When humans encounter attitude objects (e.g., other people, objects, or constructs), they evaluate them. Often, these evaluations are based on attitudes. Whereas most research focuses on univalent (i.e., only positive or only negative) attitude formation, little research exists on ambivalent (i.e., simultaneously positive and negative) attitude formation. Following a general introduction into ambivalence, I present three original manuscripts investigating ambivalent attitude formation. The first manuscript addresses ambivalent attitude formation from previously univalent attitudes. The results indicate that responding to a univalent attitude object incongruently leads to ambivalence measured via mouse tracking but not ambivalence measured via self-report. The second manuscript addresses whether the same number of positive and negative statements presented block-wise in an impression formation task leads to ambivalence. The third manuscript also used an impression formation task and addresses the question of whether randomly presenting the same number of positive and negative statements leads to ambivalence. Additionally, the effect of block size of the same valent statements is investigated. The results of the last two manuscripts indicate that presenting all statements of one valence and then all statements of the opposite valence leads to ambivalence measured via self-report and mouse tracking. Finally, I discuss implications for attitude theory and research as well as future research directions.

There is no longer any doubt about the general effectiveness of psychotherapy. However, up to 40% of patients do not respond to treatment. Despite efforts to develop new treatments, overall effectiveness has not improved. Consequently, practice-oriented research has emerged to make research results more relevant to practitioners. Within this context, patient-focused research (PFR) focuses on the question of whether a particular treatment works for a specific patient. Finally, PFR gave rise to the precision mental health research movement that is trying to tailor treatments to individual patients by making data-driven and algorithm-based predictions. These predictions are intended to support therapists in their clinical decisions, such as the selection of treatment strategies and adaptation of treatment. The present work summarizes three studies that aim to generate different prediction models for treatment personalization that can be applied to practice. The goal of Study I was to develop a model for dropout prediction using data assessed prior to the first session (N = 2543). The usefulness of various machine learning (ML) algorithms and ensembles was assessed. The best model was an ensemble utilizing random forest and nearest neighbor modeling. It significantly outperformed generalized linear modeling, correctly identifying 63.4% of all cases and uncovering seven key predictors. The findings illustrated the potential of ML to enhance dropout predictions, but also highlighted that not all ML algorithms are equally suitable for this purpose. Study II utilized Study I’s findings to enhance the prediction of dropout rates. Data from the initial two sessions and observer ratings of therapist interventions and skills were employed to develop a model using an elastic net (EN) algorithm. The findings demonstrated that the model was significantly more effective at predicting dropout when using observer ratings with a Cohen’s d of up to .65 and more effective than the model in Study I, despite the smaller sample (N = 259). These results indicated that generating models could be improved by employing various data sources, which provide better foundations for model development. Finally, Study III generated a model to predict therapy outcome after a sudden gain (SG) in order to identify crucial predictors of the upward spiral. EN was used to generate the model using data from 794 cases that experienced a SG. A control group of the same size was also used to quantify and relativize the identified predictors by their general influence on therapy outcomes. The results indicated that there are seven key predictors that have varying effect sizes on therapy outcome, with Cohen's d ranging from 1.08 to 12.48. The findings suggested that a directive approach is more likely to lead to better outcomes after an SG, and that alliance ruptures can be effectively compensated for. However, these effects were reversed in the control group. The results of the three studies are discussed regarding their usefulness to support clinical decision-making and their implications for the implementation of precision mental health.

COVID-19 was a harsh reminder that diseases are an aspect of human existence and mortality. It was also a live experiment in the formation and alteration of disease-related attitudes. Not only are these attitudes relevant to an individual’s self-protective behavior, but they also seem to be associated with social and political attitudes more broadly. One of these attitudes is Social Darwinism, which holds that a pandemic benefits society by enabling nature “to weed out the weak”. In two countries (N = 300, N = 533), we introduce and provide evidence for the reliability, validity, and usefulness of the Disease-Related Social Darwinism (DRSD) Short Scale measuring this concept. Results indicate that DRSD is meaningful related to other central political attitudes like Social Dominance Orientation, Authoritarianism and neoliberalism. Importantly, the scale significantly predicted people’s protective behavior during the Pandemic over and above general social Darwinism. Moreover, it significantly predicted conservative attitudes, even after controlling for Social Dominance Orientation.

The COVID-19 pandemic has affected schooling worldwide. In many places, schools closed for weeks or months, only part of the student body could be educated at any one time, or students were taught online. Previous research discloses the relevance of schooling for the development of cognitive abilities. We therefore compared the intelligence test performance of 424 German secondary school students in Grades 7 to 9 (42% female) tested after the first six months of the COVID-19 pandemic (i.e., 2020 sample) to the results of two highly comparable student samples tested in 2002 (n = 1506) and 2012 (n = 197). The results revealed substantially and significantly lower intelligence test scores in the 2020 sample than in both the 2002 and 2012 samples. We retested the 2020 sample after another full school year of COVID-19-affected schooling in 2021. We found mean-level changes of typical magnitude, with no signs of catching up to previous cohorts or further declines in cognitive performance. Perceived stress during the pandemic did not affect changes in intelligence test results between the two measurements.

