewart et al., 2019
In Methods > Measures (page not provided), the paper uses MASQ subscales to measure positive and negative affect while examining SAD, GAD, and MDD. In the Discussion, it mentions PANAS-X only as a possible measure for future studies; it does not report using PANAS or establish that both instruments are frequently used in socially anxious samples. (LLM, conf=0.86)
Experimental — accuracy not yet measuredHigh levels of trait positive affect functioned as a protective factor in predicting lower rates of anxiety disorders prospectively and in buffering the effects of stressful life events upon the risk for social anxiety disorder.
“High levels of trait positive affect functioned as a protective factor in predicting lower rates of anxiety disorders prospectively, and as a protective factor in buffering the effects of stressful life events upon the risk for social anxiety disorder 213 .”
From The clinical characterization of the adult patient with an anxiety or related disorder aimed at personalization of management (2021) · cites this paper as [213]
The Results (Symptom Severity, Chronic Interpersonal Stress, and Positive Affect; page not supplied) report that higher positive affect buffered the effect of chronic interpersonal stress on later social anxiety disorder (SAD) symptom severity. The claim goes beyond those findings: the study assessed symptom severity, not rates or risk of anxiety disorder diagnoses, and the Discussion notes that its past-week positive-affect measure was not specifically designed to capture trait affect. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPositive emotionality is a core element of mental health and shows beneficial, generalized effects on health and functioning.
“positive emotionality is considered a core element of mental health, showing beneficial, generalized effects on health and functioning [34-37].”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [36]
The Introduction (page not available) describes positive affect as beneficial for resilience, problem solving, coping, social resources, physiological responses, and emotional well-being, supporting broad benefits for health and functioning. It does not characterize positive emotionality as a core element of mental health. (LLM, conf=0.84)
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Positive affect treatment targets reward sensitivity: A randomized controlled trial.
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“These findings are paralleled with results harnessing longitudinal datasets, experimental designs, and structural equation modeling methods (Brown, Chorpita, & Barlow, 1998; Kashdan, Weeks, & Savostyanova, 2011; Khaza-nov & Ruscio, 2016; Sewart et al., 2019).”
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“In addition to being involved in the symptomatology of EDs, positive emotionality is considered a core element of mental health, showing beneficial, generalized effects on health and functioning [34-37].”
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- Authors
- Sewart, A. R., Zbozinek, T. D., Hammen, C., Zinbarg, R. E., Mineka, S., & Craske, M. G.
- Affiliations
- University of California, Los Angeles (US)
- California Institute of Technology (US)
- Northwestern University (US)
- Corresponding author
- Sewart, Amy R.
- Venue
- Clinical Psychological Science
- Publisher
- SAGE Publications
- Published
- 2019-04-10
- Volume
- 7
- Issue
- 5
- Pages
- 914-927
- ISSN
- 2167-7026 (ISSN-L)
- 2167-7034
- PMC
- PMC6800737
- OpenAlex
- W2936557741
- Cited by
- 55
- References
- 92
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 11 · 2020: 3 · 2019: 2
- FWCI
- 6.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychological Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- CaltechAUTHORS (California Institute of Technology) (submittedVersion)
- Funders
- National Institute of Mental Health (R01 MH65651, R01 MH65652)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- positive affect, chronic stress, buffering effect, generalized anxiety disorder, social anxiety disorder, major depressive disorder, symptom severity, interpersonal stress, adolescents and young adults
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