Objective: Attunement is a novel measure of nonverbal synchrony reflecting the duration of the present moment shared by two interaction partners. This study examined its association with early change in outpatient psychotherapy. Methods: Automated video analysis based on motion energy analysis (MEA) and cross-correlation of the movement time-series of patient and therapist was conducted to calculate movement synchrony for N = 161 outpatients. Movement-based attunement was defined as the range of connected time lags with significant synchrony. Latent change classes in the HSCL-11 were identified with growth mixture modeling (GMM) and predicted by pre-treatment covariates and attunement using multilevel multinomial regression. Results: GMM identified four latent classes: high impairment, no change (Class 1); high impairment, early response (Class 2); moderate impairment (Class 3); and low impairment (Class 4). Class 2 showed the strongest attunement, the largest early response, and the best outcome. Stronger attunement was associated with a higher likelihood of membership in Class 2 (b = 0.313, p = .007), Class 3 (b = 0.251, p = .033), and Class 4 (b = 0.275, p = .043) compared to Class 1. For highly impaired patients, the probability of no early change (Class 1) decreased and the probability of early response (Class 2) increased as a function of attunement. Conclusions: Among patients with high impairment, stronger patient-therapist attunement was associated with early response, which predicted a better treatment outcome. Video-based assessment of attunement might provide new information for therapists not available from self-report questionnaires and support therapists in their clinical decision-making.

List-method directed forgetting (LMDF) is the demonstration that people can intentionally forget previously studied information when they are asked to forget what they have previously learned and remember new information instead. In addition, recent research demonstrated that people can selectively forget when cued to forget only a subset of the previously studied information. Both forms of forgetting are typically observed in recall tests, in which the to-be-forgotten and to-be-remembered information is tested independent of original cuing. Thereby, both LMDF and selective directed forgetting (SDF) have been studied mostly with unrelated item materials (e.g., word lists). The present study examined whether LMDF and SDF generalize to prose material. Participants learned three prose passages, which they were cued to remember or forget after the study of each passage. At the time of testing, participants were asked to recall the three prose passages regardless of original cuing. The results showed no significant differences in recall of the three lists as a function of cuing condition. The findings suggest that LMDF and SDF do not occur with prose material. Future research is needed to replicate and extend these findings with (other) complex and meaningful materials before drawing firm conclusions. If the null effect proves to be robust, this would have implications regarding the ecological validity and generalizability of current LMDF and SDF findings.

Die Effekte diverser Hormone auf das Sozialverhalten von Männern und Frauen sind nicht vollständig geklärt, da eine genaue Messung dieser, sowie eine Ableitung kausaler Zusammenhänge, die Forschung seither vor Herausforderungen stellt. Umso wichtiger sind Studien, welche versuchen für konfundierende Aspekte zu kontrollieren und die hormonellen oder endokrinen Effekte auf das Sozialverhalten und die soziale Kognition zu untersuchen. Während Studien bereits Effekte von akutem Stress auf Sozialverhalten zeigten, sind die zugrundeliegenden neurobiologischen Mechanismen nicht vollständig bekannt, da hierfür ein rein pharmakologischer Ansatz von Nöten wäre. Die wenigen Studien, die einen solchen wählten, zeigen konträre Befunde. Bisherige Untersuchungen mit psychosozialen Stressoren lassen jedoch prosoziale Tendenzen nach Stress sowohl für Männer als auch für Frauen vermuten. Darüber hinaus sind auch Untersuchungen zu weiblichen Geschlechtshormonen und ihrem Einfluss auf Sozialverhalten sowie die soziale Kognition bei Frauen besonders herausfordernd durch die hormonellen Schwankungen während des Menstruationszyklus oder auch Veränderungen durch die Einnahme oraler Kontrazeptiva. Studien die sowohl Zyklusphasen als auch die Effekte von oralen Kontrazeptiva untersuchten, deuten aber bereits auf Unterschiede zwischen den verschiedenen Phasen, sowie Frauen mit natürlichem Zyklus und Einnahme oraler Kontrazeptiva hin. Der theoretische Teil beschreibt die Grundlagen zur Stressreaktion des Menschen und die hormonellen Veränderungen weiblicher Geschlechtshormone. Folgend, soll ein Kapitel zur aktuellen Forschungslage zu Effekten von akutem Stress auf Sozialverhalten und die soziale Kognition einen Überblick über die bisherige Befundlage schaffen. Die erste empirische Studie, welche die Effekte von Hydrocortison auf das Sozialverhalten und die Emotionserkennung untersucht, soll anschließend in diese aktuelle Befundlage eingeordnet werden und zu der weniger erforschten Sparte der pharmakologischen Studien beitragen. Die zweite empirische Studie befasst sich folgend mit den Effekten weiblicher Geschlechtshormone auf Sozialverhalten und Empathie, genauer wie auch Zyklusphasen und orale Kontrazeptiva (über Hormone vermittelt) einen Einfluss bei Frauen nehmen. Abschließend sollen die Effekte von Stresshormonen bei Männern, und modulierende Eigenschaften weiblicher Geschlechtshormone, Zyklusphasen und oraler Kontrazeptiva bei Frauen, jeweils in Hinblick auf Sozialverhalten und die soziale Kognition diskutiert werden.

Advances in eye tracking technology have enabled the development of interactive experimental setups to study social attention. Since these setups differ substantially from the eye tracker manufacturer’s test conditions, validation is essential with regard to the quality of gaze data and other factors potentially threatening the validity of this signal. In this study, we evaluated the impact of accuracy and areas of interest (AOIs) size on the classification of simulated gaze (fixation) data. We defined AOIs of different sizes using the Limited-Radius Voronoi-Tessellation (LRVT) method, and simulated gaze data for facial target points with varying accuracy. As hypothesized, we found that accuracy and AOI size had strong effects on gaze classification. In addition, these effects were not independent and differed in falsely classified gaze inside AOIs (Type I errors; false alarms) and falsely classified gaze outside the predefined AOIs (Type II errors; misses). Our results indicate that smaller AOIs generally minimize false classifications as long as accuracy is good enough. For studies with lower accuracy, Type II errors can still be compensated to some extent by using larger AOIs, but at the cost of more probable Type I errors. Proper estimation of accuracy is therefore essential for making informed decisions regarding the size of AOIs in eye tracking research.

The present study examined associations between fathers’ masculinity orientation and their anticipated reaction toward their child’s coming out as lesbian or gay (LG). Participants were 134 German fathers (28 to 60years) of a minor child. They were asked how they would personally react if, one day, their child disclosed their LG identity to them. As hypothesized, fathers with a stronger masculinity orientation (i.e., adherence to traditional male gender norms, such as independence, assertiveness, and physical strength) reported that they would be more likely to reject their LG child. This association was serially mediated by two factors: fathers’ general anti-LG attitudes (i.e., level of homophobia) and their emotional distress due to their child’s coming out (e.g., feelings of anger, shame, or sadness). The result pattern was independent of the child’s gender or age. The discussion centers on the problematic role of traditional masculinity when it comes to fathers’ acceptance of their non-heterosexual child.

This intervention study explored the effects of a newly developed intergenerational encounter program on cross-generational age stereotyping (CGAS). Based on a biographical-narrative approach, participants (secondary school students and nursing home residents) were invited to share ideas about existential questions of life (e.g., about one’s core experiences, future plans, and personal values). Therefore, the dyadic Life Story Interview (LSI) had been translated into a group format (the Life Story Encounter Program, LSEP), consisting of 10 90-min sessions. Analyses verified that LSEP participants of both generations showed more favorable CGAS immediately after, but also 3 months after the program end. Such change in CGAS was absent in a control group (no LSEP participation). The LSEP-driven short- and long-term effects on CGAS could be partially explained by two program benefits, the feeling of comfort with and the experience of learning from the other generation.

Background Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment. Objectives We aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and examined their differences in secondary measures of stress, action control (i.e., dispositional action vs. state orientation), coping, and health. Methods Latent profile analysis (LPA) was conducted on self-report data from 536 patients with chronic non-specific low back pain at the beginning of an inpatient rehabilitation program. Measures of stress (i.e., pain, life stress) and action control were analyzed as covariates regarding their influence on the formation of different pain response profiles. Measures of coping and health were examined as dependent variables. Results Partially in line with our assumptions, we found three pain response profiles of distress-avoidance, eustress-endurance, and low-endurance responses that are depending on the level of perceived stress and action control. Distress-avoidance responders emerged as the most burdened, dysfunctional patient group concerning measures of stress, action control, maladaptive coping, and health. Eustress-endurance responders showed one of the highest levels of action versus state orientation, as well as the highest levels of adaptive coping and physical activity. Low-endurance responders reported lower levels of stress as well as equal levels of action versus state orientation, maladaptive coping, and health compared to eustress-endurance responders; however, equally low levels of adaptive coping and physical activity compared to distress-avoidance responders. Conclusions Apart from the partially supported assumptions of the Fear-Avoidance and Avoidance-Endurance Model, perceived stress and dispositional action versus state orientation may play a crucial role in the formation of pain-related avoidance-endurance response patterns that vary in degree of adaptiveness. Results suggest tailoring interventions based on behavioral and functional analysis of pain responses in order to more effectively improve patients quality of life.

Optimal mental workload plays a key role in driving performance. Thus, driver-assisting systems that automatically adapt to a drivers current mental workload via brain–computer interfacing might greatly contribute to traffic safety. To design economic brain computer interfaces that do not compromise driver comfort, it is necessary to identify brain areas that are most sensitive to mental workload changes. In this study, we used functional near-infrared spectroscopy and subjective ratings to measure mental workload in two virtual driving environments with distinct demands. We found that demanding city environments induced both higher subjective workload ratings as well as higher bilateral middle frontal gyrus activation than less demanding country environments. A further analysis with higher spatial resolution revealed a center of activation in the right anterior dorsolateral prefrontal cortex. The area is highly involved in spatial working memory processing. Thus, a main component of drivers’ mental workload in complex surroundings might stem from the fact that large amounts of spatial information about the course of the road as well as other road users has to constantly be upheld, processed and updated. We propose that the right middle frontal gyrus might be a suitable region for the application of powerful small-area brain computer interfaces.

The present work explores how theories of motivation can be used to enhance video game research. Currently, Flow-Theory and Self-Determination Theory are the most common approaches in the field of Human-Computer Interaction. The dissertation provides an in-depth look into Motive Disposition Theory and how to utilize it to explain interindividual differences in motivation. Different players have different preferences and make different choices when playing games, and not every player experiences the same outcomes when playing the same game. I provide a short overview of the current state of the research on motivation to play video games. Next, Motive Disposition Theory is applied in the context of digital games in four different research papers, featuring seven studies, totaling 1197 participants. The constructs of explicit and implicit motives are explained in detail while focusing on the two social motives (i.e., affiliation and power). As dependent variables, behaviour, preferences, choices, and experiences are used in different game environments (i.e., Minecraft, League of Legends, and Pokémon). The four papers are followed by a general discussion about the seven studies and Motive Disposition Theory in general. Finally, a short overview is provided about other theories of motivation and how they could be used to further our understanding of the motivation to play digital games in the future. This thesis proposes that 1) Motive Disposition Theory represents a valuable approach to understand individual motivations within the context of digital games; 2) there is a variety of motivational theories that can and should be utilized by researchers in the field of Human-Computer Interaction to broaden the currently one-sided perspective on human motivation; 3) researchers should aim to align their choice of motivational theory with their research goals by choosing the theory that best describes the phenomenon in question and by carefully adjusting each study design to the theoretical assumptions of that theory.

Many people are aware of the negative consequences of plastic use on the environment. Nevertheless, they use plastic due to its functionality. In the present paper, we hypothesized that this leads to the experience of ambivalence—the simultaneous existence of positive and negative evaluations of plastic. In two studies, we found that participants showed greater ambivalence toward plastic packed food than unpacked food. Moreover, they rated plastic packed food less favorably than unpacked food in response evaluations. In Study 2, we tested whether one-sided (only positive vs. only negative) information interventions could effectively influence ambivalence. Results showed that ambivalence is resistant to (social) influence. Directions for future research were discussed.

A lack of ability to inhibit prepotent responses, or more generally a lack of impulse control, is associated with several disorders such as attention-deficit/hyperactivity disorder and schizophrenia as well as general damage to the prefrontal cortex. A stop-signal task (SST) is a reliable and established measure of response inhibition. However, using the SST as an objective assessment in diagnostic or research-focused settings places significant stress on participants as the task itself requires concentration and cognitive effort and is not particularly engaging. This can lead to decreased motivation to follow task instructions and poor data quality, which can affect assessment efficacy and might increase drop-out rates. Gamification—the application of game-based elements in nongame settings—has shown to improve engaged attention to a cognitive task, thus increasing participant motivation and data quality.

This study investigated correlative, factorial, and structural relationships between scores for ability emotional intelligence in the workplace (measured with the Geneva Emotional Competence Test), as well as fluid and crystallized abilities (measured with the Intelligence Structure Battery), carried out by a 188-participant student sample. Confirming existing research, recognition, understanding, and management of emotions were related primarily to crystallized ability tests measuring general knowledge, verbal fluency, and knowledge of word meaning. Meanwhile, emotion regulation was the least correlated with any other cognitive or emotional ability. In line with research on the trainability of emotional intelligence, these results may support the notion that emotional abilities are subject to acquired knowledge, where situational (i.e., workplace-specific) emotional intelligence may depend on accumulating relevant experiences.

Chronische primäre Schmerzen im Kindes- und Jugendalter sind weit verbreitet. Das Risiko für die Chronifizierung von kindlichen Schmerzen erhöht sich, wenn die Eltern selbst unter chronischen Schmerzen leiden. Elterliche kognitiv-affektive und verhaltensbezogene Reaktionen auf die kindlichen Schmerzen spielen eine zentrale Rolle in der Chronifizierung und familialen Transmission der Schmerzen. Welche spezifischen Faktoren die elterlichen Reaktionen auf die kindlichen Schmerzen modulieren, ist bis dato allerdings unklar. Ziel der vorliegenden Dissertation ist daher die Analyse des elterlichen schmerzbezogenen Verhaltens (maladaptive Reaktionen wie Katastrophisieren und Zuwendung) hinsichtlich möglicher modulierender Faktoren sowohl auf Eltern- (top-down-Variablen) als auch auf Kindebene (bottom-up-Variablen). Dafür wurden differenzierende Stichproben generiert und mit Hilfe von validierten Fragebögen befragt. In Studie 1 wurde eine Stichprobe von N = 105 schmerzfreien Elternteilen aus der Allgemeinbevölkerung und N = 80 Elternteilen aus der Allgemeinbevölkerung mit selbstberichteten chronischen Schmerzen erhoben. Die Stichprobe von Studie 2 umfasste N = 118 Elternteile mit chronischen Schmerzen, Angstsymptomen oder beidem sowie deren N = 190 Kinder, in Studie 3 wurden N = 63 Mütter, Väter und Kinder (Eltern-Kind-Triaden mit jeweils N = 21 Müttern, Vätern und Kindern mit der Diagnose einer chronischen Schmerzstörung) befragt. Nach der Überprüfung der Einsetzbarkeit der zentralen Erhebungsinstrumente auch in nicht-klinischen Samples wurden in Studie 1 die Reaktionen von schmerzfreien Eltern und Eltern mit selbstberichteten chronischen Schmerzen auf die Schmerzen ihrer Kinder mit anderen Stichproben sowie untereinander verglichen. Die Analyse der Einflüsse von top-down- und bottom-up-Variablen (elterliche und kindliche Schmerz- und Angstsymptomatik, elterliche und kindliche Somatisierung bzw. schmerzbezogene Beeinträchtigung sowie Alter und Geschlecht von Eltern und Kindern) auf die elterlichen maladaptiven Reaktionen wurde in Studie 2 und Studie 3 mit Hilfe von hierarchisch linearen Modellen durchgeführt. Die Ergebnisse zeigen, dass Eltern von Kindern mit chronischen Schmerzen grundsätzlich stärker katastrophisierten als Eltern von gesunden Kindern. Außerdem zeigte sich, dass insbesondere top-down-Variablen wie elterliche Angst das Katastrophisieren und die Zuwendung der Eltern verstärken. Bottom-up-Variablen erwiesen sich ausschließlich in der Interaktion von kindlicher Schmerz- und Angstsymptomatik als verstärkender Faktor für die Katastrophisierungsneigung der Eltern. Demnach scheinen zentrale modulierende Faktoren für kognitiv-affektive und verhaltensbezogene elterliche Reaktionen im Kontext der Chronifizierung von kindlichen chronischen Schmerzen vor allem top-down-Variabeln wie die elterliche Katastrophisierungsneigung und Angstsymptomatik zu sein. Als potentielle Risikogruppen für die Entwicklung von chronischen Schmerzen lassen sich so neben Kindern von Eltern mit eigenen chronischen Schmerzen auch Kinder von Eltern mit Angststörungen und erhöhter Katastrophisierungsneigung benennen. Daher sollte die Elternrolle in Therapien von Erwachsenen eine ausreichende Berücksichtigung finden, um eine Reduktion der maladaptiven Reaktionen auf die Kinder zu erreichen und so einer Entwicklung von chronischen Schmerzen vorzubeugen. Auch die psychoedukative Einbindung der Eltern in die kindliche Schmerztherapie erscheint aufgrund der vorliegenden Ergebnisse unabdingbar, vor allem wenn die Kinder neben den chronischen Schmerzen auch unter komorbiden psychischen Störungen wie beispielsweise Angststörungen leiden.

In order to investigate the psychobiological consequences of acute stress under laboratory conditions, a wide range of methods for socially evaluative stress induction have been developed. The present dissertation is concerned with evaluating a virtual reality (VR)-based adaptation of one of the most widely used of those methods, the Trier Social Stress Test (TSST). In the three empirical studies collected in this dissertation, we aimed to examine the efficacy and possible areas of application of the adaptation of this well-established psychosocial stressor in a virtual environment. We found that the TSST-VR reliably incites the activation of the major stress effector systems in the human body, albeit in a slightly less pronounced way than the original paradigm. Moreover, the experience of presence is discussed as one potential factor of influence in the origin of the psychophysiological stress response. Lastly, we present a use scenario for the TSST-VR in which we employed the method to investigate the effects of acute stress on emotion recognition performance. We conclude that, due to its advantages concerning versatility, standardization and economic administration, the paradigm harbors enormous potential not only for psychobiological research, but other applications such as clinical practice as well. Future studies should further explore the underlying effect mechanisms of stress in the virtual realm and the implementation of VR-based paradigms in different fields of application.

Auf der Grundlage einer Fragebogenstudie wurden unterschiedliche Elemente eines förderlichen Umgangs mit Gesundheitsinformationen betrachtet und ihre Zusammenhänge mit personspezifischen Merkmalen analysiert. Als zentrale Aspekte der Informationsprozesse wurden die drei Elemente Gesundheitsinformationskompetenz, Gesundheitsinteresse und gesundheitsspezifische Informationsgewohnheiten konzeptuell voneinander getrennt. Auf der Basis des bisherigen Forschungsstands wurde zunächst ein theoretisches Modell des Umgangs mit Gesundheitsinformationen entwickelt, das die Bedeutung der Kompetenz und des Interesses für gesundheitsbezogene Informationsgewohnheiten hervorhebt, individuelle Ausprägungen dieser drei Elemente mit soziodemografischen Faktoren, Persönlichkeitseigenschaften, Überzeugungen und dem Gesundheitszustand in Beziehung setzt sowie Verbindungen zu gesundheitsrelevanten Verhaltensweisen beschreibt. Dieses Modell wurde anschließend an einer Stichprobe von 352 Berufsschülerinnen und -schülern aus drei Berufsbereichen (Wirtschaft/Verwaltung, Technik und Gesundheit) empirisch überprüft. Über multiple Regressionsanalysen wurden bedeutsame Prädiktoren für die drei Hauptelemente Kompetenz, Interesse und Informationsgewohnheiten identifiziert, über logistische Regressionen und Korrelationen ihre Zusammenhänge mit dem Gesundheitsverhalten überprüft. Darüber hinaus wurden lineare Strukturgleichungsmodelle zur Vorhersage des Informationsverhaltens entwickelt. Die Ergebnisse bestätigen die konzeptionelle Trennung der drei Faktoren, die jeweils mit unterschiedlichen Prädiktoren verbunden waren. Auf der Basis der Befunde werden Ansatzpunkte für die weitere Forschung und die Förderung eines kompetenten Umgangs mit Gesundheitsinformationen diskutiert.

Das Ideal einer lebendigen Demokratie mit engagierten Bürger/innen lässt nach Wegen suchen, um die Partizipationsbereitschaft nachkommender Generationen zu fördern. Ausgehend von der Prämisse, dass das Wohlbefinden einen zentralen Motivator darstellt, der sich auch bei jungen Menschen mithilfe der Konzepte der Positiven Psychologie gezielt fördern lässt (Brohm & Endres, 2015), nähert sich der vorliegende Beitrag den beiden folgenden Forschungsfragen: Erstens, lässt sich ein Zusammenhang zwischen dem Wohlbefinden Jugendlicher und ihrer politischen Partizipationsbereitschaft respektive ihrem politischen Interesse empirisch nachweisen? Zweitens, in welchen Kontexten und in welchem Maße erleben Jugendliche Wohlbefinden in der Auseinandersetzung mit politischen Themen, Akteur/innen und Prozessen? Da bisherige bundesweite und regionale Studien zu den Themen Jugend, Politik und politisch-gesellschaftlicher Teilhabe nur in bedingtem Maße Rückschlüsse auf die fünf Elemente des Wohlbefindens nach Seligman (2012) zuließen, wurde im Vorfeld des vorliegenden Beitrags eine schriftliche Befragung von 100 Jugendlichen aus dem saarländischen Landkreis Saarlouis durchgeführt. Die Befragten charakterisieren sich mehrheitlich als allgemein aufgeschlossen und interessiert, doch es gelingt der Politik und ihren Mittler/innen nur eingeschränkt, dieses Potenzial in aktive politische Teilhabe zu übersetzen. Unter anderem persönliche Kontakte zu politisch Engagierten und eigene Erfahrungen in politischen Verbänden erweisen sich indes als positiv und korrelieren mit dem politischen Interesse und der Offenheit der Jugendlichen gegenüber politischer Partizipation.

Academic achievement is a central outcome in educational research, both in and outside higher education, has direct effects on individual’s professional and financial prospects and a high individual and public return on investment. Theories comprise cognitive as well as non-cognitive influences on achievement. Two examples frequently investigated in empirical research are knowledge (as a cognitive determinant) and stress (as a non-cognitive determinant) of achievement. However, knowledge and stress are not stable, what raises questions as to how temporal dynamics in knowledge on the one hand and stress on the other contribute to achievement. To study these contributions in the present doctoral dissertation, I used meta-analysis, latent profile transition analysis, and latent state-trait analysis. The results support the idea of knowledge acquisition as a cumulative and long-term process that forms the basis for academic achievement and conceptual change as an important mechanism for the acquisition of knowledge in higher education. Moreover, the findings suggest that students’ stress experiences in higher education are subject to stable, trait-like influences, as well as situational and/or interactional, state-like influences which are differentially related to achievement and health. The results imply that investigating the causal networks between knowledge, stress, and academic achievement is a promising strategy for better understanding academic achievement in higher education. For this purpose, future studies should use longitudinal designs, randomized controlled trials, and meta-analytical techniques. Potential practical applications include taking account of students’ prior knowledge in higher education teaching and decreasing stress among higher education students.

Stress is proven to have detrimental effects on physical and mental health. Due to different tasks and study designs, the direct consequences of acute stress have been found to be wide-reaching: while some studies report prosocial effects, others report increases in antisocial behavior, still others report no effect. To control for specific effects of different stressors and to consider the role of social anxiety in stress-related social behavior, we investigated the effects of social versus physical stress on behavior in male participants possessing different levels of social anxiety. In a randomized, controlled two by two design we investigated the impact of social and physical stress on behavior in healthy young men. We found significant influences on various subjective increases in stress by physical and social stress, but no interaction effect. Cortisol was significantly increased by physical stress, and the heart rate was modulated by physical and social stress as well as their combination. Social anxiety modulated the subjective stress response but not the cortisol or heart rate response. With respect to behavior, our results show that social and physical stress interacted to modulate trust, trustworthiness, and sharing. While social stress and physical stress alone reduced prosocial behavior, a combination of the two stressor modalities could restore prosociality. Social stress alone reduced nonsocial risk behavior regardless of physical stress. Social anxiety was associated with higher subjective stress responses and higher levels of trust. As a consequence, future studies will need to investigate further various stressors and clarify their effects on social behavior in health and social anxiety disorders.

Theoretischer Hintergrund: Essstörungen sind schwere psychische Störungen, welche aufgrund ihrer Komplexität, der hohen Mortalitätsrate sowie häufiger Chronifizierungen zu den Herausforderungen für Therapie und Forschung zählen. Die Herzratenvariabilität, als Indikator autonomer Regulation, scheint insbesondere bei Anorexie-Patientinnen zu Gunsten einer höheren parasympathischen Aktivität verschoben. Dieser Befund lässt sich anhand des Model Of Neurovisceral Integration erklären: Gemäß dieses Modells stellt eine erhöhte Herzratenvariabilität einen Hinweis für erfolgreiche Selbstregulation dar. Letztere scheint für restriktives Essverhalten essentiell, während sie bei impulsiven Verhaltensweisen wie Essanfälle und Erb-rechen reduziert sein sollte. Die bisherige Studienlage zur Herzratenvariabilität bei Essstörungen ist aufgrund der begrenzten Anzahl der Studien, der geringen Stichprobengrößen und Nicht- Berücksichtigung sinnvoller Drittvariablen jedoch noch inkonsistent und oftmals widersprüchlich. Neben der physiologischen Komponente werden in der Essstörungssymptomatik Veränderungen im kognitiven und emotionalen Erleben beschrieben. Zur Untersuchung beider Konstrukte erweisen sich Methoden des Ecological Momentary Assessment als aufschlussreich, da hierbei das Verhalten im Alltag der Patienten erhoben wird. Die bisherige Literatur zeigte bislang eine gute Anwendbarkeit der Methodik bei Essstörungspatienten, wobei die Anzahl der Studien gering ist. So fehlen bislang Studien, welche Emotionen und Kognitionen in Bezug zu Mahlzeiten und Sättigungsempfindungen setzen, obgleich solche Zusammenhänge in der kognitiven Verhaltenstherapie als zentral angesehen werden. Methode: Zu Beginn einer stationären psychosomatischen Behandlung wurden bei N=51 Probandinnen (Anorexia Nervosa: 19, Bulimia Nervosa: 15, gesunde Kontrollgruppe: 17) zeit- und frequenzanalytische Parameter der Herzratenvariabilität unter Berücksichtigung des Alters und des BMI in einer standardisierten fünfminütigen Laboruntersuchung untersucht. Am selben Tag fand außerdem eine stündliche Erhebung von Essverhalten, essstörungsspezifischen Kognitionen und negativen Emotionen mittels Smartphone statt. Am Ende der Behandlung wurde die Untersuchung wiederholt. Allgemein lineare Modelle wurden ebenso wie Mehrebenenmodelle zur statistischen Überprüfung der Hypothesen eingesetzt. Ergebnisse: Anorexie-Patientinnen zeigten tendenziell eine höhere parasympathische Aktivität als gesunde Probandinnen. Im Vergleich zu den beiden anderen Gruppen wiesen Bulimie-Patientinnen die niedrigste HRV auf. Antidepressiva führten zu einer Verringerung der HRV, genauso wie bei Anorexie-Patientinnen die Krankheitsdauer. Zusammenhänge mit erlebten Essanfällen konnten nicht festgestellt werden. Im Therapieverlauf zeigte sich, dass sich bei Anorexie-Patientinnen die HRV nach erfolgreicher Gewichtszunahme signifikant verringerte. Des Weiteren zeigten Essstörungspatientinnen höhere Ausprägungen in essstörungsspezifischen Kognitionen und negativen Emotionen während des Messtages. Mahlzeiten führten zu einer Verschlechterung der Stimmung, insbesondere bei restriktiven Anorexie-Patientinnen. Das Sättigungsempfinden einer Mahlzeit hatte einen signifikanten Einfluss auf die Bewertung dieser bei der klinischen Stichprobe, nicht jedoch bei gesunden Probandinnen. Am Ende der psychosomatischen Behandlung zeigte sich eine deutliche Verbesserung der essstörungsspezifischen Kognitionen und Mahlzeit-Bewertungen. Mahlzeiten hatten überdies einen geringeren Einfluss auf die Stimmung als zu Behandlungsbeginn. Diskussion: Die Auffälligkeiten im psychischen und physiologischen Bereich bei Essstörungspatientinnen sind Ausdruck eines vielschichtigen Krankheitsbildes, welches jedoch durch intensive Therapieangebote veränderbar ist. Das Hinzuziehen sinnvoller Drittvariablen erscheint bei Untersuchungen zur Herzratenvariabilität bei Essstörungspatienten essentiell. Darüber hin-aus zeigt die vorliegende Studie erstmals Zusammenhänge zwischen Mahlzeiten, Sättigungsempfinden und Essstörungssymptomatik mittels Ecological Momentary Assessment. Diese Methodik bietet einen inkrementellen Nutzen in der Erhebung verhaltensnaher Therapieerfolge. Resultierende Therapieansätze und Implikationen der Studie werden aufgezeigt.

Die folgende Arbeit thematisiert die Konzeptualisierung des psychischen Phänomens der Internalisierten Homonegativität (IH; Shidlo, 1994). Dieses bezeichnet die Verinnerlichung negativer Einstellungen und Verhaltensweisen gegenüber Homosexualität seitens einer gleichgeschlechtlich orientierten Person, wobei die Konstrukte von Heteronormativität und Homonegativität als Grundlage der Introjektion anzusehen sind. Bereits bestehende, in Art und Anzahl ihrer Dimensionen divergierende Begriffsbestimmungen werden zu einer neuen Arbeitsdefinition integriert. In diesem Sinne wird das Konstrukt der IH durch die Faktoren Internalisierter Homonegativität und Internalisierter Homopositivität mit je einer selbstbezogenen und globalen Subkomponente definiert. Ihre Antezedenzien und Konsequenzen, im Sinne psychischen Leidens oder stressbezogenen Selbstwachstums werden unter Einbezug ihrer Korrelate im Rahmen des Minoritätenstress-Modells (Meyer, 1995) reflektiert. Auch werden bereits existierende explizite und implizite diagnostische Messinstrumente zur Erfassung von IH bezüglich ihrer psychometrischen Qualität analysiert sowie konzeptuelle Ideen eines solchen für den deutschsprachigen Raum aufgezeigt.

Early life adversity (ELA) is associated with a higher risk for diseases in adulthood. Changes in the immune system have been proposed to underlie this association. Although higher levels of inflammation and immunosenescence have been reported, data on cell-specific immune effects are largely absent. In addition, stress systems and health behaviors are altered in ELA, which may contribute to the generation of the "ELA immune phenotype". In this thesis, we have investigated the ELA immune phenotype on a cellular level and whether this is an indirect consequence of changes in behavior or stress reactivity. To address these questions the EpiPath cohort was established, consisting of 115 young adults with or without ELA. ELA participants had experienced separation from their parents in early childhood and were subsequently adopted, which is a standard model for ELA, whereas control participants grew up with their biological parents. At a first visit, blood samples were taken for analysis of epigenetic markers and immune parameters. A selection of the cohort underwent a standardized laboratory stress test (SLST). Endocrine, immune, and cardiovascular parameters were assessed at several time points before and after stress. At a second visit, participants underwent structural clinical interviews and filled out psychological questionnaires. We observed a higher number of activated T cells in ELA, measured by HLA-DR and CD25 expression. Neither cortisol levels nor health-risk behaviors explained the observed group differences. Besides a trend towards higher numbers of CCR4+CXCR3-CCR6+ CD4 T cells in ELA, relative numbers of immune cell subsets in circulation were similar between groups. No difference was observed in telomere length or in methylation levels of age-related CpGs in whole blood. However, we found a higher expression of senescence markers (CD57) on T cells in ELA. In addition, these cells had an increased cytolytic potential. A mediation analysis demonstrated that cytomegalovirus infection " an important driving force of immunosenescence " largely accounted for elevated CD57 expression. The psychological investigations revealed that after adoption, family conditions appeared to have been similar to the controls. However, PhD thesis MMC Elwenspoek 18 ELA participants scored higher on a depression index, chronic stress, and lower on self-esteem. Psychological, endocrine, and cardiovascular parameters significantly responded to the SLST, but were largely similar between the two groups. Only in a smaller subset of groups matched for gender, BMI, and age, the cortisol response seemed to be blunted in ELA participants. Although we found small differences in the methylation level of the GR promoter, GR sensitivity and mRNA expression levels GR as well as expression of the GR target genes FKBP5 and GILZ were similar between groups. Taken together, our data suggest an elevated state of immune activation in ELA, in which particularly T cells are affected. Furthermore, we found higher levels of T cells immunosenescence in ELA. Our data suggest that ELA may increase the risk of cytomegalovirus infection in early childhood, thereby mediating the effect of ELA on T cell specific immunosenescence. Importantly, we found no evidence of HPA dysregulation in participants exposed to ELA in the EpiPath cohort. Thus, the observed immune phenotype does not seem to be secondary to alterations in the stress system or health-risk behaviors, but rather a primary effect of early life programming on immune cells. Longitudinal studies will be necessary to further dissect cause from effect in the development of the ELA immune phenotype.